Revista española de anestesiología y reanimación
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Ketamine is an intravenous drug with special properties that make it the only agent that presently serves as anesthetic, sedative, amnesiac and analgesic. Although it is sometimes forgotten, ketamine is still considered a viable drug. Water soluble, stable and non-irritant when administered intravenously, ketamine has rapid onset after intravenous injection and provides acceptable anesthesia when administered in continuous infusion. ⋯ It is probably the anesthetic of choice for patients with hyperreactive airways. Ketamine's strong analgesic effect at subanesthetic doses allows it to be used as an analgesic during postoperative intensive care or as an analgesic-plus-sedative for patients receiving mechanical ventilation. Interest in using ketamine at low doses for cancer and non-cancer patients with chronic pain has grown recently.
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Rev Esp Anestesiol Reanim · Mar 1999
Letter Randomized Controlled Trial Comparative Study Clinical Trial[Our negative experience with meperidine for the prevention of coughing during cataract surgery].
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Rev Esp Anestesiol Reanim · Feb 1999
Comparative Study[Comparative study of percutaneous tracheotomy and conventional surgical tracheotomy in patients with prolonged intubation].
Percutaneous tracheotomy (PT) has become an alternative to conventional surgical tracheotomy (CST) in recent years. Our aim was to compare the advantages and disadvantages of the two techniques in our intensive care unit (ICU). ⋯ PT is a fast, simple procedure that is easy to manage and requires fewer resources (operating theater, personnel and equipment) and causes fewer medium-term complications than does CST.