Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Aug 2016
Review Meta AnalysisGoal directed hemodynamic therapy based in esophageal Doppler flow parameters: A systematic review, meta-analysis and trial sequential analysis.
Numerous studies have compared perioperative esophageal doppler monitoring (EDM) guided intravascular volume replacement strategies with conventional clinical volume replacement in surgical patients. The use of the EDM within hemodynamic algorithms is called 'goal directed hemodynamic therapy' (GDHT). ⋯ GDHT guided by EDM decreases postoperative complications, especially in patients undergoing colorectal surgery and high-risk surgery. However, no differences versus restrictive fluid therapy and in intermediate-risk patients were found.
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Rev Esp Anestesiol Reanim · May 2015
Review Meta AnalysisEfficiency of tranexamic acid in perioperative blood loss in hip arthroplasty: a systematic literature review and meta-analysis.
Tranexamic acid (TXA) is an antifibrinolytic drug used to reduce bleeding in mortality risk situations such as trauma. Our objective was to conduct a systematic literature review to evaluate the effectiveness and safety of TXA in reducing bleeding in hip arthroplasty. ⋯ TXA can be routinely used to reduce intra- and post-operative blood loss in primary hip arthroplasty.
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Rev Esp Anestesiol Reanim · Nov 2013
Meta Analysis[Combined epidural-spinal analgesia during labor: a quantitative systematic review of the literature (meta-analysis)].
To perform a meta-analysis on the use of combined epidural-intrathecal analgesia during labor, including intrathecal fentanyl and/or morphine compared to usual epidural techniques. ⋯ Combined analgesia including intrathecal fentanyl-morphine does not offer significant advantages compared to the standard epidural.
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Rev Esp Anestesiol Reanim · Jan 2012
Review Meta Analysis[Levosimendan reduces mortality in cardiac surgery: a systematic review and meta-analysis].
To evaluate whether Levosimendan has any impact on peri-operative mortality in cardiac surgery. ⋯ The meta-analysis showed that the use of Levosimendan was associated with a reduction in mortality in patients subjected to cardiac surgery, although there is still no definitively clear evidence. Additional randomised and multicentre clinical studies, with a much larger number of patients are required, in which hospital mortality and mortality at 6 months are analysed as the primary outcomes.
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Rev Esp Anestesiol Reanim · Jun 2008
Review Meta Analysis Comparative Study[Combined general-epidural anesthesia compared to general anesthesia: a systematic review and meta-analysis of morbidity and mortality and analgesic efficacy in thoracoabdominal surgery].
We performed a systematic review of randomized controlled trials to compare combined general-epidural anesthesia, followed by postoperative epidural analgesia, and general anesthesia followed by postoperative parenteral analgesia without epidural analgesia in patients undergoing thoracoabdominal surgery. Outcome measures considered were mortality, length of stay in hospital and in the intensive care unit, analgesia, and morbidity. ⋯ Combined anesthesia provides better analgesia and is associated with fewer cases of postoperative respiratory failure. No significant differences were found in mortality, length of stay in hospital, or other morbidity variables.