Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Mar 2011
Comparative Study[Transfusion requirements, morbidity and mortality in cardiac surgery and the use of antifibrinolytic agents: a comparison of aprotinin and tranexamic acid].
To evaluate transfusion requirements, morbidity and mortality when 2 antifibrinolytic agents (aprotinin and tranexamic acid) were used in patients undergoing cardiac surgery. ⋯ This study, subject to the aforementioned limitations, shows that tranexamic acid is as effective as aprotinin for reducing transfusion requirements in cardiac surgery in Spain.
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Rev Esp Anestesiol Reanim · Feb 2011
[An awake fiberoptic intubation protocol: descriptive retrospective assessment of safety and efficacy].
Flexible fiberoptic intubation of the trachea is emphasized in guidelines on the management of difficult airway. The aim of this study was to analyze the efficacy and safety of our tertiary hospital's awake fiberoptic intubation protocol. ⋯ Our hospital's protocol was followed in all cases and no post-implementation complications were detected.
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Rev Esp Anestesiol Reanim · Feb 2011
[Intraosseous access for fluid therapy in combat situations: use by Spanish military medical staff in Afghanistan].
To describe the Spanish military medical staff's experience with the use of intraosseous lines for fluid therapy in a combat zone. ⋯ Our experience suggests that intraosseous access can provide an alternative to venous access for treating trauma patients in combat zones.
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Rev Esp Anestesiol Reanim · Feb 2011
[Ultrasound-guided axillary brachial plexus block: learning curve and results].
The use of ultrasound in regional anesthesia requires the acquisition of new knowledge and skills not only by anesthesiologists in training but also by anesthesiologists experienced in neurostimulation-guided peripheral nerve blocks. We studied the effect of training on 2 anesthesiologists who were skilled in neurostimulation-guided regional anesthesia. ⋯ For an anesthesiologist with experience establishing a conventional axillary brachial plexus block using a nerve stimulator, 15 ultrasound-guided axillary blocks are required before good results can be expected with the new procedure.