Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Oct 2008
Randomized Controlled Trial Comparative Study[Improved detection of the pulse oximeter signal with a digital nerve block in patients in poor health status].
To demonstrate the efficacy of a digital nerve block for improving pulse oximetry in conditions of low tissue perfusion. ⋯ A digital nerve block can be used to prevent pulse oximetry failures in conditions of low peripheral perfusion.
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Rev Esp Anestesiol Reanim · Oct 2008
Randomized Controlled Trial Comparative Study[Efficacy of a continuous interscalene block vs intra-articular analgesia for postoperative pain in arthroscopic acromioplasty].
To compare the utility of intra-articular analgesia (IA) to that of a continuous interscalene block (CIB) by evaluating the quality of postoperative analgesia, a satisfaction index, and the incidence of complications. ⋯ Postoperative pain in the first 12 hours after shoulder surgery can be adequately managed with either IA or CIB. CIB is more effective than IA between 12 and 48 hours after surgery.
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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.
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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.