Minerva anestesiologica
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Minerva anestesiologica · Sep 1994
Comparative Study Clinical Trial Controlled Clinical TrialLeukotrienes and alpha tumor necrosis factor levels in the bronchoalveolar lavage fluid of patient at risk for the adult respiratory distress syndrome.
To examine bronchoalveolar lavage (BAL) fluid of patients at risk for Adult Respiratory Distress Syndrome in the attempt to provide evidence of an increased local production of Leukotrienes (LTS) and Tumor Necrosis Factor (TNF). ⋯ In our patients leukotrienes and TNF in the BAL fluid correlate well with the acute inflammatory phase of ARDS, as reflected by the increase number of leukocytes in the fluid retrieved, but they do not appear to be clearly predictive index for the syndrome.
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Minerva anestesiologica · Jul 1994
Randomized Controlled Trial Comparative Study Clinical Trial[Effects of age, body weight, and ventilatory pattern on the difference between arterial and end-tidal PCO2].
To evaluate the effects of physiological ventilatory patterns on P(a-ET)CO2 gradient and on the alveolar dead space production during controlled mechanical ventilation. ⋯ Ventilatory setting, used in a normal physiological range, don't affect P(a-ET)CO2 difference during mechanical ventilation. Age, body weight and airway pressure of the patient must be considered to obtain a correct value of PaCO2 by the measure of PETCO2.
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Minerva anestesiologica · May 1994
Case Reports[Excessive reabsorption of irrigation fluid during operative hysteroscopy for uterine myoma].
Operative hysteroscopy procedures can present complications connected to necessity of kneeping, usually with low viscosity fluids, an uniform distension of uterine cavity. The instilled solutions are reabsorbed through the peritoneum and open uterine venous channels producing a hyperhydration syndrome. The case report shows the rising up of tis syndrome during a hysteroscopy for an uterine myoma resection. ⋯ In this case report the volumes of arterial oxygen saturation and end tidal carbon dioxide obtained on line were the first warning signals. A high CVP value, a plasmatic reduction of Na, albumin, proteins, haemoglobin, haematocrit and osmolarity reflected the excessive fluid reabsorption. For this reason the necessity, during these surgical methods, of considering some practical indications and the absolutely necessary use of clinical and biochemical monitoring systems for these patients.
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Minerva anestesiologica · Apr 1994
Case Reports[Removal of a swallowed endotracheal tube in a neonate].
Immediately following delivery a newborn infant was severely depressed. Because no respiratory effort was made and copious mucus was present, a Cole endotracheal tube was easily inserted into the trachea. Because of a mistaken manoeuvre for fastening the tube, the plastic adapter connection became dislodged from the tube, and the tube slipped out of trachea. ⋯ The misplaced tube was removed from the oesophagus using a small, flexible biopsy forceps closed, advanced into the lumen of the swallowed tube under fluoroscopic vision. By opening the forceps, gripping the tube tightly from within, it was easily withdrawn. No adverse effects were observed.