Minerva anestesiologica
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Minerva anestesiologica · Jun 2002
Randomized Controlled Trial Clinical TrialWash-in and wash-out curves of sevoflurane and isoflurane in morbidly obese patients.
The aim of this prospective, randomized study is to compare sevoflurane and isoflurane pharmacokinetics in morbidly obese patients. ⋯ The results of this prospective, randomized study confirmed that sevoflurane provides more rapid wash-in and wash-out curves than isoflurane also in the morbid obese patient.
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Minerva anestesiologica · Jun 2002
Randomized Controlled Trial Clinical Trial[Topical anesthesia for cataract surgery with phacoemulsification: lidocaine 2% vs ropivacaine 1%. Preliminary results].
The safety, tolerability and efficacy of ropivacaine 1% vs lidocaine 2% for phacoemulsification using topical anesthesia during cataract surgery, are compared. ⋯ Lidocaine 2% and ropivacaine 1% were safe and effective agents in patients having phacoemulsification with IOL implantation. However, ropivacaine provides more good operative conditions than lidocaine for the surgeon and comfortable surgical circumstances for the patient.
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Minerva anestesiologica · Jun 2002
Clinical TrialTransesophageal Doppler ultrasonography evaluation of hemodynamic changes during videolaparoscopic cholecystectomy.
The aim of this study was to assess the changes of hemodynamic and oxyphoretic parameters induced by pneumoperitoneum in a series of patients undergoing laparoscopic cholecystectomy, by using the transesophageal Doppler ultrasonography (TEDU). ⋯ Laparoscopic surgery is a mini-invasive technique of increasing success among both surgeons and patients. The widening of candidate patients raises the question of eligibility for individuals with known cardiopulmonary disease. In these patients, only a careful and thorough anesthesiologic monitoring allows the prompt identification and treatment of any relevant hemodynamic and/or ventilatory changes.
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Minerva anestesiologica · Jun 2002
Case Reports[Endotracheal tube and trachebronchial obstruction due to a large blood clot. Case report].
A case of endotracheal tube and tracheobronchial acute obstruction caused by a large blood clot reproducing in part the trachea and the right bronchial tree is reported. The event has been anticipated by recurring hemoptyses whose source remained unknown despite any examination. ⋯ On the other side, those techniques should be used in case of obstruction located under the endotracheal tube. Albeit obstruction of endotracheal tubes due to blood clots is a frequent complication in critical care setting, this case is reported for the peculiar dimension and morphology of the clot, underlying that a precise diagnosis of the obstruction level allows the use of the most suitable technique for its removal.