Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2007
Case Reports[Emergency cesarean in a patient with Coffin-Siris syndrome].
Coffin-Siris syndrome is a rare genetic disease characterized by coarse facial features, sparse scalp hair, hirsutism, hypoplasia of the distal phalanges, hypoplastic nail in the fifth digit, and mental retardation and delayed growth evident in both weight and height. Most cases are sporadic, but the possibility of recessive or dominant autosomal inheritance has been suggested. Facial abnormalities that make intubation difficult and mental retardation that interferes with cooperation are aspects of this disease that can affect the choice of type of anesthesia. We report the case of a parturient with Coffin-Siris syndrome who refused epidural analgesia for labor pain and for whom the obstetrician later decided that an emergency cesarean was necessary due to fetal distress.
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Rev Esp Anestesiol Reanim · Nov 2007
Clinical Trial[Utility of monitoring with the PiCCO system during lung resection surgery].
To evaluate the practical utility of the PiCCO system for monitoring cardiac output and its derived variables during lung resection surgery. ⋯ The results suggest that using the PiCCO system during lung resection surgery is of limited utility, given that problems developed in relation to 53% of the catheters. This makes the technique unreliable in the event of its being required.
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Rev Esp Anestesiol Reanim · Nov 2007
Randomized Controlled Trial Comparative Study[Cellular immune response to 3 anesthetic techniques for simple abdominal hysterectomy].
The effect of surgery and anesthesia on the immune response may have a significant effect on perioperative tumor surveillance. The aim of this study was to characterize the cellular immune response of patients undergoing simple abdominal hysterectomy under 3 types of anesthesia. ⋯ Combined general-epidural anesthesia seems to lower the counts of natural killer cells that are involved in tumor surveillance and destruction.
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Rev Esp Anestesiol Reanim · Nov 2007
[Frequency of bacterial contamination of epidural and plexus catheters in postoperative analgesia].
There is little available information regarding contamination of perineural catheters. Incidence ranges from 5% to 57%, depending on the location of the catheter. The objective of this prospective study was to evaluate the incidence and predisposing factors of bacterial contamination of these catheters. ⋯ Although infection of perineural catheters is exceptional when they are placed for 2 or more days, contamination is very common. Epidemiological studies are required to evaluate the variables involved.