Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 1992
Review[Indications for the use of platelets, plasma and anti-hemorrhagic drugs].
During the last years, the use of hemoderivatives has largely increased. Their use carries a high risk for post-transfusion reactions and for transmission of severe infectious diseases. ⋯ At the present time there are pharmacologic (desmopressin, antifibrinolytics, vitamin K) and nonpharmacologic strategies (autotransfusion, hemodilution, intra and postoperative recovery of blood) directed to avoid or to decrease the need for transfusion. We review all these strategies and we propose some criteria for transfusion of plasma and platelets, as well as attitudes for particular situations.
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Rev Esp Anestesiol Reanim · Nov 1992
[Design of an expert system for decision-making in an emergency situation].
To study the clinical applicability of the expert system URGSANT as a help in making up decisions in emergencies. ⋯ The URGSANT expert system is an efficient and useful method for the clinician during emergency situations.
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Rev Esp Anestesiol Reanim · Sep 1992
Randomized Controlled Trial Clinical Trial[Efficacy of topical administration of lidocaine through a Malinckrodt Hi-Lo Jet tube in lessening cough during recovery from general anesthesia].
To achieve tracheal anesthesia during intubation, an endotracheal tube was purposely designed. The tube had multiple laser-induced perforations in its lower portion produced that allowed administration of the local anesthetic in a pulverized form. We evaluated the efficacy of lidocaine 2% in preventing cough during recovery from general anesthesia. ⋯ At the end of the anesthesia period, the presence of cough was treated with the test solution. In 90% of cases treated with lidocaine, cough disappeared in about 30 seconds and patients tolerated the endotracheal tube until extubation was performed. All patients who received saline solution presented cough until extubation.