Continuous flow apneic ventilation (CFAV) was studied in five adult female patients. After induction of anesthesia with thiopental sodium (5 mg/kg) and fentanyl (5 micrograms/kg), and paralysis with pancuronium bromide (0.12 mg/kg), the patients were ventilated with oxygen at an FIO2 of 1.0 by face mask. Two polyethylene catheters (outside diameter [OD] 2.5 mm) were each inserted into the right and left mainstem bronchi. Each catheter had a curved tip measuring 2 cm in length. The angulation of the catheter tip from the axis was 20 degrees for the right side and 30 degrees for the left side. The endobronchial position was checked by fiberoptic bronchoscopy. Subsequently, tracheal intubation was performed using a 7.5 mm OD tracheal tube. CFAV was started when both catheters were connected to the gas delivery system. Humidified oxygen was delivered at total flows between 0.6 and 0.7 1/min. Arterial blood gases were analyzed every 5 min for 30 min. Monitoring included electrocardiogram, indirect blood pressure, heart rate, temperature, and peripheral nerve stimulation. Adequate oxygenation was maintained in all patients, 39.76 +/- 4.32 kPa (299 +/- 37 mmHg) at 30 min. There was a significant rise in Paco2 (P less than 0.05) at 30 min compared to the control, 4.92 +/- 0.25 kPa compared to 7.30 +/- 0.53 kPa (37.0 +/- 1.9 mmHg compared to 54.9 +/- 4.0 mmHg). There was a mean rise in Paco2 of 0.03 kPa/min (0.6 mmHg/min) compared to 0.5 kPa/min (3.8 mmHg/min) with apneic diffusion ventilation. In one patient there was no increase in Paco2 during the 30 min of CFAV.(ABSTRACT TRUNCATED AT 250 WORDS)

We conclude that DVT prophylaxis with either LMWH or UH is safe with intracranial pressure monitors in place.

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ResumoObjetivo: Compreender o signifi cado que os familiares de crianças hospitalizadas, no serviço de pediatria -Kandenge, atribuem à "Hora do Conto". Métodos: Pesquisa exploratória descritiva com abordagem qualitativa realizada no serviço de pediatria, num hospital situado na província de Luanda, Angola, envolvendo seis familiares de seis crianças internadas. A colheita de dados foi efectuada através de entrevista não estruturada, utilizando-se um guião de entrevista elaborado para o efeito. Resultados: A análise do verbatim das entrevistas permitiu a identifi cação de quatro categorias: Sentimentos, Benefícios, Educação e Humanização em torno das quais se constroem os benefícios da "Hora do Conto". Conclusão: Contar histórias, num hospital, é uma actividade valorizada pelas mães e uma novidade num serviço de pediatria em Angola, ajudando a criança na sua recuperação e proporcionando uma hospitalização menos traumática para a criança e família. AbstractObjective: To understand the meaning that relatives of hospitalized children at the pediatric service -Kandenge, give to the "Story Time". Methods: Descriptive exploratory research with a qualitative approach performed at the pediatric service in a hospital located in Luanda province, Angola, involving six relatives of six hospitalized children. The data collection was performed through an unstructured interview, using an interview guide developed for this study. Results: The analysis of the verbatim of the interviews has allowed the identifi cation of four categories: feelings, benefi ts, education and humanization. Conclusion: Telling stories, at the hospital, is an activity valued by mothers and a novelty at a pediatric service in Angola, helping the child with his own recovery and providing a less traumatic hospitalization for the child and the family. ResumenObjetivo: Comprender el signifi cado que los familiares de los niños hospitalizados en el servicio de pediatria -Kandenge, atribuyen a la "Hora del Cuento". Métodos: Pesquizaje exploratório descriptivo con abordaje cualitativo realizado en el servicio de pediatria un hospital localizado en la provincia de Luanda, Angola, con la participación de seis famílias de seis niños hospitalizados. La recogida de datos fue realizada a través de una entrevista no estructurada, se untilizó un instrumento próprio para el estúdio. Resultados: El análisis del verbantim de las entrevistas permitió la identifi cation de cuatro categorias: sentimentos, benefícios, educación e humanización. Conclusión: Contar historias en un hospital, es una actividad valorizada por las madres, es una novedad en un servicio de pediatria en Angola, ayuandando a los niños en su recuperación y proporcionando una hospitalización menos traumática para el niño y la família. Descritores