Minerva anestesiologica
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Minerva anestesiologica · Sep 1998
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialMaintenance and recovery characteristics of sevoflurane anaesthesia in adult patients. A multicenter, randomized comparison with isoflurane.
The goal of the present multicenter, prospective, randomized clinical investigation was to compare the clinical efficacy and safety of sevoflurane and isoflurane during maintenance of and recovery from general anaesthesia in adult patients. ⋯ We conclude that sevoflurane, when compared to isoflurane, provides a similarly safe maintenance but allows for a more rapid emergence from general anaesthesia.
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Minerva anestesiologica · Sep 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Peridural anesthesia versus subarachnoid anesthesia in cesarean section. Prospective clinical study].
To compare technical and clinical differences between epidural and spinal anesthesia for cesarean section. ⋯ With the described pharmacological and technical approach, spinal anesthesia is more suitable than continuous epidural technique for cesarean section, unless contraindicated.
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Minerva anestesiologica · Jul 1998
Comparative Study Clinical Trial Controlled Clinical Trial[A comparison of ventilation techniques in ARDS. Volume controlled vs pressure regulated volume control].
Comparison between effects of a new method of mechanical ventilation (PRVC) and Volume Controlled ventilation in the ARDS treatment. ⋯ Although it is not possible to draw any conclusion on morbidity and mortality in patients treated with PRVC versus VC, for gas exchange and compliance improvement and for inspiratory pressure decrease with consequent reduction of barotrauma, it may be affirm that PCRV seems to be the best ventilation methods in the ARDS treatment.
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Minerva anestesiologica · Jul 1998
Comparative Study Clinical Trial[Monitoring cardiac output: esophageal doppler vs thermodilution].
Evaluation of continuous cardiac output monitoring based on the esophageal Doppler in the critically ill. ⋯ Continuous monitoring of cardiac output using esophageal Doppler has proven to be safe, accurate, and precise when compared with the standard intermittent bolus thermodilution technique. The continuous monitoring technique improves our armamentarium for more intensive monitoring of the critically ill patients.
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Minerva anestesiologica · Jul 1998
Randomized Controlled Trial Comparative Study Clinical TrialBlock distribution and cardiovascular effects of unilateral spinal anaesthesia by 0.5% hyperbaric bupivacaine. A clinical comparison with bilateral spinal block.
A low dose of hyperbaric local anaesthetic solution, pencil point needle and slow speed of intrathecal injection have been reported to obtain a unilateral distribution of spinal anaesthesia. This should also minimize cardiovascular effects of spinal block. The aim of this prospective, randomized, parallel group study was to evaluate cardiac performance during unilateral subarachnoid block and to compare it with that produced by standard bilateral spinal anaesthesia. ⋯ The use of 8 mg of 0.5% hyperbaric bupivacaine slowly injected through a directional needle provided a spinal block relatively restricted to the operative side with minimal effects on cardiovascular homeostasis.