Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · May 2003
Comment Letter Comparative Study[Controversies regarding immediate extubation in pediatric cardiac surgery].
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Rev Esp Anestesiol Reanim · May 2003
Comparative Study[Measurement of postoperative pain: analysis of the sensitivity of various self-evaluation instruments].
This study compared the sensitivity of two one-dimensional scales (a visual analog scale [VAS] and a verbal scale of pain intensity [VSPI]) and one multidimensional scale (McGill Pain Questionnaire-Spanish Version [MPQ-SV]) for detecting changes in pain after a variety of surgical procedures with postoperative analgesia provided by one of two methods. ⋯ All the scales were sensitive to changes in postoperative pain, but the MPQ-SV gave more precise information of differences between analgesic treatments and among operations.
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Rev Esp Anestesiol Reanim · May 2003
Case Reports[Obstetric analgesia and anesthesia with remifentanyl in a patient with von Willebrand disease].
A 30-year-old woman with von Willebrand's disease was admitted in labor. As epidural analgesia was ruled out due to risk of spinal hematoma, a pump for patient-controlled analgesia (PCA) was provided with boluses of remifentanil and set for intravenous infusion of 24 micrograms with a lockout time of 5 minutes. The patient reported analgesia to be satisfactory. ⋯ It is the most common genetic hemostatic disorder affecting obstetric procedures, and although epidural analgesia has been used with strict hematologic monitoring, that technique carries a risk of hematoma. PCA is useful in patients for whom regional techniques are contraindicated. With adequate fetal and maternal monitoring, remifentanil in PCA is safe and more effective than other opiates for labor pain.