Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jan 2000
Letter Clinical Trial[Remifentanil in major ambulatory surgery].
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Rev Esp Anestesiol Reanim · Jan 2000
Clinical Trial[Effectiveness of isobaric 0.5% bupivacaine and 5% lidocaine in continuous subarachnoid anesthesia with microcatheters].
To study the clinical effect of two isobaric local anesthetics infused through microcatheters for continuous subarachnoid anesthesia. ⋯ Isobaric 0.5% bupivacaine provides a more predictable anesthetic blockade with greater hemodynamic stability and a lower rate of difficulty in raising the level of blockade than does 5% lidocaine when administered through microcatheters for continuous subarachnoid anesthesia.
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Hip arthroplasty is a common surgical intervention in our hospital practice, involving high perioperative risk related to patients age and multiple concomitant diseases. Hemodynamic complications described vary from slight hypotension during surgery to heart failure and sudden death, particularly if the operation involves a cemented femoral component. Because of the type of patients undergoing such operations (elderly patients, with osteoporosis and scarce cardiopulmonary reserve), the unclear origin of complications and the lack of consensus on what constitutes adequate monitoring during surgery, hip arthroplasty is problematic for the specialists involved. We report on five deaths during cemented hip arthroplasty; after reviewing the case history and autopsy report of one, we believe the events leading to death were triggered by massive pulmonary embolism.
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Rev Esp Anestesiol Reanim · Jan 2000
Letter Case Reports[Septic meningitis following subarachnoid anesthesia].