Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Feb 2009
Review[Implantable pacemakers and defibrillators: implications for anesthesia and perioperative management].
The technological complexity of implantable devices for managing arrhythmias, specifically pacemakers and defibrillators, has increased spectacularly since their introduction a few decades ago. A growing number of patients with these devices are undergoing surgery and it is therefore essential to understand how they work and what the real associated risks are. ⋯ It is no longer satisfactory to place a magnet over these devices during surgery and assume that this action will protect the patient from the possible effects of electromagnetic interference. This review examines the basic principles and operation of implantable pacemakers and defibrillators, the relevant nomenclature, and the sources and effects of electromagnetic interference; the current recommendations for the perioperative management of patients fitted with these devices are also discussed.
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Rev Esp Anestesiol Reanim · Feb 2009
[Mortality in patients with multiple injuries: analysis using the trauma and injury severity score in a referral hospital].
A growing number of patients with multiple injuries are being treated. Injury severity scales can be used to assess outcomes objectively. This study aimed to assess our hospital's cases on the basis of the Trauma and Injury Severity Score (TRISS) and compare outcomes to those reported in the Major Trauma Outcome Study, as well as to determine preventable mortality and analyze causes of death and associated factors. ⋯ The rate of preventable death in our hospital was higher than expected. Mortality was strongly associated with head injury and age. The TRISS model can identify preventable deaths objectively.
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Rev Esp Anestesiol Reanim · Feb 2009
[Importance of monitoring neuroendoscopic intracranial pressure during anesthesia for neuroendoscopic surgery: review of 101 cases].
The aim of this study was to describe monitoring, anesthetic management, and risk factors for complications in neuroendoscopic surgery. ⋯ Neuroendoscopic surgery can causes increases in neuroendoscopic intracranial pressure that are associated with disturbances in cerebral blood flow and complications. This situation demonstrates the importance of monitoring intracranial pressure and cerebral blood flow.
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Rev Esp Anestesiol Reanim · Feb 2009
Letter Case Reports[Postpartum blindness following postdural puncture headache].