Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jun 2017
Comparative Study Observational StudyHypnosis closed loop TCI systems in outpatient surgery.
Determine the influence of general anaesthesia with closed-loop systems in the results of outpatient varicose vein surgery. ⋯ The use of closed-loop devices for the hypnotic component of anaesthesia hastens discharge time. However, for this effect to be clinically significant, some improvements still need to be made in our outpatient surgery units.
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Rev Esp Anestesiol Reanim · May 2017
Randomized Controlled TrialEfficacy of ultrasound-guided transversus abdominis plane block in laparoscopic hysterectomy. Clinical trial.
Transversus abdominis plane block is a regional anaesthesia technique that has proven to be effective for postoperative pain reduction in different abdominal surgical procedures. This study evaluated its efficacy on post laparoscopic hysterectomy pain intensity and analgesic consumption. ⋯ Adding a transversus abdominis plane block technique to opioid PCA does not seem to improve postoperative pain management in laparoscopic hysterectomy. Patient preparation time and costs could be incremented and complications (although rare) related to the technique could appear.
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Rev Esp Anestesiol Reanim · Apr 2017
Medial approach of ultrasound-guided costoclavicular plexus block and its effects on regional perfussion.
Ultrasound-guided infraclavicular block in the costoclavicular space located between the clavicle and the first rib, reaches the secondary trunks when they are clustered together and lateral to the axillary artery. This block is most often performed through a lateral approach, the difficulty being finding the coracoid process an obstacle and guiding the needle towards the vessels and pleura. A medial approach, meaning from inside to outside, will avoid these structures. Traditionally the assessment of a successful block is through motor or sensitive responses but a sympathetic fibre block can also be evaluated measuring the changes in humeral artery blood flow, skin temperature and/or perfusion index. ⋯ The medial approach of the ultrasound-guided costoclavicular block is anatomically feasible, with high clinical effectiveness using 20ml of 1.5% mepivacaine. The sympathetic block can be evaluated with all three parameters studied.