Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Mar 1991
[Epidural perfusion with fentanyl in the treatment of postoperative pain].
In 40 patients with high abdominal surgery the analgesia achieved with continuous epidural phentanyl infusion was evaluated. Treatment was started when the patients had pain, with the injection of 150 micrograms of phentanyl in 18 ml of saline and going on with the infusion. The patients were divided in 4 groups. ⋯ In the statistical analysis the only significant difference was an increase in pCO2 after 24 h in the patients who received the highest doses. The incidence of nausea and vomiting was 10%, with 13.04% of urinary retention Clinical respiratory depression was not observed. We think that administration of 150 micrograms of epidural phentanyl followed by a continuous epidural infusion of the drug (0.5 microgram/kg/hour in 5 ml of saline) is an adequate technique of postoperative analgesia.
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Rev Esp Anestesiol Reanim · Mar 1991
Letter Historical Article[Ether anesthesia by the rectal route].
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Rev Esp Anestesiol Reanim · Mar 1991
Letter Historical Article[Ether by the rectal route for the treatment of cholera].
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Rev Esp Anestesiol Reanim · Jan 1991
Randomized Controlled Trial Comparative Study Clinical Trial[Comparison of intramuscular and intranasal premedication with midazolam in children].
The study involved 40 children ASA I to II type who were randomly divided into two groups of 20 patients with comparable age and sex profile. Premedication consisting of 0.2 mg/kg of midazolam (Dormicum, Roche) and 0.015 mg/kg of atropine was administered 30 to 40 min before surgical intervention by intramuscular way in one group and by intranasal in the other one. In the operating room a peripheral vein was cannulated and general anesthesia was induced with thiopental sodium and succinylcholine. ⋯ There were no significant changes in respiratory rate. None of the alterations had clinical consequences. There were no significant differences in the onset of sedation (12.42 +/- 4.07 min in the intramuscular group and 15.26 +/- 7.99 min in the intranasal administration), degree of sedation and response to venopunction in either group.(ABSTRACT TRUNCATED AT 250 WORDS)