Why should I change my practice of anesthesia? Opioids.

Abstract:

:The selection of opioid drugs for anesthesia is often based on empirical judgment such as the selection of opioids with rapid elimination half-life for short surgical procedures (e.g. alfentanil), while opioids with longer elimination half-life (e.g. fentanyl, sufentanil) are used for longer procedures. A better insight in the pharmacokinetic and pharmacodynamic differences between opioids allows a more rational selection of the drug and its dosing scheme, and will contribute to rapid recovery after anesthesia. As opioids are adjuncts to other anesthetic drugs, drug interaction principles should be considered when titrating the opioid administration.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Camu F

keywords:

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

268-72

issue

5

eissn

0375-9393

issn

1827-1596

journal_volume

66

pub_type

杂志文章,评审
  • [Experience of an intermediate respiratory intensive therapy in the treatment of prolonged weaning from mechanical ventilation].

    abstract::109 patients who suffered from an episode of acute respiratory failure, necessitated mechanical ventilation (MV) in a general Intensive Care Unit (ICU) and admitted to our Respiratory Intermediate Intensive Unit (RIIU), were retrospectively evaluated for outcome and weaning success. The patients, 69 +/- 9 years old, p...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Vitacca M,Clini E,Porta R,Sereni D,Ambrosino N

    更新日期:1996-03-01 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

  • [Anesthesia problems of the multiply-injured patient].

    abstract::Anaesthesia in the case of subjects with multiple injuries is commonly a short-term emergency measure, in which a certain time is available for the implementation of intensive antishock therapy, or else anaesthesia for deferred emergency situations. Since the introduction of ketamine and althesin, the anaesthesiologic...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Zaffiri O,Perani R,Scenna S,Musso L,Cerati MC

    更新日期:1980-02-01 00:00:00

  • Time to wake up the patients in the ICU: a crazy idea or common sense?

    abstract::With the first generation of ventilators, it was often necessary to sedate patients to avoid dyssynchrony between patient and ventilator. The standard treatment of patients in need of mechanical ventilation has therefore traditionally included sedation. Modern ventilators are able to simulate the patients breathing ef...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Strøm T,Toft P

    更新日期:2011-01-01 00:00:00

  • Comparison of the serial surveillance with quantitative and non-quantitative tracheal aspirate in predicting ventilator-associated pneumonia etiology in patients receiving antibiotic therapy.

    abstract:BACKGROUND:The aim of this study was to investigate the value of serial quantitative (QC) and non-quantitative (NQC) endotracheal aspirate (ETA) surveillance cultures in predicting the causative pathogen of ventilator associated pneumonia (VAP) in patients receiving antibiotic therapy and the factors associated with th...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Aydogdu M,Gursel G,Hizel K,Ozis TN

    更新日期:2010-08-01 00:00:00

  • Femoral and sciatic nerves block (BiBlock) in orthopedic traumatologic lower limbs surgery in patients with multiple sclerosis.

    abstract::Multiple sclerosis is a progressive demyelinating disease which affects large areas of the brain and of the spinal cord. Stressful events, surgical procedures, general anaesthesia and central blocks seem to be responsible for relapses, with worsening of the disease. So, when we scheduled 2 patients with multiple scler...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Ingrosso M,Cirillo V,Papasso A,Merolla V,Cecere F

    更新日期:2005-05-01 00:00:00

  • [Plasmapheresis and high-dose immunoglobulins in the treatment of acute demyelinating polyneuropathy].

    abstract::The authors report two clinical cases of Guillain-Barré syndrome, treated with contemporaneous use of plasmapheresis and high dose gammaglobulin. An early diagnosis and immediate application of such a therapeutic association, are of paramount importance in order to obtain remission of the neurologic symptomatology wit...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Marino A,Logi G,Roncucci P,Sodini ML,Fornaini F

    更新日期:1993-06-01 00:00:00

  • Non-invasive ventilation outside the Intensive Care Unit for acute respiratory failure.

    abstract::Non invasive ventilation (NIV) has been shown to be an effective therapy in selected patients with acute respiratory failure. Due to its benefit and relative ease of use, NIV is frequently used. In addition, the shortage and high cost of intensive care beds have prompted the use of NIV outside the intensive care unit....

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Chiumello D,Conti G,Foti G,Giacomini Matteo M,Braschi A,Iapichino G

    更新日期:2009-07-01 00:00:00

  • Continuous nerve block versus single-shot nerve block for total knee arthroplasty: a meta-analysis from randomized controlled trials.

    abstract:INTRODUCTION:This meta-analysis aims to determine whether continuous nerve block (CNB) provides better pain relief and functional recovery than single-shot nerve block (SSNB) after total knee arthroplasty (TKA). EVIDENCE ACQUISITION:Embase, PubMed, and the Cochrane Library databases were comprehensively searched. Rand...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,meta分析

    doi:10.23736/S0375-9393.19.13842-4

    authors: Ma T,Liu Q,Zhou L,Yue K,Ding Z,Chen B

    更新日期:2020-02-01 00:00:00

  • A new pressure guided management tool for epidural space detection: feasibility assessment in a clinical scenario.

    abstract:BACKGROUND:The detection of epidural space is usually performed by the technique of loss of resistance (LOR) without technological support, although there are few commercial options. In this work, we aimed to assess the feasibility of a new, non-invasive, mechatronic system for LOR detection in clinical settings. The s...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14031-8

    authors: Carassiti M,Cataldo R,Formica D,Massaroni C,De Filippis A,Palermo P,Di Tocco J,Setola R,Valenti C,Schena E

    更新日期:2020-07-01 00:00:00

  • [Prolonged neuromuscular block caused by succinylcholine in a patient with normal cholinesterase activity].

    abstract::The authors describe a case of prolonged neuromuscular blockade following suxamethonlum in a patient with a normal cholinesterase activity and dibucaine number > or = 75%. In this case a peripheral nerve stimulator and capnography allowed neuromuscular blockade evaluation and fresh frozen plasma infusion led to a norm...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Tritapepe L,Giardini M

    更新日期:1995-01-01 00:00:00

  • [Continuous infusion of enoximone in the treatment of acute myocardial ischemia with low output syndrome].

    abstract:OBJECTIVE:To evaluate efficacy and tolerability of enoximone, a phosphodiesterase inhibitor, in the treatment of cardiogenic shock. DESIGN:A prospective non randomized, non comparative study. SETTING:A general intensive care unit of a university hospital. PATIENTS:Six patients with cardiogenic shock (cardiac index <...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Sicignano A,Bellato V,Riboni A,Vesconi S

    更新日期:1994-03-01 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

  • [The effect of various drugs on post-operative pain-producing sensations].

    abstract::The influence of diazepam, the hemisuccinic ester of oxazepam, fentanyl and pentazocine on pain-producing sensation after surgery was tested in 160 patients subjected to ordinary and major surgery. Use was made of Dundee and Moore's modification of Clutton-Brock's test, and Bromage's test. Analysis of the results indi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Gerardi AU,Miletti S,Miele G

    更新日期:1980-05-01 00:00:00

  • [General anesthesia with continuous-infusion ketamine].

    abstract::The importance of Ketamine in continuous perfusion is described on the basis of a studied carried out in 30 patients. The clinical data are compared with results predicted by the mathematical model. Special study was made of the behaviour of the cardiocirculatory apparatus, particularly in reference to myocardial cont...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Brina P,Giuliano G,Migliarese MC,Montanari C,Pagnoni B

    更新日期:1980-08-01 00:00:00

  • [A technic of analgesic anesthesia as brief anesthesia].

    abstract::An original technique of analgesic anaesthesia, with the characteristics of brief and out-clinic anaesthesia, has been experimented in a group of patients undergoing light surgery (eye surgery). The technique employs an association of an analgesic--Fentanil--a low dose hypnotic and marked hyperventilation. Recovery ch...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Portolano F,de Grazia F,Diana DP,Conte MP

    更新日期:1982-01-01 00:00:00

  • Managing intensive supports. The attitudes of the health care workers of five Italian Hospitals to institution of CPR and admission to the ICU.

    abstract:AIM:The aim of the paper was to examine the attitudes of the health care workers (HCW) of five Italian Hospitals towards intensive supports, in the hypothesis that a large involvement could help to solve the problems of a more adequate management of vital supports. METHODS: DESIGN:Hospital HCWs' attitudes towards car...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Zamperetti N,Mazzon D,Orsi L,Barneschi MG,Marsili M,Rossi C,Primadei M,Ethics Commission of the Italian Society of Anaesthesia, Analgesia, Resuscitation and Intensive Care.

    更新日期:2007-03-01 00:00:00

  • [Automatic fluid control during high-flow continuous hemofiltration: the Equaline system].

    abstract:OBJECTIVE:To describe the use of an automatic fluid control system, Equaline, during high flux continuous hemofiltration. DESIGN:Prospective descriptive study. SETTING:General intensive care unit in a general hospital. PATIENTS:15 consecutive patients suffering from septic shock, hypercatabolic with acute renal fail...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Sicignano A,De Pietri P,Latis G,Minuto A,Riboni A,Vesconi S

    更新日期:1994-01-01 00:00:00

  • Blunted inflammatory response to lipopolysaccharide endotracheal instillation due to thermal preconditioning.

    abstract:AIM:Heat shock proteins (HSPs), induced by thermal stress, make the cells more resistant to following stress. We aimed to verify if rats heating reduces the production of TNF-alpha in a model of acute respiratory distress syndrome (ARDS). METHODS:We divided 34 Wistar rats in Group A and Group B. The rats of Group A re...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Di Filippo A,Rinaldi S,Pascente C,Messeri D,De Gaudio AR

    更新日期:2005-10-01 00:00:00

  • [Rhabdomyolysis caused by improper intraoperative positioning. Clinical and medico-legal aspects].

    abstract::The etiology, diagnosis, pathology and treatment of rhabdomyolysis due to intraoperative malpositioning and the medico-legal implications of physicians involved in the surgical treatment and anesthesia of the patient are described. According to the Italian law, the anesthesiologist is the only physician of the surgery...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Ronchi E,Macrì L,Schillaci DR,Tommasino C

    更新日期:1999-12-01 00:00:00

  • [The use of low doses of intermediate acting muscle relaxants in adenotonsillectomy].

    abstract::In this study we compared the efficacy of a reduced dose of medium term neuromuscular blocking agents atracurium (0.20 mg/kg) and vecuronium (0.04 mg/kg) in short-term (8-10 min) pediatric surgery. Eighty-four children (ASA I and II) undergoing adenotonsillectomy were selected for this study. Their average age was 56 ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Frediani M,Capanna M,Casini L,Lorenzetti MG,Bianchini G,Pacini P

    更新日期:1993-03-01 00:00:00

  • Metabolic stress during hypoglycaemia clamp assessed by microdialysis.

    abstract:AIM:Microdialysis allows the biochemical analysis of interstitial fluids as a bedside procedure. This technique is of interest to evaluate the glucose dependent metabolism in hypoglycaemic patients. It was the aim to perform subcutaneous and blood microdialysis during hypoglycaemic clamp experiments in 12 healthy young...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bahlmann L,Oltmanns KM,Peters A,Poeling J,Schwemmer U,Heringlake M,Klaus S

    更新日期:2005-11-01 00:00:00

  • Epidemiology and outcome of sepsis syndromes in Italian ICUs: a muticentre, observational cohort study in the region of Piedmont.

    abstract:BACKGROUND:Sepsis is an important cause of mortality and morbidity in the intensive care unit (ICU). We performed a study to describe the epidemiology of sepsis syndromes in patients admitted to ICUs of the Piedmont region. METHODS:In this prospective, multicentre, observational study, all 3902 patients admitted to a ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Sakr Y,Elia C,Mascia L,Barberis B,Cardellino S,Livigni S,Fiore G,Filippini C,Ranieri VM

    更新日期:2013-09-01 00:00:00

  • [Idiopathic long QT-syndrome. Changes in the duration of the QTC during anesthesia with propofol].

    abstract::A prolonged electrocardiographic QTc interval may be unsafe during general anesthesia; thus successful anesthetic management in patients affected by congenital long QT syndrome include avoidance of any event that increases sympathetic activity and drugs that prolong QT interval. Propofol seems to have less effect on t...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Azzolini M,Ragagni M,Pfaender M,Dallape L,Gasperotti G

    更新日期:1993-07-01 00:00:00

  • Histopathological observations in the brains of children exposed to inhalational anesthetic agents: a retrospective autopsy-based study.

    abstract:BACKGROUND:Numerous animal models have demonstrated neuronal damage resulting from anesthetic exposure in the developing brain. Studies have shown a relationship between anesthetic exposure and brain hypoxia, neurodegeneration and apoptosis. The relevance of data derived from controlled experimental studies to human ne...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Green MS,Aman MM,Stevens L,Voralu K,Saththasivam P,Mychaskiw G,Katsetos CD

    更新日期:2015-12-01 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

  • Neurologic deficit after peripheral nerve block: what to do?

    abstract::Regional nerve injury is a recognized complication of plexus anesthesia. Nerve damage after regional anesthesia is the most frightening complication for the patient, the anesthetist and the surgeon too. In order to limit possible medico-legal issues, the anesthetist has to follow an algorithm. The indication and infor...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Borgeat A

    更新日期:2005-06-01 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

  • [A new ventilation method: the laryngeal mask].

    abstract::A size 3 laryngeal mask was used in 20 patients who underwent elective general surgery. It consists of a silicon tube attached to mask which must be inserted into the hypopharynx and then inflated. No curarisation nor laryngoscopy is needed. Operations were performed in assisted or spontaneous ventilation, with good a...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Festa M,Ballaris MA,Cerutti E,Morolli G

    更新日期:1992-05-01 00:00:00

  • [Factors determining the successful weaning of patients with "difficult weaning"].

    abstract:OBJECTIVE:Weaning from mechanical ventilation is often possible in the most of patients, even if sometimes it is very difficult. For example, 25-53% of COPD patients cannot be weaned. The different modalities used do not justify this. The aim of the study was the evaluation of a further weaning trial in tracheotomized ...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Rubini F,Zanotti E,Brigada P,Nava S

    更新日期:1998-11-01 00:00:00