Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Nasal ketamine compared with nasal midazolam in premedication in pediatrics].
To compare the efficacy and side effects of midazolam and ketamine administered nasally for pediatric premedication. ⋯ The nasal route is adequately accepted by children. Both drugs are effective by this route and sedation is rapid. Time until postanesthetic recovery is similar with both drugs. The doses used have wide safety margins.
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Rev Esp Anestesiol Reanim · Apr 1998
Case Reports[Epidural abscess secondary to the implantation of a thoracic catheter].
Spinal compression related to the formation of an epidural abscess after epidural blockade is a rare but serious complication. We report the case of a male patient in whom a thoracic epidural catheter was implanted to provide analgesia after trauma involving fracture ribs. ⋯ We review causal factors, mechanisms of formation, pathogenesis, diagnosis and management, as well as possible relation between injury and abscess formation. We also emphasize the importance of adequate vigilance as well as rapid diagnosis and adoption of therapeutic measures in order to avoid permanent sequelae such as paresis, sensory deficits or mechanical sphincter dysfunction.
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Rev Esp Anestesiol Reanim · Apr 1998
[Relationship between mixed venous saturation and cardiac index, hemoglobin and oxygen consumption in aortic surgery].
Mixed venous oxygen saturation (SvO2) depends mainly on four variables: cardiac index (CI), hemoglobin concentration (Hb), arterial oxygen saturation (SpO2) and oxygen consumption (VO2). Our aim was to study the correlation between each of these variables and SvO2 during abdominal aortic surgery, a situation which is of special interest because of associated hemodynamic and metabolic variations and the high risk of cardiovascular events. ⋯ Monitoring SvO2 in patients undergoing aortic surgery is useful for detecting potentially prejudicial variations in cardiac output or hemoglobin concentration.
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Rev Esp Anestesiol Reanim · Apr 1998
Letter Case Reports[Accidental overdose of caudal morphine chloride].
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Rev Esp Anestesiol Reanim · Apr 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Comparative study of sevoflurane and nitrous oxide versus halothane and nitrous oxide in pediatric anesthesia: efficacy and hemodynamic characteristics during induction].
To study the efficacy, side effects and hemodynamics of anesthetic induction in pediatric patients using sevoflurane and nitrous oxide or halothane and nitrous oxide. ⋯ Inhaled sevoflurane in 60% nitrous oxide provides rapid but gentle anesthetic induction, with hemodynamic stability and a low incidence of airway complications. Sevoflurane is therefore a reasonable alternative to halothane for pediatric surgery.