[Hormone evaluation in brain death].

Abstract:

BACKGROUND:In this study, the level and the variation of a number of hormone and metabolic parameters during brain death treatment in potential organ donors have been monitored. METHODS:Thirty-nine consecutive brain-dead patients were enrolled in 3 Intensive Care Units of Regional Hospitals of the North of Italy. All patients were potential organ donors and free from diseases before the accident leading to death. The levels of ADH, ACTH, TSH, prolactin, cortisol, aldosterone, FT3, FT4, renin, serum lactate and plasma osmolality were measured immediately after the diagnosis of brain death (T0), certified following the Italian law of December 29, 1993, n. 578, and after 6 hours (T6). RESULTS:Hormone levels were normal in the majority of subjects, and there was no significant variation during the 6 hours of the observation period. No correlation was found between the hormone levels considered and the metabolic parameters; ADH levels were not correlated with plasma osmolality. FT3 levels were below the normal range in the majority of subjects, but were not associated with a higher lactate level, which is used as a marker of a shift toward tissue anaerobic metabolism. CONCLUSIONS:In conclusion, triiodothyronine administration to improve metabolic order and thus the function of organs for transplantation is not justified in brain-dead patients.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Gravame V,Porretti L,Cardillo M,Marchesi G,Rizzi M,Sacchi C,Candiani A,Chiaranda M,Gualandris L,Taioli E,Scalamogna M

keywords:

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

725-31

issue

10

eissn

0375-9393

issn

1827-1596

journal_volume

65

pub_type

临床试验,杂志文章
  • [Vecuronium in pediatric anesthesia. Repeated bolus vs continuous infusion].

    abstract::Vecuronium bromide was employed in 26 pediatric patients; 18 received vecuronium infusion and 11 intermittent bolus administration. The aim of the study was to evaluate the pharmacodynamics of the drug, the lack of cumulative properties, the best infusion rate, the possible advantage of the infusion technique. Neuromu...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Barbone G,Longo G,Bruno F

    更新日期:1992-03-01 00:00:00

  • [Non-invasive nasal ventilation in a a case of hypercapnic coma].

    abstract::Noninvasive positive pressure ventilation (NPPV) via nasal mask is well known to be effective in the treatment of acute respiratory failure (ARF) secondary to chronic obstructive pulmonary disease (COPD). A case of ARF with hypercapnic coma due to exacerbation of COPD is described. Six hours of conservative therapy wi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Scala R,Archinucci I,Naldi M,Donato Alessi S,Fabianelli F,Coniglio G,Guadagni G,Rossi M

    更新日期:1997-07-01 00:00:00

  • Renal effects of low dose aprotinin in pediatric cardiac surgery.

    abstract::Two groups of 15 children aged from 15 days to 6 years, undergoing surgery on cardiopulmonary by-pass for congenital heart disease have been retrospectively analyzed. Group A received a low-dose aprotinin treatment (30,000 KIU/kg in the priming solution); group C (control group) did not receive any aprotinin. Groups w...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Ranucci M,Corno A,Pavesi M,Cirri S,Menicanti L,Frigiola A,Celoria R,Ditta A,Boncilli A,Conti D

    更新日期:1994-07-01 00:00:00

  • The doctor's point of view: eye-tracking as an investigative tool in the extubation process in intensive care units. A pilot study.

    abstract:BACKGROUND:Patient safety is a top priority in healthcare. Little is known about the visual behavior of professionals during high-risk procedures. The aim of this study was to assess feasibility, usability and safety of eye-tracking to analyze gaze patterns during the extubation process in the intensive care unit. MET...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14468-7

    authors: Hofmaenner DA,Klinzing S,Brandi G,Hess S,Lohmeyer Q,Enthofer K,Schuepbach RA,Buehler PK

    更新日期:2020-11-01 00:00:00

  • [Role of assisted breathing in severe traumatic brain injury].

    abstract:BACKGROUND:Based on available data, there is no definite clinical research describing option, timing and effects of assisted as opposed to controlled ventilation to successfully treat acute severely brain-injured patients. This study demonstrates pressure support ventilation as a possible alternative to controlled vent...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cormio M,Portella G,Spreafico E,Mazza L,Pesenti A,Citerio G

    更新日期:2002-04-01 00:00:00

  • [Plasmapheresis and intraoperative hemodilution. Comparison of 2 methods].

    abstract::Fifty patients undergoing cardiac surgery suffering from coronary artery disease and valvular incompetence or stenosis, were randomly divided into two groups of 25 patients to compare the plasmapheresis effects on bleeding, transfusion requirements, economicity and paramedical staff compliance versus intraoperative au...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Sonzogni V,Bellavita P,Aceti M,Cossolini M,Lorini L

    更新日期:1995-07-01 00:00:00

  • [Anesthesia, awareness and wakefulness].

    abstract::Drugs used in anesthesia do not always produce the expected neurophysiological results. By studying those cases in which the reappearance of intraoperative awareness is most common, an attempt was made to estimate how many and which levels of cerebral function could be identified. Four levels were recognised: awarenes...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cogliolo P,Tufano R,Romano V,Villani R,Duvall M,Laurino S,Del Franco G,Coppola T

    更新日期:1990-05-01 00:00:00

  • [Diffuse traumatic cerebral injuries in children].

    abstract::A consecutive series of 41 patients aged less than 16 and admitted to the Department of Neurosurgery of the University of Milan in the period 1977-1978 following serious cranioencephalic trauma with Glasgow Coma Score (GCS) less than or equal to 7, duration of coma longer than 24 h and CT picture of diffuse lesion has...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Sganzerla EP,Massei R,De Santis A,Guerra P,Tiberio F,Parma A,Villani R,Trazzi R

    更新日期:1989-04-01 00:00:00

  • Interfacing spontaneous breathing and mechanical ventilation. New insights.

    abstract::Mechanical ventilation (MV) with positive pressure insufflations of gas into the lung may be required to ensure sufficient oxygenation of blood and elimination of carbon dioxide in acute respiratory failure. Interfacing spontaneous breathing and mechanical ventilation has been used to improve gas exchange and may offe...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Hedenstierna G,Lichtwarck-Aschoff M

    更新日期:2006-04-01 00:00:00

  • Self-directed deliberate practice with virtual fiberoptic intubation improves initial skills for anesthesia residents.

    abstract:BACKGROUND:Fiberoptic intubation is a core skill in anesthesiology. However, this complex psychomotor skill is challenging to learn in the clinical setting. The goal of this study was to evaluate the Virtual Fiberoptic Intubation (VFI) software as an adjunct to the traditional fibreoptic intubation teaching. METHODS:A...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Giglioli S,Boet S,De Gaudio AR,Linden M,Schaeffer R,Bould MD,Diemunsch P

    更新日期:2012-04-01 00:00:00

  • [Treatment of chest injuries in intensive care. Critical review of 54 clinical cases].

    abstract::All 54 chest trauma patients admitted to Resuscitation II of Pavia's S. Matteo Polyclinic in the period 1974-1979 have been reviewed in a critical analysis. Particular attention was paid to mortality in relation to age, associated pathology, treatment and the complications arising during the course of the trauma. Resu...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Preseglio I,Pagani I,Adduci D,Scherini A,Bonezzi C

    更新日期:1981-11-01 00:00:00

  • ECMO in acute and chronic adult respiratory failure: recent trends and future directions.

    abstract::Extracorporeal membrane oxygenation (ECMO) can be used to preserve or enhance systemic oxygen delivery in patients with refractory cardiac or respiratory failure. Although widely accepted as a standard of care for many indications in children and for adult cardiogenic shock, ECMO for adult respiratory failure is more ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: MacLaren G,Brain MJ,Butt WW

    更新日期:2013-09-01 00:00:00

  • Efficacy of propofol compared to midazolam as an intravenous premedication agent.

    abstract:BACKGROUND:It is common practice to administer a premedication to patients about to undergo anesthesia. This study compared the effects of a small intravenous bolus of propofol versus midazolam administered as a premedication. METHODS:In this prospective, randomized, double-blind, placebo-controlled study, 60 healthy ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Quario Rondo L,Thompson C

    更新日期:2008-05-01 00:00:00

  • Non-ventilatory therapies for acute respiratory distress syndrome.

    abstract::Acute respiratory distress syndrome (ARDS) commonly affects intensive care unit patients and is associated with high mortality. In addition to etiologic treatment and protective ventilation, non-ventilatory therapies represent a significant part of ARDS care. Pharmacological treatments, extra corporeal devices and pro...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0375-9393.18.12328-5

    authors: Bourenne J,Hraiech S,Rambaud R,Forel JM,Persico N,Guervilly C,Papazian L

    更新日期:2018-09-01 00:00:00

  • Management of massive operative blood loss.

    abstract::Coagulopathy associated with massive operative blood loss is an intricate, multicellular and multifactorial event. Massive bleeding can either be anticipated (during major surgery with high risk of bleeding) or unexpected. Management requires preoperative risk evaluation and preoperative optimization (discontinuation ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Kozek-Langenecker S

    更新日期:2007-07-01 00:00:00

  • [Sleep disorders in patients in recovery. Preliminary results in 20 patients].

    abstract::Various aspects of the critically ill patient sharing pain, physical distress, anxiety, environmental components, predispose him to develop some sleep disorders (SD). We studied 20 conscious patients, age 16-80 (mean 48.15 SD of mean +/- 25), undergoing ICU mean 14.3 days (SD of mean +/- 7.5), to evaluate SD rate and ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bardellini S,Servadio G,Chiarello M,Chiarello E

    更新日期:1992-09-01 00:00:00

  • Basic guide to chronic pain assessment: from neurophysiology to bedside.

    abstract::Chronic musculoskeletal pain is a highly prevalent condition that is commonly encountered in both general and specialist practice. Nonetheless, it still represents a significant challenge to the practitioners because of the lack of substantial evidence-based guidance. This review aimed to summarize the main pathophysi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14573-5

    authors: Finco G,Evangelista M,Sardo S

    更新日期:2020-12-01 00:00:00

  • Early dysglycemia and mortality in traumatic brain injury and subarachnoid hemorrhage.

    abstract:BACKGROUND:Traumatic brain injury (TBI) and subarachnoid hemorrhage (SAH) are the most common causes of severe acute brain injury in younger Intensive Care Unit (ICU) patients. Dysglycemia (abnormal peak glycemia, glycemic variability, mean glycemia, nadir glycemia) is common in these patients but its comparative outco...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.19.13307-X

    authors: Pappacena S,Bailey M,Cabrini L,Landoni G,Udy A,Pilcher DV,Young P,Bellomo R

    更新日期:2019-08-01 00:00:00

  • Altered liver function in patients undergoing veno-arterial extracorporeal membrane oxygenation (ECMO) therapy.

    abstract:BACKGROUND:Multiple organ dysfunction can occur in patients undergoing Veno-arterial Extra Corporal Membrane Oxygenation (VA-ECMO); however, liver function has not been well studied in this setting. METHODS:In a review of our institutional ECMO database (n=162), we collected aspartate (AST) and alanine (ALT) transamin...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.16.11442-7

    authors: Blandino Ortiz A,Lamanna I,Antonucci E,Pozzebon S,Dell'anna AM,Vincent JL,DE Backer D,Taccone FS

    更新日期:2017-03-01 00:00:00

  • Italian Intersociety Recommendations on pain management in the emergency setting (SIAARTI, SIMEU, SIS 118, AISD, SIARED, SICUT, IRC).

    abstract:BACKGRAUND:Pain is the primary reason for admission to the Emergency Department (ED). However, the management of pain in this setting is often inadequate because of opiophagia, fear of excessive sedation, and fear of compromising an adequate clinical assessment. METHODS:An intersociety consensus conference was held in...

    journal_title:Minerva anestesiologica

    pub_type: 指南,杂志文章,评审

    doi:

    authors: Savoia G,Coluzzi F,Di Maria C,Ambrosio F,Della Corte F,Oggioni R,Messina A,Costantini A,Launo C,Mattia C,Paoletti F,Lo Presti C,Bertini L,Peduto AV,De Iaco F,Schiraldi F,Bussani F,De Vito L,Giagnorio G,Marinangeli F

    更新日期:2015-02-01 00:00:00

  • Acute renal failure in rhabdomyolysis.

    abstract::Fifteen to 30% of patients develop acute renal failure (ARF) following rhabdomyolysis and rhabdomyolysis accounts for 5 to 9% of all ARF. Experimental studies revealed two critical factors that predispose to myoglobinuric ARF: hypovolemia/dehydration and aciduria. At the nephron level, three basic mechanisms underlie ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Guglielminotti J,Guidet B

    更新日期:1999-05-01 00:00:00

  • Intranasal dexmedetomidine in pediatrics: update of current knowledge.

    abstract::Intranasal dexmedetomidine, although still off-label, recently boasted an increasing consensus for different uses, namely, in diagnostic non-painful procedures, in painful procedures and in surgical premedication. However, at present, there is no consensus regarding indications, dosage and timing for administration. T...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0375-9393.19.13820-5

    authors: Mondardini MC,Amigoni A,Cortellazzi P,Di Palma A,Navarra C,Picardo SG,Puzzutiello R,Rinaldi L,Vitale F,Zito Marinosci G,Conti G

    更新日期:2019-12-01 00:00:00

  • Intracranial pressure and outcome in critically ill patients with aneurysmal subarachnoid hemorrhage: a systematic review.

    abstract:BACKGROUND:Evidences supporting the use of ICP monitoring after aneurysmal subarachnoid hemorrhage (aSAH) are limited. The aim of our paper is to examine whether elevated intracranial pressure (ICP) and ICP-derived variables predict mortality and functional outcomes after aSAH. METHODS:A systematic review of the liter...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cossu G,Messerer M,Stocchetti N,Levivier M,Daniel RT,Oddo M

    更新日期:2016-04-05 00:00:00

  • Aerophagia increases the risk of ventilator-associated pneumonia in critically-ill patients.

    abstract:BACKGROUND:Gastric residual volume in ventilated critically ill may complicate gut function. Over the years studies suggested to tolerate progressively higher residuals. The relationship between such volumes and the development of ventilator-associated pneumonia (VAP) is still under debate. No reports deal with the rel...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Destrebecq AL,Elia G,Terzoni S,Angelastri G,Brenna G,Ricci C,Spanu P,Umbrello M,Iapichino G

    更新日期:2014-04-01 00:00:00

  • Association between intra-abdominal pressure and jugular bulb saturation in critically ill patients.

    abstract:BACKGROUND:Disorders in cerebral circulation following elevated intra-abdominal pressure (IAP) may lead to silent brain ischemia, which can be serious problem in sedated critically ill patients. The aim of the present study was to analyse the possible association between jugular venous bulb pressure (JVBP) and jugular ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Kotlinska-Hasiec E,Dabrowski W,Rzecki Z,Rybojad B,Pilat J,De Keulenaer B,Lng Malbrain M

    更新日期:2014-07-01 00:00:00

  • Comparison of intrathecal hyperbaric and isobaric levobupivacaine in urological surgery.

    abstract:AIM:The aim of our study was to compare the efficacy of hyperbaric and isobaric solutions of intrathecal levobupivacaine for transurethral endoscopic surgery. METHODS:Urological patients who were scheduled for elective surgery under spinal anesthesia were enrolled. The heavy group received 13.5 mg of hyperbaric levobu...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Sen H,Purtuloglu T,Sizlan A,Yanarates O,Ates F,Gundu I,Ozkan S,Dagli G

    更新日期:2010-01-01 00:00:00

  • Ultrasound-guided serratus plane block and image-guided microwave ablation of a rib metastasis.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 信件

    doi:10.23736/S0375-9393.18.12938-5

    authors: Fusco P,Vespasiano M,Di Carlo S,Scimia P,Petrucci E,Marinangeli F

    更新日期:2018-12-01 00:00:00

  • [The laryngeal mask in pediatric anesthesia].

    abstract::AIM. To evaluate the validity of general anesthesia using the laryngeal mask airway (LMA) in pediatrics in a series of 163 patients. MONITORING. ETCO2 and SpO2 were evaluated five minutes after the insertion of LMA and then at five minute intervals. SpO2 was evaluated every two minutes after the removal of LMA. Use of...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Piana R,Bruno G,Meo MT,Tamanti P,Zuccaro G

    更新日期:1996-01-01 00:00:00

  • Ultrasound-guided posterior approach to brachial plexus for the treatment of upper phantom limb syndrome.

    abstract::The purpose of the case is to report the clinical value of the ultrasound-guided posterior approach to the brachial plexus in the treatment of phantom limb syndrome after an upper extremity amputation. The author experienced ultrasound guidance as sole technique to localize the brachial plexus for the purpose of placi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Tognù A,Borghi B,Gullotta S,White PF

    更新日期:2012-01-01 00:00:00

  • Thoracic epidural anesthesia decreases C-reactive protein levels in patients undergoing elective coronary artery bypass graft surgery with cardiopulmonary bypass.

    abstract:BACKGROUND:Coronary artery bypass graft surgery with cardiopulmonary bypass induces a systemic inflammatory response. However, when thoracic epidural anaesthesia is administered as part of a combined anesthetic technique, the stress response associated with the cardiopulmonary bypass (CPB) may be attenuated. METHODS:T...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Palomero Rodríguez MA,Suarez Gonzalo L,Villar Alvarez F,Varela Crespo C,Moreno Gomez Limon I,Criado Jimenez A

    更新日期:2008-11-01 00:00:00