Minerva anestesiologica
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Minerva anestesiologica · Jan 1997
Randomized Controlled Trial Clinical Trial[The effectiveness of enoximone in patients with serious left ventricular dysfunction submitted for aorto-coronary bypass].
The purpose of this study was to investigate whether the combined positive inotropic and vasodilating properties of enoximone have a short-term benefit when used in patients who underwent open heart surgery. ⋯ Enoximone administer immediately after open heart surgery had more beneficial hemodynamic and clinical effects than dopamine in patients with severe left ventricular dysfunction.
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Minerva anestesiologica · Dec 1996
Randomized Controlled Trial Clinical Trial[Superselective spinal anesthesia for saphenectomy intervention. Comparison of 2 concentrations of hyperbaric bupivacaine].
High concentrations of intrathecal local anaesthetics may be neurotoxic. The purpose of this study was to compare the features of superselective spinal anaesthesia (ASS) obtained with an equivalent dose (5 mg) of 0.5% (available now also in Italy) and 1% hyperbaric bupivacaine. ⋯ 0.5% hyperbaric bupivacaine can be successfully use in ASS; early regression of motor block is especially suitable for the requirements of day surgery.
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Minerva anestesiologica · Nov 1996
Review[Balanced spinal analgesia in the treatment of oncologic pain. Review of the literature].
Certain types of cancer pain fail to respond well either to systemic drug therapy or to spinal opioids because of the occurrence of intolerable adverse effects. In addition to spinal opioids other drugs may produce an antinociceptive effect when administered by the spinal route, such as local anesthetics, NSAID, alpha 2-agonists, calcium-channel blockers, NMDA antagonists, cholinergic drugs, peptides such as somatostatin, octreotide or calcitonin, adenosine agonists, benzodiazepines, neurokinin and cholecystokinin antagonists, nitric oxide synthase inhibitors, corticosteroids, and enkephalinase inhibitors. All these drugs may be administered in combination between them, realising the so called balanced spinal analgesia. ⋯ Analysis of the presented data shows that the spinal synergism between opioids-local anesthetics and opioids-alpha 2-agonists can be useful in the treatment of opioid refractory cancer pain. Furthermore, the use of cholinergic drugs combined with opioids and alpha 2-agonists may be promising. Finally, even if the synergism between NSAID or NMDA antagonists with opioids or alpha 2-agonists have been proved, at the moment their use in man by the spinal route is not advisable because of the absence of adequate studies on their neurotoxicity and adverse effects.
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Minerva anestesiologica · Nov 1996
Clinical Trial Controlled Clinical Trial[Light-guided intubation using Trachlight].
A new intubating transilluminated device (Trachlight) has been recently proposed as an alternative to tracheal intubation with direct laryngoscopy. ⋯ Orotracheal intubation using Trachlight appears to be an effective and easy to learn technique, being also easy, safe and fast to carry out. The comparison with direct laryngoscopy showed the same speed and effectiveness even on patients with difficult intubation.
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Minerva anestesiologica · Nov 1996
Practice Guideline Guideline[Recommendations for anesthesiologic treatment in non-cardiac surgery in congenital cardiopathy in neonatal and pediatric age. Italian Society of Anesthesia, Resuscitation and Intensive Therapy Group. Anesthesia and Resuscitation in Cardiothoracic Surgery].