Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Aug 2008
Randomized Controlled Trial[Premedication with intraoperative clonidine and low-dose ketamine in outpatient laparoscopic cholecystectomy].
To determine the efficacy of premedication with intraoperative clonidine in association with low-dose ketamine to reduce the need for postoperative opiate analgesia in outpatient laparoscopic cholecystectomy. ⋯ Patients receiving clonidine and ketamine required less additional opiate analgesia to achieve mild pain values (<3 on the numerical verbal scale) but suffered more adverse effects during their stay in the postanesthesia recovery unit. Discharge was not delayed, however.
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Rev Esp Anestesiol Reanim · Aug 2008
[Fetoscopic tracheal occlusion for the treatment of severe congenital diaphragmatic hernia: preliminary results].
To evaluate survival and lung growth in fetuses with severe congenital diaphragmatic hernia (CDH) treated with fetoscopic tracheal occlusion (FETO) compared with control fetuses and to analyze possible complications of the anesthetic techniques used. ⋯ The use of FETO in cases of CDH appears to increase survival and lung growth. Fetal anesthesia in association with maternal epidural anesthesia and sedation makes it possible to place and remove the endotracheal balloon via fetoscopy with acceptable maternal comfort and without notable complications.
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Rev Esp Anestesiol Reanim · Aug 2008
[Epidural and subarachnoid anesthesia and analgesia in adults: an update].
We present an update of the latest advances in clinical management and images of the most commonly used neuraxial techniques in epidural, subarachnoid, and combined spinal-epidural anesthesia and analgesia.