Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2007
Comparative Study[Locating the site of resistance to the endotracheal tube in fiberoptic oral intubation and maneuvers to overcome it: a mannequin simulation study].
To determine the most common tracheal points of resistance during orotracheal insertion of a fiberoptic tube in a mannequin by applying a maneuver algorithm to overcome the resistance. ⋯ Rotating the tube 90 degrees counterclockwise was an effective maneuver for overcoming resistance. The combination of a reinforced flexible tube and a Williams intubator was associated with less resistance and shorter intubation times.
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Rev Esp Anestesiol Reanim · Dec 2007
Review[Monitoring of oxygen pressure in brain tissue in severely injured patients under neurocritical care].
Head injury continues to be the main cause of mortality and morbidity among young people in Europe. The use of technology in managing severe head injury has increased considerably and certain applications may be confusing to physicians who have little experience in neurology but who are charged with providing neurocritical care. ⋯ Continuous monitoring of the partial oxygen pressure of brain tissue (PtO2) has become more common in neurocritical care units, making bedside evaluation of the effects of injuries and therapeutic measures possible. This review discusses technical, safety, and reliability aspects of PtO2 monitoring and its potential advantages in comparison with other techniques for evaluating brain tissue oxygenation.
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Rev Esp Anestesiol Reanim · Dec 2007
Comparative Study Controlled Clinical Trial[Comparison of the double-lumen endotracheal tube and the Arndt bronchial blocker used by inexperienced anesthesiologists in right- and left-sided thoracic surgery].
To compare the effectiveness, quality of lung collapse and time anesthesiology residents required for selective intubation using the double-lumen endotracheal tube (DLT) and the Arndt bronchial blocker (ABB). ⋯ In the hands of supervised, inexperienced anesthesiologists the ABB took longer to position for left-sided thoracic surgery.