Minerva anestesiologica
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Minerva anestesiologica · Mar 1998
Clinical Trial[Non-invasive evaluation of cardic output by analysis of peripheral pressure profile in patients recovering in intensive care].
The analysis of the arterial pulse contour obtained by means of a non-invasive device (Finapres) seems to be an ideal method to measure cardiac output (CO). An individual calibration factor (Z) dimensionally equal to aortic impedence is the necessary pre-requisite to calculate CO by pulse contour analysis. To verify the reliability of non-invasive pulse contour method, we compared the COs measured from Finapres tracings with those measured from thermodilution method in Intensive Care patients. ⋯ The pulse contour analysis applied to Finapres tracing allows to calculate CO with reasonable accuracy in the intensive care patients. An initial experimental determination of Z is recommended to improve the accuracy of Finapres method.
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Minerva anestesiologica · Mar 1998
[Analgesia and anesthesia in obstetrics. Territorial investigation].
There is a more and more interest regarding methods of obstetric analgesia and anesthesia while there is a lack of epidemiological data about local experiences. ⋯ The data obtained only confirm the extent of a well-known problem. In spite of the growing interest by the medical community, the attention shown for obstetric anesthesia and analgesia is, nevertheless, insufficient, especially due to financial and organizational problems which prevent from establishing a permanent pain therapy center.
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Minerva anestesiologica · Jan 1998
[The desire for information and informed consent in general anesthesia].
In the last years the interest for Informed Consent (IC) in anaesthesia has been growing and it has been debated on the adequate explanations in order to obtain a consent. The purpose of the present study was to assess patients' desire for information about anaesthesia. ⋯ The growth of patients' desire for information about anaesthesia is an aspect of the evolving doctor-patient relationship in Italy. Efforts should be directed at improving reciprocal communication.
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Minerva anestesiologica · Jan 1998
Randomized Controlled Trial Comparative Study Clinical Trial[The effect of anesthesiologic technique on the mental state of elderly patients submitted for orthopedic surgery of the lower limbs].
Influence of anesthetic technique on mental status in elderly patients submitted to major orthopedic procedures of lower limbs. Mental impairment is a common occurrence in elderly patients after major orthopedic surgery. Few studies have been published so far on this topic in spite of its relevant clinical and economic implications. ⋯ Mental status of elderly patients submitted to femoral neck repair doesn't seem to be influenced by the anesthetic technique chosen, independent of preoperative psychic conditions.
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Minerva anestesiologica · Dec 1997
Randomized Controlled Trial Comparative Study Clinical TrialComparative evaluation of the cardiorespiratory effects of assist control ventilation vs pressure support ventilation in patients following orthotopic liver transplantation.
1) To compare the haemodynamic tolerance of ACV and PSV in patients mechanically ventilated after orthotopic liver transplantation; 2) to compare patients comfort during ACV and PSV. ⋯ ACV and PSV provided a comparable haemodynamic tolerance in our patients, although during PSV the PaO2 was slightly decreased, probably due to decreased mean airway pressure (from 9.3 +/- 1.2 cmH2O during ACV to 6.6 +/- 1 cmH2O during PSV). PSV can be considered as a good alternative to the standard weaning techniques following orthotopic liver transplantation.