Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Feb 2012
[Assessment of learning in blind orotracheal intubation with Fastrach masks using a cumulative sum curves (CuSum) in the SimMan Universal Simulator].
To assess training in blind intubation with the Fastrach laryngeal mask in a simulation model by applying the cumulative sums (CuSum) method. ⋯ This statistical method and the SimMan simulator, used together, have demonstrated to be very useful tools in assessing learning curves in this technique.
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Rev Esp Anestesiol Reanim · Jan 2012
Multicenter Study[Multicentre epidemiological study of anaesthetic techniques in inguinal hernia surgery in Spain].
Despite renewed interest in the management of anaesthesia during inguinal hernia surgery, there is a lack of data on trends in anaesthesia in Spain. The purpose of this study was to analyse the different anaesthetic techniques used in inguinal hernia surgery and their association with recovery, hospital stay, complications, and satisfaction with the technique. ⋯ Spinal anaesthesia is the most commonly used technique in Spain for inguinal hernia repair, although it is associated with a longer hospital stay (greater than 6h in 32% of cases) and a high incidence of urinary retention than other anaesthetic methods, in particular those with local infiltration. These techniques should be more vigorously implemented in daily practice.
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Rev Esp Anestesiol Reanim · Jan 2012
Review Meta Analysis[Levosimendan reduces mortality in cardiac surgery: a systematic review and meta-analysis].
To evaluate whether Levosimendan has any impact on peri-operative mortality in cardiac surgery. ⋯ The meta-analysis showed that the use of Levosimendan was associated with a reduction in mortality in patients subjected to cardiac surgery, although there is still no definitively clear evidence. Additional randomised and multicentre clinical studies, with a much larger number of patients are required, in which hospital mortality and mortality at 6 months are analysed as the primary outcomes.
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Rev Esp Anestesiol Reanim · Jan 2012
Review[Review: effect of preventive analgesia on postoperative pain].
Preventive analgesia (administration of a technique or analgesic drug with the aim of reducing postoperative pain, hyperalgesia and allodynia) has shown to be effective in experimental studies. However, the results in patients have been controversial. A review has been made of the clinical trials published during the last 5 years to test the efficacy of preventive analgesia on postoperative pain. ⋯ Preventive analgesia was effective in 15 of the 27 studies, with pre-incisional epidural drug administration being the most effective (local anaesthetics with or without opioids, clonidine). The possible effectiveness of preventive analgesia in humans is still controversial, partly due to the wide heterogeneity in the inclusion criteria, types of patients, or the analgesia measurement parameters analysed by the studies. More studies are required with common criteria and objectives.