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  Subjects -> MEDICAL SCIENCES (Total: 8279 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (208 journals)
    - ANAESTHESIOLOGY (117 journals)
    - CARDIOVASCULAR DISEASES (327 journals)
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ANAESTHESIOLOGY (117 journals)                     

Showing 1 - 117 of 117 Journals sorted alphabetically
Acta Anaesthesiologica Scandinavica     Hybrid Journal   (Followers: 61)
Acta Anaesthesiologica Taiwanica     Open Access   (Followers: 6)
Acute Pain     Full-text available via subscription   (Followers: 15)
Advances in Anesthesia     Full-text available via subscription   (Followers: 30)
African Journal of Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 8)
Ain-Shams Journal of Anaesthesiology     Open Access   (Followers: 2)
Ain-Shams Journal of Anesthesiology     Open Access   (Followers: 1)
Ambulatory Anesthesia     Open Access   (Followers: 9)
Anaesthesia     Hybrid Journal   (Followers: 215)
Anaesthesia & Intensive Care Medicine     Full-text available via subscription   (Followers: 67)
Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 59)
Anaesthesia Critical Care & Pain Medicine     Full-text available via subscription   (Followers: 25)
Anaesthesia Reports     Hybrid Journal  
Anaesthesia, Pain & Intensive Care     Open Access  
Anaesthesiology Intensive Therapy     Open Access   (Followers: 9)
Analgesia & Resuscitation : Current Research     Hybrid Journal   (Followers: 6)
Anesthesia & Analgesia     Hybrid Journal   (Followers: 237)
Anesthesia : Essays and Researches     Open Access   (Followers: 10)
Anesthesia Progress     Hybrid Journal   (Followers: 5)
Anesthésie & Réanimation     Full-text available via subscription   (Followers: 2)
Anesthesiology     Hybrid Journal   (Followers: 213)
Anesthesiology and Pain Medicine     Open Access   (Followers: 23)
Anesthesiology Clinics     Full-text available via subscription   (Followers: 25)
Anesthesiology Research and Practice     Open Access   (Followers: 15)
Angewandte Schmerztherapie und Palliativmedizin     Hybrid Journal  
Annales Françaises d'Anesthésie et de Réanimation     Full-text available via subscription   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14)
BDJ Team     Open Access   (Followers: 1)
Best Practice & Research Clinical Anaesthesiology     Hybrid Journal   (Followers: 15)
BJA : British Journal of Anaesthesia     Hybrid Journal   (Followers: 209)
BJA Education     Hybrid Journal   (Followers: 67)
BMC Anesthesiology     Open Access   (Followers: 17)
BMJ Supportive & Palliative Care     Hybrid Journal   (Followers: 42)
Brazilian Journal of Anesthesiology     Open Access   (Followers: 5)
Brazilian Journal of Anesthesiology (Edicion en espanol)     Open Access  
Brazilian Journal of Anesthesiology (English edition)     Open Access   (Followers: 1)
Brazilian Journal of Pain (BrJP)     Open Access  
British Journal of Pain     Hybrid Journal   (Followers: 25)
Canadian Journal of Anesthesia/Journal canadien d'anesthésie     Hybrid Journal   (Followers: 46)
Case Reports in Anesthesiology     Open Access   (Followers: 11)
Clinical Journal of Pain     Hybrid Journal   (Followers: 15)
Colombian Journal of Anesthesiology : Revista Colombiana de Anestesiología     Hybrid Journal  
Current Anaesthesia & Critical Care     Full-text available via subscription   (Followers: 36)
Current Anesthesiology Reports     Hybrid Journal   (Followers: 4)
Current Opinion in Anaesthesiology     Hybrid Journal   (Followers: 58)
Current Pain and Headache Reports     Hybrid Journal   (Followers: 2)
Der Anaesthesist     Hybrid Journal   (Followers: 8)
Der Schmerz     Hybrid Journal   (Followers: 4)
Der Schmerzpatient     Hybrid Journal  
Douleur et Analgésie     Hybrid Journal  
Egyptian Journal of Anaesthesia     Open Access   (Followers: 2)
Egyptian Journal of Cardiothoracic Anesthesia     Open Access  
EMC - Anestesia-Reanimación     Hybrid Journal  
EMC - Anestesia-Rianimazione     Hybrid Journal  
EMC - Urgenze     Full-text available via subscription  
European Journal of Anaesthesiology     Hybrid Journal   (Followers: 28)
European Journal of Pain     Full-text available via subscription   (Followers: 24)
European Journal of Pain Supplements     Full-text available via subscription   (Followers: 5)
Headache The Journal of Head and Face Pain     Hybrid Journal   (Followers: 5)
Indian Journal of Anaesthesia     Open Access   (Followers: 7)
Indian Journal of Pain     Open Access   (Followers: 2)
Indian Journal of Palliative Care     Open Access   (Followers: 6)
International Anesthesiology Clinics     Hybrid Journal   (Followers: 9)
International Journal of Clinical Anesthesia and Research     Open Access  
Itch & Pain     Open Access   (Followers: 2)
JA Clinical Reports     Open Access  
Journal Club Schmerzmedizin     Hybrid Journal  
Journal of Anesthesia & Clinical Research     Open Access   (Followers: 10)
Journal of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8)
Journal of Anesthesia     Hybrid Journal   (Followers: 12)
Journal of Anesthesia History     Full-text available via subscription   (Followers: 1)
Journal of Anesthesiology and Clinical Science     Open Access   (Followers: 1)
Journal of Cellular and Molecular Anesthesia     Open Access  
Journal of Clinical Anesthesia     Hybrid Journal   (Followers: 13)
Journal of Critical Care     Hybrid Journal   (Followers: 39)
Journal of Headache and Pain     Open Access   (Followers: 3)
Journal of Neuroanaesthesiology and Critical Care     Open Access   (Followers: 3)
Journal of Neurosurgical Anesthesiology     Hybrid Journal   (Followers: 8)
Journal of Obstetric Anaesthesia and Critical Care     Open Access   (Followers: 22)
Journal of Pain     Hybrid Journal   (Followers: 17)
Journal of Pain and Symptom Management     Hybrid Journal   (Followers: 39)
Journal of Pain Research     Open Access   (Followers: 10)
Journal of Society of Anesthesiologists of Nepal     Open Access   (Followers: 2)
Journal of the Bangladesh Society of Anaesthesiologists     Open Access  
Jurnal Anestesi Perioperatif     Open Access  
Jurnal Anestesiologi Indonesia     Open Access  
Karnataka Anaesthesia Journal     Open Access   (Followers: 2)
Le Praticien en Anesthésie Réanimation     Full-text available via subscription   (Followers: 2)
Local and Regional Anesthesia     Open Access   (Followers: 8)
Medical Gas Research     Open Access   (Followers: 3)
Medycyna Paliatywna w Praktyce     Open Access   (Followers: 1)
OA Anaesthetics     Open Access   (Followers: 3)
Open Anesthesia Journal     Open Access  
Open Journal of Anesthesiology     Open Access   (Followers: 10)
Pain     Hybrid Journal   (Followers: 54)
Pain Clinic     Hybrid Journal   (Followers: 1)
Pain Management     Hybrid Journal   (Followers: 17)
Pain Medicine     Hybrid Journal   (Followers: 13)
Pain Research and Management     Open Access   (Followers: 8)
Pain Research and Treatment     Open Access   (Followers: 2)
Pain Studies and Treatment     Open Access   (Followers: 2)
Research and Opinion in Anesthesia and Intensive Care     Open Access   (Followers: 3)
Revista Chilena de Anestesia     Open Access   (Followers: 1)
Revista Colombiana de Anestesiología     Open Access   (Followers: 1)
Revista Cubana de Anestesiología y Reanimación     Open Access   (Followers: 1)
Revista da Sociedade Portuguesa de Anestesiologia     Open Access  
Revista Española de Anestesiología y Reanimación     Hybrid Journal  
Revista Española de Anestesiología y Reanimación (English Edition)     Full-text available via subscription   (Followers: 2)
Romanian Journal of Anaesthesia and Intensive Care     Open Access   (Followers: 1)
Saudi Journal of Anaesthesia     Open Access   (Followers: 7)
Scandinavian Journal of Pain     Hybrid Journal  
Southern African Journal of Anaesthesia and Analgesia     Open Access   (Followers: 8)
Sri Lankan Journal of Anaesthesiology     Open Access   (Followers: 2)
Survey of Anesthesiology     Full-text available via subscription   (Followers: 12)
Techniques in Regional Anesthesia and Pain Management     Hybrid Journal   (Followers: 11)
Topics in Pain Management     Full-text available via subscription   (Followers: 2)
Trends in Anaesthesia and Critical Care     Full-text available via subscription   (Followers: 23)

           

Similar Journals
Journal Cover
Revista Española de Anestesiología y Reanimación (English Edition)
Journal Prestige (SJR): 0.193
Number of Followers: 2  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 2341-1929
Published by Elsevier Homepage  [3177 journals]
  • Erratum to: “APACHE II score for critically ill patients with a solid
           tumor: A reclassification study”
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): F.D.Martos-Benítez, I. Cordero-Escobar, A. Soto-García, I. Betancourt-Plaza, I. González-Martínez
       
  • Atypical presentation of a pneumothorax after eco-guided venous jugular
           channeling
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): S. Martín-Santiago, R. García-López, J.A. Reinaldo Lapuerta
       
  • Intervention to reduce pain in patients with superficial and intermediate
           second degree burns
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): M.Á. Luengo-Pastor, R. Guerrero-Domínguez, E.C. Navarro-Suárez, C. Rasero-Moreno
       
  • Lumbar erector spinae plane block: Successful control of acute pain after
           lumbar spine surgery – A clinical report
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): J. Brandão, R. Graça, M. Sá, J.M. Cardoso, S. Caramelo, C. CorreiaAbstractWe 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. Postoperatively, the patient had minor opioid consumption and was able to freely move without any motor impairment or pain from early on in the Post Anaesthesia Care Unit. The use of single-shot erector spinae plane block at the lumbar level for lumbar spine surgery analgesia emphasises its wide application and analgesic efficacy.ResumenDivulgamos el caso clínico de una paciente programada para cirugía de la columna lumbar, en la cual realizamos el bloqueo del plano del músculo erector de la columna lumbar como parte de una estrategia analgésica multimodal para el control del dolor agudo. La realización del bloqueo preoperatoriamente descartó la necesidad de opioides intraoperatorios adicionales a los de la intubación y permitió el uso de paracetamol solo para la analgesia. Además, no hubo necesidad de técnicas hipotensivas, ya que el bloqueo proporcionó bloqueo simpático satisfactorio y vasodilatación regional con un campo quirúrgico claro. En el postoperatorio, la paciente tenía un consumo menor de opiáceos y podía moverse libremente sin ningún deterioro motor, ni dolor desde el principio en la Unidad de Cuidados Postanestésicos. El uso del bloqueo del plano del músculo erector de la columna lumbar a nivel lumbar para la analgesia en la cirugía de la columna lumbar enfatiza su amplia aplicación y eficacia analgésica.
       
  • Total thyroidectomy in patient with McArdle's syndrome: Anaesthetic
           management
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): A.V. Quintero Salvago, J.D. Leal del Ojo del Ojo, L. Barrios Rodríguez, J.J. Fedriani de Matos, I. Morgado MuñozAbstractMcArdle 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. It has also been associated with a higher incidence of malignant hyperthermia during the anaesthetic procedure. Intermittent compression due to the measurement of non-invasive pressure, postures on the operating table that may cause muscle contractures, or tremor caused by hypothermia or anaesthesia itself, may trigger rhabdomyolysis in these patients.In this article we present our experience in submitting a patient with McArdle's syndrome to general anaesthesia for total thyroidectomy due to multinodular euthyroid goitre.ResumenLa enfermedad de McArdle o glucogenosis de tipo V es una miopatía metabólica rara que consiste en pérdida muscular y debilidad. Los pacientes con esta enfermedad presentan riesgos asociados a la anestesia. Pueden presentar hipoglucemia, rabdomiólisis, fallo renal agudo, alteraciones iónicas y también se ha relacionado con una mayor incidencia de hipertermia maligna durante el procedimiento anestésico. La compresión intermitente debido a la medición de la presión no invasiva, las posturas en la mesa de quirófano que puedan provocar contracturas musculares o el temblor ocasionado por la hipotermia o por la misma anestesia pueden desencadenar rabdomiólisis en estos pacientes. En este artículo exponemos nuestra experiencia con una paciente con síndrome de McArdle bajo anestesia general para tiroidectomía total por bocio multinodular eutiroideo.
       
  • Combination of thoracic blocks as a main anasthetic technique in modified
           radical mastectomy for patients with severe respiratory disease
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): J.C. Galán Gutiérrez, B. Tobera Noval, F.J. Sáenz Abós, M. González Rodríguez, L.A. Fernández Meré, L.A. Sopena ZubiriaAbstractThe 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 …, which have been added to other well-known nerve blocks, such as thoracic paravertebral block or intercostal block. In this sense, locoregional anaesthesia has been universally recommended in patients with severe respiratory processes in order to avoid ventilatory support and subsequent weaning that considerably increases postoperative morbidity and mortality rates. However, as regards thoracic wall and axillary hollow, there are very few references which detail the use of nerve or fascial blocks as a main anaesthetic method.Two extreme cases are presented of multi-pathological patients with serious respiratory disease who successfully underwent a modified radical mastectomy plus surgery in the axillary space using a combination of ultrasound-guided thoracic blocks that allowed surgery without general anaesthesia, avoiding mechanical ventilation, and maintaining spontaneous breathing throughout the surgical procedure. The main indications of the anaesthetic blocks used are described, focusing on the performance of the technique and underlining, in a novel way, the possibility of facing aggressive surgery at the level of the armpit with only locoregional anaesthesia.ResumenEn los últimos tiempos la incorporación de la ultrasonografía a las técnicas de anestesia locorregional ha permitido la descripción de diversos bloqueos torácicos fasciales con finalidad analgésica: PECS 1 y 2, bloqueo del plano del serrato, bloqueo fascial intercostal serrato, bloqueo en el plano del músculo transverso torácico…, que se han añadido a otros bloqueos nerviosos ya conocidos como el bloqueo paravertebral torácico o el bloqueo intercostal. En este sentido, las técnicas de anestesia locorregional han sido universalmente recomendadas en pacientes con procesos respiratorios severos para evitar el soporte ventilatorio y posterior destete que incrementan considerablemente las tasas de morbimortalidad postoperatoria. Sin embargo, a nivel de la pared torácica y hueco axilar, son escasas las referencias que identifiquen el uso de bloqueos nerviosos o fasciales como método anestésico principal.Presentamos 2 casos extremos de pacientes pluripatológicos con serio compromiso respiratorio que se someten de forma exitosa a mastectomía radical modificada más cirugía en el hueco axilar mediante una combinación de bloqueos torácicos ecoguiados que permitieron la cirugía sin necesidad de inducir anestesia general, evitando ventilación mecánica, y manteniendo durante todo el procedimiento quirúrgico y postoperatorio respiración espontánea. Describimos las principales indicaciones de los bloqueos anestésicos empleados, incidiendo en la técnica de realización de los mismos y subrayando de forma novedosa la posibilidad de afrontar una cirugía agresiva a nivel de la axila con solo anestesia locorregional.
       
  • Reversion algorithm for patients anticoagulated with dabigatran in urgent
           surgery
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): R. Ferrandis, M.J. Colomina, L. Durán, A. Gómez-Luque, F. Hidalgo, J.V. Llau
       
  • Locating the cricothyroid membrane in males: Influence of the
           morphological characteristics of the neck
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): V. Ruiz-Alcalá, X. Onrubia, C. García-Vitoria, J. Baldó, E. Martínez, J.M. SellerAbstractIntroductionCricothyrotomy 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.ObjectiveThe aim of this study was to determine the impact of the patient's neck morphology on the accurate location of the CTM and on the time employed.Materials and methodObservational study in which anaesthesiologists and intensivists voluntarily participated in a simulation that consisted of a “cannot intubate, cannot oxygenate” scenario, where they had to locate the CTM, as soon as possible, in 2 selected male patients with different morphological characteristics of the neck. The time was measured from the beginning of CTM palpation to locating it with a marker.Results and conclusionsA higher body mass index and a higher neck circumference correlated with a 70% location failure rate and with a longer time as compared with a standard model.ResumenIntroducciónLa cricotirotomía es una técnica que forma parte de los algoritmos de manejo de vía aérea difícil. Para su adecuada realización se precisa una correcta localización de la membrana cricotiroidea (MCT). Diversos estudios han encontrado una alta tasa de error en la localización por palpación, lo que condiciona un fracaso en el resultado de la técnica.ObjetivosEl propósito del estudio fue determinar si las características morfológicas del cuello del paciente influyen en la correcta localización de la MCT y en el tiempo empleado.Materiales y métodosEstudio observacional donde participaron voluntariamente anestesiólogos e intensivistas en una simulación consistente en un escenario de «cannot intubate, cannot oxygenate» donde tenían que localizar en el menor tiempo posible la MCT en 2 varones seleccionados con diferentes características morfológicas de cuello. Se cronometró el tiempo empleado desde que el sujeto comenzaba a localizar la MCT hasta que la marcaba con un rotulador.Resultados y conclusionesSe encontró que el modelo con mayor índice de masa corporal y mayor perímetro cervical tenía una tasa de fracaso en la localización de un 70%, empleando, además, mayor tiempo, comparado con el modelo de características estándares.
       
  • 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
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): J. González-García, A. González-Bada, J.M. López-Ramos, M.A. Echevarria-Correas, M.B.G. Muñecas-Herreras, L. Aguilera-CelorrioAbstractObjectiveThe objective of this study is to determine whether the accomplishment of an interfascial blockade, the blocking of the cutaneous branches of the intercostals 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 methodsA prospective, randomized 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). The main variables analysed were the pain intensity assessed by the verbal numerical scale and the analgesic rescue needs with tramadol.ResultsStatistically significant differences were observed in the consumption of tramadol during the study period (10.5 mg in the BRILMA group, compared to 34.3 in the control group, p = .0001). There were also differences in the pain assessment, with lower values found in the BRILMA group.ConclusionsIn non-reconstructive breast surgery, performing a BRILMA block allows obtaining lower pain scores, which implies less need for rescue analgesics and a significant saving of tramadol in the study period.ResumenObjetivoNuestro objetivo es evaluar si la realización de un bloqueo interfascial, el bloqueo de las ramas cutáneas de los nervios intercostales en la línea axilar media (BRILMA) asociado a una pauta analgésica multimodal mejora la analgesia postoperatoria y permite ahorrar opioides tras cirugía no reconstructiva de mama.Material y métodosRealizamos un estudio aleatorizado y prospectivo simple, donde los pacientes fueron sometidos a cirugía no reconstructiva de mama. Los pacientes fueron asignados aleatoriamente al grupo de realización del bloqueo, o al grupo de analgesia postoperatoria estándar (paracetamol y dexketoprofeno). Las variables principales analizadas fueron la intensidad del dolor evaluada mediante la escala numérica verbal y las necesidades de rescate analgésico con tramadol.ResultadosSe observaron diferencias estadísticamente significativas en el consumo de tramadol durante el periodo de estudio (10,5 mg en el grupo BRILMA, frente a los 34, 3 en el grupo control, p=0,0001). Asimismo también hubo diferencias en la evaluación del dolor con valores más bajos en el grupo BRILMA.ConclusionesEn cirugía no reconstructiva de mama la realización de un bloqueo BRILMA permite obtener unas puntuaciones de dolor más bajas, lo que implica menor necesidad de rescate y un importante ahorro de tramadol en el periodo.
       
  • Results of a surgical cricothyrotomy workshop with a pig trachea model
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): C. Añez Simón, V. Serrano Gonzalvo, L.H. Carrillo Luna, V. Farré Nebot, C.M. Holgado Pascual, Members of the ANESTARRACO group (IISPV)AbstractBackgroundThe 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 methodsA workshop was designed in which each student completed a questionnaire with demographic data and theoretical knowledge about surgical approaches of airway. During the following hour, a review was presented theoretical aspects of CtQ. The model was shown and a CtQ was performed using a classical technique. Afterwards, in groups of 3–4 students with an instructor, each one of the students performed 6 CtQ. A record was made on whether the ventilation was correct, the time to perform CtQ, and the ease of performing the CtQ by the students and instructors. Finally, students completed a questionnaire on the theoretical aspects. Students and instructors performed a workshop debriefing. A statistical analysis was performed, considering a p-value 
       
  • Cross-sectional area of the median nerve after intraneural vs perineural
           low volume administration
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): R.E. Silva Herrera, A. Serrá Sandoval, M. Gonzalez Venegas, S. de Lara González, J. Gracia, X. Sala-BlanchAbstractIntroductionTo 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 1 ml of solution.Material and methodsUltrasound guided median nerve blocks were performed in the forearm of 10 fresh cadavers on 60 occasions (3 per forearm). They were randomised into the intraneural (n = 30) or perineural (n = 30) location of the needle tip, after the consensus of location by 7 specialists. After 1 ml of solution was injected an evaluation was made of the changes in the cross-sectional area of the nerve, as well as the displacement along the nerve.ResultsThe cross-sectional area of the median nerve was increased in both groups, however, the increase was significantly higher in the Intraneural group (perineural 0.007 ± 0.013 cm2 vs. intraneural 0.032 ± 0.021 cm2, p 
       
  • Fluid therapy in the surgical patient in our environment. About Fluid Day
           Study
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): M.J. Colomina, P. Guilabert, J. Ripollés-Melchor, J.L. Jover, M. Basora, J.V. Llau, C. Casinello, R. Ferrandis, as components of the Executive Committee of the Fluid Day Project
       
  • New advances for the anaesthologist in Spanish. The effort of many, a
           success for all
    • Abstract: Publication date: March 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 3Author(s): A. Abad Gurumeta
       
  • Perioperative management of a female diagnosed with heterozygous X-linked
           adrenoleukodystrophy for shoulder arthroscopy
    • Abstract: Publication date: February 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 2Author(s): S. Zhang Wang, M. Álvarez Fernández, P. Mellado Miras, N. Martínez Merino, E. Herrera López, L.E. Muñoz AlamedaAbstractX-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. Induction was performed with thiopentone and fentanyl, and sevoflurane was used as inhaled maintenance agent. No events were recorded during the procedure. Her post-operative recovery was satisfactory and she was later discharged home.ResumenLa adrenoleucodistrofia ligada al cromosoma X (ALD-X) pertenece al grupo de enfermedades raras debidas a errores congénitos del metabolismo. Clínicamente, presenta diferentes manifestaciones que el anestesiólogo debe tener en cuenta durante el perioperatorio (disfunción respiratoria, hipotonía, insuficiencia suprarrenal o hepática, reflujo gastroesofágico, osteopenia, crisis epilépticas). Se presenta el caso de una mujer de 42 años portadora del gen que fue sometida a anestesia general combinada para artroscopia de hombro. Se hizo bloqueo ecoguiado del plexo braquial a nivel interescalénico, inducción anestésica con tiopental y fentanilo, y mantenimiento con sevofluorano. El procedimiento transcurrió sin incidencias, la evolución postoperatoria fue favorable y la paciente fue dada de alta a domicilio.
       
  • Keys to optimize the operating room efficiency
    • Abstract: Publication date: February 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 2Author(s): M.A. Gómez-Ríos, A. Abad-Gurumeta, R. Casans-Francés, J.M. Calvo-VecinoAbstractHealthcare is in constant transformation. Health systems should focus on improving efficiency to meet a growing demand for high-quality, low-cost health care. The operating room is one of the biggest sources of revenue and one of the largest areas of expense. Therefore, operating room management is a critical key to success. The aim of this article is to analyse the current principles of organisation, optimisation and clinical management of the operating room and its impact on the quality and safety of care.ResumenLa asistencia sanitaria está en constante transformación. Los sistemas de salud deben centrarse en mejorar la eficiencia para satisfacer la creciente demanda de atención de salud de alta calidad y bajo coste. El quirófano es una de las mayores fuentes de ingresos y una de las mayores áreas de gasto. Por lo tanto, la gestión del bloque quirúrgico es una clave fundamental para el éxito. El objetivo de este artículo es analizar los principios actuales de organización, optimización y gestión clínica del bloque quirúrgico y su impacto en la calidad y en la seguridad asistenciales.
       
  • Do we have today a reliable method to detect the moment of loss of
           consciousness during induction of general anaesthesia'
    • Abstract: Publication date: February 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 2Author(s): A.L. Ferreira, C. Nunes, J.G. Mendes, P. AmorimAbstractThis review aims to give an overview of the current state of monitoring depth of anaesthesia and detecting the moment of loss of consciousness, from the first clinical signs involved in anaesthesia to the latest technologies used in this area. Such techniques are extremely important for the development of automatic systems for anaesthesia control, including preventing intraoperative awareness episodes and overdoses. A search in the databases Pubmed and IEEE Xplore was performed using terms such as anaesthetic monitoring, depth of anaesthesia, loss of consciousness, as well as anaesthesia indexes, namely BIS. Despite the several methods capable of monitoring the hypnotic state of anaesthesia, there is still no methodology to accurately detect the moment of loss of consciousness during induction of general anaesthesia.ResumenEsta revisión pretende ofrecer una visión general del estado de conocimiento actual sobre la monitorización de la profundidad anestésica y la detección del momento de pérdida de consciencia, desde los primeros signos clínicos implicados en la anestesia hasta las últimas tecnologías utilizadas en esta área. Tales técnicas son extremadamente importantes para el desarrollo de sistemas automáticos de control de la anestesia y para prevenir episodios de percepción intraoperatoria y sobredosis. Realizamos investigaciones en bases de datos (Pubmed, IEEE Xplore) utilizando términos como control anestésico, profundidad de la anestesia, pérdida de consciencia, BIS y cada uno de los índices existentes. A pesar de los diversos métodos capaces de controlar el estado hipnótico de la anestesia, aún no existe una metodología que detecte con precisión el momento de la pérdida de consciencia durante la inducción de la anestesia general.
       
  • Complications of continuous catheter analgesia for postoperative pain
           management in a tertiary care hospital. Incidence of technical
           complications and alternative analgesia methods used
    • Abstract: Publication date: February 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 2Author(s): A. Recasens, A. Hidalgo, A. Faulí, C. Dürsteler, M.J. Arguis, C. GomarAbstractBackgroundContinuous 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.Material and methodsWe conducted a prospective longitudinal study and patients who underwent a surgical procedure and received continuous invasive analgesia after surgery were included. Post-operative analgesic strategy, pain scores (NRS), CCAT's characteristics and technical complications were recorded. Patient satisfaction was determined. Descriptive statistics and Student's t-tests were applied for the comparative analyses.ResultsWe collected data from 106 patients. Mean duration of the CCAT was 47.52 ± 21.23 h and 52 patients (49.1%) were controlled in conventional hospitalisation units whereas 54 patients (50.9%) were controlled on intensive or high-dependency care units.The overall incidence of technical complications was 9.43%. The most common complications were catheter displacement (2.38%), inflammation at the IV catheter insertion point (2.38%) and excessive dosing of analgesic drugs (2.38%). Mean NRS scores were ≤3 during the permanence of CCATs. Maximum pain intensity was significantly higher in patients who suffered technical complications (mean ± standard deviation [x¯± SD]: 4.4 ± 2.8 vs. 2.9 ± 1.9; p 
       
  • Monitoring pulse pressure variation during lung resection surgery
    • Abstract: Publication date: February 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 2Author(s): J.M. Nieves Alonso, E. Alday Muñoz, A. Planas RocaAbstractBackground and objectiveAlthough pulse pressure variation (PPV) is an effective dynamic parameter widely used to predict the increase in cardiac output after the administration of fluids in abdominal surgery, its use in thoracic surgery is controversial. A study was designed to describe the behaviour of PPV during lung resection surgery.Patients and methodsA prospective observational study was conducted on adult patients scheduled for lung resection surgery. Patients with bleeding greater than 200cc, or those who required vasopressors during data collection, were excluded. The PPV values were collected during different phases: in bipulmonary ventilation (T1), after the start of single lung ventilation, and the opening of the thorax (T2), at the end of the procedure prior to the restoration of the bipulmonary ventilation (T3), and after the closure of the thorax in bipulmonary ventilation (T4). The correlation coefficient of the PPV values at the different times was calculated.ResultsThe study included 50 consecutive patients. The mean values and standard deviations of PPV in the different phases were: T1, 11.14% (6.67); T2 6.24% (3.21, T3 5.68% (3.19); and T4 7.84% (4.61). The repeated ANOVA measurements found significant differences between the mean values of PPV in the different phases (p 
       
  • Radiologic assessment of gastric emptying of water-soluble contrast media:
           New data security from a longitudinal study
    • Abstract: Publication date: February 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 2Author(s): M.C. Niño, L.E. Ferrer, J.C. Díaz, D. Aguirre, S. Pabón, J.J. PasternakAbstractBackground and objectivesPractice guidelines for preoperative fasting have not clearly established the fasting time needed after oral administration of water-soluble contrast media. The aim of this study was to determine the time required for the gastric emptying during the water-soluble contrast media in patients with acute abdominal pain.MethodsThis prospective longitudinal study included sixty-eight patients older than 18 years of age with acute abdominal pain, who required a water-soluble contrast media enhanced abdominal computed tomography study. Plain radiographs were obtained hourly until complete the gastric emptying. Patients with probable bowel obstruction were not included in the study.ResultsA total of 31 (45,6%), 54 (79,4%), and 64 (94.1%) patients achieved a complete gastric clearance of barium in 1, 2 and 3 h, respectively. All patients achieved complete emptying of water-soluble contrast media within 6 h. Gastric emptying time was not associated with gender (P = 0.44), body mass index (P = 0.35), fasting time prior to water-soluble contrast media intake (P = 0.12), administration of opioids in the emergency room (P = 0.7), and the presence of comorbidities (P = 0.36).ConclusionNinety-four percent of the patients with acute abdominal pain achieved complete gastric emptying within 3 h after the administration of water-soluble contrast media. All of them achieved complete gastric emptying within 6 h. The results suggested 6 h after oral intake of the contrast media is enough to complete transit of water-soluble contrast media through the stomach and avoid unnecessary risks.ResumenAntecedentes y objetivosEn la actualidad, las guías de práctica clínica para ayuno preoperatorio no han establecido claramente el tiempo de espera necesario tras la administración de un medio de contraste hidrosoluble. Nuestro objetivo fue determinar el tiempo requerido para el vaciamiento gástrico posterior a la administración de un medio de contraste hidrosoluble en pacientes con abdomen agudo.Materiales y métodosEste estudio longitudinal prospectivo incluyó 68 pacientes, mayores de 18 años, con abdomen agudo, a quienes se administró un medio de contraste hidrosoluble para la realización de una tomografía abdominal. Se obtuvieron radiografías cada hora hasta completar el vaciamiento gástrico del medio de contraste. Se excluyeron pacientes con sospecha de obstrucción intestinal.ResultadosTreinta y uno (45,6%), 54 (79,4%) y 64 (94,1%) pacientes alcanzaron la eliminación gástrica completa de bario en 1, 2 y 3 h, respectivamente. La totalidad de los pacientes alcanzó el vaciamiento gástrico completo dentro de las 6 primeras h. No se encontraron diferencias respecto al género (P=0,44), índice de masa corporal (P=0,35), tiempo de ayuno previo al contraste (P=0,12), administración de opioides en urgencias (P=0,7), ni presencia de comorbilidades (P=0,36).ConclusiónEl 94% de los pacientes con abdomen agudo alcanzaron el vaciamiento gástrico completo dentro de las primeras 3 h posteriores a la administración de medio de contraste. A las 6 h, la totalidad de los participantes habían aclarado el medio de contraste. Consideramos relevante esperar las 6 h de ayuno posteriores a la ingesta oral del medio de contraste para asegurar el tránsito completo a través del estómago y evitar riesgos innecesarios.
       
  • Analgesic efficacy of modified pectoral block plus serratus plane block in
           breast augmentation surgery: A randomised, controlled, triple-blind
           clinical trial
    • Abstract: Publication date: February 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 2Author(s): J.B. Schuitemaker R., X. Sala-Blanch, A.P. Sánchez Cohen, L.A. López-Pantaleon, J.T. Mayoral R., M. CuberoAbstractIntroductionProsthetic 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 methodsA randomised, controlled, triple-blind, clinical trial was designed, and included 30 patients undergoing retropectoral augmentation mammoplasty. All of them had a modified PEC II block and a serratus plane block with a total volume of 40 ml per breast. In 15 of them bupivacaine 0.25% (GPEC) was injected and in the other 15 patients saline was used (GC). Standardised management of anaesthesia and postoperative analgesia was performed. Intra-operative haemodynamic parameters required for postoperative analgesia, and a numeric verbal scale on arrival in the recovery unit were measured and at 3, 6, and 24 h. The quality perceived by patients and surgeons was also measured.ResultsPost-operative pain was significantly better in GPEC (5.3 ± 2.3 vs. 2.9 ± 2.7; p = 0.018). No significant differences were observed at 3, 6, and 24 h. The surgeons rated the anaesthetic–analgesic quality as very good in 80% of the cases in GPEC versus 33% in CG (p = 0.01).ConclusionsThe use of these blocks is a good perioperative analgesic strategy in the multimodal management of retropectoral augmentation mammoplasty.ResumenIntroducciónLa cirugía protésica de mama es un procedimiento de cirugía plástica muy común, cuyo manejo analgésico postoperatorio es un reto para el equipo quirúrgico. El propósito del presente estudio fue validar la eficacia analgésica del bloqueo de los nervios pectorales y plano del serrato en mamoplastia de aumento retropectoral.Pacientes y métodosSe diseñó un ensayo clínico, controlado, aleatorizado, triple ciego, que incluyó a 30 pacientes intervenidas mediante mamoplastia de aumento retropectoral. En ambos grupos se realizaron bloqueo pectoral modificado y bloqueo del plano serrato con un volumen total de 40 ml por mama. En 15 de ellas se inyectó bupivacaína 0,25% con epinefrina (GPEC), y en las otras 15 se administró suero fisiológico (GC). Se hizo manejo estandarizado de la anestesia y la analgesia postoperatoria. Se midieron parámetros hemodinámicos intraoperatorios, necesidad de analgesia postoperatoria y la escala numérica verbal a su llegada a reanimación, a las 3, 6 y 24 h, así como la calidad percibida por los pacientes y cirujanos.ResultadosEn el postoperatorio inmediato, se pudo percibir una disminución del dolor en las pacientes del GPEC (5,3 ± 2,3 vs. 2,9 ± 2,7; p = 0,018). No se observaron diferencias significativas a las 3, 6 y 24 h. Los cirujanos valoraron la calidad anestésico-analgésica como muy buena en el 80% de los casos en el GPEC frente al 33% en el GC (p = 0,01).ConclusionesEl uso de estos bloqueos es una buena estrategia analgésica perioperatoria en el manejo multimodal en la mamoplastia de aumento retropectoral.
       
  • Electroencephalography in anaesthesia; opening minds to the future
    • Abstract: Publication date: February 2019Source: Revista Española de Anestesiología y Reanimación (English Edition), Volume 66, Issue 2Author(s): P.O. Sepúlveda, M. Naranjo
       
 
 
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