Minerva anestesiologica
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Minerva anestesiologica · Mar 1999
Clinical Trial[Early tracheal extubation ofter orthotopic liver transplantation].
To evaluate an early tracheal extubation feasibility in previously unselected orthotopic liver transplantation (OLT) patients. ⋯ To perform a safe early tracheal extubation in previously unselected OLT patients is feasible and it can be carried out in a wide number of them. The previously reported timing characterizing as "early" a tracheal extubation should be moved from 8 to 3 hours.
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Minerva anestesiologica · Mar 1999
Review[Subarachnoid hemorrhage and systemic arterial pressure. Physiopathology and perioperative management].
A correct assessment of arterial pressure state during subarachnoid haemorrhage (SAH) is one of most critical issue in neurologic intensive care and in neuroanesthesia. It is important to evaluate two different clinical conditions during SAH: before and after aneurysmal clipping or embolization. ⋯ In this review the Authors examine the pathophysiology of SAH and SAH complications as rebleeding, vasospasm and ischemia. According to international data, they propose pressure parameters appropriated for SAH according to timing of treatment so as to prevent and treat SAH complications.
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Minerva anestesiologica · Jan 1999
Randomized Controlled Trial Clinical TrialEffects of speed of intrathecal injection on unilateral spinal block by 1% hyperbaric bupivacaine. A randomized, double-blind study.
To evaluate if the speed of intrathecal injection affects the lateral distribution of spinal block during unilateral spinal anaesthesia with 1% hyperbaric bupivacaine. ⋯ Extremely reduced speeds of intrathecal injection did not improve the lateral distribution of spinal block when injecting 8 mg of 1% hyperbaric bupivacaine through a pencil-point directional spinal needle.
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Minerva anestesiologica · Jan 1999
Review[Preemptive analgesia or balanced periemptive analgesia?].
"Preemptive analgesia" means that analgesia given before the painful stimulus prevents or reduces subsequent pain. The concept of preemptive analgesia originates from basic science and experimental studies. However, in some clinical studies preemptive effect is not always present. ⋯ Postoperative pain can be reduced making a pharmacological treatment before surgery, for the whole time of painful stimulus. For this reason, the term "preemptive analgesia", like "analgesia given before surgery" is not adequate. The authors suggest that the concept of prevention of postoperative pain is well defined by the term of "balanced periemptive analgesia"; it is a new approach that use many modalities of analgesia in different times to prevent and control painful stimulus for the whole time of its origin: before and/or during operation and, if necessary, in the postoperative period for the residual pain.
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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.