Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2004
Randomized Controlled Trial Comparative Study Clinical Trial[Comparison of 4 techniques for general anesthesia for carotid endarterectomy: inflammatory response, cardiocirculatory complications, and postoperative analgesia].
[corrected] To study the analgesia, hemodynamic stability and inflammatory response in patients undergoing carotid endarterectomy under different types of general anesthesia. ⋯ Increased levels of IL-6 in peripheral blood and of systemic inflammatory response syndrome were found in the early postoperative period in groups that did not receive halogenated gases. Hemodynamic stability and analgesia were similar in all groups, however.
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Rev Esp Anestesiol Reanim · Dec 2004
Multicenter Study Comparative Study Clinical Trial Controlled Clinical Trial[The specific cox-2 inhibitor valdecoxib provides effective analgesia after inguinal hernia surgery].
To compare 3 oral analgesic doses--valdecoxib 20 mg, valdecoxib 40 mg and controlled-release diclofenac 75 mg--to placebo in the treatment of pain after inguinal herniorrhaphy. ⋯ Valdecoxib 40 mg and diclofenac 75 mg provided similar quality of analgesia for treating pain after inguinal herniorrhaphy.
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Rev Esp Anestesiol Reanim · Dec 2004
Review[Effectiveness of epidural administration of saline solutions to prevent or treat postdural puncture headache].
Epidural anesthesia is the most versatile and widely used of the techniques for regional anesthesia. The most common complication of epidural or spinal anesthesia is postdural puncture headache. The loss of cerebrospinal fluid through the hole can be an important causative factor of this cephalalgia. ⋯ The studies had small samples and most did not include a control group. The doses and methods of epidural administration of saline solutions were highly variable and the results were often contradictory. We conclude that using this technique to prevent and/or treat postdural puncture headache is difficult to justify.