Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 1990
Clinical Trial Controlled Clinical Trial[Ineffectiveness of incentive spirometry as coadjuvant of conventional physiotherapy for the prevention of postoperative respiratory complications after thoracic and esophageal surgery].
We have studied the efficacy of routine use of incentive spirometry (IS) in two groups of patients: group 1 (n = 18) with IS, and group 2 (n = 19), no IS. All patients suffered from lung or esophagus neoplasm and received respiratory physiotherapy before and after the operation. ⋯ Patients undergoing digestive surgery presented a higher frequency of pleural effusion (p less than 0.05) and of them, the subgroup with IS stayed at the hospital for a longer time (47.2 +/- 32 days) than the subgroup undergoing digestive surgery not submitted to IS (p less than 0.01) probably because of the higher incidence of neoplasms of the mean third of the esophagus in such group. In our study and in the context of the type of surgery studied, the routine use of IS does not decrease the frequency of clinical and roentgenologic alterations neither improves the efficacy of postoperative gas interchange.
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Rev Esp Anestesiol Reanim · Nov 1990
Comparative Study[Treatment of chronic pain of oncologic origin with epidural or intrathecal morphine administered by continuous or programmable flow implanted pumps].
We have treated a total of 40 patients who presented chronic pain secondary to a neoplastic condition; the patients were treated with morphine in a continuous perfusion by means of an implanted perfusion pump. The route used was the epidural route in seven patients and the intrathecal route in the remaining 33 patients. ⋯ Main complications were displacement of the catheter and rejection of perfusion system. Despite its high prize, we believe that such treatment system should be considered because of the quality of life improvement of the patients.
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Rev Esp Anestesiol Reanim · Nov 1990
Biography Historical Article[Intra-arterial regional anesthesia].
One of the most easy and effective ways for obtaining insensibility at the extremities, with a minimal danger for the patients, is the intravenous regional anesthesia. However, the origin of this type of anesthesia still remains controversial. ⋯ José Goyanes Capdevila, who by the beginning of this century was a lecturer in Surgery at Madrid's University. It must be considered that he used the arterial pathway following the anatomical and physiological criteria in use then.