Minerva anestesiologica
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Analgesia and sedation are indispensable in patients admitted to intensive care for the following, principal reasons: to control their state of anxiety, induce amnesia, improve their adaptation to mechanical ventilation, make invasive manoeuvres tolerable. The purpose of the present retrospective analysis is to assess the effectiveness of remifentanil in a total of 1085 patients admitted to our Resuscitation and Intensive Care Department in 1997-2001. ⋯ Of the various sedation modalities employed, we prefer the one which uses remifentanil as the sole drug because a good level of sedation is obtained, there is no accumulation, little interference with cardiovascular parameters and lower costs in comparison with the others.
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Minerva anestesiologica · Oct 2002
Case ReportsMonopharmacologic general anaesthesia with sevoflurane in paediatric patient with Prader-Willi syndrome.
Prader-Willi syndrome (PWS) is a genetic disease caused by a loss of paternal genes located in chromosome 15. Children affected by this syndrome often have preterm delivery; during childhood the hallmarks are: severe infantile hypotonia and feeding problems. Afterward, neurologic manifestations, endocrine signs and dysmetabolic abnormalities are usually seen together with craniofacial manifestations and musculoskeletal abnormalities. ⋯ S. is also characterized by thermoregulatory disorders. Sleep apnea occurs often. Considering all these problems, we planned a monopharmacologic anaesthesiologic procedure using sevoflurane.
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Minerva anestesiologica · Oct 2002
Practice Guideline GuidelineSIAARTI recommendations for the treatment of postoperative pain.
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Minerva anestesiologica · Sep 2002
Randomized Controlled Trial Comparative Study Clinical TrialPost-thoracotomy analgesia: epidural vs intravenous morphine continuous infusion.
We compared thoracic morphine epidural analgesia (TEA) and I.V. analgesia (IVA) with morphine, in respect to the time to extubation, the quality of postoperative analgesia, side effects, complications, postoperative hospital length of stay in patients having thoracotomy lung resection. ⋯ In our study the epidural root was superior in terms of analgesia, side effects, length of stay and postoperative complications after thoracotomy.
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Minerva anestesiologica · Sep 2002
Comparative Study Clinical Trial Controlled Clinical TrialThe use of remifentanil for bloodless surgical field during vertebral disc resection.
A short hospital stay is nowadays desirable and affordable for a wide range of surgical pathology, respecting safety of care and home discharge. In the present study, the Authors investigated the use of TIVA with propofol/remifentanil during microsurgical vertebral disc resection to maintain a controlled vascular hypotension for bloodless surgical field aiming to reduce the operating time and consequently recovery room length of stay and morbility related to anaesthesia. ⋯ No difference occurred between the two groups regarding quality and amount of postoperative analgesia, while PONV presented more in the fentanyl group and shivering more in the remifentanil group.