Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Oct 2008
Review Case Reports[Massive pneumocephalus and cerebrospinal fluid fistula after thoracotomy].
We report the case of a 70-year-old man (ASA physical status 2) who developed massive pneumocephalus caused by a fistula between the subarachnoid and pleural spaces following a left pneumonectomy. After an uneventful immediate postoperative period, the patient was readmitted to the recovery care unit with dyspnea, intense headache, confusion, and diminished level of consciousness. Computed tomography confirmed a cerebrospinal fluid fistula secondary to the opening of the intradural space during tumor resection. Treatment was conservative, consisting of rest in a slightly Trendelenburg position, antibiotic prophylaxis to prevent meningitis, and a water seal on the thoracic drainage tube.
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Rev Esp Anestesiol Reanim · Oct 2008
Case Reports[Brachial plexus block for minimally invasive parathyroidectomy: report of 3 cases].
The brachial plexus block, either deep or superficial, is one of the anesthetic techniques used in parathyroidectomy. The block is easy to perform and has few hemodynamic side effects. Surgery can be carried out in an awake patient. ⋯ All 3 patients were discharged the same day. We wish to underline the utility of the brachial plexus block for parathyroid surgery. The technique is easy to perform, safe, and effective; as a result, surgery can be carried out on an outpatient basis.
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Rev Esp Anestesiol Reanim · Oct 2008
Randomized Controlled Trial Comparative Study[Comparison of rapid anesthetic induction with sevoflurane vs target-controlled infusion of propofol].
To determine whether inhalation induction is faster than target-controlled infusion (TCI). ⋯ Anesthetic induction is faster with a TCI of propofol based on Ce than with sevoflurane. The propofol Ce was consistent with the direction of change in the AAI.