Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Jun 2001
Review[Drugs that alter hemostasis and regional anesthetic techniques: safety guidelines. Consensus conference].
Patients about to undergo surgery are often taking drugs that alter hemostasis and affect anesthesia, particularly when neuroaxial techniques are used for subarachnoid or epidural anesthesia. The aim of this paper is to provide safety guidelines for regional anesthesia in patients receiving hemostasis-altering drugs, in order to reduce the risk of bleeding. ⋯ We also stress that removal of catheters should follow criteria similar to those listed above, that the risk of complications due to bleeding increases considerably in association with these drugs, and that adequate neurological monitoring is essential during postoperative recovery. Overall, the final decision to use regional anesthesia in patients receiving drugs that alter hemostasis must be made on an individual basis after assessment of benefit and risk.
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Rev Esp Anestesiol Reanim · May 2001
Randomized Controlled Trial Comparative Study Clinical Trial[Comparison of ropivacaine and bupivacaine for epidural analgesia during labor].
To compare the analgesic efficacy and level of motor block using two local anesthetics, ropivacaine and bupivacaine, during labor. ⋯ Ropivacaine and bupivacaine are equally effective for epidural analgesia during labor at the doses used and they do not cause a relevant level of motor blockade.
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Rev Esp Anestesiol Reanim · May 2001
Randomized Controlled Trial Comparative Study Clinical Trial[The efficacy and safety of continuous epidural analgesia versus intradural-epidural analgesia during labor].
To determine the efficacy and safety of intradural-epidural analgesia in comparison with continuous epidural analgesia during labor and childbirth. ⋯ Intradural-epidural analgesia provides effective analgesia for labor, with rapid onset, reduced extension of sensory block, lower total doses of local anesthetics and few side effects.
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Rev Esp Anestesiol Reanim · May 2001
Randomized Controlled Trial Comparative Study Clinical Trial[Sedation in spinal anesthesia. Comparison of remifentanil and propofol].
To assess the efficacy and safety of remifentanil for analgesia and sedation during subarachnoidea anesthesia, and to compare remifentanil with propofol. ⋯ Remifentanil is more effective in reducing pain related to nerve blockade and level of sedation is lower; however remifentanil is associated with a higher incidence of respiratory depression and vomiting.