Minerva anestesiologica
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Minerva anestesiologica · Oct 1999
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial[Comparison of manual infusion of propofol and target-controlled infusion: effectiveness, safety and acceptability].
Diprifusor TCI is a newly developed target-controlled system for the infusion of propofol. Purpose of this study is to evaluate the acceptability, efficacy and safety of Diprifusor TCI in comparison with the manually controlled technique. ⋯ The TCI technique is effective and safe, and has a better acceptability than the manually controlled infusion technique.
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Minerva anestesiologica · Sep 1999
Case Reports Clinical Trial Controlled Clinical TrialHaemodynamic changes during anaesthesia in knee-elbow position.
To evaluate hemodynamic alterations during surgical procedures performed in the knee-elbow position. ⋯ In the patients enrolled, the perioperative administration of low-dose dobutamine was associated with better cardiovascular performance.
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Minerva anestesiologica · Sep 1999
Comparative Study Clinical Trial[The effect on breastfeeding rate of regional anesthesia technique for cesarean and vaginal childbirth].
To evaluate the influence of regional techniques of anesthesia and analgesia on breastfeeding rate after cesarean section and vaginal delivery. ⋯ Regional anesthesia seems to be advantageous for breastfeeding after cesarean section, probably because of a faster neonatal-maternal bonding if compared with general anesthesia. Epidural analgesia for vaginal delivery does not adversely affects breastfeeding if compared with delivery without analgesia.
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Sepsis is a condition at high risk for the patients to develop organ(s) or system dysfunction/failure and represent a very limiting process for survival. Researchers and clinicians proposed standardization of terminology for sepsis and related problems to improve communication and to evaluate the efficacy of preventive measures and therapeutic interventions. Interrelationship among systemic inflammatory response syndrome (SIRS), infection and sepsis are surrounded by non infectious satellite events such as trauma, burns, pancreatitis, haemorrhagic shock, immune-mediated organ injury and infectious cause such as fungemia, parasitemia, viremia. ⋯ Multiple sources of sepsis is a phenomenon clearly associated with poor prognosis and all the sepsis trials managed in the last decades have failed on reducing mortality rate in enrolled patients. Development of scoring system routinely used at bedside represent an important method to establish cost-effectiveness in this exiting area of study and clinical management. Controversial results on sepsis need a sort of consensus at different level from researchers to clinician experiencing new strategies for prevention and more appropriately therapeutic approach for the management of this syndrome.