Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2008
Randomized Controlled Trial[Is oxygen therapy truly useful and necessary during elective cesarean section under spinal anesthesia?].
To analyze maternal and fetal well-being with and without the application of oxygen therapy. ⋯ Breathing supplemental oxygen or not during elective cesarean delivery of healthy parturients under spinal anesthesia does not have a significant effect on neonatal well-being.
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Rev Esp Anestesiol Reanim · Dec 2008
Clinical Trial[Evaluation of a continuous positive airway pressure system without a ventilator to treat acute respiratory failure in children].
Noninvasive continuous positive airway pressure (CPAP) is widely used in pediatric patients with acute respiratory failure. However, the lack of specific interfaces and appropriate ventilators and poor tolerance of the technique by these patients can lead to failure of the application. The aim of this study was to analyze the efficacy of a CPAP system using a modified Mapleson breathing circuit during acute respiratory failure in pediatric patients. ⋯ CPAP without a ventilator, through a Mapleson D circuit, can be used with a high success rate to provide noninvasive ventilation for pediatric patients with acute respiratory failure.
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Rev Esp Anestesiol Reanim · Dec 2008
Case Reports[Trapped epidural catheter: reconstruction of computed tomography images].
A trapped epidural catheter without a knot is a rare complication. During placement of an epidural catheter for analgesia during labor, resistance made it impossible to position the catheter within the epidural space. A second catheter was inserted to provide the required analgesia. ⋯ In light of this situation, the patient was seated with the spine slightly bent to one side, a guidewire was inserted through the catheter lumen, and the catheter and guidewire were gently pulled; the catheter was extracted without causing the tip to break up. Three-dimensional CT reconstruction allowed the catheter tip and characteristics of the joint surfaces to be observed. We discuss protcols and alternative strategies that can be followed when an epidural catheter is difficult to remove, including the most appropriate images to use for guidance.