Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Feb 2009
Letter Case Reports[Postpartum blindness following postdural puncture headache].
-
Rev Esp Anestesiol Reanim · Feb 2009
Randomized Controlled Trial Comparative Study[Contribution of ultrasound guidance to the performance of the axillary brachial plexus block with multiple nerve stimulation].
To evaluate whether ultrasound imaging of vascular nerve structures improves anesthetic block quality and decreases the incidence of vascular puncture in the performance of an axillary brachial plexus block with multiple nerve stimulation. ⋯ Combining ultrasound guidance with nerve stimulation improves the anesthetic quality of an axillary brachial plexus block, decreases the likelihood of vascular puncture, and slightly increases the amount of time required to perform the procedure.
-
Rev Esp Anestesiol Reanim · Feb 2009
[Importance of monitoring neuroendoscopic intracranial pressure during anesthesia for neuroendoscopic surgery: review of 101 cases].
The aim of this study was to describe monitoring, anesthetic management, and risk factors for complications in neuroendoscopic surgery. ⋯ Neuroendoscopic surgery can causes increases in neuroendoscopic intracranial pressure that are associated with disturbances in cerebral blood flow and complications. This situation demonstrates the importance of monitoring intracranial pressure and cerebral blood flow.
-
Rev Esp Anestesiol Reanim · Feb 2009
Review[Implantable pacemakers and defibrillators: implications for anesthesia and perioperative management].
The technological complexity of implantable devices for managing arrhythmias, specifically pacemakers and defibrillators, has increased spectacularly since their introduction a few decades ago. A growing number of patients with these devices are undergoing surgery and it is therefore essential to understand how they work and what the real associated risks are. ⋯ It is no longer satisfactory to place a magnet over these devices during surgery and assume that this action will protect the patient from the possible effects of electromagnetic interference. This review examines the basic principles and operation of implantable pacemakers and defibrillators, the relevant nomenclature, and the sources and effects of electromagnetic interference; the current recommendations for the perioperative management of patients fitted with these devices are also discussed.
-
Rev Esp Anestesiol Reanim · Feb 2009
Review Case Reports[Acute renal failure secondary to hemolytic uremic syndrome in a pregnant woman with pre-eclampsia].
Acute renal failure is a serious complication of pregnancy associated with a high rate of morbidity and mortality; the incidence is currently 1 per 10,000 pregnancies. The most common causes are gestational hypertension, bleeding, sepsis, and intrinsic renal disease. ⋯ The classic symptoms are fever, hemolytic microangiopathic anemia, thrombopenia, neurologic dysfunction, and kidney abnormalities. When renal involvement is the predominant manifestation, the diagnosis is usually hemolytic uremic syndrome.