Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Feb 2006
Randomized Controlled Trial Comparative Study[Comparison of anesthetic maintenance and recovery with propofol versus sevoflurane combined with remifentanil in craniotomy for supratentorial neoplasm].
To compare the effectiveness of propofol versus sevoflurane associated with remifentanil on the maintenance of anesthesia and on recovery in patients undergoing elective supratentorial craniotomy. ⋯ Combining remifentanil with propofol or with sevoflurane provides satisfactory anesthesia during elective supratentorial craniotomy to remove a brain neoplasm. Hemodynamic stability is appropriate and recovery from anesthesia is rapid.
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Rev Esp Anestesiol Reanim · Feb 2006
Randomized Controlled Trial Comparative Study[Comparison of 2 techniques for combined spinal-epidural analgesia for advanced labor in childbirth].
To assess whether using a needle-locking device in combined spinal-epidural analgesia leads to better quality of pain relief for advanced stages of obstetric labor than can be achieved with conventional materials. ⋯ The use of devices specifically designed for administering combined spinal-epidural analgesia in advanced stages of labor provides faster pain relief, longer duration of analgesia, and greater maternal satisfaction without increasing the incidence of complications.
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Rev Esp Anestesiol Reanim · Feb 2006
Comment Letter Comparative Study[On levosimendan in comparison with dobutamine].
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Rev Esp Anestesiol Reanim · Jan 2006
Review[Jehovah's Witnesses refusal of blood: religious, legal and ethical aspects and considerations for anesthetic management].
The refusal of Jehovah's Witnesses to agree to blood or blood product transfusion based on religious beliefs is one of the most challenging conflictive issues health care givers have to face today. Such conflict is a by product of the ideological and religious diversity in society today. The perioperative care of such patients constitutes a genuine challenge for anesthesiologists and surgeons from technical, scientific, ethical, and legal perspectives. ⋯ The literature up to August 2005 was reviewed by MEDLINE search. The following search terms were used: Jehovah's Witnesses, anesthesia (and anaesthesia), legislation and jurisprudence, ethics, blood transfusion, alternatives, anemia (and anaemia), erythropoietin, trigger, and critical care. To further cover ethical and legal aspects, we reviewed current laws in Spain and similar practice settings.