Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 1989
Historical Article[Spanish pioneers in the technics of laryngotracheal intubation].
Tracheal intubation technique is the result of centuries of experiments, studies and clinical trials. Among the pleiad of physicians who definitely introduced tracheal intubation in clinical practice, several Spanish physicians especially contributed to its diffusion with their research work and discoveries and in some cases they were true pioneers in techniques considered as so advanced at the beginning of this century that it was thought they would never be systematically used in clinical practice. In the present work, we discuss the contributions of these Spanish pioneers to laryngotracheal intubation technique, a technique widely used in modern medicine.
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Rev Esp Anestesiol Reanim · Sep 1989
[Effect of the peridural methadone concentration in postoperative analgesia].
The analgesic characteristics of 3 to 6 mg epidural methadone administered in two different concentrations for postoperative analgesia have been compared in two homogeneous groups of patients submitted to surgical procedures on trunk or legs. Methadone was given at a concentration of 0.1% in group I (70 patients) and diluted in 10 ml saline in group II (35 patients). Methadone doses were calculated on the basis of age and weight of the patient and the performed surgical procedure. ⋯ Side effects were not frequent and without clinical significance in both groups. Epidural methadone is an effective method for postoperative pain relief. Drug concentration modifies the duration of the analgesia and concentration of 0.1% gives better results than more diluted preparations.
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Rev Esp Anestesiol Reanim · Sep 1989
Case Reports[Independent pulmonary ventilation as a treatment in the re-expansion of atelectasis].
Two patients with respiratory failure were treated with independent lung ventilation (ILV). During their clinical course they developed atelectasis without response to usual therapies. ⋯ With the ILV plus S-PEEP we tried to correct the abnormal ventilation/perfusion ratio. ILV plus S-PEEP increases both the ventilation in the highly perfused areas, and the functional residual capacity selectively in the pathologic lung in unilateral affection cases.
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Rev Esp Anestesiol Reanim · Sep 1989
Review[Occupational exposure of the anesthesiologist to nitrous oxide and halothane. Control measures].
Anesthetic gas spillage does occur in the operating room. Anesthesiologists and other operating room personnel are likely exposed to health hazards caused by chronic exposure to anesthetic gases and vapours. ⋯ Present data, while controversial, do not establish a cause-effect relationship. Nevertheless, until solid data refutes the existence of a health hazard for operating room personnel, the anesthesiologist must try to reduce the anesthetic contamination level, with preventive and technical measures.
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Rev Esp Anestesiol Reanim · Sep 1989
Case Reports[Anesthesia and lumbar epidural anesthesia in an infant with third-degree burns].
Epidural route is widely used in adults for injection of drugs, but it is not so often used in pediatric patients. We present the case of a 8 month old burned infant who received anesthesia and analgesia through a lumbar epidural catheter. ⋯ No side effects were seen. We analyze the uses of epidural anesthesia in pediatric patients, the catheter care in the burned child, the hemodynamic changes observed during anesthesia and the results of peridural morphine.