Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · May 1994
Randomized Controlled Trial Comparative Study Clinical Trial[Does propofol have advantages over midazolam and isoflurane? Comparative study of 2 total intravenous anesthesia techniques using midazolam and propofol, versus balanced anesthesia with isoflurane].
To compare two techniques for total intravenous anesthesia (TIVA): midazolam-alfentanil-flumazenil and propofol-alfentanil, contrasting them with combined anesthesia (thiopental-isoflurane-alfentanil) and assessing the efficacy of flumazenil in continuous perfusion for preventing resedation in TIVA with midazolam. ⋯ None of the TIVA techniques proved superior in all the parameters studied during anesthetic maintenance when compared with balanced isoflurane-alfentanil, although the propofol-alfentanil combination was found to be superior to that of midazolam-alfentanil. After anesthesia, however, recovery was better with the association of propofol-alfentanil and adverse side effects were fewer. Flumazenil at the doses used was ineffective for preventing resedation due to midazolam.
-
Rev Esp Anestesiol Reanim · May 1994
Randomized Controlled Trial Clinical Trial[Effects of low doses of aprotinin in heart surgery].
To study the effect of aprotinin (Trasylol) administration on bleeding after surgery and on the need for blood transfusion in patients undergoing cardiopulmonary bypass with extracorporeal circulation (ECC). ⋯ Administration of aprotinin at low doses during surgery in patients undergoing cardiac surgery with ECC significantly reduces postoperative bleeding and the amount of blood transfused.
-
Rev Esp Anestesiol Reanim · May 1994
Randomized Controlled Trial Comparative Study Clinical Trial[Comparison between fentanyl and a fentanyl-bupivacaine combination using epidural PCA for postoperative analgesia after thoracotomy].
The association of opioids and local anesthetics for spinal analgesia appears to have a synergistic++ effect. ⋯ The analgesic effect obtained with epidural fentanyl or fentanyl/bupivacaine is similar and adequate, and the association of fentanyl and bupivacaine can be considered safe.
-
Rev Esp Anestesiol Reanim · May 1994
Randomized Controlled Trial Comparative Study Clinical Trial[Comparative study between propofol and isoflurane as a maintenance anesthetic in ambulatory surgery].
To evaluate postanesthetic recovery and complications in outpatient surgery for which anesthetic maintenance was achieved with either isoflurane or propofol. ⋯ Recovery and incidence of complications after out-patient anesthesia were similar when anesthetic maintenance was achieved with propofol or isoflurane.