RESUMO

A simple and rapid synthesis of a CoFeRu-based electrocatalyst by a microwave-assisted method (using water as the microwave absorbing solvent) is reported in this work. Agglomerates with different sizes and shapes are observed by scanning electron microscopy technique. The energy dispersive X-ray spectroscopy shows a low atomic percentage of Co and similar atomic percentage of Fe and Ru. However, the X-ray diffraction exhibits only the presence of metallic Ru and Fe2O3 (hematite) phases. The oxygen reduction without and with 2 mol L-1 methanol is studied using the rotating disk electrode technique. The electrochemical kinetic parameters obtained are compared to a similar electrocatalyst reported in the literature, which was synthesized using a mixture of an organic solvent with DI water as the microwave absorbing solvent. An improvement on the activity of the electrocatalyst synthesized is observed, where high Tafel slopes are not observed. The electrocatalyst also showed tolerance to the presence of methanol during the oxygen reduction reaction.

RESUMO

La infiltración de anestésico local (AL) está cada vez más extendida como indicación en el tratamiento del dolor neuropático. La intoxicación por AL es poco frecuente pero grave, potencialmente mortal y de difícil manejo. Cursa con afectación del nivel de conciencia, crisis comiciales y bloqueos de la conducción cardiaca. La emulsión lipídica (EL) al 20 % es el único tratamiento específico descrito hasta la fecha y ha mejorado el pronóstico de estos casos. Presentamos el caso de un paciente con deterioro neurológico progresivo tras la infiltración de altas dosis de AL por un dolor neuropático refractario a otros tratamientos. El paciente fue tratado con emulsión lipídica al 20 % revirtiendo el cuadro neurológico de forma precoz y completa. La aparición de síntomas neurológicos progresivos en el contexto de una infiltración de anestésico local debe alertarnos sobre una posible intoxicación para iniciar tratamiento precoz con emulsión lipídica al 20 %, evitando un pronóstico infausto. Sin embargo, la prevención sigue siendo la herramienta principal.

The infiltration of local anesthetic (LA) is increasingly widespread as an indication in the treatment of neuropathic pain. AL poisoning is rare but serious, life-threatening entity and its management may be very difficult. It occurs with decreased level of consciousness, seizures and cardiac conduction blocks. The lipid emulsion (EL) 20% is the only specific treatment described to date and it has improved the prognosis of these patients. We report the case of a patient with progressive neurological deterioration after injection of high doses of LA for treat a neuropathic pain refractory to other treatments. The patient was treated with lipid emulsion 20% with reversing all the neurological symptoms early and completely. The occurrence of progressive neurological symptoms in the context of a local anesthetic infiltration, should alert us to a possible poisoning and to start early treatment with lipid emulsion 20%, to avoid poor prognosis. However, prevention remains the main tool.