Revista española de anestesiología y reanimación
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Regional anesthesia for ophthalmic procedures has changed significantly in the past ten years. Phacoemulsification for cataract surgery through corneal microincisions, soft foldable lenses and topical anesthesia simplify surgery such that most operations can be performed on an outpatient basis. Some anesthetic blocks are performed by either anesthesiologists or ophthalmologists, who should understand the advantages and disadvantages for each patient. This review discusses anatomical aspects of interest to the anesthesiologist, the main techniques used and anesthetic innovations, complications and certain controversies such as management of the patient who is taking medications that alter hemostasis, the withdrawal of hyaluronidase in some countries and the systematic ordering of tests before the procedure.
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Rev Esp Anestesiol Reanim · Jun 2003
Review[Complications during epilepsy surgery. Experience after 102 interventions between 1997 and 2001].
To describe perioperative complications in different approaches to surgery for epilepsy. ⋯ The rate of perioperative complications in surgery for drug-resistant epilepsy is low, the most common complication being self-limiting bradycardia related to surgical maneuvers.
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Rev Esp Anestesiol Reanim · Jun 2003
Case Reports[Heart arrest caused by CO2 embolism during a laparoscopic cholecystectomy].
A 41-year-old woman developed a gas embolism while inserting a Veress needle to achieve pneumoperitoneum for laparoscopic cholecystectomy. The embolism led to asystole, which was corrected after advanced cardiopulmonary resuscitation maneuvers, and was followed by sequelae and a prolonged hospital stay. The anesthesiologist should be vigilant during laparoscopic surgery and be ready and able to act in case of major complications.
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Rev Esp Anestesiol Reanim · Jun 2003
[Effect of sevoflurane on the neuromuscular blockade produced by continuous mivacurium infusion ].
To evaluate the effect of sevoflurane on a neuromuscular block from mivacurium in continuous infusion. ⋯ Sevoflurane causes a significant increase in the neuromuscular block maintained by mivacurium in continuous infusion and the increase lasts at least 15 minutes after the halogenated agent is cleared from blood.