Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jan 1999
Randomized Controlled Trial Clinical Trial[Preloading with 500 ml of Hartmann's solution lessens the incidence and severity of hypotension and reduces the need for ephedrine after epidural anesthesia in ambulatory patients].
Fluid preloading to prevent hypotension after epidural anesthesia has been widely questioned, although few studies have been performed in outpatients. ⋯ For patients undergoing outpatient surgery, fluid preloading with 500 ml of Hartman's solution decreases both the incidence and severity of hypotension, as well as the need for vasoactive drugs after epidural anesthesia.
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Rev Esp Anestesiol Reanim · Jan 1999
Comparative Study[Postoperative cardiac morbidity/mortality in high-risk elderly patients undergoing non-cardiac surgery].
To analyze cardiac morbidity and mortality after major noncardiac surgery in high-risk elderly patients. ⋯ In our practice elderly patients with known ischemic heart disease undergoing major noncardiac surgery suffer more postoperative cardiac complications than do those who only have coronary risk factors. Mortality, however, is similar. The only factors associated with increased morbidity and mortality are emergency surgery and age over 75 years.
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Rev Esp Anestesiol Reanim · Dec 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Diltiazem compared with placebo in the prevention of myocardial ischemia during non-cardiac surgery].
The aim of this study was to assess the efficacy and safety of intravenous diltiazem to prevent myocardial ischemia during surgery on patients with ischemic heart disease undergoing non cardiac surgery under general anesthesia. ⋯ Intravenous diltiazem administered to patients with ischemic heart disease under general anesthesia for non cardiac surgery was effective in our study for preventing intraoperative ischemic episodes.
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Rev Esp Anestesiol Reanim · Dec 1998
Review Case Reports[Epidural anesthesia and analgesia in the perioperative treatment of a patient with Kartagener syndrome].
Kartagener's syndrome is an inherited disease characterized by a triad of symptoms--bronchiectasis, situs inversus and sinusitis--and is classified as an immotile cilia syndrome. Patients may experience specific airway problems when undergoing anesthesia for surgical procedures. We report the case of a woman with Kartagener's syndrome who underwent surgery under epidural anesthesia with postoperative epidural analgesia, both techniques proving successful.