Publications by authors named "Natalia De la Fuente"
Article Synopsis
- The study compared the effectiveness of 25-gauge vs. 27-gauge spinal needles for dural puncture epidural analgesia (DPEA) during labor, aiming to see if their onset times were similar.
- Out of 140 patients, 135 were analyzed, showing that the 25-gauge needles had a slightly faster onset time of 1.6 minutes but there were no significant differences in other outcomes such as sensory block or incidence of headaches.
- Despite the shorter onset time being statistically significant, it may not have practical implications for patient care, and further research is needed to explore different local anesthetic strategies.
Vascular access for haemodialysis is key in renal patients both due to its associated morbidity and mortality and due to its impact on quality of life. The process, from the creation and maintenance of vascular access to the treatment of its complications, represents a challenge when it comes to decision-making, due to the complexity of the existing disease and the diversity of the specialities involved. With a view to finding a common approach, the Spanish Multidisciplinary Group on Vascular Access (GEMAV), which includes experts from the five scientific societies involved (nephrology [S.
View Article and Find Full Text PDFBackground: Central venous catheterization (CVC) is a basic requirement for many medical specialties. Simulated training in CVC may allow the acquisition of this competency but few reports have established a valid methodology for learning and acquiring procedural skills for CVC. This study aims to validate the use of a tracking motion device, the imperial college surgical assessment device (ICSAD), by comparing it with validated global rating scales (GRS) to measure CVC performance in a simulated torso.
View Article and Find Full Text PDFPurpose: This study aims to characterize the influence of body weight and composition on the pharmacokinetics of dexmedetomidine.
Methods: Twenty obese patients and 20 non-obese patients scheduled for elective laparoscopic surgery were given dexmedetomidine infusion schemes. Venous blood samples were taken during and after dexmedetomidine administration.
Study Objective: The study objective was to establish the impact of acute hypertension on morphine's requirements after laparoscopic cholecystectomy.
Design: The design was a randomized, simple blinded study.
Setting: The settings were operating room, postoperative recovery area, and first postoperative day.
Background: Obesity is associated with important physiologic changes that can potentially affect the pharmacokinetic (PK) and pharmacodynamic (PD) profile of anesthetic drugs. We designed this study to assess the predictive performance of 5 currently available propofol PK models in morbidly obese patients and to characterize the Bispectral Index (BIS) response in this population.
Methods: Twenty obese patients (body mass index >35 kg/m), aged 20 to 60 years, scheduled for laparoscopic bariatric surgery, were studied.
Background: Ultrasound screening of abdominal aortic aneurysm (AAA) has proved to reduce mortality from AAA rupture and has been implemented in several countries. Recent reports show a decreasing prevalence of AAA in Western countries. We report the results from a screening program among 65-year-old men in a defined area in the North of Spain.
View Article and Find Full Text PDFBackground And Objectives: The pharmacokinetics for levobupivacaine in transversus abdominis plane (TAP) blocks has not been previously reported. We aimed to determine the extent of the block and the effect on plasma concentrations of levobupivacaine with the addition of epinephrine.
Methods: We enrolled 11 healthy volunteers in this double-blind, 2-intervention, 2-period crossover study.