Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Feb 2011
[Favorable outcome of acute respiratory failure caused by H1N1 virus infection in critical patients].
To describe clinical features, treatment, complications, and outcomes in cases of acute respiratory distress syndrome (ARDS) caused by H1N1 virus infection treated in an anesthesia department's recovery unit. ⋯ In this series of critically ill patients with H1N1 virus infection that was initially life-threatening, all responded favorably to conventional treatment and could be discharged.
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Rev Esp Anestesiol Reanim · Feb 2011
Case Reports[Use of the flexible laryngeal mask in rheumatoid arthritis with the patient in lateral decubitus position].
Rheumatoid arthritis is a chronic inflammatory disease leading to synovitis and joint deformities. The hands are often affected but in some cases there may be involvement of the temporomandibular, the atlantoaxial, and cricoarytenoid joints. For insertion of the mask, a patient may be placed in supine, lateral, or prone position with minimal complications. ⋯ At the end of the procedure, the mask was removed without complications and she orally assessed pain as 0. The flexible laryngeal mask can be used in patients with rheumatoid arthritis with little need to move the cervical spine. Insertion can take place in lateral decubitus position, thus avoiding movements that might worsen the patient's underlying disease.
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Rev Esp Anestesiol Reanim · Jan 2011
[Postoperative pain management for patients who are long-term users of opioid].
Pain is one of the most common reasons for seeking medical care and the frequency of prescription of opioid analgesics by both primary care physicians and specialists has increased. It is therefore unsurprising that many patients with chronic pain who must undergo scheduled or emergency surgery will be on long-term medication, including opioids. ⋯ Adjuvants may be particularly useful; the most thoroughly studied adjuvants are nonsteroidal anti-inflammatory drugs and ketamine. Regional anesthesia offers a particularly attractive approach when long-term users of opioids must undergo surgery.