Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · May 2014
Letter Case Reports[Late spinal epidural abscess after epidural anesthesia].
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Rev Esp Anestesiol Reanim · May 2014
Observational Study[Factors involved in the development of vasoplegia after cardiac surgery with extracorporeal circulation. A prospective observational study].
The incidence and risk factors for vasoplegia in the early postoperative period and at 24h are investigated in patients subjected to cardiopulmonary bypass surgery. Vasoplegia following cardiac surgery with cardiopulmonary bypass is associated with a high morbimortality. The risk factors described emerged from retrospective, non-controlled studies. ⋯ The incidence of vasoplegia after cardiac surgery with cardiopulmonary bypass is high during the first 24 postoperative hours. Preoperative treatment with angiotensin converting enzyme inhibitor and the mean arterial pressure at the beginning of cardiopulmonary bypass are the more easily controllable risk factors. In patients arriving to surgery with those drugs, treatment or prevention of vasoplejia should be planned.
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Rev Esp Anestesiol Reanim · May 2014
Case Reports[Hypoglossal nerve neuropraxia after shoulder hemiarthroplasty].
We report a case of hypoglossal nerve damage after shoulder hemiarthroplasty with the patient in "beach chair" position, performed with general anesthesia with orotracheal intubation, and without complications. An ultrasound-guided interscalene block was previously performed in an alert patient. ⋯ Mechanisms such as hyperextension of the neck during intubation, endotracheal tube cuff pressure, excessive hyperextension, or head lateralization during surgery have been described as causes of this neurological damage. We discuss the causes, the associated factors and suggest preventive measures.
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Rev Esp Anestesiol Reanim · Apr 2014
Randomized Controlled Trial Comparative Study[Blind tracheal intubation with the air-Q(®) (ILA-Cookgas) mask. A comparison with the ILMA-Fastrach™ laryngeal intubation mask].
Supraglottic airway devices are increasingly used in anesthesia and emergency medicine as a rescue for intubation and ventilation. This study was designed to investigate the air-Q(®) supralaryngeal device and compare it with the ILMA-Fastrach™ for airway rescue and intubation. ⋯ Both the ILMA-Fastrach™ and the air-Q(®) provided a similar rate of successful intubation, but ILMA-Fastrach™ was better for ventilation. The rate of adverse events was similar with both devices. Because no additional maneuver was used to facilitated intubation, there needs to be further studies to confirm these findings.
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Rev Esp Anestesiol Reanim · Mar 2014
Case Reports[Rare problem with the insertion of a Supreme™ laryngeal mask airway device. Case of the trimester].
A breast tumor was resected under general anesthesia. After induction, the airway was managed with a Supreme™ laryngeal mask airway device. The insertion of the laryngeal mask airway device, the insertion of the orogastric tube through the drain tube, as well as the mechanical ventilation, were very difficult from the beginning. ⋯ It was later found out that the laryngeal mask airway device, as well as the whole manufacturing batch, had suffered a design modification: the cuff was constructed with a softer material without reinforcement in the tip, and the drain tube had a heat-sealing defect that facilitated the break. The incident was reported to the local supplier and the manufacturer, and the defective batch of laryngeal mask airway devices was recalled. The incident was also reported to other hospitals via SENSAR, to warn other users of the potential dangers of the design modification in the Supreme™ laryngeal mask airway.