Minerva anestesiologica
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Minerva anestesiologica · May 2007
Clinical TrialCentral venous catheter replacement in the ICU: new site versus guidewire exchange.
Catheter infection (central venous catheter, CVC-I) and catheter-related bacteremia (CRB) are of particular interest with ICU patients; more than 40-60% of them require a CVC. This prospective observational study was performed to determine if a second episode of catheterization and guidewire exchange was related to increased CRB and CVC-I rates in the ICU. ⋯ Prolonged indwelling time is a significant risk factor for catheter-related infections; the second episode of cannulation and guidewire exchange did not present significant risk factors for catheter-related infections. A strict stable protocol for catheter insertion, care and proper treatment are necessary to reduce both the catheter-related infection rate and cost.
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Minerva anestesiologica · May 2007
Effect of morbid obesity on kinetic of desflurane: wash-in wash-out curves and recovery times.
The aim of this paper was to compare wash-in and wash-out curves of desflurane in morbidly obese and nonobese patients. ⋯ Our results show that desflurane provides similar kinetic and recovery profiles in obese and nonobese patients.
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Minerva anestesiologica · Apr 2007
Randomized Controlled Trial Comparative StudyPrevention of pain on injection of propofol: a comparison of remifentanil with alfentanil in children.
Propofol has a high incidence of pain on injection, particularly when a vein on the back of hand is used. Administration of lidocaine, either before or mixed with propofol remains the most widely used method to attenuate this pain. The use of opioids such as alfentanil and fentanyl has been found to decrease pain induced by propofol injection. The purpose of this study was to evaluate the effects of different doses of remifentanil and alfentanil in minimizing the pain caused by propofol. ⋯ Pretreatment with intravenous remifentanil 0.5 microg kg(-1), alfentanil 15 microg kg(-1) and 20 microg kg(-1) were equally effective in reducing pain associated with propofol injection in children between the age group of 5-12 years.
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Minerva anestesiologica · Apr 2007
ReviewAnesthesia for non-obstetric surgery in the pregnant patient.
Surgery during pregnancy is relatively common. The present review of the literature will focus on relevant issues such as maternal safety during non-obstetric surgery in pregnancy, teratogenicity of anesthetic drugs, the avoidance of fetal asphyxia, the prevention of preterm labor, the safety of laparoscopy, the need to monitor the fetal heart rate and will finally give a practical approach to manage these patients.