Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 2009
Clinical Trial[Muscle weakness and tolerance of low doses of rocuronium in healthy awake volunteers breathing spontaneously].
To study muscle weakness caused by low doses of rocuronium and rocuronium intolerance in healthy volunteers, with the general aim of producing brief skeletal-muscle relaxation that would have potential applications in clinical situations. ⋯ Doses of 0.075 mg x kg(-1) of rocuronium in healthy awake subjects breathing spontaneously are acceptably tolerated and cause brief muscle weakness that may be of use in situations that require skeletal muscle relaxation at specific moments.
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Rev Esp Anestesiol Reanim · Apr 2009
Review Comparative Study[Intravenous remifentanyl for labor analgesia].
Intravenous remifentanil may be the preferred analgesic when regional techniques are contraindicated. ⋯ Analgesia with intravenous remifentanil is more effective and safer than other alternatives to regional analgesic techniques in obstetrics. Nevertheless, the optimum system for infusing the drug must b e established and further studies of maternal and fetal safety should be carried out.
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Rev Esp Anestesiol Reanim · Apr 2009
Comparative Study[Quantitative test to distinguish spinal fluid from saline solution in combined spinal-epidural anesthesia].
To validate the use of a digital blood glucose meter for detecting the presence of spinal fluid during combined spinal-epidural anesthesia in terms of specificity, positive and negative predictive values, and likelihood ratios. ⋯ Blood glucose meter readings provide a valid quantitative measure for distinguishing spinal fluid from saline solution during combined spinal-epidural anesthesia. The method, which uses a readily available device, is easy to use to rule out the presence of spinal fluid.