Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · May 1995
Randomized Controlled Trial Comparative Study Clinical Trial[Intravenous anesthesia using propofol during lengthy neurosurgical interventions].
To compare the hemodynamic stability and time to recovery of consciousness after long-duration (> 3 h) neurosurgery with 2 anesthetic protocols: total intravenous anesthesia with propofol as the single hypnotic agent and inhalational anesthesia with isoflurane. ⋯ Propofol can be considered an alternative to the traditional thiopental-isoflurane sequence in neurosurgery lasting more than 3 h. In our study the hypertensive response to the stimulus of orotracheal intubation was lower in the propofol group than in the thiopental-isoflurane group.
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Allergy to latex, described 15 years ago, is increasing. It affects mainly certain risk groups, such as health-care workers and patients with spina bifida or genitourinary malformations. ⋯ Prevention is based mainly on tentative diagnosis made when the patient's history is taken, followed by laboratory tests and consultation with an allergist. Because prophylactic drug protocols have proven ineffective, the patient must be offered a latex-free environment in keeping with standard recommendations.
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Rev Esp Anestesiol Reanim · May 1995
Editorial Comment[Latex allergy. New risks in anesthesiologic practice].