Minerva anestesiologica
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Minerva anestesiologica · Jun 2004
Randomized Controlled Trial Clinical TrialEpidural analgesia in abdominal surgery: 0.2% ropivacaine with sufentanil.
Combining an opioid with peridural local analgesia is an excellent technique to control post-operative pain. Sufentanil is a widely used opioid agent, but its optimal dosage has not yet been defined. In this study we wanted to determine the best dose of epidural sufentanil in major surgery. ⋯ Epidural analgesia is an efficacious and reliable technique. The combination of 0.2% ropivacaine and 0.75 microg/ml(-1) sufentanil was found to be the optimum choice between analgesic efficacy and minor side effects, which correlated with the higher dose of sufentanil given to group C.
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Minerva anestesiologica · Jun 2004
Multicenter Study Comparative StudyA multicenter survey on anaesthesia practice in Italy.
To achieve more information on anaesthesia practice in Italy. ⋯ Some organizational problems still remain to be implemented, including the development of proper preoperative evaluation clinics and postanaesthesia care units, especially in bigger hospitals with more than 1 000 beds.
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Minerva anestesiologica · Jun 2004
Randomized Controlled Trial Comparative Study Clinical TrialTotal intravenous anesthesia, spinal anesthesia or combined sciatic-femoral nerve block for outpatient knee arthroscopy.
The aim of this study was to compare efficacy, efficiency and surgeon's satisfaction of total intravenous anesthesia with propofol and remifentanil with those of spinal or peripheral nerve blocks for outpatient knee arthroscopy. ⋯ Regional anesthesia techniques reduce the rate of admission and the duration of stay in the postanesthesia care unit as compared with general anesthesia. Peripheral rather than spinal nerve blocks should be preferred to minimise the risk for urinary retention.