Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · May 2000
[Multivariate study of risk factors for arterial hypotension in pregnant patients at term undergoing Caesarean section under subarachnoid anesthesia].
The most common and potentially dangerous complication of spinal anesthesia for cesarean section is arterial hypotension. The aim of this study was to analyze maternal and gestational factors that might affect risk of arterial hypotension in full-term parturients undergoing cesarean section. ⋯ Identifying risk for multiparous parturients with intact amniotic sacs scheduled for elective cesarean can be worthwhile if greater preventive measures are taken in such patients to reduce the incidence and intensity of arterial hypotension.
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Rev Esp Anestesiol Reanim · May 2000
[Isobaric 2% lidocaine in continuous subarachnoid anesthesia using microcatheters].
The objective in the study of the clinical effect of isobaric 2% lidocaine for continuous spinal anesthesia with a microcatheter technique. Nine consecutive patients undergoing lower abdominal surgery under spinal anesthesia were enrolled. We inserted 27 G catheters through 22 G Sprotte (Intralong) needles to administer 20 mg of isobaric 2% lidocaine followed by successive doses of 10 mg until the required level of anesthesia was reached. ⋯ However, the protocol for administering the local anesthetic was suspended in three patients due to difficulty in maintaining the achieved level of anesthesia, as repeated injections were required, with consequent patient discomfort. In these patients relatively high levels of blockade were required and surgery lasted longer than one hour. The protocol followed with isobaric 2% lidocaine was not effective for continuous spinal anesthesia with microcatheters because of difficulty of maintaining level of anesthesia.
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Rev Esp Anestesiol Reanim · May 2000
Letter Case Reports[Headache following dural puncture refractory to caffeine].
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Rev Esp Anestesiol Reanim · May 2000
Letter Case Reports[Aseptic meningitis after intradural anesthesia].