Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Aug 2000
Randomized Controlled Trial Clinical Trial[Lung function and quality of analgesia after lung resection with epidural alfentanyl].
To evaluate the effects on postoperative pulmonary function and quality of analgesia of two protocols for epidural infusion of alfentanil after lung resection. ⋯ Thoracic epidural analgesia with alfentanil and lidocaine improves postoperative lung function and reduces the need for top-up analgesia in comparison with lumbar epidural infusion of alfentanil.
-
Rev Esp Anestesiol Reanim · Aug 2000
Comparative Study[Core and cutaneous thermal changes in the upper limb after anesthesia induction].
To describe and compare the core-cutaneous thermal and photoplethysmographic time-course effects after induction of general anesthesia with propofol, fentanyl and vecuronium. ⋯ Anesthetic induction with propofol, fentanyl and vecuronium produces cutaneous vasodilatation in the upper limb unequally: the greatest increase in skin temperature occurs at the fingertip, while forearm and upper arm temperatures increase less. We think that skin vasodilatation in peripheral distal areas may play an important role in redistributing core heat during anesthesia.
-
Rev Esp Anestesiol Reanim · Aug 2000
Case Reports[Elective cesarean section with epidural anesthesia in a pregnant woman with obstructive hypertrophic myocardiopathy].
Hypertrophic obstructive myocardiopathy (HOM) is characterised by left ventricular hypertrophy, which causes dynamic obstruction at the exit of the chamber and diastolic dysfunction of the myocardium. The use of epidural anesthesia in patients with HOM is controversial due to the hemodynamic repercussions of reduced preloading and postloading that occur. A 28-year-old woman with HOM was scheduled for cesarean delivery at 36.5 weeks because of delayed intrauterine growth. ⋯ However, experience in using epidural anesthesia for cesarean delivery is scarce. For our patient, epidural anesthesia with appropriate hemodynamic monitoring allowed surgery to take place without complications. We therefore believe that the technique might be useful for such patients.
-
To determine mortality risk factors for critically ill postoperative patients. ⋯ Surgical patients in critical condition continue to account for a large number of admissions to and death in the ICU. The variables analyzed were sufficient to explain patient outcome, such that risk factors for mortality in surgical patients admitted to the ICU could be determined.