Minerva anestesiologica
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Minerva anestesiologica · Oct 1999
Randomized Controlled Trial Comparative Study Clinical TrialEffects of diclofenac and intra-articular morphine/bupivacaine on postarthroscopic pain control.
This study was undertaken to compare analgesic effects and requirements for supplemental analgesic therapy after knee arthroscopy in patients given intraarticular morphine/bupivacaine, diclofenac i.m., or both compared with placebo. ⋯ The combination of diclofenac i.m. and intraarticular morphine/bupivacaine appears to be the most beneficial analgesic combination due to its lower VAS scores and supplemental analgesic requirements in the postoperative period.
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Minerva anestesiologica · Oct 1999
Case Reports[Sciatic, femoral and cutaneous nerve block for arthroscopic meniscectomy in a patient with Eisenmerger's syndrome. Case report].
The principal complication to prevent in Eisenmerger disease with left-right shunt during surgery decreasing of systemic pressure with reduction of pulmonary perfusion and break-down of central oxigenation. A 32 ys old male patient (ASA risk 3) to undergo an extirpation of meniscus by arthroscopic surgery, suffering from Eisenmerger's syndrome with left-type only ventricle, diagnosed when he was 3 ys old and but no repaired by any operation. We performed a sciatic, femoral and lateral cutaneous of thigh nerves block with ropivacaine, that consents a prolonged antalgic effect in postoperative period with minimizing of systemic and pulmonary hypotension risk compared to general, epidural or spinal anaesthesia. Basing on our experience and literature references we think that the anaesthesiological technique with the lowest risk for lower limb surgery in Eisenmerger's syndrome is truncular block.
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Minerva anestesiologica · Oct 1999
[Development of Italian research in anesthesiology and intensive care].
The development of the Italian research in Anaesthesia and Intensive Care medicine has been evaluated by comparing the total number of papers in this field and the number of the Italian papers in this field published in the years 1977, 1987, 1997. The results showed: a) an increase of the total number of papers published in the indexed journals dedicated to Anesthesia and Intensive Care with an increase higher than 50% per decade. In the same period the number of Italian papers increased from virtual representation (1 paper/year) to 19 papers per year in 1997. b) The papers dedicated to intensive care medicine showed a similar increase. In spite of this, the indexed scientific production of the Italian scientific community remains underexpressed.
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Minerva anestesiologica · Oct 1999
Comparative Study Clinical Trial[Epidural analgesia for painless delivery. Our experience].
We know that a stress condition causes hormonal responses (cortisol, prolactin, TSH, ACTH, catecholamines, beta-endorphines). This hormonal "storm" causes metabolic and haemodynamic changes that can get worse postoperative outcome as well as birth. Analgesia for labour is an anesthesiological procedure which spreading in Italy resulted very difficult, for instance, especially in southern Italy, "old popular believes" (such as paralysis risk after lumbar puncture, Post-Dural Puncture Headache (PDPH) and the confusion between epidural and subdural anesthesia). ⋯ APGAR-score in new-borns with epidural analgesia in higher than new-born without epidural analgesia; furthermore, patients who choose painless labour expressed a better judgement than women who refused epidural analgesia.
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Minerva anestesiologica · Oct 1999
Comparative Study Clinical Trial[Comparison of SAPS II, MPM II24 and SAPS in intensive care].
To compare the performance of the new SAPS II, new MPM2 and SAPS in a cohort of patients admitted to our polyvalent ICU. ⋯ SAPS II model gave good results in terms of calibration and discrimination. SAPS II has better accuracy then SAPS and MPM2. Concerning the performance of models, large differences were apparent in relevant subgroups: trauma and sepsis patients. Moreover the choice of adequate statistic method to compare intensive care populations appeared to need more research.