Revista española de anestesiología y reanimación
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The rationalization of health care spending has high priority in these times of economic difficulty. Anesthesiologists can contribute to more efficient use of resources and therefore must be well aware of the cost of the products they use. This study aims to evaluate their knowledge of the cost of commonly used products. ⋯ The respondents were 100% correct about 2 of the disposable items studied but did not give estimates within 50% of real cost for any of the remaining 7 items. Neither position in the hierarchy nor years of experience was related to degree of correctness in pricing the products studied. Awareness of the prices of commonly used products, particularly of disposable material, was low in the population of anesthesiologists studied.
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Rev Esp Anestesiol Reanim · Mar 1995
Clinical Trial[Reduction of the need for blood derivatives in liver transplantation using aprotinin].
To evaluate the efficacy of aprotinin in reducing the need for blood products in orthotopic liver transplantation. ⋯ Prophylactic use of aprotinin during surgery has a beneficial effect on hemostatic mechanisms, reducing the need for blood products. A reduction in fibrinolysis seems to contribute to this effect.
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Rev Esp Anestesiol Reanim · Feb 1995
Clinical Trial Controlled Clinical Trial[Decrease in isoflurane requirements and of postoperative pain with preanesthetic intrathecal morphine].
1) To determine whether preanesthetic intrathecal administration of 0.5 mg morphine reduces isoflurane requirements for anesthetic maintenance. 2) To assess the duration of postoperative analgesia and the type and frequency of complications attributable to the procedure. ⋯ Preanesthetic subarachnoid lumbar injection of 0.5 mg of pure morphine reduced early requirements for isoflurane in lumbar surgery (0.14% after 60 min). This reduction was initially less in patients undergoing abdominal surgery (0.44% at 60 min) but was the same after 150 min. Postoperative analgesia was long-term and independent of type or duration of surgery. There was no respiratory depression after surgery and the incidence of postoperative complications was similar in the two groups that received subarachnoid morphine.