Pub Date : 2024-02-10DOI: 10.1016/j.redare.2024.02.004
E Sarrió Badenes, M Durá Aranda, L Molero Sala, P Martín Serrano
{"title":"Relapsing polichondritis affecting the tracheobronquial tree in a patient with preeclampsia with severe features.","authors":"E Sarrió Badenes, M Durá Aranda, L Molero Sala, P Martín Serrano","doi":"10.1016/j.redare.2024.02.004","DOIUrl":"10.1016/j.redare.2024.02.004","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-10DOI: 10.1016/j.redare.2024.02.008
J F Muñoz Moreno, E Rubio Prieto, A Peral Santos, L Segovia García de Marina
{"title":"Sepsis due to liver abscess diagnosed by ultrasound in the ICU.","authors":"J F Muñoz Moreno, E Rubio Prieto, A Peral Santos, L Segovia García de Marina","doi":"10.1016/j.redare.2024.02.008","DOIUrl":"10.1016/j.redare.2024.02.008","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-10DOI: 10.1016/j.redare.2024.02.009
Manuel López-Baamonde, Antonio López-Hernández, Juan Perdomo Linares, Eva Rivas
{"title":"Why is my anaesthesia machine detecting halothane after bronchodilator administration? A curious fact.","authors":"Manuel López-Baamonde, Antonio López-Hernández, Juan Perdomo Linares, Eva Rivas","doi":"10.1016/j.redare.2024.02.009","DOIUrl":"10.1016/j.redare.2024.02.009","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-10DOI: 10.1016/j.redare.2024.02.003
M E Navío Poussivert, A Martinez-Garcia, M I de la Rosa Jiménez
{"title":"Transorbital intubation in a patient with difficult airway due to previous surgery.","authors":"M E Navío Poussivert, A Martinez-Garcia, M I de la Rosa Jiménez","doi":"10.1016/j.redare.2024.02.003","DOIUrl":"10.1016/j.redare.2024.02.003","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.redare.2023.01.005
S. Ali, M. Athar, R. Rahman, F. Rehman
Kounis syndrome is defined as cardiovascular symptoms that occur secondary to allergic or hypersensitivity insults, and is also called allergic angina and allergic myocardial infarction. We report a case of pre-operative ceftriaxone-induced Kounis syndrome with no evident dermatological manifestation, and describe our diagnostic dilemma. The patient was symptomatically managed and discharged in stable condition with a warning against future use of ceftriaxone.
{"title":"Ceftriaxone-induced Kounis syndrome: A case report and review of the literature","authors":"S. Ali, M. Athar, R. Rahman, F. Rehman","doi":"10.1016/j.redare.2023.01.005","DOIUrl":"10.1016/j.redare.2023.01.005","url":null,"abstract":"<div><p><span>Kounis syndrome is defined as </span>cardiovascular symptoms<span><span> that occur secondary to allergic or hypersensitivity insults, and is also called allergic angina and allergic myocardial infarction. We report a case of pre-operative ceftriaxone-induced Kounis syndrome with no evident dermatological manifestation, and describe our diagnostic dilemma. The patient was symptomatically managed and discharged in stable condition with a warning against future use of </span>ceftriaxone.</span></p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10587623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.redare.2024.01.007
A. Abad-Gurumeta
{"title":"New challenges for Spanish publications in anesthesiology in the new era","authors":"A. Abad-Gurumeta","doi":"10.1016/j.redare.2024.01.007","DOIUrl":"10.1016/j.redare.2024.01.007","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.redare.2023.12.003
B. Hernando Vela , P. Jarén Cubillo , C. Bueno Fernández , L. Gallego Ligorit , M.C. Ferrer García , J.A. Diarte
Background and objectives
Percutaneous implantation of an aortic valve prosthesis is a therapeutic alternative for patients with severe aortic stenosis. The procedure is traditionally performed under general anaesthesia; however, sedation is now gaining in popularity because it reduces the need for vasoactive drugs and shortens the patient’s stay in the critical care unit and on the ward. The aim of this study is to evaluate the clinical efficacy, safety and potential benefits of sedation with dexmedetomidine in patients undergoing percutaneous implantation of an aortic valve prosthesis in terms of haemodynamic and respiratory complications.
Materials and methods
We performed a retrospective study of 222 patients that had undergone percutaneous implantation of an aortic valve prosthesis between 2012 and 2019 under sedation with either dexmedetomidine plus remifentanil (DEX-RMF) or propofol plus remifentanil (PROPO-RMF). We collected data on complications, mainly haemodynamic and respiratory, during and after the procedure.
Results
No significant differences were found between sedation with dexmedetomidine and propofol (in combination with remifentanil) in terms of haemodynamic stability and intraprocedural cerebral blood oxygen. In the DEX-RMF group, however, mean blood pressure, midazolam dose, and duration of anaesthesia were lower compared with the PROPO-RMF group, but the incidence of haemodynamic and respiratory complications did not differ significantly between groups.
Conclusions
Our results show that sedation, particularly with adjuvant dexmedetomidine, is a valid anaesthetic techniques in percutaneous aortic valve prosthesis implantation.
{"title":"Sedation with propofol/remifentanil versus dexmedetomidine / remifentanil for patients undergoing transcatheter aortic valve implant: A retrospective study between 2012 and 2019","authors":"B. Hernando Vela , P. Jarén Cubillo , C. Bueno Fernández , L. Gallego Ligorit , M.C. Ferrer García , J.A. Diarte","doi":"10.1016/j.redare.2023.12.003","DOIUrl":"10.1016/j.redare.2023.12.003","url":null,"abstract":"<div><h3>Background and objectives</h3><p><span><span><span>Percutaneous implantation of an aortic valve prosthesis is a therapeutic alternative for patients with severe </span>aortic stenosis<span>. The procedure is traditionally performed under general anaesthesia; however, sedation is now gaining in popularity because it reduces the need for </span></span>vasoactive drugs and shortens the patient’s stay in the </span>critical care unit<span><span> and on the ward. The aim of this study is to evaluate the clinical efficacy, safety and potential benefits of sedation with dexmedetomidine </span>in patients<span> undergoing percutaneous implantation of an aortic valve prosthesis in terms of haemodynamic and respiratory complications.</span></span></p></div><div><h3>Materials and methods</h3><p>We performed a retrospective study of 222 patients that had undergone percutaneous implantation of an aortic valve prosthesis between 2012 and 2019 under sedation with either dexmedetomidine plus remifentanil<span> (DEX-RMF) or propofol plus remifentanil (PROPO-RMF). We collected data on complications, mainly haemodynamic and respiratory, during and after the procedure.</span></p></div><div><h3>Results</h3><p>No significant differences were found between sedation with dexmedetomidine and propofol (in combination with remifentanil) in terms of haemodynamic stability and intraprocedural cerebral blood oxygen. In the DEX-RMF group, however, mean blood pressure, midazolam dose, and duration of anaesthesia were lower compared with the PROPO-RMF group, but the incidence of haemodynamic and respiratory complications did not differ significantly between groups.</p></div><div><h3>Conclusions</h3><p>Our results show that sedation, particularly with adjuvant dexmedetomidine, is a valid anaesthetic techniques in percutaneous aortic valve prosthesis implantation.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138613756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.redare.2024.01.004
R. Mato-Bua , D. Lopez-Lopez , A. Garcia-Perez , C. Bonome
Tubeless anaesthesia has become widespread in videothoracoscopic surgery, even in major procedures such as lobectomies. There are several advantages in avoiding general anaesthesia and one-lung mechanical ventilation, such as faster recovery and shorter hospital stays. However, hypoxaemia and hypercapnia are the most reported causes of conversion to general anaesthesia. High Flow Oxygen Therapy (HFOT) generates flow-dependent positive end-expiratory pressure, improves oxygenation and also carbon dioxide washout by flow-dependent dead space flushing. For this reason, intraoperative HFOT may reduce the rate of conversion to general anaesthesia. We report our experience with intraoperative HFOT in a 71-year-old female with lung adenocarcinoma undergoing VATS upper left lobectomy.
{"title":"Intraoperative high flow oxygen therapy for tubeless anaesthesia in thoracoscopic surgery","authors":"R. Mato-Bua , D. Lopez-Lopez , A. Garcia-Perez , C. Bonome","doi":"10.1016/j.redare.2024.01.004","DOIUrl":"10.1016/j.redare.2024.01.004","url":null,"abstract":"<div><p><span><span>Tubeless anaesthesia has become widespread in videothoracoscopic surgery<span>, even in major procedures such as lobectomies. There are several advantages in avoiding </span></span>general anaesthesia<span> and one-lung mechanical ventilation, such as faster recovery and shorter hospital stays. However, </span></span>hypoxaemia<span> and hypercapnia<span> are the most reported causes of conversion to general anaesthesia. High Flow Oxygen Therapy (HFOT) generates flow-dependent positive end-expiratory pressure, improves oxygenation and also carbon dioxide washout by flow-dependent dead space flushing. For this reason, intraoperative HFOT may reduce the rate of conversion to general anaesthesia. We report our experience with intraoperative HFOT in a 71-year-old female with lung adenocarcinoma undergoing VATS upper left lobectomy.</span></span></p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.redare.2024.01.010
F. García-Montoto , D. Paz-Martín , D. Pestaña , M. Soro , J.M. Marcos Vidal , R. Badenes , A. Suárez de la Rica , T. Bardi , A. Pérez-Carbonell , C. García , J.A. Cervantes , M.P. Martínez , J.L. Guerrero , J.V. Lorente , J. Veganzones , M. Murcia , F.J. Belda
Introduction and objectives
Sedation is used in intensive care units (ICU) to improve comfort and tolerance during mechanical ventilation, invasive interventions, and nursing care. In recent years, the use of inhalation anaesthetics for this purpose has increased.
Our objective was to obtain and summarise the best evidence on inhaled sedation in adult patients in the ICU, and use this to help physicians choose the most appropriate approach in terms of the impact of sedation on clinical outcomes and the risk-benefit of the chosen strategy.
Methodology
Given the overall lack of literature and scientific evidence on various aspects of inhaled sedation in the ICU, we decided to use a Delphi method to achieve consensus among a group of 17 expert panellists. The processes was conducted over a 12-month period between 2022 and 2023, and followed the recommendations of the CREDES guidelines.
Results
The results of the Delphi survey form the basis of these 39 recommendations - 23 with a strong consensus and 15 with a weak consensus.
Conclusion
The use of inhaled sedation in the ICU is a reliable and appropriate option in a wide variety of clinical scenarios. However, there are numerous aspects of the technique that require further study.
{"title":"Guidelines for inhaled sedation in the ICU","authors":"F. García-Montoto , D. Paz-Martín , D. Pestaña , M. Soro , J.M. Marcos Vidal , R. Badenes , A. Suárez de la Rica , T. Bardi , A. Pérez-Carbonell , C. García , J.A. Cervantes , M.P. Martínez , J.L. Guerrero , J.V. Lorente , J. Veganzones , M. Murcia , F.J. Belda","doi":"10.1016/j.redare.2024.01.010","DOIUrl":"10.1016/j.redare.2024.01.010","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Sedation is used in intensive care units (ICU) to improve comfort and tolerance during mechanical ventilation, invasive interventions, and nursing care. In recent years, the use of inhalation anaesthetics for this purpose has increased.</p><p>Our objective was to obtain and summarise the best evidence on inhaled sedation in adult patients in the ICU, and use this to help physicians choose the most appropriate approach in terms of the impact of sedation on clinical outcomes and the risk-benefit of the chosen strategy.</p></div><div><h3>Methodology</h3><p>Given the overall lack of literature and scientific evidence on various aspects of inhaled sedation in the ICU, we decided to use a Delphi method to achieve consensus among a group of 17 expert panellists. The processes was conducted over a 12-month period between 2022 and 2023, and followed the recommendations of the CREDES guidelines.</p></div><div><h3>Results</h3><p>The results of the Delphi survey form the basis of these 39 recommendations - 23 with a strong consensus and 15 with a weak consensus.</p></div><div><h3>Conclusion</h3><p>The use of inhaled sedation in the ICU is a reliable and appropriate option in a wide variety of clinical scenarios. However, there are numerous aspects of the technique that require further study.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139682209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.redare.2024.01.006
R.C. Vela Pascual, A.G. Pizarro Calderón, G. Sánchez Barbé, S. García Ramos
{"title":"Inadvertent cannulation of vertebral artery while central venous catheterization","authors":"R.C. Vela Pascual, A.G. Pizarro Calderón, G. Sánchez Barbé, S. García Ramos","doi":"10.1016/j.redare.2024.01.006","DOIUrl":"10.1016/j.redare.2024.01.006","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}