Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Mar 1997
Clinical Trial[Relationship between laryngoscopy degree and intubation difficulty].
To determine the relation between difficult intubation and grade of direct laryngoscopy, as well as the factors that influence them, and prognosis. ⋯ The fact that cases of easy laryngoscopy coincide with difficult intubation suggests that, to the degree of intubation difficulty must be added extrinsic factors (individual skill, maneuvers performed, instrumentation, relaxation of the laryngeal musculature and others) that are hard to standardize and reflect when predicting an intubation by the grade of difficulty in laryngoscopy.
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Rev Esp Anestesiol Reanim · Feb 1997
Case Reports[Indication for spinal anesthesia for cesarean section in HELLP syndrome coagulopathy].
We describe the relation between coagulation and local-regional anesthesia in two women with HELLP syndrome who required emergency cesarean delivery. HELLP syndrome involves hemolysis, elevated liver enzyme levels and thrombopenia complicating the hypertension of pregnancy. Regional anesthesia presents advantages for mother and fetus in this context but also involves the risk of coagulopathy. ⋯ The patient's condition must be watched closely until coagulation becomes normal. Removal of the epidural catheter must wait until coagulopathy is resolved. When coagulopathy is evident before surgery, intradural anesthesia is a safe option provided hemodynamic stability is assured, as demonstrated by the second case we report.
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Rev Esp Anestesiol Reanim · Feb 1997
Randomized Controlled Trial Comparative Study Clinical Trial[Changes in the concentrations of catecholamines and cortisol in balanced anesthesia and total intravenous anesthesia].
To compare hormone response to stress caused by surgery performed under balanced general anesthesia and total intravenous anesthesia. ⋯ Hormone levels are significantly higher during intravenous anesthesia than during balanced anesthesia, and the difference is evident from the earliest measurement performed.
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Rev Esp Anestesiol Reanim · Feb 1997
Letter Case Reports[Continuous axillary plexus block in pediatrics].