Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Jul 1993
Randomized Controlled Trial Comparative Study Clinical Trial[Treatment of postoperative pain with intravenous PCA system. Comparison with morphine, metamizole, and buprenorphine].
To evaluate the postoperative analgesic efficacy, side effects and acceptance by patients and nurses of intravenous "patient-controlled analgesia" (PCA) with morphine, metamizole and buprenorphine. ⋯ Intravenous postoperative PCA was effective with all three drugs studied. Patient and nurse acceptance was good and side effects were few in the three groups. The lower rate of side effects for metamizole makes it the drug of choice.
-
Rev Esp Anestesiol Reanim · Jul 1993
[Ambulatory pediatric anesthesia: preanesthetic evaluation, anesthetic techniques, and immediate postoperative care].
The advantages of pediatric out-patient surgery are: 1) greater psychological ease; 2) lower rate of infection; 3) less impact on patient habits, and 4) lower cost. Surgery must not involve organs, must have a low rate of complications, and be short. The preanesthetic interview should include clinical history and complementary examinations, information on anesthetic technique, perioperative recommendations and psychological preparation of parents and child. ⋯ The most frequently used analgesics are paracetamol, magnesium dipyrone, diclofenac, ketorolac, or codeine compounds. Although the incidence of nausea and vomiting is low in children, they are frequently a cause of hospitalization. Inappropriate postoperative care can increase the rate of admissions and medico-legal problems.(ABSTRACT TRUNCATED AT 400 WORDS)
-
Rev Esp Anestesiol Reanim · Jul 1993
Review[Evaluation of anesthetic techniques in ambulatory surgery].
Many of the surgical procedures performed in the hospital can be done on an out-patient basis, provided an appropriate anesthetic technique is applied to allow the patient to return home comfortably and safely. Choice of anesthetic technique must always be made in keeping with patient characteristics and type of surgery. Treatment of anxiety in a preoperative interview or by giving tranquilizers will be beneficial to all patients, as will reduction of gastric secretion by administration of H2 receptor blockers. ⋯ Propofol, alfentanyl, atracurium or vecuronium require the shortest recovery time. For epidural anesthesia, we use lidocaine and mepivacaine. Truncal blocks, endovenous regional anesthesia, and brachial plexus, retrobulbar and peribulbar blocks are all appropriate techniques for out-patient surgery.
-
Rev Esp Anestesiol Reanim · Jul 1993
[Economic analysis of an anesthesiology, resuscitation, and pain therapy service].
In this study we analyzed costs and income recorded in 1992 for an anesthesia department at a university hospital in Catalonia. We have broken down overall expenses into subcategories for each service provided by the department: anesthesia, intensive care, and pain (acute and chronic) therapy. We have also analyzed the department's income for these services, with particular attention to the acute pain clinic.
-
Rev Esp Anestesiol Reanim · May 1993
Randomized Controlled Trial Clinical Trial[Cardiorespiratory evaluation of midazolam and thiopental during their use in patients undergoing translumbar aortography in decubitus prone position and ASA IV].
To verify the cardiorespiratory effects of midazolam and thiopental in ASA IV patients undergoing translumbar aortography in the decubitus prone position. ⋯ In patients undergoing translumbar aortography midazolam and thiopental behaved similarly with regard to hemodynamics. Midazolam produced less apnea than thiopental.