Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2008
Clinical Trial[Ultrasound-guided puncture of the jugular vein using a posterior approach].
Ultrasound-guided central venous catheterization provides a direct view of anatomical structures, making it easier to determine the exact puncture site, thereby reducing the associated mechanical complications. ⋯ Ultrasound images allowed us to effectively examine the jugular vein prior to puncture for central venous catheterization. Ultrasound-guided puncture of the vein was satisfactory and free from complications in all cases.
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Rev Esp Anestesiol Reanim · Dec 2008
Editorial Comment Review[Ultrasound images for venous puncture and venous access].
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Rev Esp Anestesiol Reanim · Dec 2008
Randomized Controlled Trial Comparative Study[Continuous interscalene block for analgesia following shoulder rotator cuff repair: evaluation of 2 bupivacaine concentrations applied with the same infusion technique].
To evaluate postoperative analgesia and patient satisfaction with the continuous interscalene block using 2 bupivacaine concentrations in combination with sufentanil for patients undergoing shoulder rotator cuff repair surgery. ⋯ Both the tested bupivacaine concentrations for the continuous interscalene block provided similar levels of analgesia after shoulder rotator cuff repair surgery. Reducing the bupivacaine concentration to 0.625% decreased the consumption of local anesthetic without diminishing the quality of analgesia.
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Rev Esp Anestesiol Reanim · Nov 2008
Randomized Controlled Trial Comparative Study[Utility of bispectral vs auditory evoked potential monitoring during anesthetic maintenance in combined sevoflurane-regional anesthesia in pediatric patients: comparison with standard practice].
To compare the indices computed by a bispectral (BIS) monitor and an auditory evoked potential (AEP) monitor during maintenance of anesthesia in pediatric patients. A secondary objective was to compare anesthetic consumption and recovery times. ⋯ BIS monitoring provided a more stable index than did AEP monitoring and BIS-index guidance achieved a deeper level of hypnosis. There was good correlation between the 2 indices during maintenance of anesthesia. Neither monitor offered advantages over standard procedures with regard to movement, volume of anesthetic consumed, or recovery time.