Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Oct 2000
Randomized Controlled Trial Comparative Study Clinical Trial[0.2% ropivacaine vs. 0.1% ropivacaine plus fentanyl in obstetric epidural analgesia].
To compare the analgesic efficacy of epidural administration of 0.2% ropivacaine alone to that of 0.1% ropivacaine plus 0.0002% fentanyl during childbirth. ⋯ The protocol of ropivacaine 0.1% with 2 micrograms/ml of fentanyl provides satisfactory analgesia throughout labor, allowing lower doses of local anesthetic to be used, with shorter onset of pain relief and reduced motor blockade; however the analgesia provided is insufficient for deliveries assisted by instruments.
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The laryngeal mask for intubation (MLI), or "Fastrach", is a new device designed by Brain for airway management. The MLI, a modified version of the conventional laryngeal mask, allows for blind intubation through the device using endotracheal tubes up to 8 mm in diameter. ⋯ The MLI has been used with high rates of success in combination with other techniques such as fiberoptic bronchoscopy (success rate 99 to 100%) and transillumination (95 to 100% success rate) in patients whose airways have been considered difficult to manage. Given such high rates of success for MLI placement (95 to 100%) and for blind orotracheal intubation (81 to 100%), the Fastrach may offer an alternative to the conventional laryngeal mask in algorithms for airway management.
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Rev Esp Anestesiol Reanim · Oct 2000
Guideline[Intraoperative transesophageal echocardiography: basic aspects and recommendations for the training of the anesthesiologist. Joint Working Group of the Section on Echocardiography and Other Imaging Techniques of the Spanish Cardiology Society and the Cardiac Anesthesia Section of the Spanish Society for Anesthesiology, Resuscitation and Pain Management].
Transesophageal echocardiography has demonstrated to be a very useful technique in the operating room. Although cardiologists are responsible for the performance and interpretation of conventional echocardiographic studies, anesthesiologists should have an active role in the intraoperative ones, because of their active role in the operating room and their responsibility for the evaluation and treatment of perioperative complications. The increasing practice of intraoperative echocardiography in Spain, mainly due to the interest of the anesthesiologists and cardiac surgeons, and the lack of recommendations for an adequate training in transesophageal echocardiography oriented to the anesthesiologist, has prompted the creation of a Joint Task Force including members of the Sections of Echocardiography and Cardiothoracic Surgery of the Spanish Societies of Cardiology and Anesthesia, respectively. The Task Force has draw up a set of guidelines focused on the training of anesthesiologists in intraoperative transesophageal echocardiography, with the ultimate goal of stimulating the cooperation between anesthesiologists, cardiologists and surgeons in the surgical area.
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Rev Esp Anestesiol Reanim · Oct 2000
Historical Article[A new toy: upswing in curare use in Spanish anesthesia].
The introduction of curare for general anesthesia by Harold Griffith in 1942 was one of the most important moments in the development of anesthesiology. However, several years passed before curare came to be used in Spain. We review the early application of curare and the role played by Robert Macintosh, Professor of Anaesthesia at Oxford, in introducing the drug to Spain.