Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · May 1993
Randomized Controlled Trial Clinical Trial[Cardiorespiratory evaluation of midazolam and thiopental during their use in patients undergoing translumbar aortography in decubitus prone position and ASA IV].
To verify the cardiorespiratory effects of midazolam and thiopental in ASA IV patients undergoing translumbar aortography in the decubitus prone position. ⋯ In patients undergoing translumbar aortography midazolam and thiopental behaved similarly with regard to hemodynamics. Midazolam produced less apnea than thiopental.
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Rev Esp Anestesiol Reanim · May 1993
Randomized Controlled Trial Clinical Trial[Thoracic paravertebral blockade: postoperative analgesic effectiveness and plasma concentrations of bupivacaine].
To compare the analgesic efficacy of thoracic paravertebral blockade with that of endovenous morphine to measure the plasma levels of bupivacaine and to study the complications derived from both techniques in patients undergoing thoracic or abdominal surgery with unilateral incision. ⋯ Thoracic paravertebral blockade is a very effective postoperative analgesic technique and is superior to that of i.v. morphine in patients undergoing thoracic or unilateral abdominal surgery. Peak plasma levels were much lower than those considered as toxic complications of interest were observed. Therefore, this technique may be considered as an alternative to other blockades such as extradural, interpleural or intercostal.
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Rev Esp Anestesiol Reanim · May 1993
Randomized Controlled Trial Comparative Study Clinical Trial[Intubation with propofol without neuromuscular blockade. Effect of premedication on fentanyl and lidocaine].
Laryngotracheal reflexes, and possibilities of intubations following anaesthetic induction with propofol, with or without premedication and without neuromuscular blockade were evaluated. Hemodynamic parameters were also measured. ⋯ The use of propofol without neuromuscular blockade is inadequate for intubation since laryngotracheal reflexes are not suppressed. Besides, propofol does not prevent hemodynamic reactions. Premedication with fentanyl and/or lidocaine improves the responses not sufficiently to safely perform intubation.
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Rev Esp Anestesiol Reanim · May 1993
Letter Historical Article[Inhalation anesthesia at the end of the 19th Century].