Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Aug 1995
Case Reports[A case of malignant hyperthermia: anesthesia and recovery].
We report the case of a 29-years-old woman with Menière's syndrome undergoing surgery to drain the endolymphatic sack. After anesthetic induction trismus developed but tubes were inserted without difficulty. ⋯ Blood chemistry reports showed high enzyme levels that peaked at 24 h. We stress the importance of monitoring end tidal CO2 pressure and of rapidly starting specific treatment with dantrolene for correction of the clinical picture described.
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Rev Esp Anestesiol Reanim · Aug 1995
Case Reports[Anesthesia with continuous + infusion of propofol for trans-sternal thymectomy in myasthenic patients].
Patients with myasthenia gravis respond unpredictably to muscle relaxants and more often suffer respiratory complications after surgery. We describe the use of total intravenous anesthesia with propofol and alfentanil without muscle relaxants is three myasthenic patients classified as Osserman I-IIB. ⋯ Time in surgery ranged from 115 to 170 min and mean total dose of propofol was 1,374 mg. In all cases total intravenous anesthesia afforded good conditions for intubation, maintenance during surgery and rapid recovery from anesthesia, with early extubation.
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Rev Esp Anestesiol Reanim · Aug 1995
Randomized Controlled Trial Comparative Study Clinical Trial[Isoflurane versus propofol for sedation after heart surgery].
To compare isoflurane and propofol as the principal sedatives in ventilated patients after cardiac surgery with extracorporeal circulation (ECC). ⋯ In comparison with propofol, isoflurane offers advantages of rapid stabilization of sedation, ease of use and shorter time to endotracheal extubation.
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Rev Esp Anestesiol Reanim · Aug 1995
Randomized Controlled Trial Clinical Trial[Infusion of propofol as anesthetic and antiemetic drug].
To determine the possible antiemetic effect of propofol as the single agent for intravenous anesthesia in children undergoing strabismus surgery, in comparison with other techniques. ⋯ Propofol used as the single agent for induction and maintenance of anesthesia offers clear advantages in reducing emesis after strabismus surgery.
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Rev Esp Anestesiol Reanim · Aug 1995
Randomized Controlled Trial Comparative Study Clinical Trial[Comparative study of continuous epidural analgesia versus intermittent, patient-controlled, epidural analgesia during labor].
To assess the analgesic efficacy and the incidence of side effects of three procedures of epidural analgesia during labor. ⋯ We believe that the protocol of choice is the one used with group B (initial dose of 10 ml bupivacaine 0.125% + epinephrine 1/400,000 + 50 micrograms fentanyl followed by 12 ml/h bupivacaine 0.0625% + epinephrine 1/800,000 + 12 mu cg/h fentanyl in continuous infusion). The use of PCA systems with our unscreened patients yielded no advantages over the procedure used with group B.