Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Apr 2000
Randomized Controlled Trial Comparative Study Clinical Trial[Direct effect of anesthetic inducers on the electromyographic signals of the adductor pollicis].
To analyze the effect of thiopental, propofol, etomidate and midazolam on electromyographic study of the adductor pollicis before muscle relaxation. ⋯ Thiopental and etomidate induce slight muscle relaxation at the expense of a reduction in T1 without changing the TOF-ratio, an effect that might be useful for rapid induction. Propofol and midazolam do not affect the electromyogram of the adductor pollicis. Thus, propofol is the anesthetic induction agent of choice for clinical studies on non-depolarizing muscle relaxants given that it changes neither T1 nor the TOF-ratio.
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Rev Esp Anestesiol Reanim · Mar 2000
[Systematic recording of perioperative events associated with anesthesia as quality indicator in ambulatory anesthesia].
To analyze the quality of several anesthetic techniques used for major outpatient surgery in our hospital, by quantifying for each the relative risk (RR) of adverse events during anesthesia and in the postoperative period. ⋯ Recording perioperative events permits evaluation of the quality of anesthesic procedures. Intradural anesthesia is associated with more complications.
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Rev Esp Anestesiol Reanim · Feb 2000
Randomized Controlled Trial Clinical Trial[Use of the anesthetic cream EMLA in arterial punction].
Arterial puncture is a painful procedure requiring prior local anesthesia. Various products are available for pain relief, among them EMLA anesthetic cream. ⋯ Mepivacaine infiltration is the more effective method for minimizing pain from puncture of the radial artery. EMLA anesthetic cream is not effective against pain caused by this procedure.