Minerva anestesiologica
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Minerva anestesiologica · Feb 2019
Randomized Controlled Trial Comparative StudyA comparison of two different concentrations and infusion rates of ropivacaine in perineural infusion administered at the same total dose for analgesia after foot and ankle surgery: a randomized, double blinded, controlled study.
Continuous popliteal nerve block is utilized for postoperative analgesia after foot and ankle surgery. Whether only the total dose of local anesthetic or the combination of concentration and volume determine the characteristics of a continuous popliteal nerve infusion remains currently unknown. We hypothesized a reduction of the incidence of insensate extremity in patients given ropivacaine 0.4% at 4 mL/h compared to patients given ropivacaine 0.2% at 8 mL/h. ⋯ Our results suggest that local anesthetic total dose is the primary determinant of continuous popliteal perineural infusion effects.
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Minerva anestesiologica · Feb 2019
Randomized Controlled TrialInfluence of head and neck position on performance of the Ambu® AuraGain™ laryngeal mask: a randomized crossover study.
The purpose of this study was to investigate the influence of different head and neck positions on the performance of the Ambu® AuraGain™, a novel laryngeal mask with anatomical curvature. ⋯ Head and neck position affects the oropharyngeal seal of the AuraGain™, as evidenced by the oropharyngeal leak pressure, but not enough to impede positive-pressure ventilation. Neck flexion can be used when a better oropharyngeal seal is needed, and neck extension and right rotation of the head and neck may facilitate endotracheal intubation using the AuraGain™ as a conduit.
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Minerva anestesiologica · Feb 2019
Observational StudyXenon anesthesia for awake craniotomy: safety and efficacy. A prospective observational case series.
The asleep-awake-asleep (AAA) craniotomy is a technique that offers the opportunity of having a patient fully cooperative during the awake phase, and minimizes the possible discomfort, due to the asleep phase. The aim of this prospective observational study was to test the use of xenon in the first asleep phase of an AAA craniotomy, in patients undergoing craniotomy for brain tumor resection. ⋯ In this case series, xenon anesthesia was successfully used for the sedative phase of an awake craniotomy accomplished with an AAA approach.
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Minerva anestesiologica · Feb 2019
EditorialThe challenge of advance care planning: the new Italian law.
Abstract
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Minerva anestesiologica · Feb 2019
Single versus divided administration of intravenous immunoglobulin for sepsis: a retrospective and historical control study.
Intravenous immunoglobulin (IVIG) is regarded as effective, theoretically, for sepsis. The IVIG regimen for severe infection covered by Japanese health insurance is administration of 5 g/day for three days: an extremely low dosage. We investigated its effectiveness by comparison between divided dosage and single dosage of 15 g for one day. ⋯ For sepsis treatment, single administration of 15 g IVIG for one day improved the condition and inflammation earlier than divided dosage.