Liuba Germanova

CT hyperdense lesion after head trauma: is it traumatic?

João Gomes, Liuba Germanova, Ana R. Monteiro, Manuel R. Teixeira

A woman in her 70s presented in our emergency department after a car accident with reported loss of consciousness on scene after the trauma. In our initial examination, she presented with retrograde amnesia to the event, elevated BP (194/108 mm Hg), tachycardia …

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Parosteal lipoma of the radius with posterior interosseous nerve palsy

João Gomes, Liuba Germanova, Manuel Mega, Ana R. Monteiro

Parosteal lipoma is a rare benign soft tissue mesenchymal tumour that may impair limb motor function when located adjacent to neurovascular structures. We report a case of a woman in her 80s with a long-standing lesion in the forearm and consequent sensory …

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Accidental extubation in a patient with Pierre-Robin syndrome: a case report

Karolina Czajkowska, Liuba Germanova, João Bettencourt

The Pierre Robin syndrome (PRS) is characterized by a clinical triad of micrognathia, glossoptosis and airway obstruction. These patients frequently require anesthesia for diagnostic and therapeutic procedures and may present a significant challenge to the anesthesiologist in charge. The principal difficulties when …

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Cardiac arrest during cesarean section - A case report

Liuba Germanova, Karolina Czajkowska, João Gomes, Cândida Infante et autres

Cardiac arrest is relatively an uncommon event during cesarean sections. That’s why obstetric teams have low exposure to these critical situations and need frequent training in early identification, differential diagnosis and treatment. We present a case report of a 36-year-old woman, who …

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Anaesthetic Management in a Duchennne Muscle Dystrophy Patient for Treatment of Recurrent Pneumothorax.

Sara Mota, Liuba Germanova, Joana Cortesão, Teresa Paiva

INTRODUCTION: Duchenne muscular dystrophy (DMD) is an x linked recessive disorder. Long term prognosis is ominous, with development of respiratory distress and cardiomyopathy in advanced stage of the disease and expected death in the teens-to-mid 20s due to respiratory or cardiac failure. …

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02 / Preoperative assessment of patients proposed for follicular puncture economic impact pre and post implementation of a guideline.

Liuba Germanova, Karolina Czajkowska

Background and Goal of Study:Considering anesthesiologists among other medical specialties, it is wellknownthat they have an increased risk of suffering from burnout syndrome. Unfortunately, burnout syndrome is often related to lower work performance, coronary artery disease and deteriorating overall mental health, all …

11 / Anaesthetic management for a liver transplant in a patient with Aagenaes syndrome

Liuba Germanova, Karolina Czajkowska

Background: Aagenaes Syndrome is a clinical condition characterized by cholestasis and lymphedema, and is autosomal recessive inherited. Itu2019s a progressive disorder that can lead to end-stage liver disease and to hepatopulmonary syndrome (HPS). The HPS is defined by the combination of intrapulmonary …