Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Aug 1995
Randomized Controlled Trial Comparative Study Clinical Trial[Isoflurane versus propofol for sedation after heart surgery].
To compare isoflurane and propofol as the principal sedatives in ventilated patients after cardiac surgery with extracorporeal circulation (ECC). ⋯ In comparison with propofol, isoflurane offers advantages of rapid stabilization of sedation, ease of use and shorter time to endotracheal extubation.
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Rev Esp Anestesiol Reanim · Aug 1995
Randomized Controlled Trial Comparative Study Clinical Trial[Comparative study of continuous epidural analgesia versus intermittent, patient-controlled, epidural analgesia during labor].
To assess the analgesic efficacy and the incidence of side effects of three procedures of epidural analgesia during labor. ⋯ We believe that the protocol of choice is the one used with group B (initial dose of 10 ml bupivacaine 0.125% + epinephrine 1/400,000 + 50 micrograms fentanyl followed by 12 ml/h bupivacaine 0.0625% + epinephrine 1/800,000 + 12 mu cg/h fentanyl in continuous infusion). The use of PCA systems with our unscreened patients yielded no advantages over the procedure used with group B.
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Rev Esp Anestesiol Reanim · Aug 1995
Randomized Controlled Trial Clinical Trial[Infusion of propofol as anesthetic and antiemetic drug].
To determine the possible antiemetic effect of propofol as the single agent for intravenous anesthesia in children undergoing strabismus surgery, in comparison with other techniques. ⋯ Propofol used as the single agent for induction and maintenance of anesthesia offers clear advantages in reducing emesis after strabismus surgery.
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Rev Esp Anestesiol Reanim · May 1995
Randomized Controlled Trial Comparative Study Clinical Trial[Intravenous anesthesia using propofol during lengthy neurosurgical interventions].
To compare the hemodynamic stability and time to recovery of consciousness after long-duration (> 3 h) neurosurgery with 2 anesthetic protocols: total intravenous anesthesia with propofol as the single hypnotic agent and inhalational anesthesia with isoflurane. ⋯ Propofol can be considered an alternative to the traditional thiopental-isoflurane sequence in neurosurgery lasting more than 3 h. In our study the hypertensive response to the stimulus of orotracheal intubation was lower in the propofol group than in the thiopental-isoflurane group.
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Rev Esp Anestesiol Reanim · Apr 1995
Randomized Controlled Trial Comparative Study Clinical Trial[Comparative study of single-dose intradural anesthesia and continuous intradural anesthesia with or without fentanyl].
To compare the hemodynamic effects, level of anesthetic blockade and advantages of single-dose versus continuous intrathecal anesthesia with hyperbaric bupivacaine with and without fentanyl. ⋯ A single dose intrathecal anesthesia, produces less hemodynamic changes than a continuous intrathecal block. Nevertheless, continuous intrathecal block, allows the maintenance of the block as long as required. The association of fentanyl enhances the hemodynamic changes with no other beneficial effects.