Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · May 1992
[Postoperative analgesia using the intravenous PCA technique. Results in the first 400 patients treated at a general hospital].
PCA (patient controlled analgesia) has represented a remarkable advance in the treatment of postoperative pain. In this work we describe our experience with this analgesic technique. ⋯ PCA analgesia has been successfully introduced in our hospital since it is effective, safe, easy to manage.
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Rev Esp Anestesiol Reanim · May 1992
Case Reports[Pain caused by brachial plexus injury during coronary revascularization. Report of 3 cases].
We report three cases of injury of the brachial plexus after coronary revascularization surgery. During the postoperative phase all patients presented plexopathy involving the left C8 and D1 roots. The symptoms were pain, paresthesia, and motor deficits. ⋯ In the three patients we ruled out alterations during cannulation of the internal jugular vein and malposition of the arms. We think that in our cases the fundamental mechanism was an excessive and assymetrical opening of sternal and Favoloro's separators that were used in all cases during dissection of the left internal mammary artery. We conclude that injury of the brachial plexus can be minimized by reducing the opening of both separators and by placing Favaloro's separator in a lower position.
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Rev Esp Anestesiol Reanim · May 1992
Review Comparative Study[Comparative analysis of the criteria for surveillance and monitoring in anesthesia, resuscitation and pain therapy. Recommendation of the Sociedad Española de Anestesia y Reanimación].
One part of morbidity and mortality associated with anesthesia is due to accidents. It is thought that an additional monitoring can prevent and avoid most of anesthetic accidents. ⋯ Spanish norm is comparable to that of the other countries considered in this study. It shows important successful points and at the same time some significant deficiencies.
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Rev Esp Anestesiol Reanim · May 1992
Randomized Controlled Trial Clinical Trial[Changes in plasma cortisol and ACTH caused by diazepam, bromazepam, triazolam, and alprazolam in oral premedication].
Benzodiazepines relieve anxiety and modify the endocrine response to surgical-anesthetic stress. ⋯ Benzodiazepines failed to modify cortisol and ACTH levels during surgery and during the immediate postoperative period. The most marked attenuation of adrenocortical response was achieved with 12 mg of bromazepam and the less marked lessening was induced by 0.5 mg of alprazolam.
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Rev Esp Anestesiol Reanim · May 1992
[Experience with the Du Pen epidural catheter in chronic cancer pain].
We evaluate the results obtained with the use of Du Pen's epidural catheter in a series of patients with chronic oncologic pain. There were 27 patients with neoplasms of different etiologies who received a total number of 30 catheters. Inclusion criteria were established. ⋯ Twenty patients died. Mortality was not attributed to catheter complications in any case. The present study confirms that placement of the catheter is technically easy and provides an efficacious opiate analgesia with minimal complications.