Roser García Guasch

Publications (4)6.5 Total impact

• Article: [Authors' reply.]

  Jaume Canet, Esther Vilà, Roser García Guasch
  Archivos de Bronconeumología 09/2009; 45(8):413-4. · 2.17 Impact Factor
• Article: [Anesthesia in thoracic surgery in Catalonia: results of a survey carried out in 2003].

  Esther Vilà, Roser García-Guasch, Sergi Sabaté, Montserrat Lucas, Jaume Canet
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  ABSTRACT: To determine the anesthetic, surgical, and postoperative characteristics of patients who underwent thoracic surgery in Catalonia, Spain, in 2003. A prospective, cross-sectional survey was carried out on 14 randomly chosen days in 2003. All hospitals performing thoracic surgery in Catalonia took part. Data were collected on patient characteristics, anesthetic techniques, procedures, analgesia, and postoperative care. Data on 171 anesthetic procedures in thoracic surgery were collected from 27 hospitals; these procedures represented 0.7% of the total anesthetic workload. Extrapolation from the collected data indicated that 4458 anesthetic procedures were performed in thoracic surgery in 2003 (95% confidence interval, 3624-4823 procedures). Of these procedures, 75.4% were performed in public hospitals and 24.6% in private hospitals. The median age of patients was 55 years (10th-90th percentiles, 22.4-73 years) and 63.9% were men. Surgical procedures were scheduled in 92.8% of the cases. The most common interventions were lung and bronchial surgery other than resection (36.8%), lung and/or bronchial resection (24.6%), and thoracoscopy and mediastinoscopy (20.5%). The median duration of pneumonectomies and lobectomies was 180 minutes (10th-90th percentiles, 90-221 minutes). General anesthesia was the most commonly used procedure (74.3%). Postoperative recovery took place in a conventional recovery room in 54.4% of cases, in a postanesthetic intensive care unit in 33.3% of cases, and in an intensive care unit in 12.3% of cases. This survey provided information on anesthesia in thoracic surgery, which represented 0.7% of all anesthesia procedures in an area with a population of 7 million.
  Archivos de Bronconeumología 12/2008; 44(11):586-90. · 2.17 Impact Factor
• Article: [Selective lobar blockade using an arndt endobronchial blocker in 2 patients with respiratory compromise who underwent lung resection].

  Clara Espí, Roser García-Guasch, Cristina Ibáñez, Esther Fernández, Julio Astudillo
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  ABSTRACT: Selective lobar blockade is an alternative to one-lung ventilation in thoracic surgery. We present 2 cases of lung resection with severe respiratory compromise. The first patient had previously undergone a left lower lobectomy and 2 atypical resections in the left and right upper lobes and was scheduled for a right lower lobectomy. The second patient presented chronic obstructive pulmonary disease with forced vital capacity of 1200 mL (26% of predicted value) and forced expiratory volume in 1 second of 820 mL (25% of predicted value) and was scheduled for an atypical resection of the left upper lobe with pleural abrasion. Selective lobar blockade was achieved in both cases using an Arndt endobronchial blocker. Ventilation during the operation was sufficient. Surgery was uneventful in both cases and lobar collapse was satisfactory.
  Archivos de Bronconeumología 07/2007; 43(6):346-8. · 2.17 Impact Factor
• Article: Anesthesia in Thoracic Surgery in Catalonia: Results of a Survey Carried Out in 2003

  Esther Vilà, Roser García-Guasch, Sergi Sabaté, Montserrat Lucas, Jaume Canet
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  ABSTRACT: ObjectiveTo determine the anesthetic, surgical, and postoperative characteristics of patients who underwent thoracic surgery in Catalonia, Spain, in 2003.Material and methodsA prospective, cross-sectional survey was carried out on 14 randomly chosen days in 2003. All hospitals performing thoracic surgery in Catalonia took part. Data were collected on patient characteristics, anesthetic techniques, procedures, analgesia, and postoperative care.ResultsData on 171 anesthetic procedures in thoracic surgery were collected from 27 hospitals; these procedures represented 0.7% of the total anesthetic workload. Extrapolation from the collected data indicated that 4458 anesthetic procedures were performed in thoracic surgery in 2003 (95% confidence interval, 3624-4823 procedures). Of these procedures, 75.4% were performed in public hospitals and 24.6% in private hospitals. The median age of patients was 55 years (10th-90th percentiles, 22.4-73 years) and 63.9% were men. Surgical procedures were scheduled in 92.8% of the cases. The most common interventions were lung and bronchial surgery other than resection (36.8%), lung and/or bronchial resection (24.6%), and thoracoscopy and mediastinoscopy (20.5%). The median duration of pneumonectomies and lobectomies was 180 minutes (10th-90th percentiles, 90-221 minutes). General anesthesia was the most commonly used procedure (74.3%). Postoperative recovery took place in a conventional recovery room in 54.4% of cases, in a postanesthetic intensive care unit in 33.3% of cases, and in an intensive care unit in 12.3% of cases.ConclusionsThis survey provided information on anesthesia in thoracic surgery, which represented 0.7% of all anesthesia procedures in an area with a population of 7 million.ObjetivoConocer las características anestésicas, quirúr-gicas y postoperatorias de los pacientes a los que se realizó cirugía torácica en Cataluña en 2003.Material y métodosSe ha llevado a cabo un estudio prospectivo y transversal en forma de encuesta realizada en 14 días aleatorios de 2003. Participaron todos los hospitales que efectuaban cirugía torácica en Cataluña. Se recabaron datos sobre las características de los pacientes, técnicas anestésicas, procedimiento, analgesia y control postoperatorio.ResultadosSe recogieron 171 procedimientos anestésicos en cirugía torácica en 27 centros, lo que representa el 0,7% de toda la actividad anestésica. Los datos permiten extrapolar que durante 2003 se realizaron 4.458 procedimientos anestésicos por cirugía torácica en Cataluña (intervalo de confianza del 95%, 3.624-4.823). El 75,4% se llevó a cabo en hospitales públicos y el 24,6% en centros privados. La mediana de edad de los pacientes fue de 55 años (percentiles 10-90: 22,4-73) y el 63,9% fueron varones. Los procedimientos quirúrgicos programados representaron el 92,8%. Las intervenciones más frecuentes fueron: cirugía de pulmón y bronquio distinta de la resección (36,8%), resección pulmonar y/o bronquial (24,6%), toracoscopia y mediastinoscopia (20,5%). La mediana de duración de las neumonectomías o lobectomías pulmonares fue de 180 min (percentiles 10-90: 90-291). La anestesia general fue el procedimiento anestésico más frecuente (74,3%). El postoperatorio se realizó en una sala de recuperación convencional en el 54,4% de los casos, en una unidad de reanimación en el 33,3% y en cuidados intensivos en el 12,3% restante.ConclusionesEl estudio permite conocer la actividad anestésica en cirugía torácica en un área poblacional de 7 millones de habitantes, que representa el 0,7% del total de la actividad anestésica.
  Archivos de Bronconeumología ((English Edition)).