Applying reflective multicriteria decision analysis to understand the value of therapeutic alternatives in the management of gestational and peripartum anaemia in Spain.

Background: The objective of the FeminFER project was to assess the value of ferric carboxymaltose following a multicriteria decision analysis in obstetrics and gynaecology in Spain.

Methods: Ferric carboxymaltose (FCM) and ferrous sulphate were evaluated using the EVIDEM framework. Ten stakeholders participated to collect different perspectives.

Neuropathic component of postoperative pain for predicting post-cesarean chronic pain at three months: a prospective observational study.

Background: Recent investigations have showed that cesarean section (CS) might be a cause of chronic pain, with a consequent decrease in quality of life.

Methods: Prospective observational study in a Spanish tertiary hospital. Main outcome measure was to assess early neuropathic characteristics of pain (DN2 score ≥3) one week after CS as a potential risk factor for post-cesarean section chronic pain (PCSCP) at three months.

Vancomycin added to the wash solution of the cell-saver. Effect on bacterial contamination.

Objectives: The aim of this study is to test whether the addition of a low-dose of antibiotic (vancomycin) to the wash solution (saline) of the cell-saver reduces the incidence of bacterial contamination of the autologous red blood cell (RBCs) concentrate recovered.

Material And Method: Experimental, randomized, double-blind, parallel group study performed on 20 consecutive patients scheduled for posterior spinal fusion surgery. Intraoperative bleeding was processed through a cell-saver: HaemoLite 2+, in which the RBCs were washed according to randomization group, with saline (control group) or saline+10μg/ml vancomycin (vanco group).

[Anemia in obstetrics and gynecological surgery].

Iron deficiency is more common in women due to uterine bleeding, which affects them throughout their fertile life. Additionally, iron needs increase physiologically during pregnancy and breastfeeding. Pregnant women therefore constitute one of the risk groups for iron deficiency.

Characteristics and quality of intra-operative cell salvage in paediatric scoliosis surgery.

Objective: To determine the haematological and microbiological characteristics of blood recovered by using a cell saver with a rigid centrifuge bowl (100ml) in paediatric scoliosis surgery and to determine whether it conforms to the standard expected in adult patients.

Material And Methods: A cross-sectional, descriptive cohort study was performed on 24 consecutive red blood cell (RBC) units recovered from the surgical field and processed by a Haemolite® 2+ (Haemonetics Corp., Braintree, MA, EE.

Implementation of a patient blood management program in pediatric scoliosis surgery.

Objectives: To determine whether the implementation of a blood conservation program, and the adoption and progressive association of different methods, reduces transfusion requirements in pediatric patients undergoing scoliosis surgery of different origins.

Material And Method: Quasi-experimental, nonrandomized, descriptive study, approved by the Ethics Committee for Research of our institution. 50 pediatric patients (ASA I-III) aged 5 to 18 years, undergoing scoliosis surgery of any etiology by a single posterior or double approach (anterior and posterior) were included.

Ventilation with facial mask in the prone position for radiotherapy procedures in children.

Objectives: Ventilation of patients undergoing procedures in the prone position represents a challenge for the anesthesiologist, especially when trying to avoid tracheal intubation. This study aimed to test the effectiveness and safety of a prototype designed for pediatric facial mask ventilation in the prone position.

Material And Methods: A prospective descriptive study was conducted on 105 sedations performed in 3 children scheduled for radiotherapy treatment of posterior fossa desmoplastic medulloblastoma (6 and 4 y.

[Analysis of the training and teaching situation of anaesthesiology and resuscitation tutors in Spain: a proposal for improvement].

Objectives: To determine the current situation of the tutors in our specialty as regards resident/tutor ratios, times they have available to develop their work, the training that they have received to perform their function, and whether this is recognised by official bodies, other than by their own hospital. Furthermore, to determine the teaching and research work taught to the residents through the sessions, as well as their participation in publications per year. To find out their opinion of the tutors as regards unifying training contents, whether or not they have objective tests on finishing their residency, and their willingness to take part in the project promoted by the Teaching Section of SEDAR to carry out a common minimum theoretical-practical programme throughout the whole of Spain.

[Continuous spinal anesthesia in obstetrics].

Despite the theoretical advantages of continuous anesthesia in obstetric patients (good-quality blockade at low doses, good hemodynamic stability, rapid onset of effect, and no risk of toxicity), little has been published on this technique and its use in pregnancy. Moreover, few descriptive studies or comparative trials have evaluated the efficacy and safety of continuous spinal anesthesia, probably because of concerns about potential adverse effects-principally neurologic complications and postdural puncture headache. We review the literature on the use of continuous spinal anesthesia in obstetric patients, analyzing the advantages and disadvantages, indications, and adverse effects of this technique.

[Perioperative respiratory complications in pediatric patients with mediastinal masses: a report of 2 cases].

General anesthesia in patients with mediastinal masses can lead to life-threatening cardiorespiratory complications. We report the cases of 2 pediatric patients with mediastinal masses who developed serious complications during general anesthesia. The first was a 13-year-old boy with a suspected diagnosis of high-grade T-cell non-Hodgkin lymphoma, lymph node disease, and an anterior mediastinal mass.

[Inferior vena cava thrombosis after corrective surgery for tricuspid atresia (Fontan technique) in a pediatric patient].

A 13-year-old boy weighing 35 Kg underwent surgery to correct pulmonary valve atresia by total caval-pulmonary anastomosis (Fontan procedure). During surgery and recovery, no adverse events were observed. On the third day after surgery, the patient developed signs of low cardiac output, renal failure, and right ventricular insufficiency.

[Acute myocardial infarction in childhood. Report of 2 cases].

We review two cases of agenesis of the left coronary trunk, a very rare congenital malformation. Both patients presented at our children's hospital with acute myocardial infarction, the mortality rate of which is high in infancy and childhood. The most common causes of myocardial infarction are anomalous origin of left coronary artery and Kawasaki disease.