Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Dec 1998
Letter Case Reports[Anesthesia in a patient with Rosai-Dorfman disease].
-
Rev Esp Anestesiol Reanim · Dec 1998
Letter Case Reports[Use of cisatracurium in a case of myasthenia gravis].
-
Rev Esp Anestesiol Reanim · Nov 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Comparative study of preemptive and postincisional lumbar epidural morphine in pulmonary resection. Preliminary report].
To evaluate the efficacy and incidence of side effects of two types of lumbar epidural analgesia with morphine, preemptive or postincisional, combined with total intravenous anesthesia in chest surgery. ⋯ Preemptive analgesia with lumbar epidural morphine in addition to the general anesthesia described here seems to provide higher-quality analgesia with few side effects, reducing the need for propofol and alfentanil during surgery and for postoperative morphine and metamizole.
-
A potential space between the dura mater and the arachnoides is thought to exist, occupied by a serous fluid and called the subdural space. Recent studies may change this classical concept, however. The dura-arachnoid complex from the epidural to the arachnoid space is formed by morphologically distinct layers: the dura mater, the subdural compartment and the arachnoid mater, which are made up of different cell types. ⋯ The zone of least resistance in the dura-arachnoid complex was the subdural compartment, which could be torn mainly along intercellular spaces, though cell rupture was also observed, affecting the cytoplasmic membranes of adjacent cells. The subdural space is opened by tearing the subdural compartment between neurothelial cells alongside the collagen fibers of the dura mater. Such a tear can be caused mechanically by injecting air or contrast media, which exert pressure on a laminar structure that tends to separate because it is weaker than neighboring ones.