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Biomedical subjects

E A Villa

Publications and source records attributed to E A Villa.

5 recordsLinked to original sources

[Teaching training: an important skill for undergraduate students].

This work describes the structure of the course "Pedagogical Training" introduced in the new Nursing Curriculum of Minas Gerais Federal University College of Nursing. We believe that attending this pedagogical course provides students with the opportunity to be the active subjects and architects of their own knowledge, which will make it possible for them to deliberately develop their roles as educators and perform in a critical manner in view of the reality of those involved. It can be said that pedagogical training constitutes one of the possibilities to think about, reflect on and construct the teaching-learning process during both the moments experienced in class and those in the fields of clinical practice.

Curriculum↗

[Open doors: new possibilities in psychiatric nursing teaching].

This paper describes a teaching experience in psychiatric nursing at an open mental health care service. Students' discourses show how meaningful and rich an experience it has been for their careers. Participating in this training has allowed them to learn the role of nurses, to improve assistance by applying both theory and practice as well as to recognize people with mental disorders as ordinary citizens.

Education, Nursing↗

The use of fentanyl added to morphine-lidocaine-epinephrine spinal solution in patients undergoing cesarean section.

Because of its slow onset of action, intrathecal morphine may not be the optimal drug for intraoperative analgesia during short cases, such as cesarean sections. It is not known whether adding fentanyl to a morphine-lidocaine spinal solution would provide any benefits to patients undergoing cesarean sections. Sixty-two women scheduled for elective cesarean section received intrathecal 5% lidocaine with dextrose (50-70 mg), epinephrine 200 micrograms, preservative-free morphine 0.2 mg, and either 10 micrograms of fentanyl (study group) or preservative-free normal saline (placebo group) in a 0.2-mL volume. Patients were asked to rate their severity of pain on a visual analog scale (VAS) intraoperatively as the uterus was exteriorized and again when the dermatomal level had receded to L1. Intravenous fentanyl was administered if the patient experienced intraoperative discomfort. The VAS scores were 0.8 +/- 1.5 and 2.3 +/- 1.6 (mean +/- SD) in the placebo group at the time of uterine extrusion and in the post-anesthesia care unit (PACU). The corresponding scores in the fentanyl group were 0.4 +/- 1.1 and 2.7 +/- 2.2. There was a significant difference between the two groups in the VAS scores intraoperatively (P < 0.014) but not in the PACU (P not significant). There was also a significant difference (P < 0.015) in the need for supplementation with intravenous (i.v.) fentanyl. Six patients in the placebo group received i.v. fentanyl as compared with none of the patients in the fentanyl group.(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia, Epidural↗

Chloroprocaine-bupivacaine sequence for obstetric extradural analgesia.

Two case reports, one a vaginal delivery, the other a Caesarean Section, have been presented to demonstrate the rationale of employing a chloroprocaine-bupivacaine sequence for extradural analgesia in obstetrics. Use of chloroprocaine for initiation and bupivacaine for maintenance of the block offers at least three advantages: (1) onset of pain relief is prompt while duration is prolonged; (2) more than one "test" dose of chloroprocaine may be employed with safety in rapid succession; (3) two drugs with different metabolic patterns are used, each in reduced amount.

Anesthesia, Epidural↗