Minerva anestesiologica
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Minerva anestesiologica · Jan 1990
Case Reports[ARDS in MOFS (multiple organ failure syndrome). How to direct the therapy? A case report of MOFS in AIDS].
A young AIDS patient was admitted to the Intensive Therapy ward of our hospital with ARDS. The case raised the question of how medical and nursing personnel should face the problem of "suitable treatment for a terminally ill patient". Therapy was based on invasive methods such as mechanical ventilation and the insertion of catheters to monitor vital parameters. The evolution of ARDS in MOFS revealed the difficulty of sustaining vital parameters and avoiding pluriorganic damage.
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Minerva anestesiologica · Nov 1989
Randomized Controlled Trial Comparative Study Clinical Trial[The non-depolarizing myorelaxants in orotracheal intubation. A clinical comparison].
The present study was designed to compare the rapidity of onset of neuromuscular blockade after administration of 5 different neuromuscular relaxants (succinylcholine, d-tubocurarine, pancuronium, atracurium and vecuronium) in 75 patients, randomly allocated in 5 treatment groups. The facilitation for endotracheal intubation was evaluated using a clinical score. The for onset relaxation was shorter when using succinylcholine. Among non-depolarizing relaxants an adequate facilitation for endotracheal intubation was observed, two minutes after administration of atracurium and vecuronium, while endotracheal intubation was difficult when using d-tubocuranine and pancuronium.
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Minerva anestesiologica · Oct 1989
Comparative Study[Anesthesia for shoulder surgery. Comparison of anesthesiologic problems and technics].
We evaluated the ability of general, regional (interscalene block) and balanced anaesthesia (interscalene block supplemented by general anaesthesia) to manage the problems of shoulder surgery. Our results show that general anaesthesia is not adequate. ⋯ The positions of patient and surgeons cause the main disadvantages of anaesthesia with interscalene block alone, ad the control of airway of sedated patients is difficult and performing general anaesthesia in case of insufficient analgesia may be troublesome. Balanced anaesthesia, as compared to regional block alone, allows a safer control of respiration and an easier control of surgical analgesia.
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Minerva anestesiologica · Jul 1989
Case Reports[Cannulation of the thoracic duct during central venous catheterization].
A case of inadvertent thoracic duct catheterization during transjugular central venous cannulation is reported. The clinical manifestations as well as the difficulties encountered in recognizing such a complication are analyzed. So, the necessity to obtain a radiographic confirmation of central venous catheter site is strengthened.
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Minerva anestesiologica · Jun 1989
[Sources of stress and burn-out in anesthesiologists. Reality and perspectives].
A sample of 128 anaesthesists was given the Maslach Burn-out Inventory (MBI). The purpose of the present research was to evaluate the stress level and/or burn-out in a setting which has not yet been explored. Findings indicate significant differences between groups concerning only the intensity responses. The burn-out scale used appears suitable to evaluate some modalities of response to stress, even in health workers, and stimulating to further research in order to obtain some suggestions about prevention and treatment in hospital organization.