Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jul 1994
Historical Article[Scientific communication in Spanish anesthesiology: medical congresses (1864-1936)].
This historical-medical study proposed to determine the evolution of knowledge in Spanish anesthesiology by examining conferences and presentations at medical congresses on record for the period between the first Spanish medical congress (1864) and the start of the Spanish Civil War (1936). We have found reports of 34 scientific meetings held during this period. ⋯ Ten were international meetings, while 25 were nation-wide conferences. We have been able to arrive at a good understanding of Spanish anesthesiology's evolution as a scientific discipline during this period.
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Rev Esp Anestesiol Reanim · Jul 1994
Randomized Controlled Trial Comparative Study Clinical Trial[Utility of epidural catheterization by the caudal route in pediatric anesthesia].
To compare analgesic effect of bupivacaine during and after surgery when delivered through a lumbar epidural catheter entering by the caudal route with either caudal or lumbar administration of anesthetic through the needle. ⋯ Epidural anesthesia by way of a catheter entering by the caudal space allows us to achieve intra- and postoperative analgesia of comparable quality to that afforded by a lumbar approach or a single direct caudal puncture.
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Rev Esp Anestesiol Reanim · May 1994
Randomized Controlled Trial Comparative Study Clinical Trial[Does propofol have advantages over midazolam and isoflurane? Comparative study of 2 total intravenous anesthesia techniques using midazolam and propofol, versus balanced anesthesia with isoflurane].
To compare two techniques for total intravenous anesthesia (TIVA): midazolam-alfentanil-flumazenil and propofol-alfentanil, contrasting them with combined anesthesia (thiopental-isoflurane-alfentanil) and assessing the efficacy of flumazenil in continuous perfusion for preventing resedation in TIVA with midazolam. ⋯ None of the TIVA techniques proved superior in all the parameters studied during anesthetic maintenance when compared with balanced isoflurane-alfentanil, although the propofol-alfentanil combination was found to be superior to that of midazolam-alfentanil. After anesthesia, however, recovery was better with the association of propofol-alfentanil and adverse side effects were fewer. Flumazenil at the doses used was ineffective for preventing resedation due to midazolam.
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Rev Esp Anestesiol Reanim · May 1994
Randomized Controlled Trial Clinical Trial[Effects of low doses of aprotinin in heart surgery].
To study the effect of aprotinin (Trasylol) administration on bleeding after surgery and on the need for blood transfusion in patients undergoing cardiopulmonary bypass with extracorporeal circulation (ECC). ⋯ Administration of aprotinin at low doses during surgery in patients undergoing cardiac surgery with ECC significantly reduces postoperative bleeding and the amount of blood transfused.