Minerva anestesiologica
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Minerva anestesiologica · Dec 1999
Editorial Review Comparative StudyDo we need new supraglottic devices? Clinical appraisal of the cuffed oropharyngeal airway (COPA)
The laryngeal mask airway (LMA) has been widely studied for both conventional and nonconventional uses, while the literature on the cuffed oropharyngeal airway (COPA) is still limited. The purpose of this manuscript was to review the initial appraisal of efficacy, safety, effects on hemodynamics and respiratory function, induction agents and drug requirements of this new supraglottic device. ⋯ More extensive clinical evaluations should be advocated to better understand the risk/benefit ratio of this new supraglottic device; however, it may be concluded that in healthy adults receiving general anesthesia for short procedures the COPA allows for an effective and safe control of the patient's airway and ventilation.
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Minerva anestesiologica · Dec 1999
Clinical Trial[Target controlled infusion (TCI): applications of the "TCI visual" program in anesthesia and sedation with propofol].
Systems for Target Controlled Infusion accepting not only patient' data, like Diprifusor, but also a pharmacokinetic model have not been available in Italy in the last years. Therefore a program which controls a Pilot Anesthesia Vial pump and accepts any pharmacokinetic model was developed and applied to propofol infusion for anaesthesia and sedation. ⋯ The program was easily employed, caused no inconvenience, and its use was associated with a remarkable cardiovascular stability. PE distribution was acceptable on the ground of the criteria reported in the literature. The program can be applied to drugs other than propofol, with both two and three compartment pharmacokinetic models and the anaesthetist can choose the most suitable model for the patient.
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Minerva anestesiologica · Dec 1999
[The use of bronchial fibroscopy for difficult intubations in maxillofacial surgery].
Evaluation of difficulties and modalities of tracheal intubation in maxillofacial surgery. ⋯ Among the alternative methods of elective tracheal intubation, previously evaluated as difficult or impossible using conventional laryngoscopy, the use of fiberoptic bronchoscope seems to be safest and easiest to use, although not the cheapest.