Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Oct 1996
Case Reports[Anesthesia for cesarean section in patients with mitral valve prolapse].
Mitral valve prolapse is the most frequent cardiac valvulopathy. Given its greater incidence in young women it is a factor which must be taken into account when performing cesarean section. Two patients with mitral valve prolapse in whom a cesarean section was carried out are presented: case 1, a 22-year-old woman, ASA II, 72 kg, with mitral valve prolapse associated with the Wolf-Parkinson-White syndrome and an episode of paroxysmal supraventricular tachycardia. ⋯ A cesarean section was performed in this patient because of pedal presentation under general anesthesia without complications. The Apgar score of the neonate at one minute was 8. The physiopathology of mitral valve prolapse as well as anesthesia management during cesarean section in this type of valvulopathy is reviewed.
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Rev Esp Anestesiol Reanim · Oct 1996
Randomized Controlled Trial Comparative Study Clinical Trial[Comparative study of recovery from general anesthesia with halothane or sevoflurane in pediatrics].
To assess the clinical signs of awakening and recovery from anesthesia with sevoflurane and 60% nitrous oxide in comparison with halothane and nitrous oxide administered to children. ⋯ Awakening and recovery are significantly faster with sevoflurane than with halothane, while the incidence of side effects are similar with the 2 agents.
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Rev Esp Anestesiol Reanim · Oct 1996
Historical Article[The discovery of surgical anesthesia and its arrival in Europe. Apropos of the 150th anniversary of the clinical introduction of ether].
The clinical introduction of anesthesia took place on the 16th of October 1846 at Massachusetts General Hospital (Boston) and William T. G. Morton, a dentist in the city, was its discoverer. ⋯ We have detected numerous inaccuracies in most accounts of how anesthesia was introduced in Europe, motivating us to undertake the present study to establish a new history of the first uses of ether in European countries. We have consulted new bibliographic sources and obtained results that are considerably different from those published by most authors in recent years. Our analysis and discussion of the findings allow us to establish a new chronological account of anesthesia with ether in Europe, in which we emphasize the first studies of etherizations performed in Belgium, Spain and Italy hitherto ignored by other authors.