[Comparative study of preemptive and postincisional lumbar epidural morphine in pulmonary resection. Preliminary report].

Objectives: To evaluate the efficacy and incidence of side effects of two types of lumbar epidural analgesia with morphine, preemptive or postincisional, combined with total intravenous anesthesia in chest surgery.

Patients And Methods: This double-blind prospective study enrolled 20 patients (ASA I-IV) undergoing lobectomy or pneumonectomy. Anesthetic induction and maintenance was provided with propofol, atracurium and alfentanil.

The effect of fibrin glue patch in an in vitro model of postdural puncture leakage.

Unlabelled: We studied the possibility of stopping a continuing transdural leakage with fibrin glue, a biologic adhesive, in an in vitro model. The model was made by sealing the bottom of a tube filled with saline to a height of 50 cm with a human lyophilized dural specimen. Dural punctures were performed with a 17-gauge Tuohy needle.

[Anesthesia with continuous + infusion of propofol for trans-sternal thymectomy in myasthenic patients].

Patients with myasthenia gravis respond unpredictably to muscle relaxants and more often suffer respiratory complications after surgery. We describe the use of total intravenous anesthesia with propofol and alfentanil without muscle relaxants is three myasthenic patients classified as Osserman I-IIB. Mean time since appearance of the disease was 1 year and all were undergoing transsternal thymectomy.

[Cardiocirculatory stability and early extubation in patients undergoing thoracic surgery with propofol as the single anesthetic agent].

Objective: To determine the efficiency of total intravenous anesthesia technique (TIVA) using propofol on maintaining cardio-circulatory stability and rapid recovery time in patients undergoing thoracotomy.

Design: Prospective study.

Setting: University General Hospital in Spain.