Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2009
Case Reports[Anesthesia for cesarean section in a patient with recessive dystrophic epidermolysis bullosa].
Recessive dystrophic epidermolysis bullosa is inherited as a rare autosomal disorder which causes blisters to form in the skin. We describe the treatment of a 39-year-old parturient with this condition. She was scheduled for elective cesarean section at 37 weeks' gestation. ⋯ The cesarean was performed under spinal anesthesia without complications. Recessive dystrophic epidermolysis bullosa requires adaptation of anesthetic technique that includes control over posture and careful handling of the skin. Material for attaching monitoring devices and inserting venous lines must be adapted to the particular deformities and skin lesions present.
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Rev Esp Anestesiol Reanim · Nov 2009
ReviewModern neuraxial labor analgesia: options for initiation, maintenance and drug selection.
In the present review we outline the state-of-the-art of neuraxial analgesia. As neuraxial analgesia remains the gold standar of analgesia during labor, we review the most recent literature on this topic. ⋯ Most authors would agree that central neuraxial analgesia is the best form to manage labor pain. When neuraxial analgesia is administered to the parturient in labor, different management choices must be made by the anesthetist: how will we initiate analgesia, how will analgesia be maintained, which local anesthetic will we use for neuraxial analgesia and which adjuvant drugs will we combine? The present manuscript tries to review the literature to answer these questions.
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Rev Esp Anestesiol Reanim · Nov 2009
Comment Letter Case Reports[Subarachnoid anesthesia in a woman with a hip fracture and common variable immunodeficiency].
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Rev Esp Anestesiol Reanim · Nov 2009
Comment Letter Case Reports[Airway management with the Airtraq in a patient with Launois-Bensaude syndrome].