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Biomedical subjects

X Sala

Publications and source records attributed to X Sala.

28 records · Page 2Linked to original sources
PubMedDate not supplied

[External laryngeal injuries. Study of 12 cases].

Laryngeal trauma can cause severe, life-threatening damage in the upper respiratory tract. Management of trauma presents difficulties with respect to airway control and the procedural decisions are challenging. We studied 12 patients treated at our hospital after laryngeal trauma of various degrees of severity. Respiratory failure detected in some cases was critical from the moment of trauma, whereas other patients were asymptomatic at first but experienced progressive respiratory failure over the next few hours. We looked at the method applied to gain initial control of the upper airway and also considered the laryngeal lesions themselves, associated lesions and established treatment. We then looked for relationships between these and evolution and laryngeal sequelae 6 months after trauma. In agreement with other studies we found that the severity of sequelae depends on the severity of the lesion incurred and on how early treatment is established. The choice of whether to use orotracheal intubation or tracheotomy to control the upper airway was less important, as that decision would depend largely on severity of the lesion, although orotracheal intubation is recommended whenever possible.

Acute Disease↗
PubMedDate not supplied

[Comparative study between anesthesia by continuous perfusion with propofol or thiopental-isoflurane in laryngeal surgery].

OBJECTIVE: To compare two anesthetic protocols for maintenance of anesthesia during laryngectomy (propofol vs thiopental-isoflurane), assessing its effects on intraoperative hemodynamic stability and recovery time after withdrawal of anesthesia. PATIENTS AND METHOD: Thirty-one patients undergoing laryngectomy. Anesthetic technique was the same except for the maintenance anesthetic used (isoflurane in group I [n = 16]; propofol in group P [n = 15]). We recorded heart rate and systolic/diastolic arterial pressure before surgery, 10 minutes after induction, at 10, 60 and 120 min after start of surgery and at the end of the procedure. Postanesthesia recovery time was measured by the Steward test (recovery of consciousness, control of voluntary movement and of breathing) applied at 3, 5, 10, 30 and 60 min after withdrawal of anesthesia. RESULTS: There were no demographic differences between the two groups and heart rate and systolic/diastolic pressures were comparable. Postanesthetic recovery time was shorter in group P than in group I, with a statistically significant difference 5 min after withdrawal of drug (p < 0.05) owing to the item recovery of consciousness in the Steward test (p < 0.05 at times 5 and 10 min for this item). There were no significant differences in control of breathing or movement. CONCLUSIONS: Propofol for anesthetic maintenance is effective and safe. There are no differences in hemodynamic changes produced by propofol and isoflurane. Time until recovery of consciousness is longer with isoflurane, although we believe that this is not clinically relevant in this type of procedure.

Aged↗
PubMedDate not supplied

[Cardiac arrest in newborn of mother treated with labetalol].

The use of beta-adrenergic antagonists for the control of high blood pressure associated to pregnancy is frequent. Their use is related with the appearance of undesirable effects of the fetus. The case of neonatal cardiac arrest attributed, to the administration of labetalol to the mother is presented. The high transplacentary passage, the different pharmacokinetics of the drug in the newborn and the clinical evolution of the patient suggests its involvement. It is concluded that labetalol may cause severe undesirable effects in newborns and fetal heart rate of the mother and neonate should be monitored upon use of this drug.

Adult↗
PubMedDate not supplied

[Peridural anesthesia for subcostal cholecystectomy in patients with dilated cardiomyopathy. Apropos of 2 cases].

Two patients with dilated cardiomyopathy (DCM) were considered to be at high risk for anesthesia and surgery due to possible complications during and after surgery. The anesthetic technique used in such cases must be selected based on the type of surgery and the severity of heart disease. We describe the cases of 2 patients with histories of DCM, arising in a context of alcohol use in one case and of ischemia in the other. The patients were scheduled for uncomplicated cholecystectomy by subcostal approach under epidural anesthesia. The patients remained hemodynamically stable during surgery and there were no complications. They were released 26 and 13 days after surgery, respectively. We conclude that epidural anesthesia is a valid alternative to general anesthesia in DCM patients undergoing subcostal cholecystectomy.

Aged↗
PubMedDate not supplied

[Eosinophilic cystitis. Report of 4 cases].

OBJECTIVE: The etiopathogenesis, clinical features, diagnosis and treatment of eosinophilic cystitis are discussed. METHODS/RESULTS: 4 cases of eosinophilic cystitis are described. Patient follow-up ranged from 4 to 6.5 years. All patients are currently asymptomatic. Except for one patient who required hospitalization on several occasions due to hematuria secondary to cystitis, the remaining patients had an exceptional episode. CONCLUSIONS: Eosinophilic cystitis is an inflammatory condition whose etiopathogenesis remains to be elucidated. Its natural history is usually unpredictable and treatment is rarely effective. Eosinophilic cystitis has been associated with other allergic disorders and has been reported in patients with BPH and carcinoma of the bladder.

Aged↗