Minerva anestesiologica
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Minerva anestesiologica · Jan 1998
Randomized Controlled Trial Comparative Study Clinical Trial[The effect of anesthesiologic technique on the mental state of elderly patients submitted for orthopedic surgery of the lower limbs].
Influence of anesthetic technique on mental status in elderly patients submitted to major orthopedic procedures of lower limbs. Mental impairment is a common occurrence in elderly patients after major orthopedic surgery. Few studies have been published so far on this topic in spite of its relevant clinical and economic implications. ⋯ Mental status of elderly patients submitted to femoral neck repair doesn't seem to be influenced by the anesthetic technique chosen, independent of preoperative psychic conditions.
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Minerva anestesiologica · Dec 1997
Randomized Controlled Trial Comparative Study Clinical TrialComparative evaluation of the cardiorespiratory effects of assist control ventilation vs pressure support ventilation in patients following orthotopic liver transplantation.
1) To compare the haemodynamic tolerance of ACV and PSV in patients mechanically ventilated after orthotopic liver transplantation; 2) to compare patients comfort during ACV and PSV. ⋯ ACV and PSV provided a comparable haemodynamic tolerance in our patients, although during PSV the PaO2 was slightly decreased, probably due to decreased mean airway pressure (from 9.3 +/- 1.2 cmH2O during ACV to 6.6 +/- 1 cmH2O during PSV). PSV can be considered as a good alternative to the standard weaning techniques following orthotopic liver transplantation.
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Minerva anestesiologica · Nov 1997
Clinical Trial[Measurement of cardiac output with continuous thermodilution. b1 Clinical experience with the Intellicath-Vigilans system].
Thermodilution cardiac output measurements are commonly obtained by a manual bolus technique with a pulmonary artery catheter. ⋯ The new technique provides acceptable accuracy in many clinical situations except when sudden haemodynamic changes occur.
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Minerva anestesiologica · Nov 1997
Clinical Trial[Neurologic prognosis after cardiocirculatory arrest outside the hospital].
To detect clinical signs and times of evaluation able to identify patients with good neurologic prognosis after out-of-hospital cardiac arrest. ⋯ It is mostly impossible to state a neurologic prognosis in the first hours after cardiac arrest. The single predictor with the most reliable prognostic value is motor response to pain which allows, if present, to identify all the patients with a good prognosis as early as 24 hours after arrest.
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Minerva anestesiologica · Oct 1997
Clinical Trial[Intensity of treatment and severity of illness in the intensive care unit (ICU)].
To investigate the relationship between Therapeutic Intervention Scoring System (TISS), length of ICU stay and severity of illness. ⋯ Intensity of treatment is essentially steady and total TISS is well related to length of ICU stay. Total TISS increases with increasing risk of hospital death predicted by SAPS II and APACHE II, but it is high especially in non surviving patients with low probability of hospital mortality at the admission.