Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Feb 1996
Biography Historical Article[In memoriam Fidel Pagés Miravé (1886-1923) on the 75th anniversary of the publication of "Anesthesia metamérica"].
Fidel Pagés was born in Huesca on the 26th of January 1886. He completed his secondary studies in the same city, later receiving his degree in medicine and surgery from University of Zaragoza (1908) with high honors. The same year he joined the army medical corp, to be sent to serve in Melilla in 1909 with a rank of second medical officer. ⋯ On the 21st of September 1923, Pagés died in a traffic accident while returning to Madrid from San Sebastián. His work was soon forgotten, as can be seen from the credit long given to the Italian surgeon Dogliotti for the discovery of epidural anesthesia. Only with passing time, and through the effort of Argentinian and Spanish physicians, has the world come to recognize Pagés as the original author of this technique.
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Rev Esp Anestesiol Reanim · Feb 1996
Randomized Controlled Trial Multicenter Study Clinical Trial[Utilization of a post-anesthetic recovery index].
1. To introduce use of the postanesthesia recovery score (assessing consciousness, mobility, ventilation, hemodynamics and blood analysis) as a good method for evaluating and classifying recovery from anesthesia in the postoperative care unit. 2. To determine overall patient progress and assess the influence of various patient, anesthetic and surgical factors. ⋯ The lowest score upon admission to the unit was among patients who had undergone high abdominal surgery (16.4%). Scores over 9 belonged to patients who had undergone lower abdominal and perineal surgery (87.5 and 95.3%, respectively). Scores were < or = 9 in patients who received inhaled anesthetics (42%). Intravenous anesthesia patients (84.4%) had scores over 9. The local-regional anesthetic procedures with the best scores were axilar blocks and local infiltrations. Patients staying longer in the recovery unit were those classified as ASA III, those whose procedures lasted longer than 120 minutes, those undergoing surgery on the upper abdomen or on extremities, those receiving isoflurane and pancuronium, and those suffering adverse events during and after the procedure. Factors influencing perioperative events were age, duration of procedure and history of intraoperative events.
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Rev Esp Anestesiol Reanim · Feb 1996
Comparative Study[Comparison of 2 systems for continuous intraoperative monitoring of oxygen saturation in the jugular bulb].
To compare accuracy, precision and stability of two jugular venous blood catheters for continuous monitoring of oxygen saturation during surgery, in a nonrandom, prospective sample. ⋯ Although the 5.5F pediatric catheters take longer to put into position, their greater accuracy, precision and stability makes them preferable to the 4F catheters for continuous monitoring of SjvO2. Long-term vascular effects must be studied further.