Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 1999
Randomized Controlled Trial Clinical Trial[Efficacy of 0.1 mg of subarachnoid morphine combined with bupivacaine on postoperative analgesia in total hip arthroplasty].
To analyze the analgesic efficacy, safety and side effects of subarachnoid morphine (0.1 mg) with bupivacaine in patients undergoing total hip arthroplasty. ⋯ Combining 0.1 mg morphine and bupivacaine for total spinal anesthesia during hip arthroplasty significantly decreased the consumption of intravenous morphine during the first 48 hours after surgery. No respiratory depression occurred and the only side effects were urinary retention and mild pruritus and drowsiness.
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Rev Esp Anestesiol Reanim · Dec 1999
[Changes in oxygen saturation in the jugular bulb during cardiac surgery].
Heart surgery with cardiopulmonary bypass (CPB) leads to changes in supply and consumption of cerebral oxygen (DO2 and VO2C). Monitoring jugular bulb oxygen saturation (SjO2) detects changes in the DO2C/VO2C ratio that occur in patients undergoing heart surgery. The objective of this study was to determine the evolution of SjO2, of the arteriovenous difference of cerebral oxygen and of cerebral oxygen extraction, as well as the possible relation between those variables and changes in mean arterial pressure, hemoglobin counts and temperature in patients undergoing heart surgery with CPB. ⋯ The greatest risk of cerebral oxygen imbalance between supply and demand occurs at the start of CPB and during rewarming, as shown by decreases in SjO2 levels below baseline at those times.
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Rev Esp Anestesiol Reanim · Dec 1999
Letter Case Reports[Pre-eclampsia and treatment with urapidil].
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Rev Esp Anestesiol Reanim · Dec 1999
Randomized Controlled Trial Comparative Study Clinical Trial[Comparison of sevoflurane and propofol in the maintenance of and recovery from anesthesia].
To compare the recovery of patients after anesthesia with sevoflurane or propofol during open urological surgery or lumbar column surgery of intermediate duration. ⋯ Sevoflurane and propofol are comparable for anesthetic maintenance in urological and neurological procedures of intermediate duration.
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Rev Esp Anestesiol Reanim · Dec 1999
[Transfusion needs during intraoperative and immediate postoperative periods in arthroplasty of the hip and knee].
To determine the factors associated with immediate perioperative transfusion requirements of hip or knee arthroplasty patients who have not been enrolled in a blood salvage program. ⋯ These results suggest that certain modifiable factors increase the risk of blood transfusion in knee and hip arthroplasty. Specifically, they are duration of surgery, intra- and postoperative bleeding, preoperative hemoglobin level and instances of perioperative hypotension. Other factors outside our control are height or patient clinical history.