Minerva anestesiologica
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Minerva anestesiologica · Sep 1998
Case Reports[Cesarean section in a patient with cerebral ischemic pathology. Spinal anesthesia].
The choice of anaesthesia for Caesarean sections, in patient with recent cerebral ischemic-hemorrhagic injuries, is a big problem. A case is reported of a woman submitted to Caesarean section in spinal anaesthesia who, in the first quarter, suffered an ischemic-hemorrhagic cerebral injury. Spinal anaesthesia was made by hyperbaric bupivacaine 0.5% at 10 mg dose + fentanyl 25 micrograms using 24G Sprotte needle. ⋯ Risk of post-dural puncture headache, by atraumatic and very thin needles, is negligible. Spinal anaesthesia avoids general anaesthesia which may cause cardiovascular damages due to oro-tracheal intubation leading to possible cerebral damage. Induction-delivery time is more dangerous: the use of alogenate, oppioids, and/or some medicaments which may control the mother's adrenergic response, exhibit the newborn to risks.
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Minerva anestesiologica · Sep 1998
Randomized Controlled Trial Comparative Study Clinical TrialA prospective, randomized clinical comparison of sevoflurane and halothane in children.
The goal of the present multicenter investigation was to compare in a prospective and randomized study the induction, the maintenance and the recovery characteristics of halothane and sevoflurane when used in paediatric patients. ⋯ Sevoflurane is as effective as halothane in providing smooth and rapid induction of anaesthesia, while recovery is considerably faster and haemodynamic tolerance is better if compared to halothane; this suggests that sevoflurane could be an useful substitute for halothane in pediatric patients.
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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 · Sep 1998
Clinical Trial[Evaluation of continuous measurement of cardiac output with thermodilution in critical patients].
A new pulmonary artery catheter and monitor for continuous cardiac output measurement (CCO), based on thermodilution principle, has been recently developed. Aim of our study was to evaluate the new system by comparing data obtained with the CCO with the standard bolus thermodilution method (TD). ⋯ Our results confirm that CCO, although does not have all the characteristics of an ideal monitoring system, can be considered extremely useful and safe.
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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.