Patient scheduled for an adrenalectomy with laparoscopic technique, due to a tumor of the left adrenal gland. The diagnosis of chronic arterial hypertension was difficult to control, so a test was requested to rule out pheochromocytoma, resulting in a tumor of the left adrenal gland. The teamwork of the specialties involved in the care of the patient, effective communication, pre-surgical preparation and perioperative management, resulted in minimal perioperative complications in the patient, remaining in the intensive care unit for one day and reducing the hospital stay.

In recent years, the profile of patients who can undergo ambulatory surgery procedures in independent ambulatory surgical centers has changed. It is very important to consider the availability, skills and experience of the care staff, as well as the integral study of the patient, the resolution capacity of these centers and evaluations with quality care indicators to obtain optimal results. The present case was of a 34-year-old male, first presentation of rapid and symptomatic atrial fibrillation documented in the immediate postoperative period. Patient care, diagnostic strategy and treatment were described, since the patient required electrical cardioversion.

Objectives: Describe and compare hemodynamic and Biochemistay features and use of blood components in patients who received acute normovolemic haemodilution (ANH) and autologous blood with patients who received homologous blood transfusion in patients who were operated of coronary artery bypass graft (CABG) in Naval Medical Center. Material and Methods: A comparative study was designed 103 patients were included programmed in elective form in two independent groups: 46 subjects received (ANH) and autotransfusion; 57 subjects received homologous blood transfusion. This study was made between the 1st of January 1998 and the 31st of July 2003. All statistical analisis were performed with the use of SPSS 12 Software. The Chi Square Test was use for nominal data ANOVA Test for numerical variable and Levene Test for homogenize of variance when it distribution was not normal non parametric U Te...