Minerva anestesiologica
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ICU nurses hold an important role in the management of septic patients underlining with their ability to recognize SIRS that is the first step in the proinflammatory and procoagulant cascade following an infection. Early and timely approach to organ dysfunction can indeed modify the damages due to hypoperfusion. The ability to recognize organ dysfunction using different monitoring devices available should be part of the nursing attitudes.
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Minerva anestesiologica · Mar 2003
Randomized Controlled Trial Comparative Study Clinical TrialSmall doses of remifentanil and alfetanil in continuous total intravenous anesthesia in major abdominal surgery. A double blind comparison.
The purpose of this study was to test the safety and efficacy of small doses of remifentanil and alfentanil in a continuous total intravenous anesthesia technique for patients undergoing major abdominal surgery. ⋯ The use of remifentanil and alfentanil in association with propofol, in a continuous infusion total intravenous anesthesia technique, demonstrated to be safe and reliable strategies.
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Minerva anestesiologica · Mar 2003
Randomized Controlled Trial Clinical TrialRemifentanil for intraoperative analgesia during the endoscopic surgical treatment of pituitary lesions.
The authors have evaluated remifentanil for intraoperative analgesia in endonasal endoscopic surgery for pituitary lesions. ⋯ Remifentanil analgesia (mean dose of 0.37 microg.kg(-1).min-1) in patients undergoing endonasal endoscopic surgery of the sellar region provides a more efficacious cardiocirculatory control with reduced bleeding and faster psychosensorial recovery.
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Minerva anestesiologica · Mar 2003
Bedside burr hole for intracranial pressure monitoring performed by anaesthetist-intensive care physicians. Extending the practice to the entire ICU team.
To evaluate the effects of extending the practice of bedside burr hole for intracranial pressure (ICP) monitoring to the entire ICU team. ⋯ Extending the practice of ICP monitoring to the entire ICU team is safe and feasible. To decide whether or not to implement this technique, one should consider the high costs on one side and prompt availability of ICP monitoring on the other. Haemorrhagic and infectious complications are comparable to those of neurosurgical series.