Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2008
Randomized Controlled Trial Comparative Study[Continuous interscalene block for analgesia following shoulder rotator cuff repair: evaluation of 2 bupivacaine concentrations applied with the same infusion technique].
To evaluate postoperative analgesia and patient satisfaction with the continuous interscalene block using 2 bupivacaine concentrations in combination with sufentanil for patients undergoing shoulder rotator cuff repair surgery. ⋯ Both the tested bupivacaine concentrations for the continuous interscalene block provided similar levels of analgesia after shoulder rotator cuff repair surgery. Reducing the bupivacaine concentration to 0.625% decreased the consumption of local anesthetic without diminishing the quality of analgesia.
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Rev Esp Anestesiol Reanim · Dec 2008
Randomized Controlled Trial[Is oxygen therapy truly useful and necessary during elective cesarean section under spinal anesthesia?].
To analyze maternal and fetal well-being with and without the application of oxygen therapy. ⋯ Breathing supplemental oxygen or not during elective cesarean delivery of healthy parturients under spinal anesthesia does not have a significant effect on neonatal well-being.
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Rev Esp Anestesiol Reanim · Dec 2008
[Central venous pressure, rewarming time, and total fluid replacement volume are predictors of mortality and complications after cardiac surgery].
To analyze the influence of early (first day) postoperative factors on postoperative course in patients who have undergone heart surgery. ⋯ Central venous pressure, rewarming time, and fluid replacement volume required on the first day are predictors of postoperative course.
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Rev Esp Anestesiol Reanim · Dec 2008
Editorial Comment Review[Ultrasound images for venous puncture and venous access].
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Rev Esp Anestesiol Reanim · Dec 2008
Clinical Trial[Evaluation of a continuous positive airway pressure system without a ventilator to treat acute respiratory failure in children].
Noninvasive continuous positive airway pressure (CPAP) is widely used in pediatric patients with acute respiratory failure. However, the lack of specific interfaces and appropriate ventilators and poor tolerance of the technique by these patients can lead to failure of the application. The aim of this study was to analyze the efficacy of a CPAP system using a modified Mapleson breathing circuit during acute respiratory failure in pediatric patients. ⋯ CPAP without a ventilator, through a Mapleson D circuit, can be used with a high success rate to provide noninvasive ventilation for pediatric patients with acute respiratory failure.