Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2002
[Posterior block of lumbar plexus for postoperative analgesia after hip arthroplasty].
To describe early postoperative analgesic quality from a posterior lumbar plexus block in the psoas compartment, located by neurostimulation. We used a single paramedial puncture at L4, following Chayen's approach, in patients undergoing uncemented hip arthroplasty under subarachnoid anesthesia with 0.5% bupivacaine. ⋯ A posterior lumbar plexus block using a single shot gives effective analgesia in the first 12 hours after surgery performed with spinal anesthesia. Continuous infusion through a catheter may provide better analgesia than that observed in this study.
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Rev Esp Anestesiol Reanim · Dec 2002
Randomized Controlled Trial Clinical Trial[Usefulness of the VBM laryngeal tube in anesthesiology].
The laryngeal tube, an effective new device for rapid airway management, allows the caregiver to intubate without a direct laryngoscopic view of the oropharynx and larynx. ⋯ A laryngeal tube is an effective way to establish airway access. It is easy to insert and in all cases allows for adequate oxygenation and ventilation and prevents gastric contents from reaching the airway.
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Rev Esp Anestesiol Reanim · Nov 2002
Case Reports[Cauda equina hemisyndrome after intradural anesthesia with bupivacaine for hip surgery].
A 68-year-old man underwent hip surgery under subarachnoid anesthesia with bupivacaine and fentanyl to replace an acetabular component. Two days after surgery the patient developed unilateral cauda equina syndrome, affecting five nerve roots (L4 to S3), with no sphincter involvement. Two and a half years later, the lesion had become permanent. We discuss the possible origin of the condition, suggesting differential diagnoses such as mechanical problems (position-mobilization) and anesthetic toxicity.
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Rev Esp Anestesiol Reanim · Nov 2002
[Course of postoperative pain in laparoscopic cholecystectomy under multimodal anesthesia-analgesia in ambulatory care].
To evaluate the evolution of postoperative pain and convalescence in a group of patients undergoing elective laparoscopic cholecystectomy under a multimodal anesthesia-analgesia treatment protocol. ⋯ The multimodal analgesia-anesthesia treatment proposed allows a high percentage of laparoscopic cholecystectomies to be performed on an outpatients basis. The protocol provides good control of postoperative pain and nausea and rapid return to habitual activity.