Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Mar 2006
Randomized Controlled Trial Comparative Study[Postoperative analgesia in cardiac surgery: spinal versus intravenous morphine].
To compare the effects of spinal and intravenous administration of morphine to supplement anesthesia with remifentanil in terms of analgesia during early postoperative recovery and considering time until extubation. ⋯ Our study suggests that spinal morphine does not offer advantages over intravenous morphine with regard to postoperative analgesia, hemodynamic stability and respiratory parameters, time until extubation, or adverse effects.
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Rev Esp Anestesiol Reanim · Mar 2006
Randomized Controlled Trial Comparative Study[Interaction between mivacurium and succinylcholine from a different point of view].
Succinylcholine (SCH) may first be used and continue with mivacurium (MIV). MIV has been suggested as a pretreatment. Conflicting results arises from studies on SCH-MIV interaction. The following trial revisits this interaction. ⋯ When mivacurium is used before the effects of succinylcholine disappear, a residual effect is not usually taken into consideration. This study corrected MAX and calculated speed of action, demonstrating a reduction in net block and speed of action, consistent with an antagonistic action when the 2 blockers are administered sequentially.