Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2016
Randomized Controlled TrialComparison of the effectiveness of dexmedetomidine, meperidine and ketamine in the prevention of postoperative shivering.
To compare the prophylactic effectiveness of dexmedetomidine, meperidine, and ketamine for postoperative shivering. ⋯ Meperidine given intravenously in a single dose of 0.4mg/kg is a useful means for preventing postoperative shivering.
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Rev Esp Anestesiol Reanim · Nov 2016
Case ReportsRepeated sugammadex reversal of muscle relaxation during lumbar spine surgery with intraoperative neurophysiological multimodal monitoring.
Intraoperative neurophysiological monitoring during spine surgery is usually acomplished avoiding muscle relaxants. A case of intraoperative sugammadex partial reversal of the neuromuscular blockade allowing adequate monitoring during spine surgery is presented. A 38 year-old man was scheduled for discectomy and vertebral arthrodesis throughout anterior and posterior approaches. ⋯ Both motor evoqued potentials, and electromyographic responses were deemed adequate by the neurophysiologist. If muscle relaxation was needed in the context described, this approach could be useful to prevent neurological sequelae. This is the first study using very low dose sugammadex to reverse rocuronium intraoperatively and to re-establish the neuromuscular blockade.
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Rev Esp Anestesiol Reanim · Nov 2016
Ultrasound-guided transversalis fascia plane block versus anterior transversus abdominis plane block in outpatient inguinal hernia repair.
The aim of the study was to assess the effectiveness of ultrasound-guided transversalis fascia plane block (TFP) compared to anterior transversus abdominis plane block (TAP-A) for post-operative analgesia in outpatient unilateral inguinal hernia repair. ⋯ Both blocks with a multimodal approach achieve good post-operative analgesia of inguinal hernia repair, are easy to perform and have few complications. TFP achieves the highest sensory level, but there are no differences in the requirements for additional analgesia.
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Rev Esp Anestesiol Reanim · Nov 2016
Case ReportsA case of severe perioperative hypoxia in uncorrected tetralogy of fallot: Anesthetic management.
Tetralogy of fallot (TOF) is one of the most common congenital heart disease (CHD) in children. With the development of pediatric surgery and intensive care units, increasing number of grown-up CHD patients are presenting for non-cardiac surgeries. ⋯ The optimal management of these patients, therefore, require a thorough understanding of the pathophysiology of the uncorrected TOF. We hereby report a case of successful management of a 10-year-old child with an uncorrected TOF posted for tibial external fixation device.