Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2009
Review Randomized Controlled Trial Comparative Study[Influence of gender on the potency and course of action of rocuronium bromide].
The correlation between gender and the potency of certain neuromuscular blockers, including rocuronium, has been investigated. However, the methods used have been inconsistent. This study aimed to look further at the role of gender in order to arrive at definitive conclusions. ⋯ These results suggest that there is no significant effect of gender on potency or course of action of rocuronium bromide. Reports of such differences based on previous studies may be the result of problems in the methods applied.
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Rev Esp Anestesiol Reanim · Dec 2009
Randomized Controlled Trial Comparative Study[Efficacy of obturator and femoral cutaneous nerve blocks for postoperative analgesia in hip surgery].
The treatment of pain after surgery to repair a hip fracture is essential for an early start of rehabilitation and for reducing morbidity and mortality. Given that patients are elderly and have multiple medical conditions, local-regional analgesia can be an effective approach. Our aim was to compare the efficacy of obturator and femoral cutaneous nerve blocks and total intravenous analgesia in terms of level of patient satisfaction, complications, start of rehabilitation, and cost. ⋯ The nerve blocks were effective, easy to perform, and safe. They afforded numerous advantages: extended period of postoperative analgesia, fast recovery, lower costs, and no complications.
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Rev Esp Anestesiol Reanim · Dec 2009
Comparative Study[Assessment of training in the control of acute postoperative pain based on analysis of pretraining and posttraining measures].
To assess the efficacy of an acute pain unit's training on postoperative pain control for staff of trauma-orthopedic and general surgery departments. ⋯ The staff training in postoperative pain control did not affect patient satisfaction, though a small improvement in active and resting VAS scores was noted. The training did have an effect on significantly improving overall compliance with the acute pain unit's treatment protocols.