Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Nasal ketamine compared with nasal midazolam in premedication in pediatrics].
To compare the efficacy and side effects of midazolam and ketamine administered nasally for pediatric premedication. ⋯ The nasal route is adequately accepted by children. Both drugs are effective by this route and sedation is rapid. Time until postanesthetic recovery is similar with both drugs. The doses used have wide safety margins.
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Rev Esp Anestesiol Reanim · Apr 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Comparative study of sevoflurane and nitrous oxide versus halothane and nitrous oxide in pediatric anesthesia: efficacy and hemodynamic characteristics during induction].
To study the efficacy, side effects and hemodynamics of anesthetic induction in pediatric patients using sevoflurane and nitrous oxide or halothane and nitrous oxide. ⋯ Inhaled sevoflurane in 60% nitrous oxide provides rapid but gentle anesthetic induction, with hemodynamic stability and a low incidence of airway complications. Sevoflurane is therefore a reasonable alternative to halothane for pediatric surgery.
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Rev Esp Anestesiol Reanim · Apr 1998
Clinical Trial[Thoracic epidural analgesia in the postoperative period of pediatric surgery for the repair of pectus excavatum and pectus carinatum].
To assess thoracic analgesia by continuous infusion in surgery to repair pectus excavatum and carinatum in children. This prospective study enrolled 14 children aged 6 to 14 years old scheduled for surgery to correct pectus excavatum and carinatum. After induction of general anesthesia, the T8-T9 epidural space was accessed and a catheter was inserted to T3-T7 with radioscopic monitoring. ⋯ We recorded one case of pruritus (7.1%), three of nausea (21.4%) that subsided when butorphanol was given epidurally (20 micrograms/kg), and two cases of light sedation. Thoracic epidural analgesia is effective for alleviating postoperative pain from corrective thoracic surgery in children. Side effects were minimal and no anesthetic complications were observed.
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Rev Esp Anestesiol Reanim · Apr 1998
[Relationship between mixed venous saturation and cardiac index, hemoglobin and oxygen consumption in aortic surgery].
Mixed venous oxygen saturation (SvO2) depends mainly on four variables: cardiac index (CI), hemoglobin concentration (Hb), arterial oxygen saturation (SpO2) and oxygen consumption (VO2). Our aim was to study the correlation between each of these variables and SvO2 during abdominal aortic surgery, a situation which is of special interest because of associated hemodynamic and metabolic variations and the high risk of cardiovascular events. ⋯ Monitoring SvO2 in patients undergoing aortic surgery is useful for detecting potentially prejudicial variations in cardiac output or hemoglobin concentration.
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Rev Esp Anestesiol Reanim · Apr 1998
[Preoperative information and informed consent in surgically treated patients].
Providing information is an important part of the doctor-patient relationship. In hospital practice today, patients and/or their families are sometimes given seriously inadequate information. Our aim was to analyze the quality of information received by patients before anesthesia and surgery. ⋯ We must underline the poor quality of patient knowledge about medical procedures and the scarce information provided. Even fewer patients known about the risks of anesthesia. A patient's signing of an informed consent form does not correspond to real knowledge of the risks involved in the procedure.