Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Oct 1997
Randomized Controlled Trial Clinical Trial[Comparative study of postoperative analgesia with methadone and fentanyl in continuous peridural perfusion].
To determine whether continuous epidural perfusion of fentanyl, which is more liposoluble than methadone, provides a similar level of analgesia with fewer side effects than methadone administered by the same route for postoperative pain. ⋯ Continuous epidural perfusion of fentanyl provides good analgesia and is associated with less hypoxemia than is methadone.
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Rev Esp Anestesiol Reanim · Oct 1997
Case Reports[Anaphylactic shock caused by the rupture of an unknown hepatic hydatid cyst].
We report the case of a 66-year-old woman with moderate-to-severe mitral stenosis who survived anaphylactic shock due to traumatic rupture of a hydatid liver cyst. Hydatid liver disease was diagnosed by ultrasound, and necessary life-support measures were taken, with hydration to restore electrolytic balance and vasoactive amines. ⋯ We discuss the immunologic mechanisms of anaphylactic shock and its treatment, and emphasize that Echinococcus liver cysts should be suspected in cases of anaphylaxis of uncertain etiology. Acute vascular collapse, generalized cutaneous erythema, urticaria and edema are suggestive of anaphylaxis arising from hydatidosis, particularly when patients reside in endemic areas.
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Rev Esp Anestesiol Reanim · Aug 1997
Case Reports[Intracranial diffusion. A complication of retrobulbar anesthesia].
Retrobulbar anesthesia is considered a safe, effective local-regional technique for ocular surgery. However, local complications that can arise from needle trauma during injection, include retrobulbar hemorrhage, perforation of the ocular globe and occlusion of the artery and/or the central vein of the retina. Systemic complications, such as respiratory arrest, convulsions and cardiovascular collapse, have also been reported, and although they only occur in less than 1% of cases, they are potentially life threatening. We report two cases of intracranial diffusion after retrobulbar anesthesia and describe possible mechanisms that may contribute to its development.
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Rev Esp Anestesiol Reanim · Aug 1997
Randomized Controlled Trial Clinical Trial[Prophylaxis of intraoperative nausea and vomiting with sub-hypnotic dose of propofol during intradural anesthesia in cesarean section].
To determine the preventive and therapeutic effect of 10 mg of propofol administered after delivery on the incidence of intraoperative nausea and vomiting (IONV) during intradural anesthesia for cesarean delivery. ⋯ Although 10 mg propofol has been described as an effective direct antiemetic, episodes of IONV were neither prevented nor reversed by its use during intradural anesthesia for cesarean delivery.