Minerva anestesiologica
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Minerva anestesiologica · Feb 1980
[Use of althesin as a drug to induce and maintain anesthesia for cesarean section].
Results with CT 1341 as the main anaesthetic agent in balanced anaesthesia in 90 cases of caesarean section are presented. It was found that this form of steroid anaesthesia had no effect on the Apgar score uterine tone, maternofoetal metabolism, or cardiocirculatory and respiratory stability. Reference is made to the possible injury of theatre staff owing to chronic exposure to volatile anaesthetics, and it is asserted that the use of althesin is a positive step forward in the solution of this problem.
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Minerva anestesiologica · Feb 1980
[Delivery under general anesthesia with the sequence of althesin and lysine acetylsalicylate; a clinical contribution].
Personal experience in the use of Althesin in painless childbirth is reported. The anaesthetic is held to have no effect on the foetus and the technique using Althesin and acetylsalicylate of lysine is considered the correct one. If properly applied, it offers the foetus complete wellbeing during labour and enables the mother to overcome the psychophysical stress of an event which is too often accepted with inherited feelings of ancestral fear.
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The indications for the employment of Althesin in caesarean section are explained and a substantially favourable opinion is expressed on its clinical effects. Absence of neonatal depression is attributed both to the distribution and metabolism of the drug, and to the features of foetal circulation at term.
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The effects of Althesin (group A) and thiopentone (group B) in mother and newborn were compared after their use in the induction of narcosis in 80 patients undergoing Caesarean section. The mean doses of Althesin (0.072 ml/kg i.v.) and thiopentone (4.1 mg/kg i.v.) proved sufficient to guarantee rapid onset of sleep (about 20 seconds) in both groups. ⋯ The clinical condition of the newborns at 1st, 3rd and 5th minutes after extraction, assessed by means of the Apgar index, was excellent in both groups of patients. Results obtained were assessed by analysing variance with the Fisher test.
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Minerva anestesiologica · Jan 1980
[Lumbar epidural anesthesia as an alternative to sacral epidural block].
After describing the various sacral epidural techniques and discussing the problems involved in performance of this type of analgesic block a series of 178 operations carried out in the sacral and coccygeal innervation areas by means of lumbar epidural anaesthesia is reported. After comparing the two techniques in the light of personal clinical experience, lumbar epidural anaesthesia is considered a valid alternative to sacral epidural anaesthesia because it is safer, simpler and has a smaller percentage of failures. Some technical measures to obtain analgesic diffusion towards the caudal areas are reported and radiological demonstration given of some of them.