Minerva anestesiologica
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Minerva anestesiologica · Dec 1998
[Catheterization of the subclavian vein through the cannulation of the external jugular vein. Our experience].
The cannulation technique of the subclavian vein by the external jugular vein is described. ⋯ This technique finds applications in all situations of extreme emergency, in which on the one hand it needs a central blood vessel, on the other there are hemorrhagic problems or there isn't any possibility to do a coagulative screening in short time.
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Minerva anestesiologica · Dec 1998
Case Reports[Continuous cervical epidural with ropivacaine in carotid surgery. Description of a case].
In the light of the recent addition of ropivacaine as a local anesthetic to our pharmacopeia, its effects at the cervical level are examined. A patient undergoing TEAC was given continuous epidural anesthesia with ropivacaine 0.5% (total dose: 167.5 mg in three hours) at C6-C7. No supplementary i.v. anesthetic was administered intraoperatively. ⋯ From this comparison, ropivacaine 0.5% was found to have greater anesthetic potential than bupivacaine 0.375%. However, it did not appear that ropivacaine exerted a protective effect on cardiovascular conditions in the course of carotid surgery. Further anesthesiologic experiences are needed to define the validity of ropivacaine in cervical surgery.