Minerva anestesiologica
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Minerva anestesiologica · Jul 1998
Comparative Study Clinical Trial Controlled Clinical Trial[A comparison of ventilation techniques in ARDS. Volume controlled vs pressure regulated volume control].
Comparison between effects of a new method of mechanical ventilation (PRVC) and Volume Controlled ventilation in the ARDS treatment. ⋯ Although it is not possible to draw any conclusion on morbidity and mortality in patients treated with PRVC versus VC, for gas exchange and compliance improvement and for inspiratory pressure decrease with consequent reduction of barotrauma, it may be affirm that PCRV seems to be the best ventilation methods in the ARDS treatment.
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Minerva anestesiologica · Jul 1998
Randomized Controlled Trial Clinical TrialIncidence of hypotension and bradycardia during integrated epidural/general anaesthesia. An epidemiologic observational study on 1200 consecutive patients. Italian Study Group on Integrated Anaesthesia.
Combined epidural/general anaesthesia might theoretically emphasise the cardiovascular effects of epidural block alone. The goal of the present investigation was to evaluate the incidence of both hypotension and bradycardia during integrated epidural/general anaesthesia in a multicentric, observational study. ⋯ Randomized, controlled studies should be advocated in order to compare the incidence of hypotension and bradycardia during integrated anaesthesia and during epidural block alone. Our results demonstrated that the use of integrated epidural/general anaesthesia produces an incidence of perioperative hypotension and bradycardia similar to that reported when central blocks are used alone.
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Minerva anestesiologica · Jul 1998
Comparative Study Clinical Trial[Monitoring cardiac output: esophageal doppler vs thermodilution].
Evaluation of continuous cardiac output monitoring based on the esophageal Doppler in the critically ill. ⋯ Continuous monitoring of cardiac output using esophageal Doppler has proven to be safe, accurate, and precise when compared with the standard intermittent bolus thermodilution technique. The continuous monitoring technique improves our armamentarium for more intensive monitoring of the critically ill patients.
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Minerva anestesiologica · Jun 1998
Randomized Controlled Trial Clinical Trial[The effects of a dose of epidural clonidine combined with intrathecal morphine for postoperative analgesia].
To evaluate the effectiveness of a single bolus of epidural (ED) clonidine (C) associated with intrathecal morphine (M) on postoperative analgesia after cesarean section (CS). ⋯ A single ED bolus of C 150 micrograms after CS significantly enhances and prolongs the analgesic effect of M 250 micrograms without important side effects.
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Minerva anestesiologica · May 1998
Review[Hydrocephalus and rebleeding in subarachnoid hemorrhage].
The main features of rebleeding and post-haemorrhagic hydrocephalus in case of subarachnoid haemorrhage following the rupture of an intracranial aneurysm are presented. In both cases frequency, causes, clinical events, prevention and therapy are discussed.