Intoxicación por monóxido de carbono / Carbon monoxide poisoning

Introducción: A nivel mundial, existe un incremento de las intoxicaciones por monóxido de carbono recibidas en los servicios de urgencia. En Cuba no es frecuente este tipo de intoxicación y existe desconocimiento para su diagnóstico precoz. El monóxido de carbono es un gas inodoro, incoloro, no irritante a las mucosas y altamente tóxico para el hombre. Es un contaminante de la atmósfera terrestre y el agente causal más frecuente de la intoxicación por gases. Objetivo: Describir la intoxicación por monóxido de carbono en un paciente atendido en el Hospital Militar;Dr. Mario Muñoz Monroy de Matanzas, Cuba. Caso clínico: Paciente masculino de 19 años de edad que inhala en un área cerrada, de forma accidental, los gases de la combustión de un vehículo durante 30 minutos. Permaneció en el lugar de la exposición sin medios de protección individual por un período de tres horas y comenzó con síntomas correspondientes a una intoxicación moderada por monóxido de carbono. Ingresó en la sala de cuidados intermedios para tratamiento. Conclusiones: El paciente tuvo una evolución favorable, tratado con oxígeno normobárico e hiperbárico(AU)

Introduction: Worldwide, there is an increase in poisonings by carbon monoxide received in emergency services. In Cuba this type of intoxication is not frequent and there is ignorance for its early diagnosis. Carbon monoxide is an odorless, colorless gas, not irritating to mucous membranes and highly toxic to man. It is a pollutant of the Earth's atmosphere and the most frequent causative agent of gas poisoning. Objective: To describe carbon monoxide poisoning in a patient treated at the Military Hospital Dr. Mario Muñoz Monroy from Matanzas, Cuba. Clinical case: A 19-year-old male patient inhaled in a closed area, accidentally, the combustion gases of a vehicle for 30 minutes. He remained in the place of exposure without means of individual protection for a period of three hours and began with symptoms corresponding to moderate intoxication by carbon monoxide. He was admitted at intermediate care ward for treatment. Conclusions: The patient had a favorable evolution, treated with normobaric and hyperbaric oxygen(AU)

A 50-50% mixture of nitrous oxide-oxygen in transrectal ultrasound-guided prostate biopsy: A randomized and prospective clinical trial.

INTRODUCTION: Transrectal ultrasound-guided biopsy (TUSPB) is the standard method of diagnosis for prostate cancer, and although it is well tolerated by some patients, it presents a discomfort rate of 65 to 90%, which may be associated with pain. For convenience, it is agreed that a method of analgesia and sedation is necessary. For this purpose, this study aimed to evaluate the impact of inhalation of a 50-50% N2O-O2 gas mixture on pain intensity in these patients. MATERIAL AND METHODS: Randomized, double-blinded clinical trial, conducted at Antônio Pedro University Hospital (Hospital Universitário Antônio Pedro), Niterói, RJ, Brazil, containing two groups of 42 patients: a control (C) group, which received 100% oxygen inhalation, and a nitrous oxide (NO) group, which received inhalation of the 50-50% N2O-O2 mixture, self-administered during TUSPB. The pain intensity and degree of satisfaction were evaluated through a visual analogue scale (VAS), as was the frequency of adverse events. RESULTS: Eighty-four patients were included in the study, with 42 in each group. The mean pain intensity was lower in the NO group than in the C group [2.52 (0-10) vs 5.95 (0-10), p < 0.001], and the degree of satisfaction was higher in the NO group than in the C group (8.14 vs. 4.69, p < 0.001). The adverse effects were somnolence, dizziness, nausea, vomiting, discomfort and euphoria without differences between the groups. CONCLUSION: The 50-50% N2O-O2 mixture was effective in reducing pain intensity and increasing the degree of satisfaction in TUSPB, with tolerable side effects.

A Randomized Trial of Conditioned or Unconditioned Gases for Stabilizing Preterm Infants at Birth.

OBJECTIVE: To determine whether the use of heated-humidified gases for respiratory support during the stabilization of infants <30 weeks of gestational age (GA) in the delivery room reduces rates of hypothermia on admission to the neonatal intensive care unit (NICU). STUDY DESIGN: A multicenter, unblinded, randomized trial was conducted in Melbourne, Australia, between February 2013 and June 2015. Infants <30 weeks of GA were randomly assigned to receive either heated-humidified gases or unconditioned gases during stabilization in the delivery room and during transport to NICU. Infants born to mothers with pyrexia >38°C were excluded. Primary outcome was rate of hypothermia on NICU admission (rectal temperature <36.5°C). RESULTS: A total of 273 infants were enrolled. Fewer infants in the heated-humidified group were hypothermic on admission to NICU (36/132 [27%]) compared with controls (61/141 [43%], P < .01). There was no difference in rates of hyperthermia (>37.5°C); 20% (27/132) in the heated-humidified group compared with 16% (22/141) in the controls (P = .30). There were no differences in mortality or respiratory outcomes. CONCLUSIONS: The use of heated-humidified gases in the delivery room significantly reduces hypothermia on admission to NICU in preterm infants, without increased risk of hyperthermia. CLINICAL TRIAL REGISTRATION: Australian and New Zealand Clinical Trials Register (www.anzctr.org.au) ACTRN12613000093785.

Modelación de riesgos hacia los trabajadores y comunidad por emisiones de gas licuado de petróleo, utilizando software Slab View en la ciudad de Los Ángeles, Chile / Risks modeling to workers and the community for releases of petroleum liquid gas, using software slab view in los angeles city, Chile

RESUMEN: 21. Con el software SLAB VIEW se realizaron modelaciones para determi nar cuantitativamente los riesgos hacia los trabajadores y comunidad por emisiones accidentales de gas licuado de petróleo, desde fuentes de uso y almacenamiento, dentro del radio urbano de Los Ángeles (Chile). Se modelaron 23 fuentes con categoría de riesgo grave, clase "C" y las 3 fuentes con categoría muy grave, clase "D", identificadas con la meto dología APELL, aplicada en el estudio de Silva et. al (2016). 22. 23. Se evaluó el comportamiento espacial y temporal de las fugas de gas para estanques identificados con capacidades de 2 m3, 4 m3, 11 m3 y 49 m3 utilizando promedios estacionales de variables meteorológicas consideradas en un periodo de evaluación de cinco años. Se utiliza ron variables de tiempo de fuga evaluando su comportamiento en 1, 3 y 5 minutos, con el fin de identificar las condiciones del peor escenario. Como resultado se obtiene que el comportamiento de la nube depende de la estabilidad atmosférica, siendo la condición esta ble donde concentraciones de interés permanecen por más tiempo alcanzando mayores distancias y que el peor escenario para una fuga son las bajas temperaturas y las condiciones atmosféricas estables. Como conclusión, puede establecerse que en la zona de estudio exis ten estanques que son potencialmente peligrosos por deflagración para trabajadores y la comunidad; sin embargo, los tiempos de expo sición no generan peligros por exposición aguda.

ABSTRACT: 28. With the SLAB VIEW software, modeling wasperformed to determine quantitatively the risks to workers and the community from acciden tal releases of liquefied petroleum gas, from sources use and storage, within the urban radius of Los Angeles (Chile). 23 sources with a severe risk category class "C" and the 3 very severe risk category class "D" identified with the APELL methodology, applied in the study by Silva et al. (2016), were modeled. 29. 30. The spatial and temporal behavior of the gas leaking for tanks iden tified with capacities of 2m3, 4m3, 11m3 and 49m3 were evaluated using seasonal averages of meteorological variables considered in a five - year evaluation period. Leakage time variables were used evaluating their behavior in 1, 3 and 5 minutes in order to identify worst-case conditions. As a result it is obtained that the behavior of the cloud depends on the atmospheric stability, being the stable condition where concentrations of interest remain longer reaching greater distances and that the worst scenario for a leak is the low temperatures and the stable atmospheric conditions. As a conclusion, it can be established that in the study area, there are ponds that are potentially dangerous due to deflagration for workers and the com munity, however, exposure times do not generate hazards due to acute exposure.

Pathogenic mechanisms in chronic obstructive pulmonary disease due to biomass smoke exposure.

Chronic obstructive pulmonary disease (COPD) mortality and morbidity have increased significantly worldwide in recent decades. Although cigarette smoke is still considered the main risk factor for the development of the disease, estimates suggest that between 25% and 33% of COPD patients are non-smokers. Among the factors that may increase the risk of developing COPD, biomass smoke has been proposed as one of the most important, affecting especially women and children in developing countries. Despite the epidemiological evidence linking exposure to biomass smoke with adverse health effects, the specific cellular and molecular mechanisms by which this pollutant can be harmful for the respiratory and cardiovascular systems remain unclear. In this article we review the main pathogenic mechanisms proposed to date that make biomass smoke one of the major risk factors for COPD.

[Exacerbations of asthma in Guadeloupe (French West Indies) and volcanic eruption in Montserrat (70 km from Guadeloupe)]. / Exacerbations d'asthme en Guadeloupe et éruption volcanique à Montserrat (70 km de la Guadeloupe).

INTRODUCTION: This study evaluates the impact of the ash cloud emitted in February 2010 during the eruption of the Soufrière Hill volcano of the island of Montserrat (70 km from Guadeloupe), on asthma exacerbations registered by the emergency hospital services in the archipelago of Guadeloupe in February 2010. METHODS: We first recorded the clinical features and outcome of each adult patient admitted as an emergency with an acute asthma exacerbation during this period, then compared the admission rates for asthma exacerbation, concentrations of particulates and chemical pollutants, and climatic parameters before, during, and after exposure to the ash cloud. Then, using a generalized linear model defined by a Poisson regression, we calculated the risks related to these factors. RESULTS: There was an increase in acute asthma admissions during and after exposure to the ash cloud (2.44/day versus 5.6/day, P<0.003). PM10 (particles<10 microns) were the major particulate pollution episodes (mean: 223 µg/m(3)). Asthmatics admitted acutely during the period of pollution were young adults (35 [18-49] years old), and the majority had asthma classified as intermittent (57%, n=27). In multivariate analysis, PM10 were a risk factor for acute asthma presentations during this period (aRR 2.89, 95% [from 1.69 to 4.93]). CONCLUSIONS: This study describes the clinical data and outcome of adult patients admitted to emergency asthma exacerbation during the eruption of the Soufrière Hills Volcano in Montserrat and indicates that there was a significant impact of the ash plume on respiratory health, mainly in patients with intermittent asthma.

Maintenance of submersible pumps in the septic tanks: ergonomic and biological risks to the worker.

In this study was observed the maintenance task of submersible pumps septic tanks installed in industrial bathrooms. This maintenance activity operators are exposed to various biological and ergonomic risks. This type of activity requires its great physical performers who are also subject to contact with human waste in the form of liquids, gases and solids. Besides the problems mentioned, are still exposed to high temperatures that can cause diseases such as hyperthermia or heatstroke. These aspects were observed using the ergonomic assessment methodology in order to suggest improvements that are reflected in productivity and employee satisfaction.

Morphological findings in the tracheal epithelium of dogs exposed to the inhalation of poorly conditioned gases under use of an endotracheal tube or laryngeal mask airway / Alterações morfológicas no epitélio traqueal de cães expostos à inalação de gases pouco condicionados, sob ventilação com tubo traqueal ou máscara laríngea

PURPOSE: To study morphological findings in the tracheal epithelium of dogs exposed to the inhalation of poorly conditioned gases under use of an endotracheal tube (ET) or laryngeal mask airway (LMA). METHODS: Twelve dogs randomly were allocated to two groups: ET group (n-6) and LMA group (n-6), anaesthetized and mechanically ventilated, without CO2 reabsorption. Haemodynamic and ventilatory parameters, tympanic temperature, temperature, relative and absolute humidity of the ambient and inhaled gases were analyzed during three hours. The animals were submitted to euthanasia and biopsies were carried out along the tracheal segment to morphological study. Three healthy dogs were used to morphological control. RESULTS: Inhaled gas temperature was maintained between 24ºC and 26ºC, relative humidity between 10 percent and 12 percent, and absolute humidity between 2 - 3 mg H2O.L-1 with no significant differences between groups. In both groups, histological analysis showed epithelial inflammation and congestion in the corion and scanning electron microscopy showed ciliary grouping and disorganization. Transmission electron microscopy showed higher alterations in ET group than LMA group as widening of cell junctions, ciliary disorientation, cytoplasmic vacuolization, nuclear abnormalities, picnosis and chromatin condensation. CONCLUSION: LMA determined less pronounced changes in the tracheal epithelium in dogs exposed to the inhalation of poorly conditioned gases.

OBJETIVO: Avaliar as alterações morfológicas no epitélio traqueal de cães expostos à inalação de gases pouco condicionados, sob ventilação com tubo traqueal (TT) ou máscara laríngea (ML). MÉTODOS: Doze cães adultos foram divididos aleatoriamente em dois grupos: grupo TT (n-6) e grupo ML (n-6), submetidos à anestesia venosa e ventilação mecânica, em sistema sem reabsorção de CO2. Foram registrados parâmetros hemodinâmicos e ventilatórios, temperatura timpânica, temperatura, umidade relativa e absoluta do ar ambiente e dos gases inalados durante 3 horas. Ao término do experimento, os animais foram submetidos a eutanásia e realizadas biópsias ao longo do segmento traqueal para estudo morfológico. Três cães saudáveis foram utilizados para controle morfológico. RESULTADOS: A temperatura dos gases inalados manteve-se entre 24ºC e 26ºC, a umidade relativa entre 10 por cento e 12 por cento, e umidade absoluta entre 2 -3 mg H2O.L-1 sem diferença significativa entre os grupos. Em ambos os grupos a análise histológica evidenciou processo inflamatório epitelial e congestão no córion, e a microscopia eletrônica de varredura mostrou agrupamento e desorganização ciliar. A microscopia eletrônica de transmissão detectou maiores alterações no grupo TT do que no ML, como alargamento das junções intercelulares, desorientação ciliar, vacuolização citoplasmática, alterações nucleares como pcinose e condensação da cromatina. CONCLUSÃO: A máscara laríngea determinou alterações menos pronunciadas no epitélio traqueal de cães expostos à inalação de gases pouco condicionados.

Morphological findings in the tracheal epithelium of dogs exposed to the inhalation of poorly conditioned gases under use of an endotracheal tube or laryngeal mask airway.

PURPOSE: To study morphological findings in the tracheal epithelium of dogs exposed to the inhalation of poorly conditioned gases under use of an endotracheal tube (ET) or laryngeal mask airway (LMA). METHODS: Twelve dogs randomly were allocated to two groups: ET group (n-6) and LMA group (n-6), anaesthetized and mechanically ventilated, without CO(2) reabsorption. Haemodynamic and ventilatory parameters, tympanic temperature, temperature, relative and absolute humidity of the ambient and inhaled gases were analyzed during three hours. The animals were submitted to euthanasia and biopsies were carried out along the tracheal segment to morphological study. Three healthy dogs were used to morphological control. RESULTS: Inhaled gas temperature was maintained between 24ºC and 26ºC, relative humidity between 10% and 12%, and absolute humidity between 2 - 3 mg H(2)O.L(-1) with no significant differences between groups. In both groups, histological analysis showed epithelial inflammation and congestion in the corion and scanning electron microscopy showed ciliary grouping and disorganization. Transmission electron microscopy showed higher alterations in ET group than LMA group as widening of cell junctions, ciliary disorientation, cytoplasmic vacuolization, nuclear abnormalities, picnosis and chromatin condensation. CONCLUSION: LMA determined less pronounced changes in the tracheal epithelium in dogs exposed to the inhalation of poorly conditioned gases.

Sintomatología respiratoria y enfermedad pulmonar obstructiva crónica y su asociación a contaminación intradomiciliaria en el área metropolitana de Santiago: estudio platino / Association between indoor pollution, respiratory symptoms and COPD in Santiago, Chile: platino study

The aim of this study is to report the association between indoor pollution (IP), chronic respiratory symptoms (CRS) and chronic obstructive pulmonary disease (COPD). Data provided from PLATINO study considering a sample of 1.208 subjects 40 and over years old population in Santiago, Chile. Analyses regarding indoor air pollution variables, smoking, environmental tobacco smoke (ETS) and lifetime exposure to occupational dust and CRS and COPD as main outcomes was performed. Crude and adjusted prevalence odds ratios (POR) were calculated using logistic regression, adjusting for potential confounders. Variables explaining higher COPD risk were age > 60 years (POR 3.94, CI95 percent 2.87-5.41, p < 0.01) and males (POR 2.08, CI95 percent 1.53-2.83, p < 0.01). Exposure to coal IP was associated with CRS (POR 1.41, CI95 percent 1.05-1.89; p = 0.024), as well as exposure to firewood IP (POR 1.42, CI95 percent 1.04-1.93; p = 0.029) and ETS (POR 2.15, CI95 percent 1.24-3.73, p = 0.006). Exposure to coal, firewood and ETS are independent risk factors for CRS. Association between exposure to IP and COPD was not observed.

El objetivo de la comunicación fue evaluar la asociación entre contaminación intradomiciliaria (CID) y la presencia de síntomas respiratorios crónicos (SRC) y Enfermedad Pulmonar Obstructiva Crónica (EPOC). Se analizó información del estudio de prevalencia Platino en base a una muestra de población general de 1.208 sujetos de 40 y más años de Santiago, Chile. Se analizó la CID derivada del uso de combustibles sólidos, exposición a humo ambiental (EHAT) y el reporte de exposición previa a polvo de origen ocupacional calculando Odds Ratio de Prevalencia (ORP) crudos y ajustados por potenciales variables confundentes. Las variables que determinan mayor riesgo de EPOC fueron edad mayor 60 años (ORP 3,9; IC95 por ciento 2,9-5,4; p < 0,01) y sexo masculino (OR 2,08; IC95 por ciento 1,5-2,8; p < 0,01). La CID derivada de carbón se asoció con síntomas respiratorios crónicos (ORP 1,4; IC95 por ciento 1,05-1,89; p = 0,024), al igual que el antecedente de exposición a humo de leña (ORP 1,4, IC95 por ciento 1,04-1,9; p = 0,029) y EHAT (ORP 2,1, IC95 por ciento 1,2-3,7; p = 0,006). La exposición a carbón, leña y EHAT constituyen factores de riesgo independientes para presentar SRC. No se encontró asociación entre CID y EPOC.

Electrophysiological study of the effects of mercury intoxication in the retina of the odontologists using the multifocal electroretinogram / Estudio electrofisiológico de los efectos de la intoxicación por mercurio en la retina del odontólogo usando electroretinograma multifocal

Electrophysiological retinal alterations were evaluated in a group of odontologists contaminated with mercury vapor. The group consisted of 20 odontologists exposed to mercury vapor during the professional activities. The multifocal electroretinogram showed significant statistical differences for the values of the amplitudes of Ni and P1 in all of the rings: ring 1 (p=0.002) for amplitude Ni and (p < 0.00i) for amplitude P1; ring 2(p < O.001) for amplitudes Ni and P1; ring 3(p < O.00i) for amplitude Ni and (p=0.002) for amplitude Pi; ring 4 (p < 0.00i) for amplitudes Ni and Pi; ring 5 (p < 0.001)for amplitude Ni and (p=0.001 ) for amplitude P1; ring 6 (p < 0.001 ) for amplitudes Ni and P1. Increases of the latency P1 for ring1 (p=0.013), ring 5 (p=0.038) and ring 6 (p=0.038) were also found. We conclude that mercurial contamination causes important alterations in cone and rod photoreceptors and also in bipolar cells.

Fueron evaluadas alteraciones electrofisiológicas de la retina en un grupo de odontólogos contaminados con el vapor de mercurio. El grupo estaba formado por 20 odontologos expuestos al vapor de mercurio durante la actividad profesional. El electrorretinograma multifocal señalo diferencias estadísticas significativas para los valores de amplitud N1 y P1 en todos los anillos: anillo 1 (p=0,002) para la amplitud N1 y (p<0,001) para la amplitud P1; anillo 2 (p<0,001) para las amplitudes N1 y P1; anillo 3 (p<0,001) para la amplitud N1 y ( p=0,002) para la amplitud P1; anillo 4 (p<0,001) para la amplitud N1 y P1; anillo 5 (p<0,001) para la amplitud N1 y (p=0,001) para la amplitud P1; anillo 6 (p<0,001) para las amplitudes N1 y P1. El aumento de la latencia P1 para el anillo 1 (p=0,013), el anillo 5 (p=0,038) y el anillo 6 (p=0, 038) también fueron encontrados. Se concluye que la contaminación por mercurio causa importantes alteraciones en los conos y bastoncillos, fotorreceptores y también en las células bipolares.

A calorimetry system for metabolism trials

An indirect calorimetry system for rapid determination of CO2 and CH4 production and O2 consumption to estimate heat production of animals was built at Escola de Veterinária da Universidade Federal de Minas Gerais, Brazil. Procedures for determination of correction and calibration factors for gas analyzers and the whole system, using standard test gases were described. In addition, a metabolic trial was performed to evaluate heat production of lambs fed ad libitum. It is concluded that the system is suitable for heat production determinations in small and medium size animals.

Um sistema de calorimetria para a determinação rápida da produção de CO2 e CH4 e do consumo de O2 de animais para o cálculo da produção de calor foi construído na Escola de Veterinária da Universidade Federal de Minas Gerais. Foram descritos os procedimentos para a determinação dos fatores de correção dos analisadores e calibração do sistema utilizando-se gases padrão. Adicionalmente, um ensaio de metabolismo foi realizado para se avaliar a produção de calor de ovinos alimentados ad libitum. Conclui-se que o sistema está apto para determinações de produção de calor em animais de pequeno e médio porte.

A calorimetry system for metabolism trials / Sistema de calorimetria para estudos de metabolismo

An indirect calorimetry system for rapid determination of CO2 and CH4 production and O2 consumption to estimate heat production of animals was built at Escola de Veterinária da Universidade Federal de Minas Gerais, Brazil. Procedures for determination of correction and calibration factors for gas analyzers and the whole system, using standard test gases were described. In addition, a metabolic trial was performed to evaluate heat production of lambs fed ad libitum. It is concluded that the system is suitable for heat production determinations in small and medium size animals.(AU)

Um sistema de calorimetria para a determinação rápida da produção de CO2 e CH4 e do consumo de O2 de animais para o cálculo da produção de calor foi construído na Escola de Veterinária da Universidade Federal de Minas Gerais. Foram descritos os procedimentos para a determinação dos fatores de correção dos analisadores e calibração do sistema utilizando-se gases padrão. Adicionalmente, um ensaio de metabolismo foi realizado para se avaliar a produção de calor de ovinos alimentados ad libitum. Conclui-se que o sistema está apto para determinações de produção de calor em animais de pequeno e médio porte.(AU)

Comparação de substratos com diferentes quantidades de carboidratos solúveis utilizando a técnica in vitro semi-automática de produção de gases / Comparison among substrates with different soluble carbohydrates concentration using the in vitro semi-automatic gas production technique

Estudou-se a diferença entre a produção de gases (PG) e a degradação da matéria seca (DMS) para substratos com diferentes quantidades de carboidratos solúveis avaliados pela técnica in vitro de produção de gases. Foram utilizados cinco substratos (cana-de-açúcar, silagem de milho, capim-colonião, milho em grão e ração comercial para vacas em lactação) antes e após a retirada parcial dos carboidratos solúveis (lavados). A PG foi maior e a DMS menor para o material lavado. A concentração de carboidratos solúveis influenciou os resultados obtidos pela técnica de produção de gases.

The difference between the gas production (GP) and the dry matter degradation (DMD) of substrates with different amounts of soluble carbohydrates using the in vitro gas production technique was studied. Five substrates (sugarcane, maize silage, Panicum maximum grass, corn grain, 20 percent CP commercial lactating cow ration and soybean meal) and the same substrates with part of its soluble carbohydrate removed (washed materials) were evaluated. The GP was higher and DMD was lower for washed materials than for the original materials. The carbohydrate concentration affects the results of the gas production technique.

Comparação de substratos com diferentes quantidades de carboidratos solúveis utilizando a técnica in vitro semi-automática de produção de gases / Comparison among substrates with different soluble carbohydrates concentration using the in vitro semi-automatic gas production technique

Estudou-se a diferença entre a produção de gases (PG) e a degradação da matéria seca (DMS) para substratos com diferentes quantidades de carboidratos solúveis avaliados pela técnica in vitro de produção de gases. Foram utilizados cinco substratos (cana-de-açúcar, silagem de milho, capim-colonião, milho em grão e ração comercial para vacas em lactação) antes e após a retirada parcial dos carboidratos solúveis (lavados). A PG foi maior e a DMS menor para o material lavado. A concentração de carboidratos solúveis influenciou os resultados obtidos pela técnica de produção de gases.(AU)

The difference between the gas production (GP) and the dry matter degradation (DMD) of substrates with different amounts of soluble carbohydrates using the in vitro gas production technique was studied. Five substrates (sugarcane, maize silage, Panicum maximum grass, corn grain, 20 percent CP commercial lactating cow ration and soybean meal) and the same substrates with part of its soluble carbohydrate removed (washed materials) were evaluated. The GP was higher and DMD was lower for washed materials than for the original materials. The carbohydrate concentration affects the results of the gas production technique.(AU)

Administración de oxígeno durante la última fase del trabajo de parto y su efecto en la gasometría de la sangre de la vena umbilical / Administration of oxigen during the last fase of labor has an effect on the umbilical vein's blood gases at birth

El objectivo fue determinar si la oxígenoterapia durante el trabajo de parto afecta los valores de los gases arteriales en sangre de la vena umbilical en el momento del nacimiento. Se escogieron al azar un total de 42 pacientes y se distribuyeron en 2 grupos. Al grupo estudio se le colocó una mascarilla de oxigeno con un flujo de 10 L/min la última fase del trabajo de parto. En ambos grupos se detectaron niveles de pH, PO² y saturación de oxigeno similares. Se concluye que no existen evidencias estadísticamente significativas de que la oxigenoterpia durante la última fase del trabajo de parto aumente los valores de la gasometría del recién nacido