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dc.contributor.authorFernandez-Galinski, Diana
dc.contributor.authorRué i Monné, Montserrat
dc.contributor.authorMoral, Victoria
dc.contributor.authorCastells, Carmen
dc.contributor.authorPuig, Margarita M.
dc.date.accessioned2016-05-05T07:28:47Z
dc.date.issued1996
dc.identifier.issn0003-2999
dc.identifier.urihttp://hdl.handle.net/10459.1/56948
dc.description.abstractWe assessed the risks and benefits of the administration of fentanyl during spinal anesthesia in the elderly. Forty patients (70-83 yr) undergoing knee or hip replacement were studied. Preoperatively, cognitive function (minimental state examination [MMSE]), associated pathology, medications, and treatment were evaluated. Patients had spinal anesthesia with 12.5 mg bupivacaine plus saline (SS; n = 21) or 25 pg fentanyl (EN; rr = 19). The number of ailments and drugs per patient were 2.5 and 2.3, respectively; 35%-&l% of disorders were untreated, 16%-26% were symptomatic, and 33% were adequately treated. Groups were comparable regarding demographic data and characteristics of the spinal block. Group FN had more pruritus (P < 0.02) and lower Sao, (P < 0.007), but prevalence of side effects was similar. Pain intensity (visual analog scale [VAS], facial expression test [FET]) at the time of analgesia request (TAR) was lower in Group FN (P < 0.01). A poor correlation between VAS and FET (range 0.42- 0.58) was obtained. MMSE at hospital discharge was no different from preoperative values. Our results show that 25 kg of spinal fentanyl do not modify spinal anesthesia in the elderly, but induces pruritus and 0, desaturation. The decrease in postoperative pain intensity and the preservation of cognitive function would justify the use of spinal fentanyl in the elderly.ca_ES
dc.language.isoengca_ES
dc.publisherLippincott, Williams & Wilkinsca_ES
dc.relation.isformatofReproducció del document publicat a http://journals.lww.com/anesthesia-analgesia/pages/articleviewer.aspx?year=1996&issue=09000&article=00017&type=abstractca_ES
dc.relation.ispartofAnesthesia and Analgesia, 1996, vol. 83, núm. 3, p. 537-541ca_ES
dc.rights(c) International Anesthesia Research Society, 1996ca_ES
dc.titleSpinal Anesthesia with Bupivacaine and Fentanyl in Geriatric Patientsca_ES
dc.typearticleca_ES
dc.identifier.idgrec010474
dc.type.versionpublishedVersionca_ES
dc.rights.accessRightsinfo:eu-repo/semantics/restrictedAccessca_ES
dc.date.embargoEndDate10000-01-01


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