Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 2008
Multicenter Study[Sedation in surgical procedures using regional anesthesia in adult patients: results of a survey of Spanish anesthesiologists].
To analyze the frequency and methods of sedation used in the context of regional anesthesia in adults by means of a national survey. ⋯ Sedation is very often used to complement regional anesthesia in adult patients. Even though continuous infusion is considered to be the most appropriate form of administration, the most commonly used form is injection of boluses. Sedation with a single drug is used more frequently than drug combinations. Variability of individual response is the complication most commonly reported by the respondents.
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Rev Esp Anestesiol Reanim · Apr 2008
Case Reports[Discrepancy between clinical and radiologic manifestations of an epidural hematoma after catheterization].
Neuraxial techniques are considered safe if certain guidelines are followed, but they are not risk free. We report the case of an 81-year-old woman with an invasive bladder tumor who underwent radical cystectomy with a Bricker-type procedure. General anesthesia was used and epidural analgesia was also provided for surgical and postoperative pain management. ⋯ In addition to the usual safety recommendations for epidural anesthesia with regard to drugs that alter hemostasis, it is important to bear in mind circumstances that have pharmacokinetic repercussions and that increase risk. Lower back pain can be a warning sign. Some cases may resolve spontaneously.