Minerva anestesiologica
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The safe conduct of anesthesia and intensive care for heart transplant recipient requires a sound understanding of the pathophysiology of advanced cardiac failure through knowledge of anesthetic and cardiovascular pharmacology and an appreciation of the altered physiologic and pharmacologic responses of acutely denervated and transplanted heart. The most serious dysfunction is acute distension and failure of the transplanted heart's right ventricle. Hemodynamic monitoring and TEE are useful in the management of inotropic support during heart transplantation.
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Minerva anestesiologica · Oct 1992
Randomized Controlled Trial Clinical Trial[Different anaesthetic technique: conduction and outcome from multidisciplinary procedures].
Different anesthetic techniques in perioperative times (intraoperative induction and maintenance of anaesthesia, recovery and 24 and 48 postoperative hours) were evaluated in 100 patients underwent general surgery. After randomization, 4 groups were clinically and statistically compared according to anesthesia technique (propofol + fentanyl in air/O2; isoflurane + fentanyl in air/O2; propofol + fentanyl in N2O/O2; isoflurane in N2O/O2). The results show that conduction of anesthesia without N2O is difficult; but the adequacy of induction and maintenance of anesthesia, the speed of recovery and the quality in the postoperative period show no difference in the anesthesia techniques used.