Minerva anestesiologica
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Minerva anestesiologica · Jul 1991
Randomized Controlled Trial Comparative Study Clinical Trial[Drip ketamine versus ketoprofen in repeated infusions in post-cesarean section analgesia].
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Minerva anestesiologica · Jun 1991
[Survival of 213 patients who recovered in resuscitation from cardiac arrest].
213 patients who received in-hospital cardiopulmonary resuscitation (CPR) were studied over a period of five years (1985-89) to determine hospital and long-term survival. The following factors were evaluated in determining outcome: age, ECG on admission, clinical history, year, month, hour of admission. A 5-year survival table was complied for all discharged from hospital. ⋯ Hospital survival was 14.6% with an ascendant range from 1986 to 1989 (p less than 0.05); all the patients were discharged mentally unimpaired with over 50% surviving 1.5 years after discharge and 33% 5 years after. The study shows that the highest cause of cardiac arrest is ischaemic cardiopathy in male patients with an average age of 60 years. Total neurological recovery after CPR was confirmed to be a determinant predictor factor of survival.
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Minerva anestesiologica · Mar 1991
Case Reports[Isolated persistent left superior vena cava. Detection of cause during central venous catheterization].
The Authors report the causal discovery of isolated persistent left superior vena cava (IPLSVC) during a central venous incannulation with a Groshong's catheter, in a patient undergoing bone marrow transplant. After a short introduction about the IPLSVC ontogenesis, they stress the need for fluoroscopy during the central venous incannulation. The Authors conclude that the possibility of angiocardiography has been very helpful, in this case, for diagnosis and prognosis.
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Minerva anestesiologica · Jan 1991
[Changes in ventilation during use of heat and humidity exchangers].
The Authors studied in 10 patients during mechanical ventilation the effects of the application of heat and moisture exchanger (HME) in the presence of constant TV and frequency. They observed an increase of PaCO2 and PE, CO2 during the use of HME; this is due to Vd/Vt increase. The Authors conclude that it is mandatory to increase the total ventilation when using HME to avoid dangerous levels of hypercapnia.