Minerva anestesiologica
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Minerva anestesiologica · Oct 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Rapidity of emergence from anesthesia with sevoflurane or isoflurane].
Sevoflurane, a new anesthetic agent recently introduced in Italy, is characterized by a low coefficient of distribution blood/gas that is associated both quick narcosis and fast emergence from anesthesia. Aim of this study is the comparison between two different anesthetic methods in patients submitted to general, gynecological and orthopedical surgical operations. ⋯ On the basis of the results obtained, the conclusion is drawn that sevoflurane is more rapidly eliminated than isoflurane, but both give a good cardiocirculatory performance.
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Minerva anestesiologica · Oct 1998
[Cardiopulmonary resuscitation. The effect of severe hypothermia on clinical outcome].
Evaluation of outcome after CPR in severe hypothermic patients. ⋯ Severe hypothermia seems to have a dangerous effect upon outcome after cardiopulmonary resuscitation; heating systems for body temperature could prevent this situation improving CPR results.
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Minerva anestesiologica · Sep 1998
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialMaintenance and recovery characteristics of sevoflurane anaesthesia in adult patients. A multicenter, randomized comparison with isoflurane.
The goal of the present multicenter, prospective, randomized clinical investigation was to compare the clinical efficacy and safety of sevoflurane and isoflurane during maintenance of and recovery from general anaesthesia in adult patients. ⋯ We conclude that sevoflurane, when compared to isoflurane, provides a similarly safe maintenance but allows for a more rapid emergence from general anaesthesia.
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Minerva anestesiologica · Sep 1998
Case Reports[Cesarean section in a patient with cerebral ischemic pathology. Spinal anesthesia].
The choice of anaesthesia for Caesarean sections, in patient with recent cerebral ischemic-hemorrhagic injuries, is a big problem. A case is reported of a woman submitted to Caesarean section in spinal anaesthesia who, in the first quarter, suffered an ischemic-hemorrhagic cerebral injury. Spinal anaesthesia was made by hyperbaric bupivacaine 0.5% at 10 mg dose + fentanyl 25 micrograms using 24G Sprotte needle. ⋯ Risk of post-dural puncture headache, by atraumatic and very thin needles, is negligible. Spinal anaesthesia avoids general anaesthesia which may cause cardiovascular damages due to oro-tracheal intubation leading to possible cerebral damage. Induction-delivery time is more dangerous: the use of alogenate, oppioids, and/or some medicaments which may control the mother's adrenergic response, exhibit the newborn to risks.
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Minerva anestesiologica · Sep 1998
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialMaintenance of and recovery from anaesthesia in elderly patients. A clinical comparison between sevoflurane and isoflurane.
The goal of this multicenter, prospective, randomized clinical investigation was to compare the clinical efficacy and safety of sevoflurane and isoflurane during the maintenance of and the recovery from general anaesthesia in elderly patients. ⋯ When used in elderly patients undergoing operations of intermediate duration, sevoflurane provides a more rapid emergence from anaesthesia with a faster fulfillment of discharging criteria, and a more stable cardiovascular homeostasis than isoflurane. Renal function also appears to be equally well preserved with both anaesthetics.