Remifentanil for intraoperative analgesia during the endoscopic surgical treatment of pituitary lesions.

Abstract:

AIM:The authors have evaluated remifentanil for intraoperative analgesia in endonasal endoscopic surgery for pituitary lesions. METHODS: EXPERIMENTAL DESIGN:a perspective, randomized and comparative study between remifentanil and fentanyl for intraoperative analgesia was performed in an operating room of the neurosurgical department at University. Sixty patients of both sexes were studied and randomly divided into 2 groups. Patients were premedicated with fentanyl 0.15 microg.kg(-1) and atropine 0.01 microg.kg(-1) (group F) or with atro-pine and remifentanil 0.25 microg.kg(-1) min-1 (group R); induction was with propofol 2.0 microg.kg(-1) and maintenance with titrated infusion of propofol and for intraoperative analgesia, fentanyl as bolus injection of 1.0-1.5 microg.kg(-1) (group F) or a titrated infusion of remifentanil (group R). The following parameters were studied: MAP, HR, bleeding, awakening times, adverse effects and VAS. RESULTS:Much more stable hemodynamic parameters during surgery in patients treated with remifentanil; labetalol was administered in 10% of patients in group F; no significant differences as regards the adverse effects and VAS. Faster awakening time was obtained in the remifentanil group as compared with the fentanyl group. CONCLUSIONS:Remifentanil analgesia (mean dose of 0.37 microg.kg(-1).min-1) in patients undergoing endonasal endoscopic surgery of the sellar region provides a more efficacious cardiocirculatory control with reduced bleeding and faster psychosensorial recovery.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Gargiulo G,Cafiero T,Frangiosa A,Burrelli R,Cortesano P,Cappabianca P,Cavallo LM,Esposito F

keywords:

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

119-23, 124-6

issue

3

eissn

0375-9393

issn

1827-1596

journal_volume

69

pub_type

临床试验,杂志文章,随机对照试验
  • High-volume hemofiltration in critically ill patients: a systematic review and meta-analysis.

    abstract:BACKGROUND:High volume hemofiltration (HVHF) has been proposed as method for blood purification, especially under the condition of systemic inflammatory syndromes. Our goal was to evaluate the effects of HVHF in critically ill patients. METHODS:A systematic review and meta-analysis was conducted of randomized controll...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,meta分析,评审

    doi:

    authors: Lehner GF,Wiedermann CJ,Joannidis M

    更新日期:2014-05-01 00:00:00

  • Management of acute respiratory complications from influenza A (H1N1) infection: experience of a tertiary-level Intensive Care Unit.

    abstract:BACKGROUND:The novel influenza A (H1N1) pandemic was associated with an epidemic of critical illness. METHODS:We describe the clinical profiles of critically ill patients with severe complications due to microbiologically confirmed pandemic influenza A (H1N1) infection admitted to a medical ICU in Monza, Italy, over a...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Grasselli G,Bombino M,Patroniti N,Foti G,Benini A,Abbruzzese C,Fumagalli R,Pesenti A

    更新日期:2011-09-01 00:00:00

  • [Impairment of diuresis in surgical intervention. Role of urinary prostaglandins].

    abstract::In 8 patients who underwent abdominal surgery for non-neoplastic reasons, we have evaluated some parameters of renal function (PRP, NaU, GFR and diuresis) plasma levels of PRA and ADH and urinary prostaglandins PGE2 and 6-keto-PGF1 alpha. In 4 patients we found that surgery per se was associated with enhancements of P...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Mattei A,Chiumiento F,Cusano T,Di Minno G,Cirillo F,Vecchione G,Viglietto A,Russo D,Viglietto A

    更新日期:1990-04-01 00:00:00

  • [Loco-regional block in ophthalmic surgery: single drug or drug combination with hyaluronidase? Randomized prospective study].

    abstract:UNLABELLED:The aim of this study is the comparison between the use of bupivacaine alone and a mixture of bupivacaine, mepivacaine and hyaluronidase in both retrobulbar and peribulbar blockades for eye surgery. Three hundred ninety-nine consecutive adult patients scheduled for cataract surgery with regional anaesthesia ...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Costa P,Papurel Begin G,Coaloa M,Villa C,Ravera E,Hellmann F,Di Giovanni M,Bono D

    更新日期:1999-11-01 00:00:00

  • Perioperative care of diabetic patient.

    abstract::Diabetes mellitus is a common endocrinopathy. Diabetic patients undergoing surgery have to be carefully evaluated in order to lower the risk of perioperative complications. The author reviews the possible pathological involvement of target organs, focusing on cardiovascular pathology, neuropathy, nephropathy, respirat...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Scherpereel P

    更新日期:2001-04-01 00:00:00

  • Comparison of the i-gel™ with the AuraGain™ laryngeal mask airways in patients with a simulated cervical immobilization: a randomized controlled trial.

    abstract:BACKGROUND:The use of second generation supraglottic airway devices is recommended for airway rescue in failed tracheal intubation. This study was performed to compare the clinical performance of the i-gel™ with that of the AuraGain™ in patients with simulated cervical immobilization. METHODS:We conducted a prospectiv...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14237-8

    authors: Hur M,Choi S,Row HS,Kim TK

    更新日期:2020-07-01 00:00:00

  • Comparison of the Macintosh, GlideScope®, Airtraq®, and King Vision™ laryngoscopes in routine airway management.

    abstract:BACKGROUND:We hypothesized that the use of the channeled King Vision™ and Airtraq® would shorten the time for tracheal intubation compared with the Macintosh or GlideScope® laryngoscopes in patients with normal airways. METHODS:Eighty-six patients were randomly assigned to intubate the trachea using either the Macinto...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Al-Ghamdi AA,El Tahan MR,Khidr AM

    更新日期:2016-12-01 00:00:00

  • [Treatment of pheochromocytoma in children. Experience with 3 clinical cases].

    abstract::The authors report their own experience in three cases of paediatric phaeochromocytoma. Before surgery the patients received alpha-adrenergic blocking drugs; two of them also received calcium channels blocking drugs and in one of them was employed a beta-adrenergic blocking drug too. Before surgery the patients receiv...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Furino A,Barbone G

    更新日期:1993-05-01 00:00:00

  • Bispectral-Index-measured sevoflurane requirement might be decreased in individuals with major depressive disorder.

    abstract:BACKGROUND:GABA (γ-aminobutyric acid) is the primary inhibitory neurotransmitter in the CNS and well-known target for general anesthetics. In addition, the dysregulation of GABA could be involved in the etiology of major depressive disorder (MDD). In this study, we aimed to determine whether MDD has any effect on anest...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.17.11713-X

    authors: Erden V,Güler C,Seven S,Bağ S,Kara AG,Kirgezen Ş

    更新日期:2018-01-01 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

  • [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

  • Xenon, a modern anaesthesia gas.

    abstract::Xenon is an interesting anesthetic as it appears to lack negative inotropicy and vasodilatation, giving great advantages to both patients with limited cardiovascular reserve or those who require hemodynamic stability. It has low toxicity and is not teratogenic. Xenon gives rapid induction and recovery, due to its low ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Hecker K,Baumert JH,Horn N,Rossaint R

    更新日期:2004-05-01 00:00:00

  • [Evaluation of cerebral perfusion during aortic clamping and cross-clamping in patients undergoing resection for abdominal aortic aneurysm. A study with transcranial doppler].

    abstract:OBJECTIVE:To evaluate the cerebral blood flow parameters assessed by transcranial Doppler during aortic cross-clamping and unclamping in patients undergoing abdominal aortic aneurysmectomy. METHODS:Invasive intraoperative monitoring of mean arterial pressure (MAP) and PaCO2, and right middle cerebral artery (RMCA) mon...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Pittella G,Benanti CF,Palombo C,Kozàkovà M,Distante A,Giunta F

    更新日期:1997-03-01 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

  • Bispectral Index and non-Bispectral Index anesthetic protocols on postoperative recovery outcomes.

    abstract:INTRODUCTION:The study aimed to compare Bispectral Index (BIS) and non-BIS anesthetic protocols on postoperative recovery outcomes. EVIDENCE ACQUISITION:Medline, PubMed, Cochrane, EMBASE, and Google Scholar databases were searched until January 21, 2016. EVIDENCE SYNTHESIS:Twenty-six studies were included with a tota...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0375-9393.17.12033-X

    authors: Chiang MH,Wu SC,Hsu SW,Chin JC

    更新日期:2018-02-01 00:00:00

  • Perioperative management in orthotopic liver transplantation: results of an Italian national survey.

    abstract:BACKGROUND:No data are available on the perioperative approach during orthotopic liver transplantation (OLT) in Italy, apart from sporadically single center studies. METHODS:The Department of Anesthesia cooperating with each Italian licensed OLT center received a questionnaire regarding preoperative evaluation, intrao...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Biancofiore G,Della Rocca G,SIAARTI Study Group on organs donation and abdominal organs transplantation.

    更新日期:2012-06-01 00:00:00

  • Reply to comments on proportional assist ventilation feasibility in the early stage of respiratory failure.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 评论,信件

    doi:10.23736/S0375-9393.19.13835-7

    authors: Delgado M,Fernández R

    更新日期:2019-10-01 00:00:00

  • Delirium and agitation in traumatic brain injury patients: an update on pathological hypotheses and treatment options.

    abstract::Traumatic brain injury (TBI) is a global public health epidemic. It represents the principal cause of death and disability in individuals aged under 35 in the USA. In the subacute phase, severe TBI patients who recover consciousness go through a state of agitation and delirium. However, there is only limited research ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.18.12294-2

    authors: Ganau M,Lavinio A,Prisco L

    更新日期:2018-05-01 00:00:00

  • [Use of neuroleptoanesthesia for carrying out a Harrington intervention in a patient probably susceptible to malignant hyperthermia].

    abstract::The Authors, after a brief review of malignant hyperthermia (MH), describe the use of NLA a Harrington's surgical procedure in a malignant hyperthermia susceptible (MHS) patient. Such an anaesthesiological procedure, using benzodiazepines, droperidol, fentanyl, pancuronium and N2O/O2, didn't lead to any form of MH cri...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Lauri A,Corbari M,Galli C,Marri M

    更新日期:1989-09-01 00:00:00

  • The assessment of esophageal pressure using different devices: a validation study.

    abstract:BACKGROUND:Although esophageal pressure measurement could help clinicians to improve the ventilatory management of acute respiratory distress syndrome (ARDS) patients, it has been mainly used in clinical research. Aim of this study was to compare the measurements of end-expiratory esophageal pressure, end-expiratory tr...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14458-4

    authors: Chiumello D,Caccioppola A,Pozzi T,Lusardi AC,De Giorgis V,Galanti V,Ferrari E,Coppola S

    更新日期:2020-10-01 00:00:00

  • [Surgical versus endovascular treatment in cerebral aneurysm. The opinion of a neuroradiologist].

    abstract::Surgery is currently the treatment of choice for acutely ruptured aneurysms, representing an efficient option both in the short and long term. We believe that the endovascular option may be of help in high surgical-risk cases. ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Boccardi E,Branca V,Valvassori L,Scialfa G

    更新日期:1998-04-01 00:00:00

  • New trends in pediatric anesthesia.

    abstract::The authors illustrate some relevant emerging topics in pediatric anesthesia. Endotracheal cuffed tubes have entered into routine clinical practice in younger patients. Concerns about tracheal stenosis were overcome when manufactures began to produce a new class of high volume, low pressure endotracheal tubes. Ultraso...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Pietrini D,Piastra M,Lamperti M,Ingelmo PM

    更新日期:2009-04-01 00:00:00

  • [Effects of hyperbaric oxygenation in skin and pulmonary infections caused by Pseudomonas aeruginosa].

    abstract::About 80% of nosocomial infections are caused by aerobic bacteria. The Pseudomonas aeruginosa is a Gram-negative bacterium pertaining to the Pseudomonadaceae family. P. aeruginosa is responsible for 6-22% of all hospital infections. The aim of this paper is to evaluate the efficacy of both hyperbaric oxygen-therapy (H...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Marmo M,Contaldi G,Luongo C,Imperatore F,Tufano MA,Catalanotti P,Baroni A,Mangoni G,Stefano S,Rossi F

    更新日期:1996-09-01 00:00:00

  • [The sigh in ARDS (acute respiratory distress syndrome)].

    abstract::We studied 10 consecutive, sedated and paralyzed patients with Acute Respiratory Distress Syndrome (ARDS). The entire study lasted 4 hours, divided in 3 periods: 2 hours of recommended ventilation [lung protective strategy, LPS, i.e., ventilation with low tidal volume (< 8 mL/kg), limiting the plateau at 35 cm H2O, to...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Pelosi P,Bottino N,Panigada M,Eccher G,Gattinoni L

    更新日期:1999-05-01 00:00:00

  • Red blood cell transfusion strategies in critically ill patients: lessons from recent randomized clinical studies.

    abstract::A randomized, multicenter trial conducted in 32 northern European general intensive care units (ICUs) enrolled some patients with septic shock randomly assigned to receive a red blood cell transfusion when the hemoglobin (Hb) level was ≤7 g/dL ("lower threshold"; N.=502) or ≤9 g/dL ("higher threshold"; N.=496) through...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Lelubre C,Vincent JL,Taccone FS

    更新日期:2016-09-01 00:00:00

  • Invasive candidiasis and candidemia: new guidelines.

    abstract::Invasive candidiasis (IC) includes candidemia, disseminated candidiasis with deep organ involvement, endocarditis and meningitis. IC has an attributable mortality of 40% to 50% and is increasingly reported in intensive care units (ICUs). Candida albicans and non-albicans strains are both responsible for infections in ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: De Rosa FG,Garazzino S,Pasero D,Di Perri G,Ranieri VM

    更新日期:2009-07-01 00:00:00

  • Size and shape of the inferior vena cava before and after a fluid challenge: a pilot study.

    abstract:BACKGROUND:Recent meta-analyses failed to support the reliability of ultrasound assessment of the inferior vena cava (IVC) to predict fluid responsiveness. However, the techniques utilized were heterogeneous. We hypothesized that the variability of the elliptic section and caliber of the IVC along its course may influe...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.18.13041-0

    authors: Biasucci DG,Cina A,Calabrese M,Antoniucci ME,Cavaliere C,Bevilacqua F,Cavaliere F

    更新日期:2019-05-01 00:00:00

  • The use of the Foley Airway Stylet Tool® to guide tracheal intubations through an intubating laryngeal mask airway.

    abstract:BACKGROUND:Blind insertion of endotracheal tubes through the intubating laryngeal mask airway (ILMA) is unsuccessful in almost 50% of cases on the first attempt, with an overall success rate of approximately 90%. We used a portable fiber optic device (Foley Airway Stylet Tool® FAST) to detect the reasons for failed int...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Heuer JF,Crozier TA,Braun U,Neumann P,Hilgers R,Quintel M,Timmermann A

    更新日期:2011-11-01 00:00:00

  • Efficacy of intravenous lidocaine versus placebo on attenuating cardiovascular response to laryngoscopy and tracheal intubation: a systematic review of randomized controlled trials.

    abstract::Cardiovascular response to laryngoscopy and tracheal intubation may be harmful in surgical patients with cardiovascular and cerebral diseases. The efficacy of intravenous lidocaine on attenuating the hemodynamic changes remains controversial. This systematic review aims to determine the efficacy of lidocaine versus pl...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,meta分析,评审

    doi:

    authors: Qi DY,Wang K,Zhang H,Du BX,Xu FY,Wang L,Zou Z,Shi XY

    更新日期:2013-12-01 00:00:00

  • Contribution of the coronary sinus blood to the pulmonary artery oxygen saturation gradient in cardiac surgery patients.

    abstract:BACKGROUND:The coronary sinus oxygen saturation (SO2) can affect the oxygen saturation of the superior vena cava (superior cava SO2) and the pulmonary artery (pulmonary artery SO2), causing a gradient between the latter two (ΔSO2), as has been observed in different physiological and pathological conditions. The objecti...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bouchacourt JP,Kohn E,Riva J,Hurtado FJ

    更新日期:2011-06-01 00:00:00