Revista española de anestesiología y reanimación
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Postpartum haemorrhage (PPH) is defined by the WHO as a blood loss >500mL after vaginal delivery or >1000mL after caesarean section during the first 24hours post-delivery. Although the incidence of maternal mortality caused by PPH has decreased, it continues to be the major cause of maternal mortality due to obstetric haemorrhage. Furthermore, the incidence of uterine atony, which is the most prevalent cause of PPH, is still increasing in both vaginal delivery and caesarean section. ⋯ Despite carboprost (PGF2α) side effects, it is still the first-line prostaglandin for PPH treatment. Misoprostol may be an alternative to oxytocin when it is not available, although it needs further studies to support this. Finally, the prophylactic use of carbetocin should be individualised.
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Rev Esp Anestesiol Reanim · Feb 2012
Randomized Controlled Trial Comparative Study[Blind tracheal intubation through two supraglottic devices: i-gel versus Fastrach intubating laryngeal mask airway (ILMA)].
The use of supraglottic devices as a means of rescue in patients difficult to intubate or ventilate has increased in the field of anaesthetics and in emergency medicine. This study is designed to evaluate the success rate of blind intubations using two supraglottic devices, the Fastrach ILMA and the i-gel mask. ⋯ Both devices were equally effective in achieving adequate ventilation; however, the Fastrach ILMA enabled a higher number of intubations to be made than i-gel and with a lower incidence of post-operative dysphonia.
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Rev Esp Anestesiol Reanim · Feb 2012
Observational Study[Parental anxiety increases pre-operative anxiety in the paediatric patient subjected to day surgery].
To evaluate the pre-operative anxiety associated with parental anxiety in children subjected to day surgery, by studying the parent-child behaviour and interaction in the surgical environment. ⋯ The anxiety in children subjected to surgery is characterised by subjective feelings of tension, fear, nervousness, and worry that could be expressed in diverse forms. The evaluation of anxiety in the pre-operative period is an excellent tool to start and to perform both psychological and pharmacological interventions.
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Rev Esp Anestesiol Reanim · Feb 2012
[Assessment of learning in blind orotracheal intubation with Fastrach masks using a cumulative sum curves (CuSum) in the SimMan Universal Simulator].
To assess training in blind intubation with the Fastrach laryngeal mask in a simulation model by applying the cumulative sums (CuSum) method. ⋯ This statistical method and the SimMan simulator, used together, have demonstrated to be very useful tools in assessing learning curves in this technique.