76
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Acosta F, Sansano T, Palenciano CG, Roqués V, Clavel N, González P, Robles R, Bueno FS, Ramírez P, Parrilla P. Changes in pulmonary circulation during liver transplantation. Transplant Proc 2002; 34:272. [PMID: 11959280 DOI: 10.1016/s0041-1345(01)02758-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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77
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Munítiz V, Ramírez P, Munar M, Andreu F, Robles R, S-Bueno F, Fernández JA, Pons JA, Miras M, De Mingo P, Lujan J, Rodríguez JM, Bru M, Acosta F, Parrilla P. Reversibility of the neurologic alterations in familial amyloidotic polyneuropathy type I after liver transplantation (22 cases). Transplant Proc 2002; 34:310-1. [PMID: 11959301 DOI: 10.1016/s0041-1345(01)02778-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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78
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Acosta F, Sansano T, Palenciano CG, Roqués V, Clavel N, González P, Robles R, Bueno FS, Ramírez P, Parrilla P. Effects of norepinephrine on right ventricular function during liver transplantation. Transplant Proc 2002; 34:275. [PMID: 11959282 DOI: 10.1016/s0041-1345(01)02760-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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79
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Berenguer-Pina JJ, Cañizares F, Jimeno-García L, Cabezuelo J, Noguera J, Ruiz-Espejo F, Iborra-Bendicho A, Agullo-Ortuño T, Hernandez-Palazon MD, Pastor-Mirete J, Acosta F, Martinez-Hernandez P, Parrilla P. Study of creatinine and creatinine-clearance in liver transplantation. Transplant Proc 2002; 34:270-1. [PMID: 11959279 DOI: 10.1016/s0041-1345(01)02757-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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80
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Palenciano CG, Segura B, Ramirez P, Chavez R, Munitiz V, Cayuela MG, Acosta F, Sansano T, Majado M, Muñoz A, Hernandez O, Pino-Chavez G, Loba M, Yelamos J, Gago MR, Vizcaino AS, Asensi H, Marin F, Rubio A, Fuente T, Rios A, Montoya M, Robles R, Bueno FS, Rodriguez JM, Navarro F, Cabezuelo J, Cozzi E, White DJG, Parrilla P. Acid-base and electrolyte disturbances in an experimental model of orthotopic liver xenotransplantation from pig to baboon after graft reperfusion: differences between h-DAF livers and unmodified livers. Transplant Proc 2002; 34:325-6. [PMID: 11959309 DOI: 10.1016/s0041-1345(01)02784-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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81
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Fernández J, Robles R, Acosta F, Sansano T, Piñero A, Luján J, Lage A, Parrilla P. Utilidad de la videotoracoscopia en el tratamiento de los derrames pericárdicos. Cir Esp 2002. [DOI: 10.1016/s0009-739x(02)71948-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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82
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Padilla D, Acosta F, Rodríguez F, Gómez V, Déniz S, Real F. Mortality Caused byStaphylococcus xylosusin Red Porgy (Pagrus pagrus) Fish. JOURNAL OF APPLIED ANIMAL RESEARCH 2001. [DOI: 10.1080/09712119.2001.9706724] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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83
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Perrig M, Acosta F, Cottagnoud M, Gerber CM, Täuber MG, Cottagnoud P. Efficacy of gatifloxacin alone and in combination with cefepime against penicillin-resistant Streptococcus pneumoniae in a rabbit meningitis model and in vitro. J Antimicrob Chemother 2001; 47:701-4. [PMID: 11328789 DOI: 10.1093/jac/47.5.701] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Gatifloxacin penetrated well into cerebrospinal fluid (CSF) (49 +/- 11%), measured by comparison of AUC(CSF)/AUC(serum), and showed good bactericidal activity (leading to a decrease of 0.75 +/- 0.17 log10 cfu/mL/h) in the treatment of experimental meningitis in rabbits caused by a penicillin-resistant pneumococcal strain (MIC 4 mg/L). It was significantly more effective than the standard regimen, ceftriaxone with vancomycin, which led to a decrease of 0.53 +/- 0.17 log10 cfu/mL/h. The addition of cefepime to gatifloxacin slightly improved the killing rates (giving a decrease of 0.84 +/- 0.14 log10 cfu/mL/h). In vitro, synergy was demonstrated between cefepime and gatifloxacin by the chequerboard method (fractional inhibitory concentration index = 0.5) and by viable counts over 8 h.
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84
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Ramirez P, Miras M, Pons JA, Maria C, Sanchez F, Robles R, Lujan J, Rodriguez P, Perez Abad JM, Acosta F, Megias D, Parrilla P. Life quality of patients undergoing liver transplantation. Transpl Int 2001; 7 Suppl 1:S675-8. [PMID: 11271337 DOI: 10.1111/j.1432-2277.1994.tb01471.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
The aim of this study was to assess the life quality of a group of patients who had undergone liver transplantation using (1) a psychological test to evaluate family relations, work activity, emotional state and social relationships; (2) the quantification of hospital dependence and degree of fitness for work. Included in the study were 32 patients using the following criteria: diagnosis of hepatic cirrhosis and minimum posttransplant follow-up of 6 months. The average age of the study population was 44.8 +/- 10.5 years; there were 23 males and 9 females, with an average follow-up of 15 months. The psychological test used was the Quality of Life Scale (QLS) which consists of 21 items each scoring from 1 to 6 points. The questionnaire was completed before transplantation by all the patients, and after transplantation by 32 patients at 6 months, 20 at 12 months and 12 at 24 months. Hospital dependence was evaluated by the number of admissions and number of days per admission. Lastly, we compared fitness for work before transplantation and at 1 and 2 years after transplantation. The QLS test showed a post-transplant improvement in the four aspects assessed, particularly in the personal aspects (emotions and family) (P < 0.001). Hospital dependence following liver transplantation decreased significantly compared with the pretransplant situation (P < 0.01). Finally, the post-transplant percentage of unfitness for work decreased with time, reaching a significant differences 2 years after transplantation (P < 0.05).
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85
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Acosta F, Sansano T, Palenciano CG, Reche M, Roques V, Beltran R, Robles R, Bueno FS, Ramirez P, Parrilla P. Preoperative pulmonary function in patients treated with liver transplantation. Transplant Proc 2000; 32:2644. [PMID: 11134739 DOI: 10.1016/s0041-1345(00)01819-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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86
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Serrano E, Diaz J, Acosta F, Palenciano CG, Parrilla P, Carbonell LF. Relationship between cold ischemia time and lipid peroxidation in liver transplantation. Transplant Proc 2000; 32:2648. [PMID: 11134742 DOI: 10.1016/s0041-1345(00)01822-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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87
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Acosta F, Moreno J, Fuente T, Diaz J, Sansano T, Palenciano CG, Reche M, Beltran M, Roques V, Robles R, Bueno FS, Ramirez P, Parrilla P. Influence of surgical technique on the plasma concentration of beta-endorphin during liver transplantation. Transplant Proc 2000; 32:2658. [PMID: 11134748 DOI: 10.1016/s0041-1345(00)01828-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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88
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Sánchez-Bueno F, Robles R, Acosta F, Ramirez P, Lujan J, Munitiz V, Rios A, Parrilla P. Hepatic artery complications in a series of 300 orthotopic liver transplants. Transplant Proc 2000; 32:2669-70. [PMID: 11134755 DOI: 10.1016/s0041-1345(00)01835-2] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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89
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Cottagnoud P, Gerber CM, Acosta F, Cottagnoud M, Neftel K, Täuber MG. Linezolid against penicillin-sensitive and -resistant pneumococci in the rabbit meningitis model. J Antimicrob Chemother 2000; 46:981-5. [PMID: 11102418 DOI: 10.1093/jac/46.6.981] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Linezolid, a new oxazolidinone antibiotic, showed good penetration (38+/-4%) into the meninges of rabbits with levels in the CSF ranging from 9.5 to 1.8 mg/L after two i.v. injections (20 mg/kg). Linezolid was clearly less effective than ceftriaxone against a penicillin-sensitive pneumococcal strain. Against a penicillin-resistant strain, linezolid had slightly inferior killing rates compared with the standard regimen (ceftriaxone combined with vancomycin). In vitro, linezolid was marginally bactericidal at concentrations above the MIC (5 x and 10 x MIC).
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90
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Acosta F, Diaz J, Sansano T, Palenciano CG, Reche M, Beltran R, Roques V, Robles R, Bueno FS, Ramirez P, Parrilla P. Evolution of the plasma concentration of norepinephrine in cirrhotic patients during liver transplantation. Transplant Proc 2000; 32:2659-60. [PMID: 11134749 DOI: 10.1016/s0041-1345(00)01829-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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91
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Acosta F, Sansano T, Beltran R, Palenciano CG, Reche M, Roques V, Robles R, Bueno FS, Ramirez P, Parrilla P. Is femoral and radial artery pressure different during reperfusion in liver transplantation? Transplant Proc 2000; 32:2647. [PMID: 11134741 DOI: 10.1016/s0041-1345(00)01821-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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92
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Serrano E, Diaz J, Acosta F, Palenciano CG, Parrilla P, Carbonell LF. Oxidative stress during ischemia-reperfusion in liver transplantation. Transplant Proc 2000; 32:2651. [PMID: 11134744 DOI: 10.1016/s0041-1345(00)01824-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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93
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Sánchez-Bueno F, Carrasco L, Ayala M, Robles R, Acosta F, Ramirez P, Munitiz V, Rios A, Parrilla P. Is lipid analysis of bile useful in the diagnosis of graft complications in liver transplantation? Transplant Proc 2000; 32:2654-6. [PMID: 11134746 DOI: 10.1016/s0041-1345(00)01826-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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94
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Acosta F, Sansano T, Palenciano CG, Reche M, Beltran R, Roques RV, Robles R, Bueno FS, Ramirez P, Parrilla P. Hemodynamic effects of rapid paracentesis on liver transplantation. Transplant Proc 2000; 32:2661. [PMID: 11134750 DOI: 10.1016/s0041-1345(00)01830-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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95
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Acosta F, Sansano T, Palenciano CG, Reche M, Roques V, Beltran R, Robles R, Bueno FS, Ramirez P, Parrilla P. Efficiency of the vasoconstrictor response to vascular exclusion in patients with alcoholic cirrhosis undergoing liver transplantation. Transplant Proc 2000; 32:2662-3. [PMID: 11134751 DOI: 10.1016/s0041-1345(00)01831-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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96
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Sánchez-Bueno F, Acosta F, Ramirez P, Robles R, Rodriguez JM, Munitiz V, Rios A, Parrilla P. Incidence and survival rate of hepatic retransplantation in a series of 300 orthotopic liver transplants. Transplant Proc 2000; 32:2671-2. [PMID: 11134756 DOI: 10.1016/s0041-1345(00)01836-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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97
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Acosta F, Diaz J, Sansano T, Palenciano CG, Reche M, Roques V, Beltran R, Robles R, Bueno FS, Ramirez P, Parrilla P. Hemodynamics related to metabolic changes at reperfusion during liver transplantation. Transplant Proc 2000; 32:2649-50. [PMID: 11134743 DOI: 10.1016/s0041-1345(00)01823-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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98
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Acosta F, Rodriguez MA, Sansano T, Palenciano CG, Reche M, Roques V, Beltran R, Robles R, Bueno FS, Ramirez P, Parrilla P. Influence of surgical technique on diuresis during liver transplantation. Transplant Proc 2000; 32:2657. [PMID: 11134747 DOI: 10.1016/s0041-1345(00)01827-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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99
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Ramirez P, Chavez R, Majado M, Munitiz V, Muñoz A, Hernandez Q, Palenciano CG, Pino-Chavez G, Loba M, Minguela A, Yelamos J, Gago MR, Vizcaino AS, Asensi H, Cayuela MG, Segura B, Marin F, Rubio A, Fuente T, Robles R, Bueno FS, Sansano T, Acosta F, Rodriguez JM, Navarro F, Cabezuelo J, Cozzi E, White DJ, Calne RY, Parrilla P. Life-supporting human complement regulator decay accelerating factor transgenic pig liver xenograft maintains the metabolic function and coagulation in the nonhuman primate for up to 8 days. Transplantation 2000; 70:989-98. [PMID: 11045632 DOI: 10.1097/00007890-200010150-00001] [Citation(s) in RCA: 122] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND It is not known whether the pig liver is capable of functioning efficiently when transplanted into a primate, neither is there experience in transplanting a liver from a transgenic pigs expressing the human complement regulator human complement regulator decay accelerating factor (h-DAF) into a baboon. The objective of this study was to determine whether the porcine liver would support the metabolic functions of non-human primates and to establish the effect of hDAF expression in the prevention of hyperacute rejection of porcine livers transplanted into primates. METHODS Five orthotopic liver xenotransplants from pig to baboon were carried out: three from unmodified pigs and two using livers from h-DAF transgenic pigs. FINDINGS The three control animals transplanted with livers from unmodified pigs survived for less than 12 hr. Baboons transplanted with livers from h-DAF transgenic pigs survived for 4 and 8 days. Hyperacute rejection was not detected in the baboons transplanted with hDAF transgenic pig livers; however, it was demonstrated in the three transplants from unmodified pigs. Baboons transplanted with livers from h-DAF transgenic pigs were extubated at postoperative day 1 and were awake and able to eat and drink. In the recipients of hDAF transgenic pig livers the clotting parameters reached nearly normal levels at day 2 after transplantation and remained normal up to the end of the experiments. In these hDAF liver recipients, porcine fibrinogen was first detected in the baboon plasma 2 hr postreperfusion, and was present up to the end of the experiments. One animal was euthanized at day 8 after development of sepsis and coagulopathy, the other animal arrested at day 4, after an episode of vomiting and aspiration. The postmortem examination of the hDAF transgenic liver xenografts did not demonstrate rejection. INTERPRETATION The livers from h-DAF transgenic pigs did not undergo hyperacute rejection after orthotopic xenotransplantation in baboons. When HAR is abrogated, the porcine liver maintains sufficient coagulation and protein levels in the baboon up to 8 days after OLT.
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Polo A, Tercedor A, Paniagua-Soto J, Acosta F, Cañadas A. [Neurophysiological monitoring during scoliosis surgery using controlled hypotension]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2000; 47:367-70. [PMID: 11103118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
Abstract
Controlled arterial hypotension understood to be a mean arterial pressure (MAP) between 55 and 60 mmHg is often used as a complementary technique in anesthesia even though it is not without complications and associated mortality even in young patients. During surgery to reduce scoliosis in a young boy, MAP fell to 60 mmHg accompanied by bilateral loss of sensory and motor evoked potentials (SEP and MEP). Detecting the absence of SEP and MEP allowed us to prevent medullar injury due to ischemia secondary to hypotension, once possible surgical or technical causes had been ruled out. We believe that monitoring SEP and MEP is useful not only to the surgeon but also to the anesthesiologist.
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