Minerva anestesiologica
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Minerva anestesiologica · Oct 1989
Comparative Study[Anesthesia for shoulder surgery. Comparison of anesthesiologic problems and technics].
We evaluated the ability of general, regional (interscalene block) and balanced anaesthesia (interscalene block supplemented by general anaesthesia) to manage the problems of shoulder surgery. Our results show that general anaesthesia is not adequate. ⋯ The positions of patient and surgeons cause the main disadvantages of anaesthesia with interscalene block alone, ad the control of airway of sedated patients is difficult and performing general anaesthesia in case of insufficient analgesia may be troublesome. Balanced anaesthesia, as compared to regional block alone, allows a safer control of respiration and an easier control of surgical analgesia.
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Minerva anestesiologica · Jul 1989
Case Reports[Cannulation of the thoracic duct during central venous catheterization].
A case of inadvertent thoracic duct catheterization during transjugular central venous cannulation is reported. The clinical manifestations as well as the difficulties encountered in recognizing such a complication are analyzed. So, the necessity to obtain a radiographic confirmation of central venous catheter site is strengthened.
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Minerva anestesiologica · Jun 1989
[Sources of stress and burn-out in anesthesiologists. Reality and perspectives].
A sample of 128 anaesthesists was given the Maslach Burn-out Inventory (MBI). The purpose of the present research was to evaluate the stress level and/or burn-out in a setting which has not yet been explored. Findings indicate significant differences between groups concerning only the intensity responses. The burn-out scale used appears suitable to evaluate some modalities of response to stress, even in health workers, and stimulating to further research in order to obtain some suggestions about prevention and treatment in hospital organization.
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Minerva anestesiologica · Apr 1989
Review[Common problems for the neurosurgeon and the anesthesiologist in pediatric neurosurgery].
In pediatric neurosurgery the cooperation between neurosurgeon and anaesthesist is very tight. It begins with the clinical evaluation of preoperative conditions (weight, trophism, age, etc.), then continues with the through preparation of the operative position of the little patient and with the control of unfavourable side-effects of some particular positions (intraoperative air embolism in the sitting position, postoperative tension pneumocephalus). At last this cooperation is very important to analyse the vital functions and the neurological picture in the immediate postoperative period.