Minerva anestesiologica
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Minerva anestesiologica · Jun 2004
Multicenter Study Comparative StudyA multicenter survey on anaesthesia practice in Italy.
To achieve more information on anaesthesia practice in Italy. ⋯ Some organizational problems still remain to be implemented, including the development of proper preoperative evaluation clinics and postanaesthesia care units, especially in bigger hospitals with more than 1 000 beds.
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Minerva anestesiologica · Jun 2004
Randomized Controlled Trial Clinical TrialEpidural analgesia in abdominal surgery: 0.2% ropivacaine with sufentanil.
Combining an opioid with peridural local analgesia is an excellent technique to control post-operative pain. Sufentanil is a widely used opioid agent, but its optimal dosage has not yet been defined. In this study we wanted to determine the best dose of epidural sufentanil in major surgery. ⋯ Epidural analgesia is an efficacious and reliable technique. The combination of 0.2% ropivacaine and 0.75 microg/ml(-1) sufentanil was found to be the optimum choice between analgesic efficacy and minor side effects, which correlated with the higher dose of sufentanil given to group C.
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Minerva anestesiologica · May 2004
ReviewAnesthetic considerations in patients with chronic pulmonary diseases.
Increasing age and co-morbidities of patients admitted for surgery impose new challenges on the anesthesiologist. ⋯ Assessing the functional status of patients admitted to surgery remains a difficult task, and in patients identified at risk by clinical examination additional spirometry and blood gases may be helpful. If there are signs of respiratory failure, the anaesthetist should monitor the patient closely and invasively, yet there is no reason to deny any patient a substantially beneficial operation.