Minerva anestesiologica
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Minerva anestesiologica · Mar 1997
Guideline[IRC (Italian Resuscitation Council). Recommendations for training in basic life support (BLS)].
This report, drawn up by the BLS Committee of the IRC, gives the guidelines for BLS training, according to the conclusions of the Consensus Conference (CPCR Methodology Consensus Meeting: BLS and training) held in Monte Conero, Sirolo (Ancona) on June 24th, 1994. American Heart Association and European Resuscitation Council guidelines, published in 1992, were considered for reference. This document aims to achieve two purposes: to promote standardization in teaching and performing BLS techniques and to outline the minimum features of an effective BLS program.
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Minerva anestesiologica · Mar 1997
Clinical Trial[Evaluation of cerebral perfusion during aortic clamping and cross-clamping in patients undergoing resection for abdominal aortic aneurysm. A study with transcranial doppler].
To evaluate the cerebral blood flow parameters assessed by transcranial Doppler during aortic cross-clamping and unclamping in patients undergoing abdominal aortic aneurysmectomy. ⋯ The Vm decrease at aortic unclamping might correlate with the acute changes in MAP (blood steal hypovolemia) and is likely due to an inadequate cerebral autoregulatory response to abrupt MAP changes. The arterial CO2 increase after aortic unclamping could lead to a dilation of cerebral arterioles and a rise of CBF (increase of Vm and decrease of PI). Transcranial Doppler is a simple and reliable technique for the monitoring of cerebral blood flow parameters and seems to be quite suitable for the recognition and the quantification of changes in these parameters induced by surgical manoeuvres able to produce hemodynamic instability.
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Minerva anestesiologica · Jan 1997
Randomized Controlled Trial Clinical Trial[The effectiveness of enoximone in patients with serious left ventricular dysfunction submitted for aorto-coronary bypass].
The purpose of this study was to investigate whether the combined positive inotropic and vasodilating properties of enoximone have a short-term benefit when used in patients who underwent open heart surgery. ⋯ Enoximone administer immediately after open heart surgery had more beneficial hemodynamic and clinical effects than dopamine in patients with severe left ventricular dysfunction.
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Minerva anestesiologica · Jan 1997
Randomized Controlled Trial Clinical Trial[Anesthesia with sevoflurane vs propofol in elective extracavity surgery].
To compare the cardiovascular effects and recovery characteristics of sevoflurane and propofol anesthesia in 80 ASA I and II patients undergoing elective extracavity surgery expected to last at least one hour. ⋯ In the sevoflurane group, heart rate and diastolic pressure were slightly higher than in the propofol group. Recovery time was faster after sevoflurane anesthesia.
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Minerva anestesiologica · Dec 1996
Randomized Controlled Trial Clinical Trial[Superselective spinal anesthesia for saphenectomy intervention. Comparison of 2 concentrations of hyperbaric bupivacaine].
High concentrations of intrathecal local anaesthetics may be neurotoxic. The purpose of this study was to compare the features of superselective spinal anaesthesia (ASS) obtained with an equivalent dose (5 mg) of 0.5% (available now also in Italy) and 1% hyperbaric bupivacaine. ⋯ 0.5% hyperbaric bupivacaine can be successfully use in ASS; early regression of motor block is especially suitable for the requirements of day surgery.