Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Oct 2003
Comparative Study[Predictive capability of the TCI Diprifusor system in patients with terminal chronic renal insufficiency].
To evaluate the predictive capability of a target-controlled infusion (TCI) system in patients with terminal chronic renal failure by comparing real drug concentrations with predicted concentrations. ⋯ The results indicate that the predictive capability of the Diprifusor pharmacokinetic model is acceptable in patients with terminal kidney failure, given the minor bias of 10% to 20% and the degree of accuracy between 20% and 40%.
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Rev Esp Anestesiol Reanim · Oct 2003
Letter Case Reports[Coronary spasm during anesthesia induction].
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Rev Esp Anestesiol Reanim · Oct 2003
Randomized Controlled Trial Clinical Trial[Usefulness of tranexamic acid in cranial remodeling surgery].
To assess the usefulness of tranexamic acid (TA) in pediatric cranial remodeling surgery, by analyzing its effects on bleeding and transfusion requirements, number of days of cranial drainage required, and time spent in the postoperative recovery unit. ⋯ TA can reduce perioperative bleeding in the context of pediatric cranial remodeling surgery. TA-treated patients have less need of transfusion and this may reduce the rate of related complications as well a make care more efficient.
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Rev Esp Anestesiol Reanim · Oct 2003
Review[Gastrointestinal tonometry: a new tool for the anesthesiologist].
Intestinal hypoperfusion is among the factors implicated in sepsis and multiorgan failure. Splanchnic blood flow may be sacrificed to maintain supply to vital organs, even when hemodynamic alterations are minor. The sensitivity of invasive hemodynamic monitoring for detecting intestinal hypoperfusion is low. ⋯ We review the pathophysiology of ischemic intestinal lesions, the basis for gastrointestinal tonometry, and the method. Finally we discuss clinical applications (early diagnosis of ischemic colitis and ischemia of the flap after esophageal reconstruction, weaning from mechanical ventilation, abdominal compartment syndrome, liver transplant, heart surgery, prognostic factors and care of the critically ill patient). An adequate understanding of this monitoring technique and management of information it provides can give an early warning of the intestinal hypoperfusion that precedes other serious systemic complications.