Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Oct 1997
Randomized Controlled Trial Clinical Trial[Comparative study of postoperative analgesia with methadone and fentanyl in continuous peridural perfusion].
To determine whether continuous epidural perfusion of fentanyl, which is more liposoluble than methadone, provides a similar level of analgesia with fewer side effects than methadone administered by the same route for postoperative pain. ⋯ Continuous epidural perfusion of fentanyl provides good analgesia and is associated with less hypoxemia than is methadone.
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Rev Esp Anestesiol Reanim · Oct 1997
Randomized Controlled Trial Clinical Trial[Effects of precurarization on oxygen arterial saturation measure with pulse oximetry and neuromuscular function].
To study changes in arterial oxygen saturation (SpO2) measured by pulse oximetry, and the effect of neuromuscular function after precurarization with different nondepolarizing muscle relaxants. ⋯ SpO2 measured by pulse oximetry is an effective method for monitoring breathing function in the precurarized patient, as it detects early changes in arterial oxygen saturation related to respiratory muscle weakness. The agent d-tubocurarine is recommended for precurarization, because of its scarce effect on neuromuscular function at the dose used in this study.
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Rev Esp Anestesiol Reanim · Aug 1997
Randomized Controlled Trial Clinical Trial[Prophylaxis of intraoperative nausea and vomiting with sub-hypnotic dose of propofol during intradural anesthesia in cesarean section].
To determine the preventive and therapeutic effect of 10 mg of propofol administered after delivery on the incidence of intraoperative nausea and vomiting (IONV) during intradural anesthesia for cesarean delivery. ⋯ Although 10 mg propofol has been described as an effective direct antiemetic, episodes of IONV were neither prevented nor reversed by its use during intradural anesthesia for cesarean delivery.
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Rev Esp Anestesiol Reanim · May 1997
Randomized Controlled Trial Clinical Trial[Postoperative analgesia with epidural methadone in patients operated for hernia of the lumbar disc].
To determine whether the direct application of a single dose of methadone on the dura mater at the end of surgery to repair a lumbar disk hernia provides effective analgesia over the next 24 hours. ⋯ Topical administration of 5 mg of methadone on the dura mater at the end of herniated lumbar disk repair is an easy, safe and effective technique for providing postoperative analgesia.
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Rev Esp Anestesiol Reanim · Apr 1997
Randomized Controlled Trial Clinical Trial[Analgesic effectiveness and repercussions on the progress of labor of small doses of bupivacaine and fentanyl in continuous peridural perfusion].
To compare the analgesic efficacy and repercussion on labor of early administration of two different concentrations of bupivacaine/fentanyl in continuous epidural perfusion, in comparison with a control group receiving no epidural anesthesia. ⋯ Both solutions provide good analgesia during labor with minimum undesirable side effects. Low epidural doses of bupivacaine and fentanyl started early do not affect the course of labor.