Minerva anestesiologica
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Minerva anestesiologica · Mar 1997
Guideline[IRC (Italian Resuscitation Council). Recommendations for training in basic life support (BLS)].
This report, drawn up by the BLS Committee of the IRC, gives the guidelines for BLS training, according to the conclusions of the Consensus Conference (CPCR Methodology Consensus Meeting: BLS and training) held in Monte Conero, Sirolo (Ancona) on June 24th, 1994. American Heart Association and European Resuscitation Council guidelines, published in 1992, were considered for reference. This document aims to achieve two purposes: to promote standardization in teaching and performing BLS techniques and to outline the minimum features of an effective BLS program.
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Minerva anestesiologica · Mar 1997
Clinical Trial[Evaluation of cerebral perfusion during aortic clamping and cross-clamping in patients undergoing resection for abdominal aortic aneurysm. A study with transcranial doppler].
To evaluate the cerebral blood flow parameters assessed by transcranial Doppler during aortic cross-clamping and unclamping in patients undergoing abdominal aortic aneurysmectomy. ⋯ The Vm decrease at aortic unclamping might correlate with the acute changes in MAP (blood steal hypovolemia) and is likely due to an inadequate cerebral autoregulatory response to abrupt MAP changes. The arterial CO2 increase after aortic unclamping could lead to a dilation of cerebral arterioles and a rise of CBF (increase of Vm and decrease of PI). Transcranial Doppler is a simple and reliable technique for the monitoring of cerebral blood flow parameters and seems to be quite suitable for the recognition and the quantification of changes in these parameters induced by surgical manoeuvres able to produce hemodynamic instability.