Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 2004
Randomized Controlled Trial Clinical Trial[Precurarization with rocuronium prevents fasciculations and biochemical changes after succinylcholine administration].
To determine the efficacy of rocuronium to prevent fasciculations and biochemical changes after succinylcholine administration. ⋯ Precurarization with rocuronium 90 seconds before succinylcholine administration reduces the incidence and severity of fasciculations and prevents increases in serum potassium and myoglobin concentrations.
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Rev Esp Anestesiol Reanim · Apr 2004
Comparative Study[Fentanyl or remifentanil to potentiate a single dose of rocuronium in patients anesthetized with propofol with evaluation by accelerometry].
To compare the increase in potency of a single dose of rocuronium during anesthesia with propofol combined with either fentanyl or remifentanil. ⋯ Remifentanil administered in combination with propofol for anesthesia does not affect time of onset of a single dose of 0.6 mg/Kg dose of rocuronium, but clinical duration of anesthesia is longer with remifentanil and propofol than with the fentanyl and propofol combination. The surgical and intubation conditions achieved with both combinations are adequate and similar.
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Rev Esp Anestesiol Reanim · Apr 2004
Review[A review of clinical evidence supporting techniques to prevent chronic postoperative pain syndromes].
To conduct a systematic review to evaluate the level of evidence for using acute postoperative pain management techniques with a view to pre-empting the later development of chronic pain syndromes. ⋯ Only chronic pain following thoracotomy has been found to be preempted by acute pain management and only by continuous thoracic epidural analgesia started before surgery. There is no solid evidence demonstrating that other techniques used to relieve acute postoperative pain have a beneficial effect in preempting chronic postoperative pain syndromes.
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Rev Esp Anestesiol Reanim · Apr 2004
Case Reports[Cesarean delivery and exeresis of a pheochromocytoma performed under epidural and general anesthesia].
A 33-year-old pregnant woman with episodes of nocturnal tachycardia and anxiety diagnosed with extra-renal pheochromocytoma in her 28th month of gestation was admitted in her 38th week for an alpha-adrenergic block prior to elective cesarean section and tumor exeresis. The cesarean section was performed with the patient given an epidural lumbar block, and immediately after delivery of the fetus total intravenous anesthesia (with propofol, remifentanil, and rocuronium) was administered in addition to the continuous epidural analgesia used during tumor resection and postoperatively. ⋯ The use of propofol and remifentanil in combination with epidural anesthesia is not common in our clinical context. We point out that the multimodal technique affords good hemodynamic stability, guarantees satisfactory analgesia, and reduces the need for vasoactive drugs.