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Biomedical subjects

A Escudero

Publications and source records attributed to A Escudero.

At least 109 records · Page 6Linked to original sources

[Sevoflurane in airway management using fibrobronchoscopy: apropos of 2 difficult orotracheal intubation cases].

We report two cases of difficult orotracheal intubation in which intubation with a fiberoptic bronchoscope was performed after induction with an inhalational anesthetic. Mild inhalational anesthesia with sevoflurane was started fairly rapidly, with no respiratory incidences. The tubes were then inserted through a fiberoptic bronchoscope, with no airway management problems.

Anesthetics, Inhalation↗

[Anesthesia in 2 cases of resection of a renal tumor involving the vena cava].

Renal tumors can be associated with a thrombus that affects the renal vein and even the inferior vena cava. Radical surgery may require a 2-phase approach involving different anesthetic techniques: an abdominal approach for removal of the kidney and a thoracic approach for extraction of the thrombus, with extracorporeal circulation and in some cases cessation of blood circulation. We present 2 cases in which nephrectomy and thrombectomy were carried out with the support of extracorporeal circulation. The thrombus was in the renal vein and the inferior vena cava, extending to the outlet to the right atrium in both cases. In 1 case a portion reached the bifurcation of the pulmonary artery. The operation was performed under hypothermia to reduce circulation and did not require aortic clamping, cardioplegia, or cessation of blood flow.

Adult↗

[Unilateral essential hematuria: diagnostic and therapeutic attitude in 2 cases].

Unilateral essential haematuria is an unusual clinical entity where diagnosis is achieved by exclusion of other urological and nephrological conditions. The paper reports two female patients with unilateral anaemic macroscopic haematuria which were evaluated using flexible ureteropyeloscopy, and one also underwent percutaneous pyeloscopy. In one of the patients a renal papilla haemangioma was found which was fulgurated, while the lesion was not identified in the other patient, although neither of them has shown haematuria recurrence during the follow-up period. The authors believe that uretororrenoscopy and percutaneous nephroscopy should be considered in selected patients with unilateral essential haematuria due to its diagnostic and therapeutic possibilities.

Adult↗

[Primary necrotizing cellulitis of the scrotum in a diabetic patient].

Necrosing infections of subcutaneous cell tissue are uncommon processes which constitute a diagnostic and therapeutic vital emergency. Generally secondary to anorectal or genitourinary processes, a small percentage of these infections have no apparent cause. This paper presents one case of primary necrosing cellulitis in a diabetic patient. Etiological and diagnostic aspects are discussed, outlining the need of an aggressive surgical attitude as the only valid therapeutic offer.

Aged↗