Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Feb 2011
[Intraosseous access for fluid therapy in combat situations: use by Spanish military medical staff in Afghanistan].
To describe the Spanish military medical staff's experience with the use of intraosseous lines for fluid therapy in a combat zone. ⋯ Our experience suggests that intraosseous access can provide an alternative to venous access for treating trauma patients in combat zones.
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Rev Esp Anestesiol Reanim · Feb 2011
[Favorable outcome of acute respiratory failure caused by H1N1 virus infection in critical patients].
To describe clinical features, treatment, complications, and outcomes in cases of acute respiratory distress syndrome (ARDS) caused by H1N1 virus infection treated in an anesthesia department's recovery unit. ⋯ In this series of critically ill patients with H1N1 virus infection that was initially life-threatening, all responded favorably to conventional treatment and could be discharged.
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Rev Esp Anestesiol Reanim · Jan 2011
[Epidural analgesia in obstetrics: is there an effect on labor and delivery?].
Epidural analgesia is routinely used in obstetrics but has been blamed for possible effects on labor that lead to greater use of instruments or conversion to cesarean delivery. We aimed to assess this possibility in a cohort of obstetric patients receiving or not receiving epidural analgesia. ⋯ Although epidural analgesia has traditionally been associated with a higher incidence of difficult labor and delivery, this association was not unequivocally evident in this cohort of patients. The apparent increase seems to be attributable to such obstetric factors as longer duration of stages of labor, higher body mass index, and first delivery.