Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2006
Randomized Controlled Trial Comparative Study[Sedation and analgesia with propofol plus low-dose ketamine for retrobulbar block].
To determine if adding ketamine to propofol provides better sedation than propofol alone for patients receiving a retrobulbar block for eye surgery. ⋯ Low doses of ketamine associated with propofol improve puncture conditions for performing a retrobulbar block without increasing unwanted side effects.
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Rev Esp Anestesiol Reanim · Nov 2006
Randomized Controlled Trial Comparative Study[Addition of sodium bicarbonate and/or clonidine to mepivacaine: influence on axillary brachial plexus block characteristics].
The axillary brachial plexus block is a frequently performed anesthetic technique. Adding a variety of coadjuvant drugs has been shown to improve results. This study evaluated the addition of sodium bicarbonate (NaHCO3) and/or clonidine to mepivacaine for performing the block. ⋯ Adding NaHCO3 to mepivacaine shortens the time of onset of an axillary brachial plexus block. Including clonidine prolongs the duration of anesthesia and analgesia. The addition of both NaHCO3 and clonidine shortens time to onset but does not prolong duration of anesthesia or analgesia.
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Rev Esp Anestesiol Reanim · Nov 2006
[Factors related to renal dysfunction after liver transplantation in patients with normal preoperative function].
To determine perioperative factors related to postoperative renal dysfunction in patients receiving liver transplants who had normal renal function before surgery. ⋯ Acute renal dysfunction is a frequent complication following a liver transplant and it is associated with transfusion of more units of blood products even when the average transfusion amount is not large.
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Rev Esp Anestesiol Reanim · Nov 2006
[Anesthetic management for scheduled peritonectomy and hyperthermic intraperitoneal chemotherapy in 20 patients].
The aim of this study was to describe our protocol for the anesthetic management for peritonectomy and hyperthermic intraperitoneal chemotherapy and to report the results from a series of 20 patients. ⋯ The described anesthetic management protocol allowed the intervention to be carried out without complications other than hypotension, which responded to vasoconstrictor therapy.
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Rev Esp Anestesiol Reanim · Nov 2006
Case Reports[Bilateral polyradiculitis after an epidural block: a rare, serious complication].
Permanent neurological complications related to neuraxial techniques are rare. We report a case in which performance of the regional block and the intervention were free of noteworthy incidents. Postoperative pain was controlled by use of multimodal analgesia. ⋯ The clinical course was satisfactory, though resolution was slow. Electromyography at 8 months confirmed clear improvement in lesions. After a year, the patient continued rehabilitation and occasionally still used a cane.