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Gilsanz F, Navia J, Alvarez J, Monedero P. [Anesthesiology and critical care specialization in Spain: present situation and challenges for the future]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2011; 58:1-2. [PMID: 21348209 DOI: 10.1016/s0034-9356(11)70689-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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77
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Ortiz P, Fuentes A, Guasch E, Gilsanz F. [Progressive epidural anesthesia for a second cesarean section in a woman with repaired tetralogy of Fallot, ventricular dysfunction, and pulmonary hypertension]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2010; 57:675-676. [PMID: 22283024 DOI: 10.1016/s0034-9356(10)70309-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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78
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Brogly N, Guasch E, Puertas L, Alsina E, López T, Gilsanz F. Défaillance cardiaque aiguë associée à une cardiomyopathie dilatée en post-partum précoce : traitement par ballon de contrepulsion aortique et lévosimendan. ACTA ACUST UNITED AC 2010; 29:807-10. [DOI: 10.1016/j.annfar.2010.08.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2009] [Accepted: 08/27/2010] [Indexed: 10/19/2022]
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79
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Maseda E, Gilsanz F. Duración del tratamiento antibiótico en la infección intraabdominal. Enferm Infecc Microbiol Clin 2010; 28 Suppl 2:49-52. [DOI: 10.1016/s0213-005x(10)70030-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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80
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Guasch E, Gilsanz F, Díez J, Alsina E. [Maternal hypotension with low doses of spinal bupivacaine or levobupivacaine and epidural volume expansion with saline for cesarean section]. ACTA ACUST UNITED AC 2010; 57:267-74. [PMID: 20527340 DOI: 10.1016/s0034-9356(10)70226-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND OBJECTIVE Epidural volume extension (EVE) with saline solution can contribute to greater cephalad spread of drugs injected into the subarachnoid space during cesarean section. We studied the incidence of material hypotension with spinal bupivacaine or levobupivacaine (L-bupivacaine) and the spread after epidural saline injection. MATERIAL AND METHODS After ethics committee approval, we randomized women scheduled for cesarean section to 4 groups to receive 5 mg of 0.25% bupivacaine with (n=51) or without (n=6) saline EVE; 5 mg of 025% L-bupivacaine (n=50); or 6 mg of 03% L-bupivacaine (n=50). All patients also received 25 microg of fentanyl per 2 mL of local hyperbaric spinal anesthetic. In all except the non-EVE group, 10 mL of saline was infused through an epidural catheter 5 minutes after anesthetic infusion. We recorded patient demographic data, procedural and anesthetic times, incision-clamping times, occurrence of hypotension, ephedrine dose required, motor and sensory blockade, requirement for rescue analgesics, and neonatal outcome. RESULTS After 6 patients had been randomized to the non-EVE group, no further patients were assigned because all the women required rescue analgesics. Demographic data, duration of procedure, time between. incision and delivery, and Apgar scores were similar in all the groups. The incidence of hypotension was lower in the group receiving 5 mg of L-bupivacaine (26% vs. 52.9% in the bupivacaine 5-mg group, and 56% in the 6-mg L-bupivacaine group, P = .04). More women given 5 mg of L-bupivacaine required rescue analgesia (46%) than did those receiving 5 mg of bupivacaine (235%) or 6 mg of L-bupivacaine (28%) (P = .039). Hypotension was associated with a lower umbilical cord pH (P = .001). Ephedrine doses over 20 mg were also associated with a lower umbilical cord pH (P = .031). CONCLUSIONS The incidence of hypotension was lowest in the group anesthetized with 5 mg of L-bupivacaine, but the need for rescue analgesia was greater in this group. Doses of 5 mg and 6 mg may be sufficient for cesarean section, as they provide a good level of sensory blockade.
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Cobeta P, Mira A, Guasch E, Gilsanz F. [Epidural anesthesia for cesarean section in a patient with congenital cerebral paralysis]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2010; 57:391-392. [PMID: 20645496 DOI: 10.1016/s0034-9356(10)70258-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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82
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Rodríguez J, Rojas V, Gredilla E, Gilsanz F. [Liver failure in a woman with acute fatty liver of pregnancy]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2010; 57:325-326. [PMID: 20527354 DOI: 10.1016/s0034-9356(10)70240-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
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83
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Torres MD, Calvo E, Fernández Esplá F, Gilsanz F. Anesthetic management of an adult patient with Cornelia de Lange Syndrome. Minerva Anestesiol 2010; 76:229-231. [PMID: 20203551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Cornelia de Lange Syndrome is a well-known congenital disease characterized by multiple malformations that make anesthetic management a challenge. Since few individuals survive the earliest stage of life, papers describing the details of anesthetic management are mainly reported in the pediatric population. These individuals who move into adulthood develop physical changes that should be taken into consideration. This article reports the case of a 34-year-old patient undergoing an orthopedic procedure. The operation was performed under general anesthesia because the patient showed severe scoliosis and joint contractures, so extraordinary difficulty in neuroaxial and peripheral techniques was expected. The aggressive behavior of the patient impeded the proper assessment of a preoperative airway. Fiber optic intubation was performed under slight sedation after three unsuccessful attempts. Dental crowding, prominent upper central incisors that were more pronounced than in most children, a short and stiff neck, and poor patient cooperation due to mental retardation and occasional autistic behavior made airway management difficult. This case should alert anesthesiologists to the greater difficulties of managing patients with Cornelia de Lange Syndrome when they become adults.
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84
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Gredilla E, Pérez-Ferrer A, Canser E, Alonso E, Martínez Serrano B, Gilsanz F. [Treating severe acute anemia due to vaginal bleeding in the Jehovah's Witness: a report of 2 cases]. ACTA ACUST UNITED AC 2010; 56:632-4. [PMID: 20151526 DOI: 10.1016/s0034-9356(09)70480-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
For reasons of religious belief, Jehova's Witnesses do not accept blood transfusions or the infusion of blood products. In situations in which severe, life-threatening anemia develops, patient refusal to receive a transfusion can create serious ethical and legal problems. The principle of patient autonomy, which implies the freedom to accept or reject treatment, comes into conflict with the physician's obligation to safeguard the patient's life using all means possible. We report 2 cases of severe anemia in Jehova's Witnesses. One was due to menorrhagia and the other to postpartum bleeding. The physician should be aware of alternatives to infusion of blood products and know how to cope with an unexpected critical event in these patients. The measures we took were effective in our patients. In the case of menorrhagia, hormone treatment is effective when the woman wishes to preserve the ability to conceive and avoid surgery (endometrial ablation and hysterectomy). In postpartum bleeding refractory to conservative treatment, selective embolization of bleeding vessels may make it unnecessary to resort to more aggressive treatment, such as obstetric hysterectomy.
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85
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Guasch E, Díez J, Gilsanz F. [Monitoring skill acquisition in obstetric epidural puncture at a university hospital using the cumulative sum method]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2010; 57:11-15. [PMID: 20196518 DOI: 10.1016/s0034-9356(10)70157-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
BACKGROUND AND OBJECTIVE Skill acquisition in anesthesiology is subject to a great deal of interindividual variability. Our aim was to develop and test an individualized tool for monitoring acquisition of technical skills based on the cumulative sum (CUSUM) approach. This system objectively assesses whether an individual has acquired a minimum skill level and identifies the moment when the skill has been learned. MATERIAL AND METHODS Nine third-year residents in anesthesiology and postoperative recovery care participated. The residents anonymously recorded their first 100 obstetric epidural analgesia procedures in a database. The data were then analyzed with the CUSUM method. We considered acceptable skill acquisition to be reflected by a first-attempt success rate of 80% and a rate of success with help of 20%. RESULTS A total of 765 epidural blocks were analyzed, giving a mean (SD) of 84.7 (2.8) procedures per resident (range, 47-100 procedures per resident). Seven residents became competent with the skill after 23 procedures and 2 residents were not successful in learning the skill. At the end of the study, 3 residents had required help with more than 20% of the procedures. Data collection from the trainees seemed to vary, leading to possible under- or overestimation of failures and/or need for help. Accidental dural puncture occurred 6 times (0.78%) and blood vessel puncture 40 times (5.2%). CONCLUSIONS Although some third-year residents reach the targeted rate of success quickly, we believe that close supervision is useful to control progress along the learning curve for individuals who need more help.
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86
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Torres M, Rodríguez J, Salvatierra B, Gilsanz F. [Airway management with the Airtraq in a patient with Launois-Bensaude syndrome]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2009; 56:579-581. [PMID: 20112554 DOI: 10.1016/s0034-9356(09)70467-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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87
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Rodríguez J, Gijón R, Gredilla E, Gilsanz F. [Emergency cesarean section in a woman with an arteriovenous malformation]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2009; 56:516-517. [PMID: 19994623 DOI: 10.1016/s0034-9356(09)70445-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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88
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Gago A, Guasch E, Gutiérrez C, Guiote P, Gilsanz F. [Failure of extension of epidural analgesia to anesthesia for emergency cesarean section]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2009; 56:412-416. [PMID: 19856687 DOI: 10.1016/s0034-9356(09)70421-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Epidural analgesia provides effective control of labor pain and allows emergency cesarean section to be performed without recourse to general anesthesia. This technique is subject to failure, however. We sought to determine the incidence of failure of extension of epidural analgesia for labor to epidural anesthesia for emergency cesarean section. We also analyzed possible risk factors for failure. A 2-month observational study was carried out in a tertiary-care university hospital in patients who had an epidural catheter inserted for labor analgesia and who later underwent emergency cesarean section. Epidural catheter failure was defined if additional analgesia was required during surgery or if general anesthesia was required. Data were gathered on possible risk factors, such as obesity, difficult epidural puncture, leakage of blood on insertion, history of cesarean delivery, need for rescue analgesia, and level of satisfaction with analgesia during dilation. In total, 134 emergency cesareans were performed in women carrying an epidural catheter. The catheter failed to administer the anesthetic in 18 patients (13.4%). General anesthesia was required in 9 cases (6.7%). Difficult insertion (more than 2 attempts) was associated with a higher failure rate (P=.064). The relative risk of epidural catheter failure was 2.86-fold higher when rescue analgesia was needed during delivery than in cases when no supplement was required (P=.021). Receiving adequate analgesia during labor seems to be a protective factor (80%) against anesthetic catheter failure during cesarean section (P=.01). We conclude that high demand for rescue analgesia and signs of inadequate analgesia during labor should warn of epidural catheter failure if extension to anesthesia becomes necessary for a cesarean delivery.
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Lozano Z, Guasch E, Claros E, Menéndez M, Gilsanz F. [Epidural anesthesia for cesarean section in a woman with a cavernous hemangioma of the temporal lobe]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2009; 56:332-333. [PMID: 19580143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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90
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Alonso E, Gilsanz F, Gredilla E, Martínez B, Canser E, Alsina E. Observational study of continuous spinal anesthesia with the catheter-over-needle technique for cesarean delivery. Int J Obstet Anesth 2009; 18:137-41. [PMID: 19196507 DOI: 10.1016/j.ijoa.2008.11.001] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2008] [Revised: 09/30/2008] [Accepted: 11/03/2008] [Indexed: 10/21/2022]
Abstract
BACKGROUND Few studies have assessed the efficacy and safety of continuous spinal anesthesia in obstetrics, although placement of a catheter in the intrathecal space theoretically offers advantages in these patients. METHODS Ninety-two women scheduled for elective cesarean delivery using continuous spinal anesthesia with the catheter-over-needle technique (22- or 24-gauge Spinocath) were included in the study. The doses of local anesthetic used, hemodynamic variables, use of ephedrine and other drugs, and incidence of complications such as technical failure and postdural puncture headache (PDPH) were recorded. RESULTS The mean (+/-SD) dose of hyperbaric bupivacaine used was 8.2+/-1.8 mg. The incidence of hypotension was 30% and the mean total dose of ephedrine was 4+/-7 mg. The continuous spinal anesthetic technique failed in 18 women (20%). The overall incidence of post-dural-puncture headache was 29%; 18% of patients with post-dural-puncture headache required a blood patch. CONCLUSIONS Compared to previous reports, the incidence of block failure and PDPH in this study was unacceptably high and therefore the risks of the technique appear to outweigh the advantages of continuous spinal anesthesia in obstetric practice.
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91
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Alsina E, Gilsanz F. [The European diploma in anaesthesiology and intensive care: update on the organization of certification]. ACTA ACUST UNITED AC 2008; 55:383-4. [PMID: 18693671 DOI: 10.1016/s0034-9356(08)70601-7] [Citation(s) in RCA: 1] [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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92
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Casimiro C, Rodrigo J, Mendiola MA, Rey F, Barrios A, Gilsanz F. Levobupivacaine plus fentanyl versus racemic bupivacaine plus fentanyl in epidural anaesthesia for lower limb surgery. Minerva Anestesiol 2008; 74:381-391. [PMID: 18414370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
BACKGROUND To compare the anaesthetic epidural effects of levobupivacaine plus fentanyl versus bupivacaine plus fentanyl in patients undergoing lower limb surgery. METHODS A single blind, randomised, prospective, multicentre study was designed to compare both therapies. The study was conducted in 10 tertiary hospitals. A total of 96 patients who were ASA I or II, who required at least a 24-hour-stay in the hospital and who were subjected to surgery of lower limbs with epidural anaesthesia were enrolled in this study. Treatments were administered at a dosage of 1.2 ml per metamera,including a test dose (3 mL) and the dose of fentanyl (100 mg). Patients were then randomly allocated to receive either Levobupivacaine (n = 49) or bupivacaine (N.= 47). The primary endpoint was sensory blockade (SB) duration. Secondary evaluations included motor blockade (MB), post-surgery analgesic medication usage, safety and the investigator global evaluation. RESULTS SB duration was similar for both interventions: 195 min (165-205) in the bupivacaine group versus 170 min (140-185) in the levobupivicaine group (log-rank test, P=0.884). However, the lack of MB as evaluated by the modified Bromage scale was significantly higher in the levobupivacaine group than in the bupivacaine group (39% vs 13%, P=0.017). Although no significant differences in MB duration were observed between the groups, a trend was observed in the levobupivacaine group, which had a lesser MB (P=0.093). Investigator satisfaction was high and was assessed to a similar extent for both interventions. Forty-one adverse events were detected in 28 patients, with no differences between groups: 15 (33%) with bupivacaine and 13 (27%) with levobupivacaine, P=0.516. CONCLUSION Although both interventions showed similar anaesthetic effects, a higher proportion of patients receiving levobupivacaine lacked MB.
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93
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Navarro R, Guasch E, Parodi E, Gilsanz F. [Assessment of agreement between anesthesiologists' location of anatomical landmarks]. ACTA ACUST UNITED AC 2008; 55:144-50. [PMID: 18401988 DOI: 10.1016/s0034-9356(08)70532-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE The main objective of this study was to evaluate agreement between anesthesiologists' location of specific anatomical landmarks in regional anesthesia. MATERIAL AND METHODS We administered an anonymous written questionnaire asking for the location of the T5 and T10 dermatomes, Tuffier's line (L3-L4 space), and the T7-T8 and C6-C7 spaces on an anatomical drawing. We asked about each anesthesiologist's number of years of experience and type of block most commonly performed and in what type of surgery, number of blocks performed per year, whether or not levels of sensory and motor blocks were assessed, and whether training had been received. Relative frequencies were then calculated. The relationships between years of experience and number of blocks performed and number of correct identifications of anatomical points were analyzed using the chi2 test. RESULTS We studied 100 doctors (66 residents and 24 staff anesthesiologists). The landmark for which agreement was highest was T10 (91.8%); agreement was lowest for T5 (38.1%). Forty-five percent of anesthesiologists performed between 100 and 250 neuraxial blocks per year. The most commonly performed procedure was a lumbar block (98% of the anesthesiologists). Level of sensory block was evaluated by 95% of the respondents and level of motor block by 83%. Response to heat and cold was used by 94.8%; the Bromage scale was used by 81%. The number of years of experience and the number of correctly located points appeared to be unrelated (P=.76). Nor was there a correlation between the number of blocks performed and number of correctly located points (P=.2). CONCLUSIONS T10 was the landmark correctly identified by the largest number of respondents; T5 was correctly identified by the fewest respondents, with answers differing by as much as 4 dermatomes.
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Miro M, Guasch E, Gilsanz F. Comparison of epidural analgesia with combined spinal-epidural analgesia for labor: a retrospective study of 6497 cases. Int J Obstet Anesth 2008; 17:15-9. [PMID: 18162199 DOI: 10.1016/j.ijoa.2007.07.003] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2006] [Accepted: 07/01/2007] [Indexed: 10/22/2022]
Abstract
BACKGROUND Combined spinal-epidural analgesia provides rapid-onset analgesia with minimal motor block, but it is a more invasive technique than epidural analgesia and the risk of complications may be increased. This study compared the safety and effect on delivery of combined spinal-epidural and epidural analgesia in labor. METHODS A retrospective observational study was performed. Data were collected from 6497 women who received regional analgesia in our tertiary hospital in 2005. The incidence of complications during labor and the day after delivery was compared. The effect on labor outcome with both techniques was also assessed. RESULTS 1964 received combined spinal-epidural (30.2%) and 4533 epidural analgesia (69.8%). Quality of analgesia was better in the combined spinal-epidural group. Labor outcome was similar in the two groups. Pruritus, paresthesia and back pain were more frequent in the combined spinal-epidural group. No differences were observed in the incidence of accidental dural puncture or post dural puncture headache. CONCLUSIONS We found that epidural and combined spinal-epidural analgesia were comparable in terms of safety, and had a similar effect on delivery type.
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95
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Gredilla E, Pérez Ferrer A, Martínez B, Alonso E, Díez J, Gilsanz F. [Maternal satisfaction with the quality of epidural analgesia for pain relief in labor]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2008; 55:160-164. [PMID: 18401990 DOI: 10.1016/s0034-9356(08)70534-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
OBJECTIVE To measure patient satisfaction with epidural analgesia in labor and to analyze the sociodemographic characteristics of the obstetric population treated in our hospital. MATERIAL AND METHODS We administered an anonymous questionnaire in July and December 2003 to all patients who received epidural analgesia during labor to obtain information on the intensity of pain before analgesia and the efficacy of this procedure. RESULTS A total of 1067 questionnaires were returned. Of the patients who responded to the questionnaire, 91.3% were satisfied with the process of epidural anesthesia, 93.8% stated that they would recommend the technique used in our hospital, and 94% responded that they would request the technique again in our hospital. Spanish nationals accounted for 74.8% of the surveyed patients; the remaining 25.2% were from other countries-mainly from Central and South America (18% of the total). Before administration of epidural analgesia, 23.3% of Spanish primiparas defined labor pain as severe compared to 40.7% of foreign primiparas (P<.001). Of the multiparas, 212% of Spanish patients described the pain as severe compared to 40.4% of foreign women (P<.001). CONCLUSIONS The overall level of satisfaction with the process of epidural analgesia is very high and was not influenced by sociodemographic factors. Labor pain is perceived as being more intense by non-Spanish women.
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96
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Guasch E, Almogueraa J, Gilsanz F. [Convulsions after a test dose of ropivacaine and negative aspiration test for combined spinal-epidural analgesia for cesarean section]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2008; 55:123-124. [PMID: 18383977 DOI: 10.1016/s0034-9356(08)70522-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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97
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Torres Moreta MD, Rosado R, Gilsanz F. [Brachial fascial compartment hematoma after brachial plexus anesthesia with axillary nerve stimulation]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2008; 55:52-53. [PMID: 18333390 DOI: 10.1016/s0034-9356(08)70501-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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98
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Pérez-Cimarra C, Font C, Gredilla E, Gilsanz F. [Adverse effects of inotropic drugs in hypertrophic cardiomyopathy]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2007; 54:453-454. [PMID: 17953346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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99
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de Blas García M, Martínez Jiménez F, Gredilla E, Gilsanz F. [Management of difficult intubation with a ProSeal-type laryngeal mask for an emergency cesarean section]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2007; 54:199-200. [PMID: 17436664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
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100
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Hortelano AM, Torres D, Gilsanz F. [Spinal anesthesia in a man with diffuse skeletal hyperparostosis (Forestier and Rotés Querol disease]. REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION 2007; 54:56-8. [PMID: 17319438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
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