Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 2001
Clinical Trial[Ventricular assist support of the failing heart after surgery with extracorporeal circulation].
To communicate our experience implanting ventricular assist devices; we report the incidence of refractory heart failure after extracorporeal circulatory support and discuss clinical course after support. ⋯ Refractory heart failure after extracorporeal circulation is a life-threatening event requiring rapid response and resolution. The decision to implant a ventricular assist device is a difficult one, requiring immediate assessment of the causes of heart failure, its reversibility and the possibility of performing a heart transplant. The study of large series of patients experiencing this event and implanted with ventricular assist devices would facilitate decision making.
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To determine the influence on the intensity of postoperative pain of the following variables: sex, age, type of surgery, surgical approach, anesthetic technique and analgesia administered. ⋯ Surgical department, surgical approach, anesthetic technique and, finally, analgesic administered are the factors that determine the intensity of postoperative pain. These factors should therefore be taken into account when establishing treatment protocols to assure adequate control of postoperative pain. Neither sex nor age were determining factors for the intensity of postoperative pain.
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Rev Esp Anestesiol Reanim · Apr 2001
Case Reports[Pulmonary atelectasis during anesthesia in a boy with upper respiratory tract infection].
A 6-year-old boy was scheduled for adenoidectomy and bilateral myringotomy. The main features of his case history were chronic otitis media, bronchial asthma and signs and symptoms of upper respiratory tract infection (persistent runny nose and cough, occasionally with fever). Immediately after tracheal intubation we observed that the right side of the chest failed to rise with inspiration; breathing sounds were absent on the right and hypoxemia developed. ⋯ Upper airway infections are a common problem in children and increase the risk of respiratory complications during anesthesia. Patients with upper respiratory tract symptoms present a dilemma, and consensus about how to deal with such situations is lacking. We review the literature, discuss the anesthetic implications of upper airway infections, and suggest a two-phase approach for cases such as we report: first myringotomy using general anesthesia and a face mask, and second, once the upper airway infection has resolved, adenoidectomy with general anesthesia and tracheal intubation.
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Rev Esp Anestesiol Reanim · Apr 2001
Letter Case Reports[Anesthesia for major scoliosis in Prader-Willi syndrome].