Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2008
Case Reports[Trapped epidural catheter: reconstruction of computed tomography images].
A trapped epidural catheter without a knot is a rare complication. During placement of an epidural catheter for analgesia during labor, resistance made it impossible to position the catheter within the epidural space. A second catheter was inserted to provide the required analgesia. ⋯ In light of this situation, the patient was seated with the spine slightly bent to one side, a guidewire was inserted through the catheter lumen, and the catheter and guidewire were gently pulled; the catheter was extracted without causing the tip to break up. Three-dimensional CT reconstruction allowed the catheter tip and characteristics of the joint surfaces to be observed. We discuss protcols and alternative strategies that can be followed when an epidural catheter is difficult to remove, including the most appropriate images to use for guidance.
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Rev Esp Anestesiol Reanim · Dec 2008
Comment Letter Biography Historical Article[On the third debut of lumbar epidural anesthesia in Spain: 1940-1950].
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Rev Esp Anestesiol Reanim · Dec 2008
[Central venous pressure, rewarming time, and total fluid replacement volume are predictors of mortality and complications after cardiac surgery].
To analyze the influence of early (first day) postoperative factors on postoperative course in patients who have undergone heart surgery. ⋯ Central venous pressure, rewarming time, and fluid replacement volume required on the first day are predictors of postoperative course.