Revista española de anestesiología y reanimación
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Sepsis and consequent multiorgan dysfunction syndrome are responsible for over 60% of deaths in patients receiving critical care in spite of improvements in patient management. We describe the pathophysiology, epidemiology, clinical picture, and biochemical markers that contribute to the diagnosis and assessment of infection severity and progression of infection to sepsis and from severe sepsis to septic shock. Our focus is on the guidelines of the Surviving Sepsis Campaign, complemented with additional information published since those guidelines appeared. The Ovid MEDLINE database was used for a search from 1997 through 2006.
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Rev Esp Anestesiol Reanim · Oct 2007
Randomized Controlled Trial Comparative Study[Clinical comparison of the reusable LMA Classic laryngeal mask and the disposable Soft Seal mask in adult patients].
To compare the clinical behavior of the disposable Soft Seal laryngeal mask to the behavior of the reusable LMA Classic mask. ⋯ Although the results suggest that the clinical behavior of the 2 masks is similar, the LMA Classic allowed for effective airway management in all of the cases assigned to it, whereas management was effective in 90% of the cases in which the Soft Seal mask was used. The inflatable cuff of the Soft Seal is more compliant in vitro and it provides a higher airway seal pressure than does the LMA Classic.
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Rev Esp Anestesiol Reanim · Oct 2007
Randomized Controlled Trial[Influence of inhaled nitrous oxide on the induction doses of propofol and thiopental assessed by auditory evoked potentials].
To assess the influence of 50% nitrous oxide (N2O) on the induction doses of propofol and thiopental by means of the auditory evoked potentials index (AAI). To evaluate the time to induction of anesthesia. ⋯ The doses of both thiopental and propofol are reduced and induction times are shorter when the drugs are administered with a mixture of 50% N2O and 50% oxygen. Monitoring the AAI facilitates the titration of thiopental and propofol dosing during anesthetic induction.
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Rev Esp Anestesiol Reanim · Oct 2007
[Patient satisfaction with anesthetic care monitored during phacoemulsification].
To assess satisfaction with anesthesia during cataract surgery, as a quality indicator for such surgery. ⋯ Pain is common during phacoemulsification and is the main cause of patient dissatisfaction with anesthetic care.