APRENDER: O QUE UMA EDUCADORA DEVE TER...: " " APRENDER: O QUE UMA EDUCADORA DEVE TER...: " " Ola, hoje e 5a. feira, 15:25, acabou de chegar o meu presente.Ja, ja coloco as fotos para voces.Obrigada, Adriana, pelo presente.Que Deus continue te abencoando.abracos e mondibeijo Grupo de Oracao Esperanca Igreja Santo ExpeditoKairos com Thiago Brado e Mizao Semana da JuventudeShow Mizao e Banda Grupo de Oracao Providencia Divina Semana da JuventudeParoquia Divino Espirito SantoGrupo de Jovens Servos por amor ACAMPAMENTO DE FERIAS JOVENS SOIS FORTESLOCAL: REDIL DO BOM PASTOR PAROQUIA SANT'ANAENCONTRO DE CASAIS COM CRISTO E.C.C Retiro Diocesano Incendeia SEMANA DA JUVENTUDEGRUPO DE JOVENS SERVOS DO AMOR PAROQUIA DIVINO ESPIRITO SANTO Michael Robinson, Andrew DavidsonContinuing Education in Anaesthesia, Critical Care & Pain j 2013Pulmonary aspiration complicates between 1 in 900 to 1 in 10 000 general anaesthetics, dependent on risk factors. All novice anaesthetists in the UK are taught to consider the risk of aspiration and to modify their anaesthetic technique accordingly. The prevention of aspiration remains a cornerstone of anaesthetic practice. The recent Royal College of Anaesthetists 4th National Audit Project (NAP4) collected data on the incidence and causes of major airway complications in the UK. Over 50% of airway-related deaths in anaesthesia were as a consequence of aspiration, outweighing the much feared cant intubate cant ventilate (CICV) scenario. In addition, 23% of all cases reported to NAP4 involved aspiration as either the primary or secondary event. Cases not resulting in death commonly resulted in significant morbidity and prolonged stay on intensive care.Despite the awareness among anaesthetists of the need to minimize the risks of aspiration and advances in anaesthetic practices, NAP4 provided evidence that aspiration often occurred as a consequence of incomplete assessment of aspiration risk or a failure to modify anaesthetic technique. This review aims to highlight the key findings from NAP4 with regard to aspiration and evaluates the literature on aspiration risk assessment and decision-making.Caso queira, deixe seu e-mail nos comentarios abaixo desta postagem ou solicite pelo e-mail anestesiasegura@sma.com.br e lhe enviaremos o artigo completo. A Randomized Control TrialNaveed Siddiqui, Cristian Arzola, Zeev Friedman, Laarni Guerina, Kong Eric You-TenABSTRACTBackground: Misidentification of the cricothyroid membrane in a cannot intubate-cannot oxygenate situation can lead to failures and serious complications. The authors hypothesized that preprocedure ultrasound-guided identification of the cricothyroid membrane would reduce complications associated with cricothyrotomy.Methods: A group of 47 trainees were randomized to digital palpation (n = 23) and ultrasound (n = 24) groups. Cricothyrotomy was performed on human cadavers by using the Portex device (Smiths Medical, USA). Anatomical landmarks of cadavers were graded as follows: grade 1easy = visual landmarks; 2moderate = requires light palpation of landmarks; 3difficult = requires deep palpation of landmarks; and 4impossible = landmarks not palpable. Primary outcome was the complication rate as measured by the severity of injuries. Secondary outcomes were correct device placement, failure to cannulate, and insertion time.Results: Ultrasound guidance significantly decreased the incidence of injuries to the larynx and trachea (digital palpation: 17 of 23 = 74% vs. ultrasound: 6 of 24 = 25%; relative risk, 2.88; 95% CI, 1.39