Minerva anestesiologica
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Minerva anestesiologica · May 2013
Randomized Controlled Trial Comparative StudyForce and pressure distribution using Macintosh and GlideScope laryngoscopes in normal airway: an in vivo study.
Forces applied on oropharyngeal soft tissues by direct laryngoscopy may cause damage to the patients. The aim of this study was to measure the forces applied during the manoeuvres to achieve glottis visualization and tracheal intubation, comparing direct laryngoscopy and videolaryngoscopy in vivo. ⋯ Our study shows that in patients with normal airways the GlideScope allows a view of glottis and permits a successful tracheal intubation applying lower force (significantly in intubation) as compared to the Macintosh laryngoscope. Also, the GlideScope probe distributes the forces more homogeneously to the tissue thus further reducing the potential for tissue damage.
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Minerva anestesiologica · May 2013
Randomized Controlled TrialPreconditioning effects of the anesthetic administered to the donor on grafted kidney function in living donor kidney transplantation recipients.
In living donor kidney transplantation (LDKT), we evaluated if there was any difference in grafted kidney function according to the type of anesthetic used in the donor because some laboratory studies have demonstrated that volatile anesthetics at clinically relevant concentrations protect the kidneys against renal ischemia-reperfusion injury. ⋯ The inhalational anesthetic administered to donors does not improve grafted kidney function in recipients undergoing LDKT to a greater extent than propofol.
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Minerva anestesiologica · May 2013
Randomized Controlled TrialPreoperative medication with oral morphine sulphate and postoperative pain.
The administration of an analgesic drug prior to nociceptive surgical stimulus could result in a better postoperative pain management. The aim of this study was to evaluate the effect of preoperative oral morphine sulphate on postoperative pain relief. ⋯ In major abdominal surgery, premedication with oral morphine sulphate produces better postoperative pain control and has an opioid-sparing effect without delaying gastrointestinal canalization time.
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Minerva anestesiologica · May 2013
Randomized Controlled Trial Comparative StudyPolyurethane does not protect better than polyvinyl cuffed tracheal tubes from microaspirations.
Mechanically ventilated patients are prone to develop ventilator associated pneumonia due to microaspirations of subglottic secretions around the endotracheal tube cuff (usually constructed of polyvinyl material). A novel polyurethane cuff has been designed to minimize these leakages. The aim of the study was to compare the tracheal sealing capacities between the two tubes. ⋯ These preliminary results suggest that both tubes are poorly effective in preventing microaspirations.