Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 2007
Randomized Controlled Trial Comparative Study[Cost-effectiveness analysis of patient-controlled analgesia compared to continuous elastomeric pump infusion of tramadol and metamizole].
Little information is available on the cost-effectiveness of postoperative patient-controlled analgesia (PCA). The present study compared PCA to continuous infusion by elastomeric pump. ⋯ The analgesic efficacy of the 2 regimens was similar. However, patient satisfaction was greater with PCA and use of an elastomeric pump was more expensive. In the setting of the present study, postoperative PCA proved to be more advantageous than continuous elastomeric pump infusion.
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Rev Esp Anestesiol Reanim · Apr 2007
Letter Historical Article[Final leaf in the history of Spanish doctoral theses and treatises on anesthesia].
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Rev Esp Anestesiol Reanim · Mar 2007
Clinical Trial[Effect of tranexamic acid on postoperative bleeding in pediatric heart surgery].
To assess the effects of a single dose of tranexamic acid on bleeding and requirement for blood product transfusion in children undergoing cardiac surgery with cardiopulmonary bypass. ⋯ A single preoperative dose of tranexamic acid to inhibit fibrinolysis reduces bleeding 24.8% in pediatric patients undergoing heart surgery with cardiopulmonary bypass. The effect is greater in reoperated patients, leading to a reduction in their requirement for transfusion. The use of this therapy in these patients is therefore highly justified.
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Rev Esp Anestesiol Reanim · Mar 2007
[Incidences of early- and late-onset ventilator-associated pneumonia in a postanesthesia and critical care unit].
To ascertain the frequency, risk factors, and causes of early- and late-onset ventilator-associated pneumonia (VAP) in a postanesthesia and critical care unit. ⋯ Early-onset VAP was more common in comatose and head-injury patients. The risk of developing late-onset versus early-onset VAP was twice as great for postoperative patients.