Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jul 1990
Letter Historical Article[The first experiments with chloroform in Spain].
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Rev Esp Anestesiol Reanim · Jul 1990
Letter Historical Article[Ether by rectal route for therapy of cholera].
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Rev Esp Anestesiol Reanim · May 1990
Historical Article[Spinal anesthesia using a strychnine-stovaine combination in Spain].
Since, in 1898, Augustus Bier developed the injection of anesthetic agents in the intradural space following Corning's technique, there have been many changes in the technique to the present day. One of the most popular was rachi-striene-stovainization, which was introduced by Jonnesco and attempted to replace general anesthesia (general rachianesthesia). ⋯ Sagarra and Bartrina. We also discuss its advantages and drawbacks.
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Rev Esp Anestesiol Reanim · May 1990
Case Reports[Mediastinal tumors in children: apropos of 2 cases].
General anesthesia in patients with mediastinal tumors has specific problems that need careful evaluation before surgery. Sometimes, mediastinal masses may result in life threatening complications, such as upper airway obstruction, superior vena cava syndrome, cardiac or pulmonary artery compression and acute pulmonary edema. After a review of the literature related to death during general anesthesia in children with mediastinal tumors, we emphasize the importance of the agreement between oncologists, surgeons and anesthesiologists for a sound diagnosis of these patients. ⋯ The second patient was a 2-year-old female with anterior mediastinal and paratracheal masses and severe respiratory compromise, who was operated under general inhalation anesthesia and spontaneous breathing for biopsy of supraclavicular lymphadenopathy, after a meticulous preanesthetic evaluation. In these patients, the anesthetic procedure is a challenge to the anesthesiologist. Inhalation induction in a half seated position is recommended, maintaining the patient with spontaneous ventilation with halogenated agents and avoiding muscle relaxants.