Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Aug 2002
Case Reports[Anesthesia for cesarean section in a patient with von Hippel-Lindau disease].
We report the case of a pregnant 38-year-old woman at full-term who had a history of von Hippel-Lindau disease with neurological symptoms. She had previously undergone surgical removal of cerebellar hemangioblastomas. A cesarean delivery performed under general anesthesia was uneventful and the outcomes were excellent for both mother and fetus. ⋯ As such involvement could not be ruled out, we preferred to avoid the risks related to regional anesthesia. One of the main features of von Hippel-Lindau disease is the presence of central nervous system hemangioblastomas, which are highly vascularized, slow growing tumors that may become enlarged during pregnancy. We describe the implications of the disease for anesthesia.
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Rev Esp Anestesiol Reanim · Aug 2002
Randomized Controlled Trial Clinical Trial[Efficacy of 1% ropivacaine with and without hyaluronidase for peribulbar block].
To determine whether adding hyaluronidase to 1% ropivacaine without adrenalin enhances peribulbar anesthesia for cataract surgery with phacoemulsification. ⋯ The greater efficacy of a peribulbar block with the addition of 10 U/mL of hyaluronidase to 1% ropivacaine without adrenalin, in comparison to 1% ropivacaine alone, was demonstrated by a lower rate of reinjection and ocular mobility, even though no statistically significant difference in either ocular or palpebral akinesia was found.
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Rev Esp Anestesiol Reanim · Aug 2002
[Use of mivacurium chloride during transsternal thymectomy in myasthenic patient].
Myasthenia gravis is an autoimmune disease characterized by the presence of circulating IgG antibodies, which interact with acetylcholine receptors and interfere with neuromuscular transmission. ⋯ The anesthetic effect of mivacurium was twice as great in myasthenic patients, in whom it behaved like an intermediate-level non-depolarizing muscle relaxant. Mivacurium can reduce prolonged mechanical ventilation in patients who are myasthenic or pharmacologically immunosuppressed and at risk of sepsis arising in the respiratory tract.
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Rev Esp Anestesiol Reanim · Aug 2002
Clinical Trial[Evaluation of the UpsherScope laryngoscope in routine intubation with no expected difficulties].
To evaluate the new rigid, fiberoptic laryngoscope (UpsherScope) in cases with no expectation of intubation difficulty. ⋯ Our experience suggests that the UpsheScope does not offer advantages in routine intubations. The low success rate and the need for repeated attempts at intubation may be related to suboptimal design of the laryngoscope.
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Rev Esp Anestesiol Reanim · Aug 2002
[Morbidity and mortality related to anesthesia and surgery in 60 patients treated with bariatric surgery].
To identify the factors predicting morbidity and mortality in patients undergoing bariatric surgery for morbid obesity in our hospital. ⋯ Major complications of bariatric surgery occurred in 18.3% of our patients and mortality was 5%. Physical status was a prognostic factor for both early (24 h) postoperative morbidity and mortality in our morbidly obese patients, whereas BMI was related to morbidity during the first week after surgery.