5,646 results match your criteria Revista espanola de anestesiologia y reanimacion[Journal]


Residual neuromuscular block in vulnerable patients: Obesity, obstructive sleep apnea and postoperative pulmonary complications.

Authors:
S J Brull B Fulesdi

Rev Esp Anestesiol Reanim 2019 Mar 25. Epub 2019 Mar 25.

Department of Anesthesiology and Intensive Care, University of Debrecen, Medical Advisory Board of the Ministry of Health, Debrecen, Hungary.

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http://dx.doi.org/10.1016/j.redar.2019.03.005DOI Listing
March 2019
1 Read

Clinical trial on the effect of tranexamic acid on bleeding and fibrinolysis in primary hip and knee replacement.

Rev Esp Anestesiol Reanim 2019 Mar 19. Epub 2019 Mar 19.

Servicio de Cirugía Ortopédica y Traumatología, Parc de Salut MAR, Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Universitat Autònoma de Barcelona (UAB), Barcelona, España.

Background: Ischaemic effect of tourniquet could increase the fibrinolysis, and enhance tranexamic acid (ATx) efficacy in total knee replacement (TKR) compared to total hip replacement (THR). The aims of this study are to compare the effect over bleeding and fibrinolysis of ATx in both types of surgery, and to record the thromboembolic complications.

Methods: A prospective double-blind study was conducted on patients scheduled for TKR or THR and received ATx (two2 bolus of 10mg/kg) or placebo. Read More

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http://dx.doi.org/10.1016/j.redar.2019.01.011DOI Listing

Analysis of previous training with simulated models on the success rate of ultrasound-guided supraclavicular block. Prospective cohort study.

Rev Esp Anestesiol Reanim 2019 Mar 12. Epub 2019 Mar 12.

Departamento de Anestesiología y Reanimación, Universidad Industrial de Santander, Bucaramanga (Santander), Colombia.

Introduction: The teaching based on simulation and acquisition of skills is changing the paradigm of education and restructuring the clinical residences, with the aim of acquiring better skills, increasing procedural success, reducing complications, as well as providing safe, effective, and efficient and focused care of the patient. Peripheral nerve blocks have advanced as techniques for anatomical repairs, use of neurostimulator, and ultrasound. The posgraduate anaesthesiology program implemented a teaching program that included phases of theoretical teaching, training with simulated models, and application in real scenarios. Read More

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http://dx.doi.org/10.1016/j.redar.2019.01.003DOI Listing

Experience of a fungal infection after cardiac surgery.

Rev Esp Anestesiol Reanim 2019 Mar 11. Epub 2019 Mar 11.

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario y Politécnico La Fe, Valencia, España.

Introduction And Objectives: Patients undergoing cardiac surgery can have post-operative complications, including infections. The aim of this article was to study the incidence, severity and risk factors of invasive candidiasis in these patients, based on the hypothesis that several factors (multiple transfusions and time on extracorporeal circulation) are related to invasive candidiasis.

Material And Methods: The study included a prospective analysis of 669 patients undergoing scheduled cardiac surgery from April 2016 to December 2017. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356193004
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http://dx.doi.org/10.1016/j.redar.2019.01.012DOI Listing
March 2019
6 Reads

Goal-directed fluid therapy on laparoscopic colorectal surgery within enhanced recovery after surgery program.

Rev Esp Anestesiol Reanim 2019 Mar 9. Epub 2019 Mar 9.

Departamento de Anestesiología, Reanimación y Terapéutica de Dolor, Hospital General Universitario de Elche, Camí de l'Almazara 11, CP 03203 Elche, Alicante, España.

Introduction: Enhanced recovery after surgery protocols (ERAS) are used in peri-operative care to reduce the stress response to surgical aggression. As fluid overload has been associated with increased morbidity and delayed hospital discharge, a major aspect of this is fluid management. Intra-operative goal-directed fluid protocols have been shown to reduce post-operative complications, particularly in high risk patients. Read More

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http://dx.doi.org/10.1016/j.redar.2019.01.007DOI Listing
March 2019
8 Reads

Anaesthetic management of C-section in Brugada syndrome: When less is more.

Rev Esp Anestesiol Reanim 2019 Mar 9. Epub 2019 Mar 9.

Serviço de Anestesiologia, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte, Lisboa, Portugal.

Brugada Syndrome (BrS) is a rare and high risk condition, seldom encountered in the delivery room. Pregnant patients with BrS benefit from the lowest possible doses of arrhythmogenic drugs such as local anesthetics. Based on this premise, the following case report exposes how a subarachnoid approach might be a desirable technique in C-section procedures for BrS patients. Read More

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http://dx.doi.org/10.1016/j.redar.2019.01.005DOI Listing

Unilateral diaphragmatic paralysis after laparoscopic cholecystectomy.

Rev Esp Anestesiol Reanim 2019 Mar 9. Epub 2019 Mar 9.

Servicio de Anestesiología y Reanimación y Terapéutica del Dolor, Hospital de Galdakao-Usansolo, Galdakao, Vizcaya, España.

Laparoscopic cholecystectomy is currently assumed to be the standard gold treatment of acute biliary tract pathology. Despite its many advantages compared to classical open surgery, it is not without complications. The case is presented of an 82 year-old male patient who, after the diagnosis of cholecystitis gangrenous, was urgently intervened using laparoscopic cholecystectomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356193002
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http://dx.doi.org/10.1016/j.redar.2019.01.006DOI Listing
March 2019
9 Reads

Percutaneous endovascular treatment of an iatrogenic superior cava vein syndrome during the immediate post-operative period after mitral-aortic valve replacement.

Rev Esp Anestesiol Reanim 2019 Mar 9. Epub 2019 Mar 9.

Servicio de Anestesiología y Reanimación, Hospital Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.

Superior vena cava syndrome (SVCS) results from superior vena cava obstruction, causing a decrease in venous return from the head, neck, and upper extremities. Although the most frequent cause is still malignant tumour processes, in recent years an increase has been observed in non-tumour causes, such as thrombosis of intravascular devices or iatrogenic causes during cardiac surgery. A case is presented of SVCS after cardiac surgery treated satisfactorily by an endovascular technique and systemic anticoagulation. Read More

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http://dx.doi.org/10.1016/j.redar.2019.01.009DOI Listing
March 2019
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Evaluation of the laryngoscopy view using the modified Cormack-Lehane scale during tracheal intubation in an intensive care unit. A prospective observational study.

Rev Esp Anestesiol Reanim 2019 Mar 9. Epub 2019 Mar 9.

Grupo de Investigación Enfermo Crítico, Unidad de Cuidados Críticos, Servicio de Anestesiología, Hospital Clínico Universitario de Santiago de Compostela, Fundación Instituto de Investigación Sanitaria, Santiago de Compostela, A Coruña, España.

Background And Objectvies: Tracheal intubation in the Intensive Care Unit is associated with a high incidence of difficult intubation and complications. This may be due to a poor view of the glottis during direct laryngoscopy. The aim of this study is to determine if there is a relationship between laryngoscopy view using the modified Cormack-Lehane scale with the incidence of difficult intubation and complications. Read More

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http://dx.doi.org/10.1016/j.redar.2019.01.004DOI Listing

Tattoos in obstetric patient. A challenge for epidural puncture.

Rev Esp Anestesiol Reanim 2019 Mar 5. Epub 2019 Mar 5.

Servicio de Anestesiología, Reanimación y Terapéutico del Dolor Hospital Universitario La Paz, Madrid, España.

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http://dx.doi.org/10.1016/j.redar.2019.01.010DOI Listing

Anaphylactic risk due to systemic mastocytosis: Perioperative management in cardiac surgery.

Rev Esp Anestesiol Reanim 2019 Mar 5. Epub 2019 Mar 5.

Servicio de Anestesiología y Reanimación, Hospital Universitario de La Princesa, Madrid, España.

Mastocytosis is a disease characterised by an abnormal proliferation of mast cells. The degranulation of mast cells can be triggered by chemical, physical, and psychological factors, and in severe cases may be accompanied by cardiovascular alterations and shock. Tryptase concentrations greater than 20ug/L may be associated with an increased risk of mastocyte degranulation. Read More

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http://dx.doi.org/10.1016/j.redar.2019.01.008DOI Listing
March 2019
7 Reads

Model of conversion of analogical fibroscope to digital wireless fibroscope.

Rev Esp Anestesiol Reanim 2019 Apr 11;66(4):235-236. Epub 2019 Feb 11.

Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de A Coruña, A Coruña, España.

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http://dx.doi.org/10.1016/j.redar.2018.12.006DOI Listing

Tracheal rupture after orotracheal intubation, based on a clinical case.

Rev Esp Anestesiol Reanim 2019 Feb 5. Epub 2019 Feb 5.

Servicio de Otorrinolaringología, Complexo Hospitalario Universitario A Coruña, La Coruña, España.

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http://dx.doi.org/10.1016/j.redar.2019.01.002DOI Listing
February 2019

Vasoplegic syndrome in cardiac surgery: Definitions, pathophysiology, diagnostic approach and management.

Rev Esp Anestesiol Reanim 2019 Feb 5. Epub 2019 Feb 5.

Departamento de Anestesia, Hospital Universitario Severo Ochoa, Leganés Madrid, España.

Vasoplegic syndrome is a state of vasopressor resistant systemic vasodilation in the presence of a normal cardiac output. Its definition, pathophysiology, risk factors, diagnosis and therapeutic approach will be reviewed in this paper. It occurs frequently during cardiac surgery and is associated with high morbidity and mortality. Read More

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http://dx.doi.org/10.1016/j.redar.2018.12.011DOI Listing
February 2019

Supraclavicular approach for subclavian vein catheterization in pediatric anesthesia: The reborn of an ancient technique with the ultrasound's assistance.

Rev Esp Anestesiol Reanim 2019 Feb 1. Epub 2019 Feb 1.

Universidad Nacional de Colombia, Bogotá DC, Colombia; Fundación Hospital Pediátrico de la Misericordia, Bogotá DC, Colombia.

The insertion of a central venous catheter is a procedure frequently performed in paediatric anaesthesia. The most frequent approach for this procedure is the internal jugular vein. However, some specific factors in children, such as the short neck and the easy collapse of this vein, which is accentuated in situations such as hypovolaemia and changes in the respiratory pattern, can lead to greater difficulty. Read More

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http://dx.doi.org/10.1016/j.redar.2019.01.001DOI Listing
February 2019
2 Reads

Double intracardiac thrombosis in a patient assisted by a venoarterial extracorporeal membrane oxygenation.

Rev Esp Anestesiol Reanim 2019 Feb 1. Epub 2019 Feb 1.

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España; Departamento de Cirugía y Especialidades Médico-Quirúrgicas, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España.

Intracardiac thrombosis is a rare complication in patients receiving haemodynamic support with venous-arterial extracorporeal membrane oxygenation (VA-ECMO), but it has a high risk of mortality. This case report describes a patient who suffered cardiogenic shock after a ST-segment elevation myocardial infarction (STEMI) and who presented with intracardiac thrombosis during VA-ECMO support on two occasions after mitral valve replacement. The first one was after the insertion of a mechanical prosthesis, and the second, after replacing it with a biological valve. Read More

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http://dx.doi.org/10.1016/j.redar.2018.12.010DOI Listing
February 2019
1 Read

Endotracheal intubation through laryngeal Ambu® Auragain™ mask airway mask in paediatric patients affected by congenital infiltrating lipomatosis.

Rev Esp Anestesiol Reanim 2019 Apr 24;66(4):222-225. Epub 2019 Jan 24.

Departamento de Anestesiología y Reanimación, Hospital General Universitario Gregorio Marañón, Madrid, España.

Congenital defects that affect paediatric airway could lead to several difficulties for effective ventilation, intubation, or even both, increasing the risk of hypoxaemia. It is essential for the paediatric anaesthesiologist to have accurate knowledge of the anatomy of patient́s airway, as well as judicious preoperative planning. Increasingly, more devices have been designed for the control of difficult airway in the paediatric patient. Read More

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http://dx.doi.org/10.1016/j.redar.2018.10.007DOI Listing
April 2019
1 Read

Diagnostic nerve blocks in the management of low back pain secondary to facet joint syndrome.

Rev Esp Anestesiol Reanim 2019 Apr 22;66(4):213-221. Epub 2019 Jan 22.

Servicio de Anestesiología-Unidad del Dolor, Hospital Universitario La Paz, Madrid, España.

Low back pain is currently one of the main public health problems. Among the multiple causes, pain in the zygapophysial joints, also called facets or posterior vertebral joints, are an important cause, usually secondary to osteoarthritis. The source of low back pain is often difficult to find, making the therapeutic approach to the patient sub-optimal. Read More

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http://dx.doi.org/10.1016/j.redar.2018.11.008DOI Listing
April 2019
12 Reads

European Diploma in Anaesthesiology and Intensive Care in Spain: Results for the part 1 and part 2 exams in the last five years. Are we going in the right direction?

Rev Esp Anestesiol Reanim 2019 Apr 22;66(4):206-212. Epub 2019 Jan 22.

Examinations Committee of the European Diploma in Anaesthesiology and Intensive Care (EDAIC); Department of Anaesthesia and Intensive Care Medicine, Mater Dei Hospital, Msida, Malta.

Background: The European Diploma in Anaesthesiology and Intensive Care (EDAIC) has become a standard of quality among Spanish anaesthesiologists. The aim of this retrospective observational study was to assess the results of Spanish participants for the Part1 and Part2 exams over a recent five years period from 2012 to 2016 and 2013 to 2017, respectively.

Material And Methods: After obtaining the authorization from the European Society of Anaesthesiology, the results of both parts of the EDAIC exams were anonymously analysed for five years. Read More

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http://dx.doi.org/10.1016/j.redar.2018.12.009DOI Listing
April 2019
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Analgesic efficacy of modified pectoral block plus serratus plane block in breast augmentation surgery: A randomised, controlled, triple-blind clinical trial.

Rev Esp Anestesiol Reanim 2019 Feb 26;66(2):62-71. Epub 2018 Oct 26.

Sección de Estadística, Facultad de Biología, Universitat de Barcelona, Barcelona, España.

Introduction: Prosthetic breast surgery is a very common plastic surgery procedure, but its postoperative analgesic management is a challenge for the surgical team. The purpose of the present study is to validate the analgesic efficacy of pectoral block and serratus plane block in retropectoral mammoplasty.

Patients And Methods: A randomised, controlled, triple-blind, clinical trial was designed, and included 30 patients undergoing retropectoral augmentation mammoplasty. Read More

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http://dx.doi.org/10.1016/j.redar.2018.08.001DOI Listing
February 2019
4 Reads

Acute airway obstruction in a patient with forestier disease. Case report.

Rev Esp Anestesiol Reanim 2019 Jan 18. Epub 2019 Jan 18.

Servicio de Anestesiología y Reanimación, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España.

Ossification of the anterior longitudinal ligament of the spine, known as Forestier disease or diffuse idiopathic skeletal hyperostosis, is usually an asymptomatic disorder. The area most frequently affected is the thoracic spine, followed by lumbar and cervical regions. In the case of cervical involvement with clinical manifestations, the most common symptoms include dysphagia, dyspnoea, dysphonia, and can exceptionally cause an acute airway obstruction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356183024
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http://dx.doi.org/10.1016/j.redar.2018.12.008DOI Listing
January 2019
10 Reads

General anesthesia considerations in CADASIL disease.

Rev Esp Anestesiol Reanim 2019 Apr 18;66(4):226-229. Epub 2019 Jan 18.

Servicio de Anestesiología y Reanimación, Hospital de Rehabilitación y Traumatología, Hospital Universitario Virgen del Rocío, Sevilla, España.

CADASIL (cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy) disease is an inherited systemic arterial disease that affects the small and medium calibre cerebral vessels. Around 500 families are affected in the world, most of them in Europe. It is characterised by migraine attacks, subcortical dementia, neuropsychiatric disorders, and recurrent ischaemic strokes. Read More

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http://dx.doi.org/10.1016/j.redar.2018.10.008DOI Listing
April 2019
1 Read

Cardiogenic shock induced by Takotsubo cardiomyopathy in early postoperative adrenalectomy period.

Rev Esp Anestesiol Reanim 2019 Jan 18. Epub 2019 Jan 18.

Unidad de Reanimación Postoperatoria, Hospital Universitario de Canarias, España.

Takotsubo cardiomyopathy is part of the group of diseases called stress-induced cardiomyopathies. Its usual clinical presentation is indistinguishable from an acute coronary syndrome. However, early diagnosis is important, as it may debut as a cardiogenic shock in approximately 8% of cases, with morbidity and mortality rates comparable to those of acute coronary syndrome. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356183024
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http://dx.doi.org/10.1016/j.redar.2018.12.005DOI Listing
January 2019
5 Reads

Fluid therapy in the surgical patient in our environment. Reporting on the Fluid Day Study.

Rev Esp Anestesiol Reanim 2019 Mar 18;66(3):119-121. Epub 2019 Jan 18.

Servicio de Anestesiología y Reanimación, Hospital Universitari i Politècnic La Fe, Valencia, España.

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http://dx.doi.org/10.1016/j.redar.2018.12.007DOI Listing
March 2019
1 Read

Perioperative factors that contribute to postoperative pain and/or nausea and vomiting in ambulatory laparoscopic surgery.

Rev Esp Anestesiol Reanim 2019 Apr 18;66(4):189-198. Epub 2019 Jan 18.

Servicio de Anestesiología y Reanimación, Hospital La Fe, Valencia, España.

Introduction: Both postoperative pain and postoperative nausea and vomiting are major factors that determine the time and quality of recovery in laparoscopic surgery.

Objective: To determine the perioperative factors that contribute to the appearance of postoperative pain and postoperative nausea and vomiting in outpatient laparoscopic surgery.

Material And Methods: A prospective study was conducted on a cohort of 297 patients undergoing laparoscopic ambulatory surgery. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356183023
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http://dx.doi.org/10.1016/j.redar.2018.11.007DOI Listing
April 2019
5 Reads

Difficult airway management in a patient with Treacher Collins syndrome using two-part surgery.

Rev Esp Anestesiol Reanim 2019 Apr 17;66(4):230-234. Epub 2019 Jan 17.

Hospital General Dr. Manuel Gea González, Ciudad de México, México.

Treacher Collins syndrome (TCS), Franceschetti-Zwahlen-Klein, or mandibulofacial dysostosis, is a rare disorder of craniofacial development (incidence of approximately 1:50.000 live births). TCS is relevant to the anaesthetist because it can cause difficulties in airway management. Read More

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http://dx.doi.org/10.1016/j.redar.2018.12.003DOI Listing
April 2019
1 Read

General or regional? Exploring patients' anaesthetic preferences and perception of regional anaesthesia.

Rev Esp Anestesiol Reanim 2019 Apr 8;66(4):199-205. Epub 2019 Jan 8.

Departamento de Anestesiología, Centro Hospitalar de Leiria, Leiria, Portugal.

Introduction And Objectives: Regional anaesthesia (RA) has gained popularity due to its numerous benefits and increasing safety. Yet, often patients refuse this procedure and prefer general anaesthesia (GA). This study aimed to investigate variables (demographic factors, safety perception of GA and RA, patients' fears, anxiety, and knowledge) related to patients' anaesthetic preference. Read More

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http://dx.doi.org/10.1016/j.redar.2018.12.004DOI Listing
April 2019
2 Reads

Intervention to reduce pain in patients with superficial and intermediate second degree burns.

Rev Esp Anestesiol Reanim 2019 Mar 7;66(3):172-173. Epub 2019 Jan 7.

Servicio de Anestesiología y Reanimación, Hospital de Rehabilitación y Traumatología, Hospital Virgen del Rocío, Sevilla, España.

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http://dx.doi.org/10.1016/j.redar.2018.12.001DOI Listing
March 2019
1 Read

Atypical presentation of a pneumothorax after ultrasound-guided venous jugular cannulation.

Rev Esp Anestesiol Reanim 2019 Mar 7;66(3):174-175. Epub 2019 Jan 7.

Área de Anestesiología y Reanimación, Agencia Sanitaria Hospital Costa del Sol, Marbella, Málaga, España.

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http://dx.doi.org/10.1016/j.redar.2018.11.006DOI Listing
March 2019
1 Read

Is direct laryngoscopy dead? Long live the video laryngoscopy.

Rev Esp Anestesiol Reanim 2019 Apr 31;66(4):177-180. Epub 2018 Dec 31.

Grupo Español de Vía Aérea Difícil (GEVAD), España; Servicio de Anestesiología y Reanimación, Hospital Universitario de Getafe, Getafe, Madrid, España.

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http://dx.doi.org/10.1016/j.redar.2018.12.002DOI Listing
April 2019
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New advances for the anaesthologist in Spanish. The effort of many, a success for all.

Authors:
A Abad Gurumeta

Rev Esp Anestesiol Reanim 2019 Mar 15;66(3):117-118. Epub 2018 Dec 15.

Director de la Revista Española de Anestesiología y Reanimación. Electronic address:

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http://dx.doi.org/10.1016/j.redar.2018.11.003DOI Listing
March 2019
2 Reads

Locating the cricothyroid membrane in males: Influence of the morphological characteristics of the neck.

Rev Esp Anestesiol Reanim 2019 Mar 14;66(3):144-148. Epub 2018 Dec 14.

Servicio Anestesiología-Reanimación, Hospital Universitari Dr. Peset, València, España.

Introduction: Cricothyrotomy is a recommended technique to restore oxygenation in most of guidelines for difficult airway management. A correct location of the cricothyroid membrane (CTM) is fundamental for a proper performance of the technique. Several studies have shown poor accuracy with the identification the CTM by palpation, resulting in a high failure rate of the technique. Read More

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http://dx.doi.org/10.1016/j.redar.2018.10.009DOI Listing
March 2019
1 Read

Prospective, randomized comparative study of ultrasound-guided blocking of the lateral cutaneous branches of the intercostal nerves versus conventional analgesia in non-reconstructive breast surgery.

Rev Esp Anestesiol Reanim 2019 Mar 10;66(3):137-143. Epub 2018 Dec 10.

Servicio de Anestesia y Reanimación, Hospital Universitario Basurto, Bilbao, Vizcaya, España.

Objective: The objective of this study is to determine whether the accomplishment of an interfascial blockade, the blocking of the cutaneous branches of the intercostal nerves in the axillary line (BRILMA) associated with a multimodal analgesic regimen improves post-operative analgesia and allows saving opioids after non-reconstructive surgery of breast.

Material And Methods: A prospective, randomised and simple blind study was conducted on patients that underwent non-reconstructive breast surgery. The patients were randomly assigned to the blocking group, or to the standard post-operative analgesia group (paracetamol and dexketoprofen). Read More

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http://dx.doi.org/10.1016/j.redar.2018.11.001DOI Listing
March 2019
1 Read

Comparative evaluation of dexmedetomidine and labetalol for attenuating hemodynamic stress responses during laparoscopic cholecystectomy in borderline hypertensive patients.

Rev Esp Anestesiol Reanim 2019 Apr 10;66(4):181-188. Epub 2018 Dec 10.

Department of Obstetrics and Gynecology, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.

Objective: Various pharmacological agents have been tried to attenuate the pressor response in laparoscopic cholecystectomy patients. We have compared single pre-induction intravenous injection of dexmedetomidine with labetalol for attenuation of haemodynamic stress response.

Methods: A total of 160 patients were considered for this prospective, randomized, double blind clinical study done in a single tertiary care institution. Read More

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http://dx.doi.org/10.1016/j.redar.2018.11.004DOI Listing
April 2019
3 Reads

Lumbar erector spinae plane block: Successful control of acute pain after lumbar spine surgery - A clinical report.

Rev Esp Anestesiol Reanim 2019 Mar 3;66(3):167-171. Epub 2018 Dec 3.

Departamento de Anestesiología y Terapia del Dolor, Centro Hospitalar de Trás-Os-Montes e Alto Douro, EPE, Vila Real, Portugal.

We report the successful clinical case of a patient scheduled for lumbar spine surgery in which we performed a bilateral single-shot erector spinae plane block as part of a multimodal analgesic strategy for pain control. Performing the block preoperatively dismissed the need for extra intraoperative opioids other than those for intubation, and enabled the use of paracetamol for analgesia only. Further, there was no need for hypotensive techniques, as the block provided satisfactory sympathetic blockade and regional vasodilation with a clear surgical field. Read More

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http://dx.doi.org/10.1016/j.redar.2018.10.005DOI Listing
March 2019
1 Read

Cross-sectional area of the median nerve after intraneural vs perineural low volume administration.

Rev Esp Anestesiol Reanim 2019 Mar 6;66(3):122-128. Epub 2018 Dec 6.

Facultad de Medicina, Universitat de Barcelona, Barcelona, España; Hospital Clinic, Universitat de Barcelona, Barcelona, España. Electronic address:

Introduction: To recognise the relationship between the needle tip and the median nerve during peripheral nerve block is of interest to avoid neural damage. However, signs of intraneural injection are not clearly established. The aim of this study was to define the changes observed in the peripheral nerve after the intraneural or perineural administration of 1ml of solution. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356183016
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http://dx.doi.org/10.1016/j.redar.2018.09.002DOI Listing
March 2019
8 Reads

User-friendly recommendations on antiplatelet agents: At last, a readable document.

Authors:
C M Samama A Godier

Rev Esp Anestesiol Reanim 2019 Jan 7;66(1):1-2. Epub 2018 Dec 7.

AP-HP.5 University Hospitals, Paris, Francia.

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http://dx.doi.org/10.1016/j.redar.2018.11.005DOI Listing
January 2019
1 Read

Electroencephalography in anaesthesia; opening minds to the future.

Rev Esp Anestesiol Reanim 2019 Feb 4;66(2):59-61. Epub 2018 Dec 4.

Clínica de Mérida, Mérida, Yucatán, México.

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http://dx.doi.org/10.1016/j.redar.2018.11.002DOI Listing
February 2019
1 Read

Combination of thoracic blocks as a main anesthetic tecnique in modified radical mastectomy for patients with severe respiratory disease.

Rev Esp Anestesiol Reanim 2019 Mar 30;66(3):157-162. Epub 2018 Nov 30.

Unidad de Cirugía Mayor Ambulatoria, Servicio de Anestesiología y Reanimación, Hospital Universitario Central de Asturias, Oviedo, España.

The addition of ultrasound to locoregional anaesthesia in the last few years has led to the description of various fascial thoracic blocks with analgesic purposes: PECS 1 and 2 block, serratus plane block, serratus intercostal fascial block, blockade in the plane of the thoracic transverse muscle... Read More

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http://dx.doi.org/10.1016/j.redar.2018.10.003DOI Listing
March 2019
6 Reads

Results of a surgical cricothyrotomy workshop with a pig trachea model.

Rev Esp Anestesiol Reanim 2019 Mar 1;66(3):129-136. Epub 2018 Dec 1.

Hospital Universitari Joan XXIII, Tarragona, España.

Background: The latest Difficult Airway Society (DAS) guidelines recommend that all anaesthesiologists should to be trained in the performing of a surgical cricothyrotomy (CtQ). The aim of this study was to analyse the learning results of a CtQ workshop by assessing the success rate and time to perform CtQ on a porcine tracheal model.

Material And Methods: A workshop was designed in which each student completed a questionnaire with demographic data and theoretical knowledge about surgical approaches of airway. Read More

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http://dx.doi.org/10.1016/j.redar.2018.09.003DOI Listing
March 2019
2 Reads

Total thyroidectomys in patient with McArdle's syndrome: Anesthetic management.

Rev Esp Anestesiol Reanim 2019 Mar 30;66(3):163-166. Epub 2018 Nov 30.

Servicio de Anestesiología y Reanimación, Hospital de Jerez de la Frontera, Jerez de la Frontera (Cádiz), España.

McArdle disease or type V glycogenosis is a rare metabolic myopathy consisting of muscle loss and weakness. These patients have risks associated with anaesthesia. They can present with hypoglycaemia, rhabdomyolysis, acute renal failure, and electrolyte changes. Read More

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http://dx.doi.org/10.1016/j.redar.2018.10.004DOI Listing
March 2019
17 Reads

Erratum to: "Density spectral array of BIS VISTA monitoring system in a functional hemispherectomy".

Rev Esp Anestesiol Reanim 2018 Dec;65(10):603

Departamento de Anestesiología y Reanimación, Hospital del Mar, Parc de Salut Mar, Barcelona, España.

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http://dx.doi.org/10.1016/j.redar.2018.10.001DOI Listing
December 2018
1 Read

Unintentional hypothermia in the surgical patient. Old solutions to an old problem, or new solutions to an old problem?

Rev Esp Anestesiol Reanim 2018 Dec;65(10):543-545

Jefa del Servicio de Anestesiología, Reanimación y Tratamiento del Dolor. Directora del Área Quirúrgica. Hospital Universitari i y Politécnic de La Fe. Profesora Asociada de Anestesiología, Reanimación. Facultad de Medicina y Odontología. Universidad de Valencia.

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http://dx.doi.org/10.1016/j.redar.2018.10.006DOI Listing
December 2018
2 Reads

Complications of continuous catheter analgesia for postoperative pain management in a tertiary care hospital. Incidence of technical complications and alternative analgesia methods used.

Rev Esp Anestesiol Reanim 2019 Feb 23;66(2):84-92. Epub 2018 Nov 23.

Facultad de Medicina y Ciencias de la Salud, Universidad de Barcelona, Barcelona, España; Servicio de Anestesiología y Reanimación, Hospital Clínic i Provincial de Barcelona, Barcelona, España.

Background: Continuous invasive analgesia remains the gold-standard method for managing acute post-operative pain after major surgery. However, this procedure is not exempt from complications that may have detrimental effects on the patient and affect the post-operative recovery process. Data of the complications of continuous catheter analgesic techniques (CCATs) and their impact on pain relief are scarce in the literature. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356183015
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http://dx.doi.org/10.1016/j.redar.2018.08.008DOI Listing
February 2019
13 Reads

Tracheal synechia visualized in flexible fibrobronchoscopy in induction of anesthesia for thoracic surgery.

Rev Esp Anestesiol Reanim 2019 Jan 20;66(1):57. Epub 2018 Nov 20.

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Doce de Octubre, Madrid, España.

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http://dx.doi.org/10.1016/j.redar.2018.09.001DOI Listing
January 2019
1 Read

Perioperative management of a female diagnosed with heterozygous X-linked adrenoleukodystrophy scheduled for shoulder arthroscopy.

Rev Esp Anestesiol Reanim 2019 Feb 15;66(2):113-116. Epub 2018 Nov 15.

Servicio de Anestesiología y Reanimación, Hospital Universitario Fundación Jiménez Díaz-Quirón Salud, Madrid, España.

X-linked adrenoleukodystrophy (X-ALD) belongs to a family of rare diseases due to inborn errors of metabolism. It has a wide spectrum of clinical manifestations that anaesthesiologists should recognise during the perioperative period (respiratory centre dysfunction, hypotonia, adrenal or hepatic failure, gastroesophageal reflux disease, osteopenia, seizures).The case is presented of a 42-year-old X-linked adrenoleukodystrophy female carrier, who underwent combined general and an ultrasound-guided interscalene brachial plexus block anaesthesia for shoulder arthroscopy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356183014
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http://dx.doi.org/10.1016/j.redar.2018.08.006DOI Listing
February 2019
15 Reads

Marfan syndrome in a term-pregnant woman with aortic root dilatation between 40 and 45 mm.

Rev Esp Anestesiol Reanim 2019 Jan 14;66(1):49-52. Epub 2018 Nov 14.

Servicio de Anestesiología y Reanimación, Hospital 12 de Octubre, Madrid, España.

Marfan syndrome is a hereditary connective tissue disorder. The main cause of mortality in these patients is due to cardiovascular complications related to dilation of an aneurysm and dissection of the aortic root, a situation that increases their risk due to the physiological changes that occur during pregnancy, childbirth and puerperium. The case is presented of a pregnant woman with Marfan syndrome and aortic root dilatation of 42mm. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356183014
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http://dx.doi.org/10.1016/j.redar.2018.08.007DOI Listing
January 2019
17 Reads

Reversion algorithm for patients anticoagulated with dabigatran in urgent surgery.

Rev Esp Anestesiol Reanim 2019 Mar 14;66(3):149-156. Epub 2018 Nov 14.

Servicio de Anestesiología y Reanimación, Hospital Universitari Doctor Peset, València, España.

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http://dx.doi.org/10.1016/j.redar.2018.09.004DOI Listing
March 2019
1 Read

Clinical practice guideline. Unintentional perioperative hypothermia.

Rev Esp Anestesiol Reanim 2018 Dec 15;65(10):564-588. Epub 2018 Nov 15.

Hospital Universitario Infanta Leonor, Madrid, España.

The importance of the safety of our patients in the surgical theatre, has driven many projects. The majority of them aimed at better control and clinical performance; mainly of the variables that intervene or modulate the results of surgical procedures, and have a direct relationship with them. The Spanish Society of Anesthesiology, Critical Care and Therapeutic Pain (SEDAR), maintains a constant concern for a variable that clearly determines the outcomes of our clinical processes, "unintentional hypothermia" that develops in all patients undergoing an anesthetic or surgical procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00349356183015
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http://dx.doi.org/10.1016/j.redar.2018.07.006DOI Listing
December 2018
12 Reads