Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · May 2002
[Preoperative hemoglobin as the only predictive factor of transfusional needs in knee arthroplasty].
To study transfusion requirements in total knee anthroplasty (TKA) in order to estimate needs and consider possible ways to improve principled management. ⋯ Preoperative Hb level was the single predictor of transfusion in our series of patients. In some cases the transfusion trigger was too liberal. Alternatives to homologous transfusion were hardly used, with PABP applied in only 5% of the cases. These findings encourage us to continue trying to improve the PABP program and transfusion criteria, to introduce alternatives and to improve baseline Hb levels.
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Rev Esp Anestesiol Reanim · May 2002
Case Reports[Epidural hematoma after catheter removal in a patient without coagulation disorders].
A 69-year-old man with rectal adenocarcinoma and no relevant medical history was scheduled for anterior resection of the tumor under combined anesthesia. The epidural catheter was removed 48 h after surgery. A clinical picture consistent with a diagnosis of epidural hematoma developed gradually and was confirmed by magnetic resonance imaging. ⋯ Our analysis of the literature on conditions leading to epidural hematoma after catheter insertion revealed that complications may appear for unknown reasons even when catheter management and thrombolytic prophylaxis are appropriate. Nevertheless, the maneuver for removing an epidural catheter is clearly not risk-free and can cause complications. Monitoring after removal is therefore important if complications are to be detected early.
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Rev Esp Anestesiol Reanim · May 2002
[Diagnosis of brain death using trancranial Doppler ultrasonography in an experimental model of organ donation for transplantation].
To create an experimental organ donor model and validate it by ultrasound evaluation of intracranial blood flow velocity. ⋯ The results of physical examination and ultrasonography in this study provide adequate validation of this experimental model of brain death and demonstrate that transcranial doppler ultrasonography is useful for diagnosing brain death in the rabbit.
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Rev Esp Anestesiol Reanim · Apr 2002
Randomized Controlled Trial Comparative Study Clinical Trial[Incidence of postoperative shivering in relation to the time of sevoflurane discontinuation].
We aimed to determine whether early termination of sevoflurane administration lowers the incidence of postanesthetic shivering. ⋯ The important observation in this study was that the incidence of postoperative shivering in group A was lower than in group B and lower than the incidences reported in other similar studies.