Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Feb 1996
Randomized Controlled Trial Multicenter Study Clinical Trial[Utilization of a post-anesthetic recovery index].
1. To introduce use of the postanesthesia recovery score (assessing consciousness, mobility, ventilation, hemodynamics and blood analysis) as a good method for evaluating and classifying recovery from anesthesia in the postoperative care unit. 2. To determine overall patient progress and assess the influence of various patient, anesthetic and surgical factors. ⋯ The lowest score upon admission to the unit was among patients who had undergone high abdominal surgery (16.4%). Scores over 9 belonged to patients who had undergone lower abdominal and perineal surgery (87.5 and 95.3%, respectively). Scores were < or = 9 in patients who received inhaled anesthetics (42%). Intravenous anesthesia patients (84.4%) had scores over 9. The local-regional anesthetic procedures with the best scores were axilar blocks and local infiltrations. Patients staying longer in the recovery unit were those classified as ASA III, those whose procedures lasted longer than 120 minutes, those undergoing surgery on the upper abdomen or on extremities, those receiving isoflurane and pancuronium, and those suffering adverse events during and after the procedure. Factors influencing perioperative events were age, duration of procedure and history of intraoperative events.
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Rev Esp Anestesiol Reanim · Feb 1996
Comparative Study[Comparison of 2 systems for continuous intraoperative monitoring of oxygen saturation in the jugular bulb].
To compare accuracy, precision and stability of two jugular venous blood catheters for continuous monitoring of oxygen saturation during surgery, in a nonrandom, prospective sample. ⋯ Although the 5.5F pediatric catheters take longer to put into position, their greater accuracy, precision and stability makes them preferable to the 4F catheters for continuous monitoring of SjvO2. Long-term vascular effects must be studied further.
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Rev Esp Anestesiol Reanim · Jan 1996
Randomized Controlled Trial Comparative Study Clinical Trial[Prolactinemia in children anesthetized with propofol].
To assess the relation between plasma levels of prolactin and spontaneous movements in children anesthetized with propofol and to compare the prolactin endocrine response for 2 different techniques of anesthetic maintenance. ⋯ Increase in prolactin is unrelated to spontaneous movements, which are attributable to low induction dose. Differences in prolactin plasma levels are not related to anesthetic technique.
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Rev Esp Anestesiol Reanim · Jan 1996
Randomized Controlled Trial Clinical Trial[Effect of the local anesthetic on visceral pain in cesarean sections done under intradural anesthesia].
To evaluate the influence of local anesthetic on the incidence and severity of visceral pain during cesarean section performed under subarachnoid anesthesia. ⋯ Use of hyperbaric bupivacaine offers advantages over the other techniques, as it assures more consistent attainment of metameric level, an incidence of visceral pain that is lower than that of isobaric mepivacaine, and fewer hemodynamic repercussions than isobaric bupivacaine with vasoconstrictor.