Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jun 2014
[Acute respiratory distress syndrome: a review of the Berlin definition].
Acute Respiratory Distress Syndrome (ARDS) is due to many causes. The absence of a universal definition up until now has led to a series of practical problems for a definitive diagnosis. ⋯ However, 18 years later, in 2011, the European Intensive Medicine Society, requested a team of international experts to meet in Berlin to review the ARDS definition. The purpose of the Berlin definition is not to use it as a prognostic tool, but to improve coherence between research and clinical practice.
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Rev Esp Anestesiol Reanim · Jun 2014
Randomized Controlled Trial Comparative StudyUltrasound guided injection inside the common sheath of the sciatic nerve at division level has a higher success rate than an injection outside the sheath.
The recommendations for the level of injection and ideal placement of the needle tip required for successful ultrasound-guided sciatic popliteal block vary among authors. A hypothesis was made that, when the local anesthetic is injected at the division of the sciatic nerve within the common connective tissue sheath, the block has a higher success rate than an injection outside the sheath. ⋯ Our study suggests that for successful sciatic popliteal block in less than 30min, local anesthetic should be injected within the sheath.
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Rev Esp Anestesiol Reanim · Jun 2014
Case Reports[Kernohan-Woltman notch phenomenon secondary to a cranial epidural hematoma].
Kernohan-Woltman notch phenomenon is a paradoxical neurological manifestation which involves a motor deficit on the same side as the primary brain injury. It is produced mainly by acute or chronic subdural hematomas, and less frequently by post-traumatic epidural ones. It should be taken into consideration in cases of ipsilateral motor deficit, as it may lead to surgical procedures being performed on the incorrect side. ⋯ Computed tomography of the brain revealed a frontal and parietal epidural hematoma with right midline shift and uncal herniation. Craniotomy and drainage of the hematoma was performed, and on the sixth day after surgery it was observed that the patient had a brachio-crural right hemiparesis. Magnetic resonance imaging showed an ischemic area on the left capsule and cerebral peduncle consistent with the diagnosis of Kernohan-Woltman notch phenomenon.