Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2005
Case Reports[Anesthetic management of coagulation factor V deficiency].
Factor V deficiency, or Owren's disease, is a rare inherited recessive autonomic disorder that is congenital. The bleeding in patients with this disease depends on plasma levels of factor V. Anesthetic management is similar to that used for patients with other coagulation disorders. ⋯ Plasma and antifibrinolytic drugs such as tranexamic acid should continue to be administered in the first few days after surgery. We report the case of a man with homozygotic factor V deficiency who underwent surgery for colon cancer. This article reviews the main aspects of anesthetic management of this coagulation disorder.
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Rev Esp Anestesiol Reanim · Oct 2005
Comparative Study[Comparison of the bispectral index and spectral entropy in gynecological surgery].
Spectral entropy quantifies variations in cortical electrical activity measured by electroencephalography and frontal activity measured by electromyography. The aim of this study, in the context of general anesthesia, was to compare bispectral index values with the two components of spectral entropy: state entropy and response entropy. ⋯ The bispectral index, state entropy, and response entropy show good agreement during recordings that reflect the effects of anesthesia. The differences observed at baseline and upon awakening can be attributed to frontal electromyographic activity. Distinguishing cortical electrical activity from frontal electromyographic activity may provide additional information in these situations.
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Rev Esp Anestesiol Reanim · Oct 2005
Letter Case Reports[Selective intubation through a rigid bronchoscope].