Minerva anestesiologica
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Minerva anestesiologica · May 2010
Randomized Controlled TrialEpidural volume expansion: is there a ceiling effect?
The optimal volume of epidural saline administration on spinal anesthesia is not clear. The aim of this study was therefore to evaluate the block characteristics of 5, 10, 15, and 20 mL epidural saline after spinal anesthesia. ⋯ The present results indicate that a ceiling effect was observed on the duration of spinal analgesia using plain bupivacaine with epidural saline loading (maximum--15 mL).
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Minerva anestesiologica · May 2010
Randomized Controlled TrialEpidural analgesia with ropivacaine and sufentanil is associated with transient fetal heart rate changes.
Fetal heart rate (FHR) changes have been reported after regional labor analgesia. In this prospective single-blinded study, we aimed to assess whether epidural analgesia with ropivacaine and sufentanil is associated with significant changes in fetal heart rate. ⋯ Epidural analgesia with ropivacaine and sufentanil is associated with fetal heart rate changes. These modifications are transient and should be considered when evaluating fetal heart rate monitoring during labor to prevent inappropriate obstetric management decisions to proceed with operative labor.
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Minerva anestesiologica · May 2010
Case ReportsKidney instant monitoring (K.IN.G): a new analyzer to monitor kidney function.
The key role of the kidney in the regulation of body fluids and acid-base status is well known. Nonetheless, urine analysis has not received great attention in critically ill patients, likely due to the common practice of only analyzing 24-hour collected specimens. We hypothesized that the kidney may react more rapidly to minimal hemodynamic and acid-base status variations than can be assessed by a 24-hour analysis. Accordingly, we developed and tested a urine analyzer, allowing quasi-continuous urinary analysis. ⋯ The K.IN.G analyzer, allowing quasi-continuous monitoring of urinary pH and principal electrolyte levels, may represent a novel tool for clinical and research purposes.
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Minerva anestesiologica · May 2010
Letter Case ReportsInsertion of the i-gel airway in prone position.