Revista de enfermería (Barcelona, Spain)
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Clinical Trial Controlled Clinical Trial
[Administration of propofol. Addition of lidocaine eases the pain].
This article corresponds to the final paper accepted as passing as a requirement to accede to the level of 500 hours in the "IDER" Masters program "Methodology of Research and Investigation in Healthcare" as part of a correspondence course designed by the University of Alcalá with backing from the University of Antioquía in Colombia. The pain which occurs as a response to an intravenous injection of Propofol is one of the main obstacles to its use as an anesthetic. ⋯ This study concluded that the addition of lidocaine significantly reduced the pain felt in the circulatory tract selected for the injection of propofol. Administering 20 or 40 mg of lidocaine did not produce any differences in the analgesic effect of this anesthetic.
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Whether the cause is primary or secondary, cardiac arrest requires cardiopulmonary resuscitation techniques in order to avoid brain lesions. Cardiac compressions combined with the control of the air passageway and artificial respiration have made it possible to reverse clinical death status in a patient. In this article, the authors review various proven methods including heart pump, thoracic pump, asynchronous respiration, abdominal contrapulsation, cardiopulmonary resuscitation by means of coughing, MAST, ADC, pneumatic vest, etc. which are currently in use.
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The use of oxygen as treatment for cardiorespiratory pathology in newborns is an accepted, regular practice. The prolonged use and high concentration of oxygen in premature newborn infants has been associated with an increase in cases of Proliferate Retinopathy in Premature Infants. This article publishes the results obtained over the past two years from the application of a treatment procedure which followed the recommendations made by the Standards Commission of the Spanish Association of Pediatricians regarding the measurement, administration and monitoring of oxygen to at risk newborn infants while evaluating the number of cases of retinopathy and their severity. ⋯ We encountered one case of level 3 retinopathy. In this case, we noticed a significant relationship among the point of gestation completed at birth, weight at birth and the severity of Proliferate Retinopathy in Premature Infants. We also proved that a painstaking control of oxygen allows a medical team to lower the degree of retinopathy in premature infants.
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Simple, portable, manageable ventilators have been successfully designed to ensure a patient's ventilation in situ, which means to maintain a patient's respiratory functions at the place where he/she suffers his/her respiratory crisis and during his/her trip to an appropriate medical center. These ventilators are also useful as an at home respiratory support mechanism for those who suffer from chronic respiratory deficiencies caused by various etiologies.