Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2002
Review Randomized Controlled Trial Comparative Study Clinical Trial[Comparison of efficacy and complications of 27G and 29G Sprottte needles for subarachnoid anesthesia].
Post-dural puncture headache and lumbar backache are related to needle gauge and type of point used. We aimed to determine whether the incidence of post-dural puncture headache and lumbar backache could be reduced by using fine gauge pencil-point Sprotte 27G and 29G needles. We also studied increases in technical difficulty with these needles and whether or not reducing needle gauge affected anesthetic quality. ⋯ The use of 29G pencil-point needles can be recommended to reduce the incidence of headache and lumbar backache in the postoperative period, in spite of the greater technical difficulty involved, given that quality of anesthesia is maintained.
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Rev Esp Anestesiol Reanim · Nov 2002
Randomized Controlled Trial Clinical Trial[Preoperative diclofenac does not reduce pain of laparoscopic cholecystectomy].
To study the safety and efficacy of diclofenac for preemptive analgesia in the first 24 hours after elective laparoscopic cholecystectomy (ELC). ⋯ Simple preemptive analgesia with 1 mg/Kg i.m. of diclofenac 60 minutes before induction of anesthesia does not decrease pain intensity or the need for rescue analgesia in the first 24 hours after ELC.