Minerva anestesiologica
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Minerva anestesiologica · Jan 2006
Randomized Controlled Trial Comparative StudyPatient-controlled analgesia with tramadol versus tramadol plus ketorolac.
In this double-blinded, randomized controlled trial, we compared the clinical advantages and disadvantages of patient-controlled-analgesia (PCA) with continuous infusion (CI) with tramadol alone versus a combination of tramadol plus ketorolac in the management of postoperative pain after major abdominal surgery. ⋯ We concluded that the combination of ketorolac plus tramadol in the same PCA device was an effective and safe treatment for postoperative analgesia in abdominal surgery.
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Minerva anestesiologica · Jan 2006
Randomized Controlled TrialComplications of epidural and combined spinal-epidural analgesia in labour.
The practice of relieving pain during childbirth with epidural or combined spinal-epidural analgesia is very widespread in the major Western countries, and is increasing in Italy. There are, however, numerous complications of this practice for both the woman and the mechanism of the labour. The aim of our study was to evaluate the short and long term complications of these techniques in a randomised sample of women. ⋯ The short-term complications of the analgesic techniques used during labour were not very relevant with respect to the subjects' satisfaction (excellent in 66% of the women in the group managed with epidural analgesia and 73% among those treated with the combined spinal-epidural technique). There was not a statistically significant difference in the percentage of cesarean deliveries in the 3 groups. Epidural and spinal-epidural analgesia to relieve pain during labour can, therefore, be considered safe and reliable.
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Minerva anestesiologica · Dec 2005
Randomized Controlled Trial Comparative StudySimilar preoperative hemodynamic response to pancuronium and rocuronium in high-risk cardiac surgical patients.
Rocuronium may be a good alternative to pancuronium in cardiac surgical patients. We evaluate the hemodynamic response to rocuronium and pancuronium administered to cardiac surgical patients. ⋯ Rocuronium can be a safe alternative to pancuronium for patients requiring cardiac surgical procedures.
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Minerva anestesiologica · Nov 2005
Randomized Controlled Trial Comparative StudyComparison of sequential combined spinal-epidural anesthesia and spinal anesthesia for cesarean section.
The aim of our study was to prove that by using sequential combined spinal-epidural (CSE) anesthesia it is possible to overcome the limits connected to the use of spinal anesthesia (SA) alone for elective cesarean section. ⋯ In our opinion sequential CSE can be considered an important step forward in the regional anesthesia used for elective cesarean section.
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Minerva anestesiologica · May 2005
Randomized Controlled Trial Clinical TrialEffect of different sterile barrier precautions and central venous catheter dressing on the skin colonization around the insertion site.
The purpose of this prospective, randomized, controlled study was the comparison of maximal sterile barrier (consisting of mask, cap, sterile gloves, gown, large drape) vs control precautions (mask, cap, sterile gloves, small drape) and of transparent polyurethan film vs gauze dressing for use on central venous (CVC) nontunneled catheters, inserted via the jugular vein. Skin colonization at the insertion site (defined by quantitative skin cultures performed at the time of insertion and in days 2 and 5) was used as a primary endpoint. Catheter tip colonization was also assessed through qualitative culture and CVC related sepsis was defined by the isolation of the same organism from the catheter tip and the blood, with clinical sepsis of no other apparent source. ⋯ Maximal sterile barrier proved to be an effective and recommended practice. However surveillance skin cultures revealed the common and changing nature of colonization of skin at the insertion site.