Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jan 2001
Randomized Controlled Trial Comparative Study Clinical Trial[Infiltration of the surgical wound with local anesthetic for postoperative analgesia in patients operated on for lumbar disc herniation. Comparative study of ropivacaine and bupivacaine].
To assess and compare the analgesic efficacy of infiltrating the wound with ropivacaine or bupivacaine for postoperative pain after lumbar disk repair. ⋯ In this study, infiltration of the surgical wound with 0.25% bupivacaine or 0.25% ropivacaine was similarly effective for treatment of pain after lumbar disk laminectomy.
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Rev Esp Anestesiol Reanim · Jan 2001
Biography Historical Article[Robert R. Macintosh and Spain: a productive relationship].
Through his visit to Spain in 1946, Robert R. Macintosh exercised considerable influence on the introduction and development of modern anesthesia in this country. ⋯ Also reviewed are the other visits Mackintosh made in the course of his career. Those trips were less important, with the exception of a 1937 visit that inspired the design of the Oxford vaporizer, a technical concept based on simplicity, safety and the anesthesiologist's experience.
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Rev Esp Anestesiol Reanim · Jan 2001
Case Reports[Refractory hypotension sustained during general anesthesia due to chronic treatment with angiotensin-converting enzyme inhibitors].
Perioperative management of angiotensin-converting enzyme inhibitors (ACEI) is controversial because of associated hypertensive episodes during induction and maintenance of anesthesia. A 71-year-old woman with a non-functioning thyroid node was scheduled for thyroid lobectomy. Her medical history included high blood pressure and she was being chronically treated with ACEI, which were taken until the morning of surgery. ⋯ The patient did not respond to ephedrine or dopamine and required stabilization with adrenalin in continuous perfusion for 12 hours. Later evolution was satisfactory and recovery took place without sequelae. We discuss the anesthetic implications of chronic ACEI treatment and possible hemodynamic repercussions of associated administration with gelatin-type solutions or human albumin.
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Rev Esp Anestesiol Reanim · Jan 2001
Comparative Study[Survey on the preoperative evaluation in Catalonian surgical centers. I. What is the preoperative routine?].
To describe the preoperative assessment procedures currently used in hospitals in Catalonia (Spain). ⋯ This survey provides evidence of widespread use of preoperative assessment, although application falls short of including all scheduled patients. According to these results, selective protocols for ordering complementary preoperative tests are rarely applied.