Pub Date : 2024-04-01DOI: 10.1016/j.redare.2024.02.019
M.I. Alonso-Paniagua , M.J. Cóbreces-García
{"title":"Superior vena cava syndrome in the postoperative setting of a type A aortic dissection","authors":"M.I. Alonso-Paniagua , M.J. Cóbreces-García","doi":"10.1016/j.redare.2024.02.019","DOIUrl":"10.1016/j.redare.2024.02.019","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998756","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 : 2024-04-01DOI: 10.1016/j.redare.2024.02.021
A. Ojeda Niño , C.L. Nebreda Clavo , C. Batista Barreiros , R. Vallejo Salamanca
Glomus tumors are a rare, benign neoplasm arising from the neuroarterial structure known as the glomus body, which is a specialized arteriovenous shunt involved in temperature regulation. They account for less than 2% of soft tissue tumors and between 1% and 4.5% of tumors in the hand.. Despite their first descriptions appearing almost 100 years ago, late and missed diagnoses are common, leading to significant suffering. The classic diagnostic triad includes spontaneous pain, a sensation of pressure and tenderness, and cold hypersensitivity. Magnetic resonance imaging remains the most useful imaging modality. The abolition of pain after inflating a blood pressure cuff above the systolic blood pressure level (ischemia test) is highly diagnostic.Therefore, we suggest the routine use of this simple test in cases of upper limb pain of unclear etiology . Surgical excision is the treatment of choice and is curative.
{"title":"Glomus tumor causing chronic finger pain: ischemia test is a reliable clinical sign for the diagnosis. Case report and review of literature","authors":"A. Ojeda Niño , C.L. Nebreda Clavo , C. Batista Barreiros , R. Vallejo Salamanca","doi":"10.1016/j.redare.2024.02.021","DOIUrl":"10.1016/j.redare.2024.02.021","url":null,"abstract":"<div><p>Glomus tumors are a rare, benign neoplasm arising from the neuroarterial structure known as the glomus body, which is a specialized arteriovenous shunt involved in temperature regulation. They account for less than 2% of soft tissue tumors and between 1% and 4.5% of tumors in the hand.. Despite their first descriptions appearing almost 100 years ago, late and missed diagnoses are common, leading to significant suffering. The classic diagnostic triad includes spontaneous pain, a sensation of pressure and tenderness, and cold hypersensitivity. Magnetic resonance imaging remains the most useful imaging modality. The abolition of pain after inflating a blood pressure cuff above the systolic blood pressure level (ischemia test) is highly diagnostic.Therefore, we suggest the routine use of this simple test in cases of upper limb pain of unclear etiology . Surgical excision is the treatment of choice and is curative.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998731","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 : 2024-04-01DOI: 10.1016/j.redare.2022.12.002
P.A. Vélez , V. Lara-Erazo , A.F. Caballero-Lozada , A. Botero , G. Lozada , A.F. Velásquez , L.M. Villegas , A. Zorrilla-Vaca
Succinylcholine is the gold standard neuromuscular blocker for rapid sequence induction; however, its use is associated with fasciculation and myalgia. We performed a systematic review and meta-analysis of randomized controlled clinical trials comparing gabapentinoids versus placebo for the prevention of fasciculations and succinylcholine-induced myalgias. Six randomized clinical studies were included with a total of 481 patients - 241 in the intervention group and 240 in the placebo group. Gabapentinoids reduced the incidence of succinylcholine-induced myalgia (RR = 0.69, 95% CI 0.56−0.84, P < .001), which remained statistically significant for pregabalin (RR = 0.71, 95% CI 0.54−0.93, P = .013) and gabapentin (RR = 0.61, 95% CI 0.45−0.82, P = .001) separately. There was no difference in fasciculations between the groups (RR = 0.92, 95% CI 0.82–1.03, P = .148). Preoperative use of gabapentinoids is associated with lower incidence of succinylcholine-induced myalgias within the first 24 h of surgery.
琥珀胆碱是用于快速序列诱导的金标准神经肌肉阻滞剂,但其使用与筋膜炎和肌痛有关。我们对随机对照临床试验进行了系统回顾和荟萃分析,比较了加巴喷丁类药物和安慰剂在预防筋束收缩和琥珀胆碱诱发肌痛方面的效果。六项随机临床研究共纳入了 481 名患者,其中干预组 241 人,安慰剂组 240 人。加巴喷丁类药物降低了琥珀酰胆碱引起的肌痛的发生率(RR = 0.69,95% CI 0.56-0.84,P = 0.001),普瑞巴林(RR = 0.71,95% CI 0.54-0.93,P = 0.013)和加巴喷丁(RR = 0.61,95% CI 0.45-0.82,P = 0.001)分别降低了肌痛的发生率。两组间的筋膜炎没有差异(RR = 0.92,95% CI 0.82-1.03,P = .148)。术前使用加巴喷丁类药物可降低术后 24 小时内琥珀胆碱诱发肌痛的发生率。
{"title":"Preoperative pregabalin prevents succinylcholine-induced fasciculation and myalgia: A meta-analysis of randomized trials","authors":"P.A. Vélez , V. Lara-Erazo , A.F. Caballero-Lozada , A. Botero , G. Lozada , A.F. Velásquez , L.M. Villegas , A. Zorrilla-Vaca","doi":"10.1016/j.redare.2022.12.002","DOIUrl":"10.1016/j.redare.2022.12.002","url":null,"abstract":"<div><p><span><span>Succinylcholine is the gold standard </span>neuromuscular blocker<span><span><span><span> for rapid sequence induction; however, its use is associated with </span>fasciculation<span> and myalgia. We performed a </span></span>systematic review<span> and meta-analysis of randomized controlled clinical trials comparing </span></span>gabapentinoids versus placebo for the prevention of fasciculations and succinylcholine-induced myalgias. Six randomized clinical studies were included with a total of 481 patients - 241 in the intervention group and 240 in the placebo group. Gabapentinoids reduced the incidence of succinylcholine-induced myalgia (RR</span></span> <!-->=<!--> <!-->0.69, 95% CI 0.56−0.84, <em>P</em> <!--><<!--> <span>.001), which remained statistically significant for pregabalin (RR</span> <!-->=<!--> <!-->0.71, 95% CI 0.54−0.93, <em>P</em> <!-->=<!--> <span>.013) and gabapentin (RR</span> <!-->=<!--> <!-->0.61, 95% CI 0.45−0.82, <em>P</em> <!-->=<!--> <!-->.001) separately. There was no difference in fasciculations between the groups (RR<!--> <!-->=<!--> <!-->0.92, 95% CI 0.82–1.03, <em>P</em> <!-->=<!--> <!-->.148). Preoperative use of gabapentinoids is associated with lower incidence of succinylcholine-induced myalgias within the first 24<!--> <!-->h of surgery.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10177175","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 : 2024-03-02DOI: 10.1016/j.redare.2024.03.004
R Eizaga Rebollar, A Alonso Ojembarrena
{"title":"Filar cyst on lumbar sonography prior to neonatal spinal anaesthesia.","authors":"R Eizaga Rebollar, A Alonso Ojembarrena","doi":"10.1016/j.redare.2024.03.004","DOIUrl":"10.1016/j.redare.2024.03.004","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029947","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 : 2024-03-01DOI: 10.1016/j.redare.2024.03.003
L. Segovia García de Marina , P. Torrella Llauger , M. Sosa Garay , I. Talavera Blanco
{"title":"Massive hemothorax diagnosed by ultrasound in patient on ECMO","authors":"L. Segovia García de Marina , P. Torrella Llauger , M. Sosa Garay , I. Talavera Blanco","doi":"10.1016/j.redare.2024.03.003","DOIUrl":"10.1016/j.redare.2024.03.003","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029948","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 : 2024-03-01DOI: 10.1016/j.redare.2024.03.002
E. Sandín-López, A. Fernández-López, B. Fernández-Torres
{"title":"Usefulness of the spectral density matrix in the dosing of halogenated hypnotics","authors":"E. Sandín-López, A. Fernández-López, B. Fernández-Torres","doi":"10.1016/j.redare.2024.03.002","DOIUrl":"10.1016/j.redare.2024.03.002","url":null,"abstract":"","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029950","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 : 2024-03-01DOI: 10.1016/j.redare.2024.03.006
R. Mato-Búa, A. Prado-Rodríguez, D. López-López, P. Rama-Maceiras, N. Molins-Gauna, F. Álvarez-Refojo
Introduction
Pulmonary atelectasis is common in patients undergoing laparoscopic abdominal surgery under general anaesthesia, which increases the risk of perioperative respiratory complications. Alveolar recruitment manoeuvres (ARM) are used to open up the lung parenchyma with atelectasis, although the duration of their benefit has not been clearly established. The aim of this study was to determine the effectiveness of an ARM in laparoscopic colon surgery, the duration of response over time, and its haemodynamic impact.
Methods
Twenty-five patients undergoing laparoscopic colon surgery were included. After anaesthetic induction and initiation of surgery with pneumoperitoneum, an ARM was performed, and then optimal PEEP determined. Respiratory mechanics and gas exchange variables, and haemodynamic parameters, were analysed before the manoeuvre and periodically over the following 90 min.
Results
Three patients were excluded for surgical reasons. The alveolar arterial oxygen gradient went from 94.3 (62.3−117.8) mmHg before to 60.7 (29.6−91.0) mmHg after the manoeuvre (P < .05). This difference was maintained during the 90 min of the study. Dynamic compliance of the respiratory system went from 31.3 ml/cmH2O (26.1–39.2) before the manoeuvre to 46.1 ml/cmH2O (37.5−53.5) after the manoeuvre (P < .05). This difference was maintained for 60 min. No significant changes were identified in any of the haemodynamic variables studied.
Conclusion
In patients undergoing laparoscopic colon surgery, performing an intraoperative ARM improves the mechanics of the respiratory system and oxygenation, without associated haemodynamic compromise. The benefit of these manoeuvres lasts for at least one hour.
{"title":"Intraoperative effects of an alveolar recruitment manoeuvre in patients undergoing laparoscopic colon surgery","authors":"R. Mato-Búa, A. Prado-Rodríguez, D. López-López, P. Rama-Maceiras, N. Molins-Gauna, F. Álvarez-Refojo","doi":"10.1016/j.redare.2024.03.006","DOIUrl":"10.1016/j.redare.2024.03.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Pulmonary atelectasis is common in patients undergoing laparoscopic abdominal surgery under general anaesthesia, which increases the risk of perioperative respiratory complications. Alveolar recruitment manoeuvres (ARM) are used to open up the lung parenchyma with atelectasis, although the duration of their benefit has not been clearly established. The aim of this study was to determine the effectiveness of an ARM in laparoscopic colon surgery, the duration of response over time, and its haemodynamic impact.</p></div><div><h3>Methods</h3><p>Twenty-five patients undergoing laparoscopic colon surgery were included. After anaesthetic induction and initiation of surgery with pneumoperitoneum, an ARM was performed, and then optimal PEEP determined. Respiratory mechanics and gas exchange variables, and haemodynamic parameters, were analysed before the manoeuvre and periodically over the following 90 min.</p></div><div><h3>Results</h3><p>Three patients were excluded for surgical reasons. The alveolar arterial oxygen gradient went from 94.3 (62.3−117.8) mmHg before to 60.7 (29.6−91.0) mmHg after the manoeuvre (P < .05). This difference was maintained during the 90 min of the study. Dynamic compliance of the respiratory system went from 31.3 ml/cmH<sub>2</sub>O (26.1–39.2) before the manoeuvre to 46.1 ml/cmH<sub>2</sub>O (37.5−53.5) after the manoeuvre (P < .05). This difference was maintained for 60 min. No significant changes were identified in any of the haemodynamic variables studied.</p></div><div><h3>Conclusion</h3><p>In patients undergoing laparoscopic colon surgery, performing an intraoperative ARM improves the mechanics of the respiratory system and oxygenation, without associated haemodynamic compromise. The benefit of these manoeuvres lasts for at least one hour.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061665","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 : 2024-03-01DOI: 10.1016/j.redare.2024.03.005
P. Martín-Serrano , E. Alday-Muñoz , A. Planas-Roca , E. Martín-Pérez
Background and objectives
The harmful effects of excess fluids frequently manifest in the lungs. Thoracic fluid content (TFC) is a variable provided by the STARLINGTM bioreactance monitor, which represents the total volume of fluid in the chest. The objective is to analyse the association between the variation in TFC values (TFCd0%) at 24 h postoperatively, postoperative fluid balance, and postoperative pulmonary complications.
Material and methods
Prospective and analytical observational study. Patients scheduled for major abdominal surgery at a tertiary teaching hospital were included. They were monitored during the intervention and the first 24 postoperative hours with the monitor. STARLINGTM, measuring TFC and its variation in different stages of the perioperative period. Serial lung ultrasounds were performed and postoperative pulmonary complications were recorded. Logistic regression was performed to predict the occurrence of atelectasis and pulmonary congestion. The Pearson correlation coefficient was calculated to verify the association between TFC and fluid balance.
Results
50 patients were analyzed. TFCd0% measured on the morning of the first postoperative day increased by a median of 27.1% [IQR: 20.3–37.5] and was correlated at r = 0.44 with the postoperative balance of 677 ml [IQR: 125.5−1,412]. Increased TFC was related to a higher risk of atelectasis (OR = 1.24) and pulmonary congestion (OR = 1.3).
Conclusions
TFCd0% measured 24 h after surgery presents a moderate correlation with postoperative fluid balance. Its increase is a risk factor for the appearance of postoperative pulmonary complications.
{"title":"Use of thoracic fluid content for prediction of fluid balance and postoperative pulmonary complications after major abdominal surgery: an observational study","authors":"P. Martín-Serrano , E. Alday-Muñoz , A. Planas-Roca , E. Martín-Pérez","doi":"10.1016/j.redare.2024.03.005","DOIUrl":"10.1016/j.redare.2024.03.005","url":null,"abstract":"<div><h3>Background and objectives</h3><p>The harmful effects of excess fluids frequently manifest in the lungs. Thoracic fluid content (TFC) is a variable provided by the STARLINGTM bioreactance monitor, which represents the total volume of fluid in the chest. The objective is to analyse the association between the variation in TFC values (TFCd0%) at 24 h postoperatively, postoperative fluid balance, and postoperative pulmonary complications.</p></div><div><h3>Material and methods</h3><p>Prospective and analytical observational study. Patients scheduled for major abdominal surgery at a tertiary teaching hospital were included. They were monitored during the intervention and the first 24 postoperative hours with the monitor. STARLINGTM, measuring TFC and its variation in different stages of the perioperative period. Serial lung ultrasounds were performed and postoperative pulmonary complications were recorded. Logistic regression was performed to predict the occurrence of atelectasis and pulmonary congestion. The Pearson correlation coefficient was calculated to verify the association between TFC and fluid balance.</p></div><div><h3>Results</h3><p>50 patients were analyzed. TFCd0% measured on the morning of the first postoperative day increased by a median of 27.1% [IQR: 20.3–37.5] and was correlated at r = 0.44 with the postoperative balance of 677 ml [IQR: 125.5−1,412]. Increased TFC was related to a higher risk of atelectasis (OR = 1.24) and pulmonary congestion (OR = 1.3).</p></div><div><h3>Conclusions</h3><p>TFCd0% measured 24 h after surgery presents a moderate correlation with postoperative fluid balance. Its increase is a risk factor for the appearance of postoperative pulmonary complications.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061666","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 : 2024-03-01DOI: 10.1016/j.redare.2023.12.001
D. Perez-Ajami , P. Carmona García , I. Zarragoikoetxea Jauregui , G. Sales Badía , P. Argente Navarro
A 61-year-old man with no predisposition to thrombosis underwent sequential double lung transplantation without extracorporeal membrane oxygenation (ECMO) support due to terminal stage COPD. After implantation and reperfusion of both lungs, a complete transoesophageal echocardiography study was performed to check the pulmonary venous anastomosis. The study showed a large, heterogeneous, dense, hyperechoic free-floating mass in the left atrium compatible with a clot in transit from the pulmonary circulation. The surgical team were notified of this finding so that they could reopen the anastomosis and remove the clot to prevent a major complication. There were no clinical manifestations when the patient was awakened.
{"title":"Left side clot in transit in double-lung transplantation diagnosticated by transesophageal echocardiography: what’s next?","authors":"D. Perez-Ajami , P. Carmona García , I. Zarragoikoetxea Jauregui , G. Sales Badía , P. Argente Navarro","doi":"10.1016/j.redare.2023.12.001","DOIUrl":"10.1016/j.redare.2023.12.001","url":null,"abstract":"<div><p>A 61-year-old man with no predisposition to thrombosis underwent sequential double lung transplantation without extracorporeal membrane oxygenation (ECMO) support due to terminal stage COPD. After implantation and reperfusion of both lungs, a complete transoesophageal echocardiography study was performed to check the pulmonary venous anastomosis. The study showed a large, heterogeneous, dense, hyperechoic free-floating mass in the left atrium compatible with a clot in transit from the pulmonary circulation. The surgical team were notified of this finding so that they could reopen the anastomosis and remove the clot to prevent a major complication. There were no clinical manifestations when the patient was awakened.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138619083","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 : 2024-03-01DOI: 10.1016/j.redare.2023.04.001
F.M. Colás Borrás , C. Subirá Alsina , E. Tria Galera , M.C. de la Torre Terrón , I. Martínez De Lagrán Zurbano
Hysteroscopy is an exploratory endoscopic technique that studies the interior of the uterine cavity and the endocervical canal. Various fluids, such as physiological saline, are used to optimise visualisation of the internal structures during this procedure. A rare complication of hysteroscopy is fluid overload, which can be associated with intravascular absorption syndrome, usually after lengthy procedures or tissue dissection. There are no data on the incidence and prevalence of this syndrome, and few cases involving physiological saline solution have been reported. We present a case of hysteroscopic myomectomy complicated by vascular absorption syndrome, which gave rise to acute pulmonary oedema that required admission to the intensive care unit.
{"title":"Acute pulmonary oedema secondary to intravascular absorption syndrome during hysteroscopy: A case report","authors":"F.M. Colás Borrás , C. Subirá Alsina , E. Tria Galera , M.C. de la Torre Terrón , I. Martínez De Lagrán Zurbano","doi":"10.1016/j.redare.2023.04.001","DOIUrl":"10.1016/j.redare.2023.04.001","url":null,"abstract":"<div><p><span><span>Hysteroscopy is an exploratory endoscopic technique that studies the interior of the uterine cavity and the endocervical canal. Various fluids, such as physiological saline, are used to optimise visualisation of the internal structures during this procedure. A rare complication of hysteroscopy is </span>fluid overload<span>, which can be associated with intravascular absorption syndrome, usually after lengthy procedures or tissue dissection. There are no data on the incidence and prevalence of this syndrome, and few cases involving physiological saline solution have been reported. We present a case of hysteroscopic myomectomy complicated by vascular absorption syndrome, which gave rise to acute pulmonary oedema that required admission to the </span></span>intensive care unit.</p></div>","PeriodicalId":94196,"journal":{"name":"Revista espanola de anestesiologia y reanimacion","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10587621","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}