Minerva anestesiologica
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Minerva anestesiologica · Nov 2000
Clinical Trial[Anesthesia with sevoflurane and orotracheal intubation for pediatric ophthalmic surgery of medium length in day hospital] .
The aim of this study was to evaluate the discharge rate of children undergoing ophthalmic surgery of medium length (69-120') in a day-hospital regime under general anesthesia with orotracheal intubation and using Sevoflurane as the only anesthetic agent. ⋯ General anesthesia with Sevoflurane and Atracurium was found to be a realistic and reliable technique in pediatric ophthalmic surgery of medium length performed in day hospital.
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Despite a wide range of therapeutic choice in the treatment of angina pectoris, there is a small but increasing population of patients that doesn't benefit of conventional therapy and whose life is invalidated by frequent attack of anginal pain. For this population, nonresponders to drug therapy not suitable for revascularization (coronary bypass surgery, angioplasty), neurostimulation of dorsal column has been described as an effective and safe therapy. The mechanism of action is not completely known, but is safety is sufficiently established. It may become a useful choice in the treatment of patients with intractable angina.
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Minerva anestesiologica · Nov 2000
Review[Antithrombin III concentrates in the treatmetn of sepsis and septic shock: indictions, limits and future prospects] .
Sepsis and septic shock are the most frequent cause of mortality in non cardiologic intensive care units. Mortality of the severe form is still elevated in spite of the progress in the antibiotic therapy and in the hemodynamic and respiratory support. The most frequent cause of death is the Multi Organ Dysfunction Syndrome (MODS). ⋯ Time, dosage and duration of treatment are still open to question. In perspective AT may be used in other clinical conditions associated with activation of the hemostatic system (cardiac surgery, stem cell transplantation, burns) even though the preliminary results must be confirmed by prospective studies. All these data suggest severe sepsis and septic shock as main criteria for treatment.
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Minerva anestesiologica · Nov 2000
Randomized Controlled Trial Comparative Study Clinical Trial[The effects of remifentanil on hemodynamic response to intubation. A comparative study with fentanyl] .
The aim of this study was to evaluate the effects of remifentanil in comparison with those of fentanyl on the hemodynamic response to orotracheal intubation. ⋯ In conclusion remifentanil was found to properly control the hemodynamic response to intubation in comparison with fentanyl.
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Minerva anestesiologica · Nov 2000
Case ReportsTotal intravenous anaesthesia without muscle relaxants in a child with diagnosed Duchenne muscular dystrophy.
The case of a 3 year old child, affected by Duchenne muscular dystrophy, who underwent adenoidectomy and bilateral myringotomy, is reported. Total intravenous anaesthesia (propofol 1% infusion (160 micrograms kg-1min-1) and remifentanil (0.55 microgram kg-1min-1) without any muscle relaxants was used. The postoperative period was uneventful.