Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 2007
Letter Case Reports[Anesthesia for a boy with Rubinstein-Taybi syndrome].
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Rev Esp Anestesiol Reanim · Apr 2007
Clinical Trial[Continuous femoral nerve block to control postoperative pain in outpatient orthopedic surgery].
Postoperative pain is one of the most frequent complications of outpatient orthopedic surgery. We therefore studied the efficacy, feasibility, and safety of the continuous femoral nerve block as an analgesic technique for outpatient anterior cruciate ligament reconstruction. ⋯ The continuous femoral nerve block with 0.125% bupivacaine is a safe, effective option for the management of postoperative pain in outpatient anterior cruciate ligament reconstruction.
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Rev Esp Anestesiol Reanim · Apr 2007
Case Reports[Conservative management of the airway following iatrogenic tracheal rupture].
The trachea of a 39-year-old man ruptured following intubation for fiberoptic bronchoscopy; the complication became evident during surgery as extensive subcutaneous emphysema developed. The emphysema resolved with conservative treatment. Tracheobronchial lesions are generally caused by direct trauma to the chest. ⋯ Although infrequent, such lesions are potentially fatal. Signs and symptoms can vary widely, from self-limiting asymptomatic subcutaneous emphysema immediately following surgery to severe complications such as tension pneumothorax, acute respiratory failure, pneumomediastinum, or even pneumopericardium. The absence of complications in patients treated conservatively has increased interest in using this approach to management when conditions are favorable, always with fiberoptic assessment to evaluate whether the lesion has resolved completely and without sequelae.