Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jun 1999
Case Reports[Sevoflurane in airway management using fibrobronchoscopy: apropos of 2 difficult orotracheal intubation cases].
We report two cases of difficult orotracheal intubation in which intubation with a fiberoptic bronchoscope was performed after induction with an inhalational anesthetic. Mild inhalational anesthesia with sevoflurane was started fairly rapidly, with no respiratory incidences. The tubes were then inserted through a fiberoptic bronchoscope, with no airway management problems.
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Rev Esp Anestesiol Reanim · Jun 1999
[Air seepage from endotracheal tube cuffs during anesthetic procedures. How to solve this problem without changing tubes? An experimental model using human tracheas].
To demonstrate by an experimental model that a continuous medicinal airflow system giving a pressure of 30 cmH2O effectively stops leakage from endotracheal tubes. ⋯ We found that adjusting flow and pressure is a valid way to stop leakage from small holes. The method does not control leakage from large holes or cuts.
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Rev Esp Anestesiol Reanim · Jun 1999
Review Comparative Study[Epidural vs. intradural anesthesia in ambulatory surgery].
Spinal anesthesia is the technique of choice for many outpatient procedures. With appropriate screening and preparation, it can provide excellent surgical conditions and highly satisfactory anesthesia for the patient, while remaining cost-effective. Intradural anesthesia has advantages over epidural anesthesia: technical simplicity, rapid onset, efficacy and depth of blockade. ⋯ The drawbacks are that it takes longer to perform and onset of blockade comes later. Both techniques are valid alternatives to general anesthesia in outpatient surgery. The choice of one over the other will depend on patient characteristics, availability of a presurgical area, and the anesthesiologist's skill.
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Rev Esp Anestesiol Reanim · Jun 1999
Comparative Study[Effect of etomidate and thiopental on the onset of rocuronium action].
Differences in the hemodynamic effects of induction agents may cause them to affect the onset of action of rocuronium differently. ⋯ These results suggest that the induction drug does not affect rocuronium's onset of action.