Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2004
Review Multicenter Study Clinical Trial Controlled Clinical Trial[Incidence of pain upon injection of a new formula of propofol in a fat emulsion of medium- and long-chain triglycerides].
To study the incidence of pain upon injection of 1% propofol (Propofol-Lipuro 1%, B. Braun, Melsungen, Germany) in a 10% fat emulsion containing equal proportions (50:50) of medium- and long-chain triglycerides. ⋯ The incidence of pain upon injection of propofol-lipuro is low in comparison with incidence rates reported in the literature for the traditional formula, but administration of the fat emulsion formula through a vein on the dorsal side of the hand or through a venous catheter smaller than 18 G should be avoided. Double-blind randomized controlled trials should be conducted to clarify the advantages that propofol-lipuro seems to offer.
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Rev Esp Anestesiol Reanim · Nov 2004
[Preoperative blood test results and type of fracture as transfusional risk factors in patients older than 65 years with trochanteric hip fracture].
To determine the effect of risk factors for allogenic blood transfusion in surgery for trochanteric hip fractures. ⋯ The hemoglobin level at admission and the trochanteric fracture type bear a relation to transfusion needs. These results suggest that in elderly patients we should improve hemoglobin levels and initiate blood salvage measures in order to reduce the need for allogenic blood transfusion, with its inherent risks.
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Rev Esp Anestesiol Reanim · Nov 2004
Case Reports[Convulsions induced by ropivacaine after brachial plexus block].
Ropivacaine is a local anesthetic frequently used to provide regional blocks because its toxicity threshold is favorable and it is highly selective for sensory nerve fibers. Few reports of adverse events and complications related to use of ropivacaine have been published. We report 2 cases of central nervous system toxicity. Each occurred after a brachial plexus block with 0.75% ropivacaine, one performed by an axillary approach and one by an infraclavicular approach with nerve stimulation.
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Rev Esp Anestesiol Reanim · Nov 2004
Letter Case Reports[Severe anaphylaxis associated with rocuronium administration].