Minerva anestesiologica
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Minerva anestesiologica · Oct 2002
Comparative StudyAnesthesia in Italy in 2000: sciences and working practice.
To survey current anaesthesiology practice in Italy. ⋯ Italian anaesthesia practice is still a very composite reality.
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Minerva anestesiologica · Oct 2002
Practice Guideline GuidelineSIAARTI recommendations for the treatment of postoperative pain.
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Minerva anestesiologica · Oct 2002
Case ReportsFibre-optic awake intubation for caesarean section in a parturient with predicted difficult airway.
Anaesthetic management of a parturient with predicted difficult airway presenting for caesarean section (CS) is not a straightforward decision: general anaesthesia should be avoided because intubation can be impossible and a "cannot intubate, cannot ventilate" scenario might ensue, on the other hand regional techniques can be unsuccessful or, though rarely, have complications that require emergency intubation. The case is presented of a primigravida admitted to hospital at 37 weeks' gestation with hypertension, intrauterine growth retardation and oligohydramnios. After a few days' observation, it was decided to proceed with an elective CS. ⋯ The pros and the cons of these techniques were explained to the patient and it was suggested that awake fibreoptic intubation was the safest option. The patient gave her consent, so an uneventful nasal awake fibreoptic intubation was carried out under local anaesthesia. This case report offers the opportunity to underline the risk to perform a central blockade in a parturient with predicted difficult intubation, arguing that the safest course of action is an awake fibrescopic intubation, besides some controversial points to safely perform awake fibreoptic intubation in obstetric patients are discussed.
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Minerva anestesiologica · Oct 2002
Case ReportsMonopharmacologic general anaesthesia with sevoflurane in paediatric patient with Prader-Willi syndrome.
Prader-Willi syndrome (PWS) is a genetic disease caused by a loss of paternal genes located in chromosome 15. Children affected by this syndrome often have preterm delivery; during childhood the hallmarks are: severe infantile hypotonia and feeding problems. Afterward, neurologic manifestations, endocrine signs and dysmetabolic abnormalities are usually seen together with craniofacial manifestations and musculoskeletal abnormalities. ⋯ S. is also characterized by thermoregulatory disorders. Sleep apnea occurs often. Considering all these problems, we planned a monopharmacologic anaesthesiologic procedure using sevoflurane.