Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Mar 2006
Review[Perioperative management of cardiac arrhythmia: part II].
Cardiac arrhythmias are an important cause of complications throughout the perioperative period. Although our understanding of arrhythmias has increased considerably in recent years, they remain a source of concern for anesthesiologists. Our objective was to review steps to take when diagnosing arrhythmia. Although treatment is still largely influenced by therapies used in nonsurgical patients, we will review the approaches that are most applicable to practice situations in which anesthesiologists must manage patients with arrhythmias or at high risk of developing them.
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Rev Esp Anestesiol Reanim · Mar 2006
Randomized Controlled Trial Comparative Study[Interaction between mivacurium and succinylcholine from a different point of view].
Succinylcholine (SCH) may first be used and continue with mivacurium (MIV). MIV has been suggested as a pretreatment. Conflicting results arises from studies on SCH-MIV interaction. The following trial revisits this interaction. ⋯ When mivacurium is used before the effects of succinylcholine disappear, a residual effect is not usually taken into consideration. This study corrected MAX and calculated speed of action, demonstrating a reduction in net block and speed of action, consistent with an antagonistic action when the 2 blockers are administered sequentially.
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Rev Esp Anestesiol Reanim · Mar 2006
Randomized Controlled Trial Comparative Study[Postoperative analgesia in cardiac surgery: spinal versus intravenous morphine].
To compare the effects of spinal and intravenous administration of morphine to supplement anesthesia with remifentanil in terms of analgesia during early postoperative recovery and considering time until extubation. ⋯ Our study suggests that spinal morphine does not offer advantages over intravenous morphine with regard to postoperative analgesia, hemodynamic stability and respiratory parameters, time until extubation, or adverse effects.
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Rev Esp Anestesiol Reanim · Mar 2006
[Difficulty of epidural puncture for obstetric analgesia: risk factors].
Predicting technical difficulties in performing an epidural block can affect the anesthesiologist's choice of technique or decisions about who should carry it out. Our aim was to determine patient characteristics associated with difficulty in performing an epidural block for obstetric analgesia. ⋯ The most important factor for predicting success of an epidural block for obstetric analgesia in our practice is the presence of palpable spinal apophyses.