Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Mar 2003
Randomized Controlled Trial Comparative Study Clinical Trial[Analgesia and sedation in the subarachnoid anesthesia technique: comparative study between remifentanil and fentanyl/midazolam].
To assess the efficacy and safety of remifentanil in comparison with fentanyl-midazolam for analgesia and sedation during subarachnoid anesthesia. ⋯ Remifentanil is more effective for treating pain associated with a subarachnoid block and provides cardiovascular stability with a limited level of sedation per dose, but its use is associated with a high incidence of respiratory depression.
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Rev Esp Anestesiol Reanim · Feb 2003
Randomized Controlled Trial Comparative Study Clinical Trial[Epidural anesthesia with ropivacaine vs. bupivacaine in continuous perfusion for the treatment of labor pains].
To compare the analgesic efficacy and extent of motor block when 0.125% ropivacaine or 0.125% bupivacaine were given in continuous perfusion through an epidural catheter during labor. ⋯ Both drugs were equally effective for controlling the pain accompanying labor, such that ropivacaine offered no advantage over bupivacaine in that regard. Ropivacaine's reduced motor block effect at the doses administered may offer an advantage in some situations, such as when a walking epidural is provided.
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Rev Esp Anestesiol Reanim · Jan 2003
Randomized Controlled Trial Comparative Study Clinical Trial[Comparison of the hemodynamic response in subarachnoid anesthesia with bupivacaine versus bupivacaine with fentanyl in traumatology surgery in elderly patients].
To compare the intraoperative hemodynamic effects and ephedrine requirements in elderly patients undergoing orthopedic surgery under subarachnoid anesthesia with hyperbaric bupivacaine with or without fentanyl. ⋯ Adding fentanyl to the local anesthetic used for subarachnoid anesthesia in elderly patients is effective for maintaining greater hemodynamic stability, allowing use of a lower dose of hyperbaric bupivacaine and reducing the need for intravenous ephedrine during surgery.
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Rev Esp Anestesiol Reanim · Dec 2002
Randomized Controlled Trial Clinical Trial[Usefulness of the VBM laryngeal tube in anesthesiology].
The laryngeal tube, an effective new device for rapid airway management, allows the caregiver to intubate without a direct laryngoscopic view of the oropharynx and larynx. ⋯ A laryngeal tube is an effective way to establish airway access. It is easy to insert and in all cases allows for adequate oxygenation and ventilation and prevents gastric contents from reaching the airway.
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Rev Esp Anestesiol Reanim · Nov 2002
Review Randomized Controlled Trial Comparative Study Clinical Trial[Comparison of efficacy and complications of 27G and 29G Sprottte needles for subarachnoid anesthesia].
Post-dural puncture headache and lumbar backache are related to needle gauge and type of point used. We aimed to determine whether the incidence of post-dural puncture headache and lumbar backache could be reduced by using fine gauge pencil-point Sprotte 27G and 29G needles. We also studied increases in technical difficulty with these needles and whether or not reducing needle gauge affected anesthetic quality. ⋯ The use of 29G pencil-point needles can be recommended to reduce the incidence of headache and lumbar backache in the postoperative period, in spite of the greater technical difficulty involved, given that quality of anesthesia is maintained.