Revista española de anestesiología y reanimación
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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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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
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
Case Reports[Usefulness of transesophageal echocardiography in monitoring pulmonary artery catheter progression in a case of tricuspid annuloplasty].
A 47-year-old man with mitral and aortic valve prostheses and a tricuspid valve annuloplasty required emergency substitution of both valves because of infectious endocarditis on the aortic valve prosthesis. The tricuspid ring initially impeded insertion of the pulmonary artery catheter toward the right ventricle. With the aid of transesophageal echocardiographic visualization, the catheter could be maneuvered to reach the pulmonary artery without damage to valvular or prosthetic structures. Transesophageal echocardiography, a monitoring technique with specific indications, is becoming increasingly useful as an aid in procedures related to cardiac surgery.