Minerva anestesiologica
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Minerva anestesiologica · Apr 1989
Review[Common problems for the neurosurgeon and the anesthesiologist in pediatric neurosurgery].
In pediatric neurosurgery the cooperation between neurosurgeon and anaesthesist is very tight. It begins with the clinical evaluation of preoperative conditions (weight, trophism, age, etc.), then continues with the through preparation of the operative position of the little patient and with the control of unfavourable side-effects of some particular positions (intraoperative air embolism in the sitting position, postoperative tension pneumocephalus). At last this cooperation is very important to analyse the vital functions and the neurological picture in the immediate postoperative period.
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Minerva anestesiologica · Apr 1989
[Autotransfusion technic in surgery of craniostenoses in children].
The extensive blood loss during the surgical correction of craniosynostosis in infancy needs usually homologous transfusion. The Authors report a program of preoperative and intraoperative hemodilution and their experience in six infants, the very first in pediatric neurosurgery. Prevention of homologous blood transfusion achieved in 4 out 6 cases can be considered a success that could be further improved introducing minor changes in our protocol.
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Minerva anestesiologica · Mar 1989
Comparative Study[Tracheal cannulation technics in cervical vertebral and spinal cord injuries. A comparative study].
Cervical vertebral dislocations and fractures require the complete immobility of the neck until an intervention of stabilization of the spinal cord, by surgery or external means, is performed. Endotracheal intubation, which might represent a harmful operation, can become difficult when the stabilization of the spinal cord has been obtained by external means. ⋯ Each method presents advantages with regard to the grading of visualization of the larynx, but also limitations due to the time required to perform the intubation and the appearance of complications. It seems therefore useful to continue the search for the ideal method for tracheal intubation, which should be absolutely atraumatic, fast, and completely successful.