Revista española de anestesiología y reanimación
-
Rev Esp Anestesiol Reanim · Feb 2009
[Mortality in patients with multiple injuries: analysis using the trauma and injury severity score in a referral hospital].
A growing number of patients with multiple injuries are being treated. Injury severity scales can be used to assess outcomes objectively. This study aimed to assess our hospital's cases on the basis of the Trauma and Injury Severity Score (TRISS) and compare outcomes to those reported in the Major Trauma Outcome Study, as well as to determine preventable mortality and analyze causes of death and associated factors. ⋯ The rate of preventable death in our hospital was higher than expected. Mortality was strongly associated with head injury and age. The TRISS model can identify preventable deaths objectively.
-
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
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.
-
Rev Esp Anestesiol Reanim · Feb 2009
[Experience of an interdisciplinary anesthesiology and nursing team for providing anesthesia outside the operating room].
To report on the creation and development of an interdisciplinary anesthesiology and nursing team to provide anesthesia outside the operating room. ⋯ The creation of an interdisciplinary team of anesthesiologists and specialized nurses for providing anesthesia outside the operating room optimizes resources and improves routine clinical practice. It has allowed for universal preanesthesia evaluation, improved the distribution of resources, and proven a stimulus to the care-giving process.