Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Dec 2000
Letter Case Reports[Anesthesia considerations in West syndrome].
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Rev Esp Anestesiol Reanim · Dec 2000
Review[Morphology of peripheral nerves, their sheaths, and their vascularization].
This review aims to update our understanding of peripheral nerves, including the nature and function of their sheaths and, finally, their vascularization. The peripheral nervous system is made up of nerves whose function is to gather stimuli from the periphery as well as to transport the motor, secretory or vegetative responses that are triggered to the periphery. The connective tissue surrounding peripheral nerves all along their extension is made up of endoneurial, perineurial and epineurial. ⋯ Regarding the blood-nerve barrier and the existence of capillary permeability: endoneural capillaries have junctions that are stronger than those of the endothelial cells of vessels in the epineurium and perineurium. Two distinct lymph channels networks are present in the peripheral nerve stems and are separated by the perineural barrier. The nervi-nervorum are special nerves of a sympathetic and sensory nature that arise from the nerve itself and the perivascular plexuses.
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Rev Esp Anestesiol Reanim · Dec 2000
[Locoregional anesthesia for external ear surgery and postoperative analgesia].
To evaluate a change in the classical technique for local-regional anesthesia (periauricular "V" infiltration) for surgery on the outer ear, specifically adding a new infiltration of the osteocartilaginous juncture of the external acoustic meatus and the auditory foramen, as an alternative to general anesthesia in adults, including assessment of postoperative analgesia. ⋯ The described local-regional blockade of the outer ear used as the only anesthetic method, is indicated for both cosmetic surgery and repair of outer ear injuries, given its excellent analgesia during and after surgery. The characteristics of this type of block of the pavilion make it ideal for major outpatient surgery and a valid alternative to general anesthesia in adults.
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Rev Esp Anestesiol Reanim · Dec 2000
Comment Letter Case Reports[Eisenmenger syndrome in a patient with persistent ductus arteriosus and septic shock].