Minerva anestesiologica
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Minerva anestesiologica · Apr 1989
[Autotransfusion technic in surgery of craniostenoses in children].
The extensive blood loss during the surgical correction of craniosynostosis in infancy needs usually homologous transfusion. The Authors report a program of preoperative and intraoperative hemodilution and their experience in six infants, the very first in pediatric neurosurgery. Prevention of homologous blood transfusion achieved in 4 out 6 cases can be considered a success that could be further improved introducing minor changes in our protocol.
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Minerva anestesiologica · Mar 1989
Comparative Study[Tracheal cannulation technics in cervical vertebral and spinal cord injuries. A comparative study].
Cervical vertebral dislocations and fractures require the complete immobility of the neck until an intervention of stabilization of the spinal cord, by surgery or external means, is performed. Endotracheal intubation, which might represent a harmful operation, can become difficult when the stabilization of the spinal cord has been obtained by external means. ⋯ Each method presents advantages with regard to the grading of visualization of the larynx, but also limitations due to the time required to perform the intubation and the appearance of complications. It seems therefore useful to continue the search for the ideal method for tracheal intubation, which should be absolutely atraumatic, fast, and completely successful.
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Minerva anestesiologica · Jan 1989
Randomized Controlled Trial Comparative Study Clinical Trial[Continuous intravenous infusion with patient-controlled anesthesia for postoperative analgesia in cesarean section: morphine versus buprenorphine].
A double blind comparison between morphine and buprenorphine was performed in 20 patients using a new demand and continuous infusion analgesic system to provide analgesia after cesarean section. The patients were randomized in two equal groups to receive either morphine 1 mg/h or buprenorphine 0.03 mg/h. The PCA system was set to deliver bolus of either morphine 1 mg or buprenorphine 0.03 mg, with a lockout interval of 10 and 15 min respectively. ⋯ No difference in side effects between the groups was observed. The mean potency ratio between buprenorphine and morphine was 32:1. Patients receiving buprenorphine showed a more prolonged analgesia and a significant improvement of sedation score.
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Minerva anestesiologica · Jan 1989
Comparative Study[Cuff pressure in intratracheal tubes. Evaluation of the new Mallinckrodt-Brandt model].
Cuff pressure of endotracheal tubes increases to dangerous levels during anesthesia with nitrous oxide. In a small clinical study the Authors conclude that Mallinckrodt-Brandt endotracheal tubes are the only "low pressure" tubes available at the moment.