Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jun 2010
Randomized Controlled Trial[Tracheal intubation quality under remifentanil-propofol with sevoflurane compared with remifentanil-propofol with rocuronium: a randomized double-blind clinical trial].
To determine whether intubation conditions under remifentanil-propofol plus sevoflurane rather than a nondepolarizing neuromuscular blocker are similar to those obtained when a neuromuscular blocker is used. ⋯ Adequate doses of remifentanil, propofol, and sevoflurane provide intubation conditions that are similar to those achieved by using a nondepolarizing neuromuscular blocker, without exposing patients to additional risk. Avoiding use of a neuromuscular blocker would circumvent the development of complications associated with use of these agents or their antagonists and costs would be lower.
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Rev Esp Anestesiol Reanim · Jun 2010
Case Reports[Epidural anesthesia for cesarean section in a patient with von Hippel-Lindau disease].
Von Hippel-Lindau disease is a dominant autosomal genetic condition with variable penetrance and expressivity. It is characterized by hemangioblastomas in multiple organs but mainly in the retina and cerebellum. ⋯ She had no neurologic symptoms at the time of the operation but a history of ocular and cerebellar involvement and several procedures to remove cerebellar hemangioblastomas. Epidural anesthesia was chosen given that there was no nervous system involvement at the time of surgery.
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Rev Esp Anestesiol Reanim · Jun 2010
[Health-care workload and instructional capacity of Spanish hospitals accredited to train residents in anesthesiology].
To describe the health-care workload and instructional capacity of Spanish hospitals accredited to train anesthesiology residents. ⋯ Although certain limitations were found, the survey showed that the training capacity of the system is greater than accreditation suggests. It would therefore be possible to increase the number of residents.