Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2007
Clinical Trial[Utility of monitoring with the PiCCO system during lung resection surgery].
To evaluate the practical utility of the PiCCO system for monitoring cardiac output and its derived variables during lung resection surgery. ⋯ The results suggest that using the PiCCO system during lung resection surgery is of limited utility, given that problems developed in relation to 53% of the catheters. This makes the technique unreliable in the event of its being required.
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Rev Esp Anestesiol Reanim · Nov 2007
Randomized Controlled Trial Comparative Study[Cellular immune response to 3 anesthetic techniques for simple abdominal hysterectomy].
The effect of surgery and anesthesia on the immune response may have a significant effect on perioperative tumor surveillance. The aim of this study was to characterize the cellular immune response of patients undergoing simple abdominal hysterectomy under 3 types of anesthesia. ⋯ Combined general-epidural anesthesia seems to lower the counts of natural killer cells that are involved in tumor surveillance and destruction.
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Rev Esp Anestesiol Reanim · Nov 2007
[Frequency of bacterial contamination of epidural and plexus catheters in postoperative analgesia].
There is little available information regarding contamination of perineural catheters. Incidence ranges from 5% to 57%, depending on the location of the catheter. The objective of this prospective study was to evaluate the incidence and predisposing factors of bacterial contamination of these catheters. ⋯ Although infection of perineural catheters is exceptional when they are placed for 2 or more days, contamination is very common. Epidemiological studies are required to evaluate the variables involved.