Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · May 2015
Review Meta AnalysisEfficiency of tranexamic acid in perioperative blood loss in hip arthroplasty: a systematic literature review and meta-analysis.
Tranexamic acid (TXA) is an antifibrinolytic drug used to reduce bleeding in mortality risk situations such as trauma. Our objective was to conduct a systematic literature review to evaluate the effectiveness and safety of TXA in reducing bleeding in hip arthroplasty. ⋯ TXA can be routinely used to reduce intra- and post-operative blood loss in primary hip arthroplasty.
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Rev Esp Anestesiol Reanim · May 2015
Contact topical anesthesia for strabismus surgery in adult patients.
To analyze the effectiveness and usefulness of contact topical anesthesia in strabismus surgery in adult patients. ⋯ Contact topical anesthesia is a safe and effective alternative for strabismus surgery in adult patients. Contact topical anesthesia provides adequate pain control, lower incidence of postoperative nausea and vomiting and oculocardiac reflex, and optimal setting of ocular alignment.
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Rev Esp Anestesiol Reanim · May 2015
Case Reports[Anaesthetic management in a paediatric patient with a difficult airway due to epidermolysis bullosa dystrophica].
Dystrophic epidermolysis bullosa (DEB) is a rare inherited disorder characterized by blistering after minimal trauma. These blisters tend to form dystrophic scars, leading to limiting and life-threatening sequelae. The anaesthetic management of patients with DEB is a challenge, even for the most experienced anaesthesiologists, but basic principles can help us prepare the plan of care. ⋯ Besides the implications of the comorbidities, there is a potential difficult intubation and difficult vascular access. Acute airway obstruction can occur due to airway instrumentation. We report the case of a patient diagnosed with EBD difficult airway and undergoing correction of syndactylyl and dental extractions.
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Rev Esp Anestesiol Reanim · May 2015
Observational StudyInfluence of pharyngolaryngeal anomalies diagnosed through indirect laryngoscopy in the prediction of difficult intubation.
To determine the pharyngolaryngeal anomalies not usually included in the evaluation of difficult airway, in order to investigate the influence of these anomalies in the prediction of difficult intubation. To do this, indirect laryngoscopy with a 70° rigid laryngoscope was performed on all patients during the preoperative period. ⋯ Indirect laryngoscopy allowed pharyngolaryngeal anomalies to be diagnosed, including omega epiglottis, which was one of the variables included in the logistic regression model.