Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Nov 2010
Case Reports[Tracheal laceration during intubation with a Frova introducer].
Chest trauma is the most frequent cause of tracheobronchial injury. Less common but potentially serious are lesions caused during intubation maneuvers in a difficult airway, during repeated attempts, or with stylets or other introducers. ⋯ The lesion manifested with hemoptysis and subcutaneous and mediastinal emphysema early during recovery. The lesion resolved with conservative treatment and there were no sequelae.
-
Rev Esp Anestesiol Reanim · Nov 2010
Randomized Controlled Trial Comparative Study[Low-dose hypobaric spinal anesthesia for anorectal surgery in jackknife position: levobupivacaine-fentanyl compared to lidocaine-fentanyl].
To compare the percentage of patients who were able to bypass the postoperative intensive care recovery unit after selective spinal anesthesia with lidocaine-fentanyl versus levobupivacaine-fentanyl for anorectal surgery in jackknife position. ⋯ Both spinal anesthetic solutions provide effective, selective anesthesia and are associated with similar rates of recovery care unit bypass after anorectal surgery in jackknife position.
-
Rev Esp Anestesiol Reanim · Nov 2010
Randomized Controlled Trial Comparative Study[Adjuvant methadone or fentanyl in spinal anesthesia with bupivacaine: a randomized, double-blind, placebo-controlled trial].
To compare the effect of combining spinal bupivacaine with either of 2 lipophilic opioids (fentanyl or methadone), testing the hypothesis that methadone would give longer-lasting analgesia. ⋯ The addition of methadone to bupivacaine significantly prolonged the postoperative analgesic effect of spinal anesthesia and shortened sensory-motor block duration, enhancing patient comfort after surgery.
-
Rev Esp Anestesiol Reanim · Nov 2010
Comparative Study Clinical Trial[Clinical validation of minimally invasive evaluation of systolic function].
Pulse contour continuous cardiac output (PiCCO) monitoring by means of transpulmonary thermodilution provides 2 indices of systolic function: the cardiac function index and the global ejection fraction. Our aim was to compare these 2 PiCCO indices to the left-ventricular ejection fraction obtained by transthoracic echocardiography. ⋯ In patients without marked changes in regional segment contractility, the global ejection fraction and the cardiac function index calculated by the PiCCO monitor offer a reliable and simple way to assess left-ventricular systolic function. Low values for these indicators suggest the need for echocardiographic assessment of left- and right-ventricular function.