Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Aug 2002
Clinical Trial[Evaluation of the UpsherScope laryngoscope in routine intubation with no expected difficulties].
To evaluate the new rigid, fiberoptic laryngoscope (UpsherScope) in cases with no expectation of intubation difficulty. ⋯ Our experience suggests that the UpsheScope does not offer advantages in routine intubations. The low success rate and the need for repeated attempts at intubation may be related to suboptimal design of the laryngoscope.
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Rev Esp Anestesiol Reanim · Aug 2002
Case Reports[Anesthesia for cesarean section in a patient with von Hippel-Lindau disease].
We report the case of a pregnant 38-year-old woman at full-term who had a history of von Hippel-Lindau disease with neurological symptoms. She had previously undergone surgical removal of cerebellar hemangioblastomas. A cesarean delivery performed under general anesthesia was uneventful and the outcomes were excellent for both mother and fetus. ⋯ As such involvement could not be ruled out, we preferred to avoid the risks related to regional anesthesia. One of the main features of von Hippel-Lindau disease is the presence of central nervous system hemangioblastomas, which are highly vascularized, slow growing tumors that may become enlarged during pregnancy. We describe the implications of the disease for anesthesia.
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Rev Esp Anestesiol Reanim · Jun 2002
Review[Preoperative fasting regimens and premedication to reduce the risk of pulmonary aspiration].
Our greater understanding of gastric physiology and the epidemiology of Mendelson's syndrome has allowed the traditional guidelines for preoperative fasting (nothing by mouth after midnight or 6 hours before surgery) to be changed, based on the results of many scientific studies. The stomach is not emptied of liquids and solids in the same way, and therefore preoperative fasting should not be the same for both. ⋯ Factors such as premedication, anxiety, age, certain associated diseases or injuries may or may not influence gastric emptying and/or acidity at the time of anesthesia. We review the literature, including the guidelines on fasting of the American Society of Anesthesiologists for application with healthy patients of all ages in elective procedures, excluding, among others, women in childbirth and patients undergoing emergency surgery.