Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Oct 2000
Letter Case Reports[Intraoperative bursting of a laryngeal mask].
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Rev Esp Anestesiol Reanim · Oct 2000
Letter Case Reports[Anaphylactic shock after anesthesia induction].
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Rev Esp Anestesiol Reanim · Aug 2000
Case Reports[Elective cesarean section with epidural anesthesia in a pregnant woman with obstructive hypertrophic myocardiopathy].
Hypertrophic obstructive myocardiopathy (HOM) is characterised by left ventricular hypertrophy, which causes dynamic obstruction at the exit of the chamber and diastolic dysfunction of the myocardium. The use of epidural anesthesia in patients with HOM is controversial due to the hemodynamic repercussions of reduced preloading and postloading that occur. A 28-year-old woman with HOM was scheduled for cesarean delivery at 36.5 weeks because of delayed intrauterine growth. ⋯ However, experience in using epidural anesthesia for cesarean delivery is scarce. For our patient, epidural anesthesia with appropriate hemodynamic monitoring allowed surgery to take place without complications. We therefore believe that the technique might be useful for such patients.
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Rev Esp Anestesiol Reanim · Aug 2000
Randomized Controlled Trial Clinical Trial[Lung function and quality of analgesia after lung resection with epidural alfentanyl].
To evaluate the effects on postoperative pulmonary function and quality of analgesia of two protocols for epidural infusion of alfentanil after lung resection. ⋯ Thoracic epidural analgesia with alfentanil and lidocaine improves postoperative lung function and reduces the need for top-up analgesia in comparison with lumbar epidural infusion of alfentanil.