Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Feb 2003
[Evaluation of a formula for optimal positioning of a central venous catheter through the right internal jugular vein].
To evaluate the efficiency of a formula for predicting the optimal length of catheter inserted through the right internal jugular vein. ⋯ The aforementioned formula predicted appropriate placement of the catheter tip in 94.54% of the patients.
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Rev Esp Anestesiol Reanim · Feb 2003
[Early extubation with caudal morphine after pediatric heart surgery].
To analyze the viability of immediate extubation of children after corrective surgery for congenital heart defects with extracorporeal membrane oxygenation using an anesthetic technique involving caudal morphine, and to study the effect on length of stay in the pediatric intensive care unit (PICU) or elsewhere in the hospital. ⋯ Of patients undergoing simple corrective heart surgery with extracorporeal membrane oxygenation immediate extubation did not increase postoperative morbimortality and shortened the hospital stay. A single dose of caudal morphine provided optimum conditions for extubation and good control of postoperative pain. Strict measures must be taken, however, to avoid postpuncture bleeding.