Minerva anestesiologica
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After a survey on the technique used for peridural anaesthesia, presence of pain determined by using bidistilled water as "liquid mandrel" when this is injected into the "peridural" space is reported. The use of this substance to identify this space, is suggested and an attempt explain mechanism of such pain is made.
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Minerva anestesiologica · Oct 1980
[Chemical rhizotomy using phenol in the treatment of perineal pain of neoplastic origin].
The Authors report the results obtained in 53 patients treated with intrathecal injections of 5% phenol in glycerin for the control of serve pain caused by rectal and genital cancer. The method used for determining the sensory roots to be blocked and the technique of drug administration are described. The effects of subarachnoid phenol blockade have been evaluated on the basis of pain relief (measured by the visual analogue test) and improved general well being. The observed results indicate that this is one of the most effective and safest procedures in the management of perineal cancer cancer pain.
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In order to identify a septic shock syndrome, the Limulus test (positive results in 10 cases out of 12) is preferable to hemoculture (positive in 9 cases out of 22), as a valid tool for a precocious diagnosis and to support both the clinical diagnosis and the precocious case finding of the septic conditions. According to the Authors, as far as intensive treatment is concerned, the simultaneous finding of the central venous pressure (CVP) and the lung capillary (LC) allows an accurate evaluation of the rate of cardiac impairment and the alterations to the distribution of blood volume in connection with treatment. The Authors have also reported the data related to the clinical course of illness and mortality rate (68%) in 21 cases of septic shock, as well as the hemodynamic parameters with the pertinent correlations (CVP-PAP-Pcp and Da-v) in 12 patients affected by septic shock from the very beginning and throughout the whole period of treatment.
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Minerva anestesiologica · Jul 1980
Historical Article[History of the Italian Society of Anesthesia and Analgesia, the Italian Society of Anesthesiology, the Italian Society of Anesthesia and Resuscitation and of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Therapy].
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Minerva anestesiologica · Apr 1980
Comparative Study Clinical Trial[0.75% and 0.5% bupivacaine in peridural lumbar block for surgery on the lower abdomen; a double-blind comparison and myographic study].
A double blind study has been carried out on 40 patients subjected to peridural block with 0.50% and 0.75% bupivacaine for operations on the low abdomen. While no significant differences were observed with regard to the latency and duration of anaesthetic action, 0.75% marcaine was more effective as regards the duration and degree of motor block. This result was also confirmed by an electromyographic study of the muscles of the hypothenar eminence.