Minerva anestesiologica
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Minerva anestesiologica · Oct 2001
Randomized Controlled Trial Clinical TrialHaemostatic molecular markers in patients undergoing radical retropubic prostatectomy for prostate cancer and submitted to prophylaxis with unfractioned or low molecular weight heparin.
Deep vein thrombosis and subsequently pulmonary embolism are the most common causes of increased post-operative morbidity and mortality in patients with pelvic or abdominal cancer. Aim of the study was to evaluate variations in coagulative parameters induced by two accepted primary prophylaxis patterns: standardized low doses of unfractioned heparin (UFH) or single doses of low molecular weight heparin (LMWH) in cancer patients submitted to radical retropubic prostatectomy. ⋯ These results prove that a single daily dose of nadroparin has been safe and efficient as a thrice-daily dose of UFH, with a better risk/benefit relationship.
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Minerva anestesiologica · Oct 2001
Case Reports[Intubating laryngeal mask airway (ILMA) in otorhinolaryngology surgery. A case of failure].
Intubating laryngeal mask airway (ILMA) is a very useful device for difficult airway management. The use of this device has not yet been studied in otorhinolaryngology surgery. The case of a 52-year-old man, weighing 104 kg, anesthetized for microlaryngoscopy due to aphonia occurred 6 months before, is reported. ⋯ Blind intubation with ILMA is not, probably, the first alternative in these cases. Fiberoptic equipment intubation or use of ILMA with fiberoptic bronchoscope must be considered in these situations for possible better RESULTS. The use of ILMA in otorhinolarynogology surgery must be investigated with a specific study because there are only few experiences on this subject.
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Minerva anestesiologica · Oct 2001
Historical Article[The mandrake root and the Viennese Dioscorides].
Pedanius Dioscorides of Anazarba in Cilicia lived in the first century. He was a Greek physician who served as a surgeon in Neròs army. He wrote several books on materia medica. ⋯ If there were a true Anaesthetic of Antiquity it would have been mandragora. Dioscorides describes how the wine made from mandragora produces anaesthesia: Using a cyathus of it on those who cannot sleep, or are grievously pained, or are being cut, or cauterized they will not feel pain. Here Dioscorides used for the first time the word anaesthesia as absence of sensation as we mean it today.
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Minerva anestesiologica · Sep 2001
Randomized Controlled Trial Clinical TrialKetorolac vs tramadol in the treatment of postoperative pain during maxillofacial surgery.
This study aims to assess the best postoperative analgesia during maxillofacial surgery by using small doses of ketorolac or tramadol or their association and evaluates the presence of adverse effects due to NSAID or opioid use. ⋯ Ketorolac and Tramadol produced comparable, effective and low cost postoperative analgesia during maxillofacial surgery. There are only statistically significant differences considering side effects.
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Minerva anestesiologica · Sep 2001
Randomized Controlled Trial Comparative Study Clinical Trial[Cervical plexus block and continuous cervical peridural block with ropivacaine for carotid surgery: a comparison between the 2 methods].
To evaluate the efficacy and security of the cervical plexus block and the continuous cervical peridural anaesthesia in carotid surgery, using ropivacaine as local anaesthetic. ⋯ cervical plexus block and continuous cervical peridural anaesthesia performed with ropivacaine are both effective for anaesthesia in carotid surgery. Ropivacaine, for its minor cardiotoxicity, yields eventual complications related to the two methods, less severe.