Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Nov 2009
ReviewModern neuraxial labor analgesia: options for initiation, maintenance and drug selection.
In the present review we outline the state-of-the-art of neuraxial analgesia. As neuraxial analgesia remains the gold standar of analgesia during labor, we review the most recent literature on this topic. ⋯ Most authors would agree that central neuraxial analgesia is the best form to manage labor pain. When neuraxial analgesia is administered to the parturient in labor, different management choices must be made by the anesthetist: how will we initiate analgesia, how will analgesia be maintained, which local anesthetic will we use for neuraxial analgesia and which adjuvant drugs will we combine? The present manuscript tries to review the literature to answer these questions.
-
Rev Esp Anestesiol Reanim · Nov 2009
[Management of the easy or complicated airway by nonexperts using the AirTraq optical laryngoscope].
To evaluate the utility of the AirTraq optical laryngoscope in a retrospective case series, assessing indications for use and benefits as well as possible limitations. ⋯ The AirTraq laryngoscope has been shown to facilitate intubation even when nonexpert staff perform the maneuver in cases in which previous attempts at laryngoscopy have failed and in which a difficult airway is anticipated. Ease of use and relative safety make the AirTraq a practical device for a variety of patient types and clinical settings.
-
Rev Esp Anestesiol Reanim · Nov 2009
[Use of the AirTraq device to manage difficult intubation in the awake patient].
To assess successful intubation, hemodynamic and respiratory stability, and patient wellbeing during awake orotracheal intubation using the AirTraq device in patients anticipated to have difficult airways. ⋯ The AirTraq can be used for awake intubation in cases of anticipated difficult airway when other approaches to intubation have failed or are not viable. Intubation is achieved successfully and hemodynamic and respiratory stability maintained. The device is well tolerated. An advantage of the AirTraq is that it allows the glottis to be visualized as the endotracheal tube is being inserted between the vocal cords so damage can be minimized.
-
Rev Esp Anestesiol Reanim · Nov 2009
Comment Letter Case Reports[Airway management with the Airtraq in a patient with Launois-Bensaude syndrome].