Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Mar 1993
Comment Letter Historical Article[History of rachianesthesia with strychnine and stovaine in Spain].
-
Rev Esp Anestesiol Reanim · Mar 1993
[Intracavitary electrocardiography. A useful method for checking the correct localization of central venous catheters].
A placement technique for central venous catheters (CVC) using the intracavitary electrocardiography (ICECG) as well as three different connection systems of the CVC to the electrocardiographic monitor are described. The aim of the present study was to evaluate the correct placement of the CVC by this technique with posterior radiologic confirmation being carried out. The study was undertaken in 30 patients connecting a CVC to a negative electrode of the standard lead II and the positive to the left leg. ⋯ In 2 patients (6.6%) a biphasic "P" wave was not obtained and an abnormal position of the CVC was radiologically demonstrated at surgery (one in the ipsilateral subclavian vein and the other had a ring within the right subclavian vein impeding progression). The mean time used in the performance of this technique was 220 +/- 40 s. It is concluded that intracavitary electrocardiography is a simple, easy to learn and perform technique which does not delay surgical procedure and it is a reliable method for placing the end of the CVC.
-
In order for a surgical intervention to be performed in an outpatient regime three basic requisites must be met: adequate patient selection, appropriate type of surgery and adequate unit. These factors are important for the surgical procedure to be carried out with identical safety and success as that undertaken in an admitted patient. In out patient surgery, early psychomotor recovery and slight or lack of secondary effects are fundamental; thus, anesthetic technique is selected keeping these two points in mind as they determine the criteria for the release of the patients from hospital.
-
Rev Esp Anestesiol Reanim · Mar 1993
Letter Case Reports[General anesthesia in a patient with Dejerine-Sottas disease].