Minerva anestesiologica
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Minerva anestesiologica · Sep 1998
Randomized Controlled Trial Comparative Study Clinical TrialA prospective, randomized clinical comparison of sevoflurane and halothane in children.
The goal of the present multicenter investigation was to compare in a prospective and randomized study the induction, the maintenance and the recovery characteristics of halothane and sevoflurane when used in paediatric patients. ⋯ Sevoflurane is as effective as halothane in providing smooth and rapid induction of anaesthesia, while recovery is considerably faster and haemodynamic tolerance is better if compared to halothane; this suggests that sevoflurane could be an useful substitute for halothane in pediatric patients.
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Minerva anestesiologica · Sep 1998
Randomized Controlled Trial Comparative Study Clinical Trial[Peridural anesthesia versus subarachnoid anesthesia in cesarean section. Prospective clinical study].
To compare technical and clinical differences between epidural and spinal anesthesia for cesarean section. ⋯ With the described pharmacological and technical approach, spinal anesthesia is more suitable than continuous epidural technique for cesarean section, unless contraindicated.
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Minerva anestesiologica · Sep 1998
Clinical Trial[Evaluation of continuous measurement of cardiac output with thermodilution in critical patients].
A new pulmonary artery catheter and monitor for continuous cardiac output measurement (CCO), based on thermodilution principle, has been recently developed. Aim of our study was to evaluate the new system by comparing data obtained with the CCO with the standard bolus thermodilution method (TD). ⋯ Our results confirm that CCO, although does not have all the characteristics of an ideal monitoring system, can be considered extremely useful and safe.
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Minerva anestesiologica · Sep 1998
Clinical Trial[Translarnygeal tracheostomy (TLT). A variant technique for use in hypoxemic conditions and in the difficult airway].
To prepare a variation to the original Fantoni technique for the purpose of performing a translaryngeal tracheostomy (TLT) without the need for repeated endotracheal intubation operations, neck movements and phases of apnea, in order to make this technique practicable and completely safe in the case of patients who are difficult to intubate, have cervical rachis injuries or suffer from serious hypoxemia. ⋯ The variation presented is a safe and easy-to-perform technique considered advantageous in the case of TLTs performed on patients suffering from serious hypoxemia, who are difficult to intubate or have cervical rachis injuries.
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Minerva anestesiologica · Jul 1998
Randomized Controlled Trial Comparative Study Clinical TrialBlock distribution and cardiovascular effects of unilateral spinal anaesthesia by 0.5% hyperbaric bupivacaine. A clinical comparison with bilateral spinal block.
A low dose of hyperbaric local anaesthetic solution, pencil point needle and slow speed of intrathecal injection have been reported to obtain a unilateral distribution of spinal anaesthesia. This should also minimize cardiovascular effects of spinal block. The aim of this prospective, randomized, parallel group study was to evaluate cardiac performance during unilateral subarachnoid block and to compare it with that produced by standard bilateral spinal anaesthesia. ⋯ The use of 8 mg of 0.5% hyperbaric bupivacaine slowly injected through a directional needle provided a spinal block relatively restricted to the operative side with minimal effects on cardiovascular homeostasis.