[Use of atracurium for the prevention of fasciculations and succinylcholine myalgia in athletes undergoing orthopedic surgery].

Abstract:

:The Authors report their clinical experience about the use of atracurium besylate in preventing succinylcholine-induced fasciculations and postoperative myalgias in fifty athletes (ASA class 1), submitted to arthroscopic meniscectomy. The patients were pretreated with atracurium 5 mg i.v. or saline solution in a double-blind fashion. After 2.5 minutes, succinylcholine 1.3 mg/kg was administered, and fasciculations were recorded on a scale ranging from 0 to 3. Twenty-four hours after surgery all subjects were questioned about myalgias occurrence, scored by a 0-3 scale. Fasciculations occurred in all patients who received saline and in 44% of those treated with atracurium. Myalgias on the postoperative day were observed in 80% of patients treated with saline solution, but only in 36% of patients who received atracurium. The difference between atracurium and saline solution was statistically significant (p less than 0.001) either for fasciculations or myalgias incidence. These findings show that atracurium 5 mg i.v. is effective in preventing succinylcholine-induced fasciculations and postoperative myalgias, and suggest atracurium as the drug of choice for this purpose, particularly in muscular subjects.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Pagani I,Ramaioli F,Albertario F,Mora R,Dionigi RV

subject

Has Abstract

pub_date

1990-11-01 00:00:00

pages

1413-7

issue

11

eissn

0375-9393

issn

1827-1596

journal_volume

56

pub_type

临床试验,杂志文章,随机对照试验,评审
  • Vasopressin in sepsis and septic shock.

    abstract::Arginine vasopressin (AVP) and its synthetic, long-acting analog terlipressin (TP) are potent alternative vasoconstrictors in the treatment of septic patients with catecholamine-refractive vasodilatatory shock. The results from one large randomized clinical trial suggest that AVP plus norepinephrine (NE) infusion is a...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Kampmeier TG,Rehberg S,Westphal M,Lange M

    更新日期:2010-10-01 00:00:00

  • [Cranial trauma and multiple trauma: from the street to the operating room].

    abstract::Brain injury occurs with a range of severity: even less severe cases should be carefully observed since they may deteriorate. By definition severe head injury has a Glasgow Coma Scale score of 8 or less; comatose patients are defined as cases who do not obey commands, do not open their eyes and do not speak. Very ofte...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Stocchetti N,Longhi L,Magnoni S,Rossi S,Rotelli S

    更新日期:1999-06-01 00:00:00

  • [Variations of esophageal temperature during general anesthesia with a low-flow circuit].

    abstract:BACKGROUND:Anaesthesia drugs cause the cutaneous vasodilatation that produces core temperature lowering at the beginning of general anaesthesia; when the thermal threshold for vasoconstriction is reached the cutaneous heat losses are decreased. Furthermore, the soda lime begins to produce water and heat after 40 minute...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Di Filippo A,Minoni C,Bonetti L,Rizzo L,Novelli GP

    更新日期:1995-09-01 00:00:00

  • LMA® Protector™ versus traditional LMA to perform endobronchial ultrasound-guided transbronchial needle aspiration: a retrospective analysis.

    abstract:BACKGROUND:The aim of this study was to evaluate the use of laryngeal mask airway (LMA)® Protector™ by comparison with traditional LMA for performing endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA). METHODS:This was a retrospective observational single-center study including 143 patients w...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.19.13328-7

    authors: Zamparelli E,Fiorelli A,La Cerra G,Guarino C,Santoriello E,Buono S,Corcione A,Rispoli M

    更新日期:2019-07-01 00:00:00

  • Effect of epinephrine on survival after cardiac arrest: a systematic review and meta-analysis.

    abstract::The use of epinephrine is currently recommended as a treatment option for patients with cardiac arrest. The primary objective of this systematic review was to determine if epinephrine use during cardiac arrest is associated with improved survival to hospital discharge. MEDLINE, EMBASE, The Cochrane Library (Cochrane D...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,meta分析,评审

    doi:

    authors: Patanwala AE,Slack MK,Martin JR,Basken RL,Nolan PE

    更新日期:2014-07-01 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

  • [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

  • Enhanced visual acuity with echogenic needles in ultrasound-guided axillary brachial plexus block: a randomized, comparative, observer-blinded study.

    abstract:BACKGROUND:We prospectively evaluated the effect of insertion angle on the visibility of echogenic and nonechogenic needles in phantoms and in axillary nerve blocks in patients. METHODS:Conventional and echogenic needles were studied in phantoms at insertion angles of 0-30°, 30-45°, and ≥ 45°. Operators rated comfort ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Abbal B,Choquet O,Gourari A,Bouic N,Massone A,Biboulet P,Bringuier S,Capdevila X

    更新日期:2015-04-01 00:00:00

  • Perioperative hemodynamic goal-directed therapy and mortality: a systematic review and meta-analysis with meta-regression.

    abstract:INTRODUCTION:Recent data found that perioperative goal directed therapy (GDT) was effective only in higher control mortality rates (>20%) with a relatively high heterogeneity that limited the strength of evidence. The aim of the present meta-analysis was to clearly understand which high risk patients may benefit of GDT...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,meta分析

    doi:

    authors: Giglio M,Manca F,Dalfino L,Brienza N

    更新日期:2016-11-01 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

  • [Tracheal cannulation technics in cervical vertebral and spinal cord injuries. A comparative study].

    abstract::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 ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Giron GP,Ori C

    更新日期:1989-03-01 00:00:00

  • The use of remifentanil for bloodless surgical field during vertebral disc resection.

    abstract:BACKGROUND:A short hospital stay is nowadays desirable and affordable for a wide range of surgical pathology, respecting safety of care and home discharge. In the present study, the Authors investigated the use of TIVA with propofol/remifentanil during microsurgical vertebral disc resection to maintain a controlled vas...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Chillemi S,Sinardi D,Marino A,Mantarro G,Campisi R

    更新日期:2002-09-01 00:00:00

  • Efficacy of a novel prewarming system in the prevention of perioperative hypothermia. A prospective, randomized, multicenter study.

    abstract:BACKGROUND:Perioperative hypothermia is a common complication during general anesthesia. Although rewarming of patients before surgery has been used as a preventive measure and some guidelines recommend it, the implementation of prewarming for every surgical patient is cumbersome. Therefore, we sought to determine the ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:

    authors: Perl T,Peichl LH,Reyntjens K,Deblaere I,Zaballos JM,Bräuer A

    更新日期:2014-04-01 00:00:00

  • Postanaesthetic shivering. Epidemiology, pathophysiology and approaches to prevention and management.

    abstract::Postanaesthetic shivering is one of the leading causes of discomfort for patients recovering from general anesthesia. During EMG records, the distinguishing factor from shivering in fully awake patients is the existence of clonus similar to that recorded in patients with spinal cord transection. They coexist with the ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Alfonsi P

    更新日期:2003-05-01 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

  • Limiting harm in the ICU.

    abstract::This year, the US Institute of Medicine has estimated that medical errors kill up to 98,000 Americans each year,1 a problem surpassing automobile fatalities. For patients on the medical ward, drug therapy is the primary intervention they are receiving yet medication errors occur in as many as 4% of inpatients.2 Althou...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Subramanian S,Kellum JA

    更新日期:2000-05-01 00:00:00

  • Fasting guidelines concerning intake of solids of the American Society of Anesthesiologists are not in concert with those of the European Society of Anaesthesiologists.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 评论,信件

    doi:10.23736/S0375-9393.19.13553-5

    authors: Avidan A

    更新日期:2019-07-01 00:00:00

  • [Respiratory exchange during laparoscopic and laparotomic cholecystectomy].

    abstract::The utility of laparoscopic cholecystectomy in reducing postoperative pain and patient's hospital discharge is already known. Nevertheless peritoneal gas insufflation required by surgical procedure can modify respiratory homeostasis during general anesthesia. The aim of this study was to evaluate the effect of laparos...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Casati A,Salvo I,Calderini E,Valentini G,Carozzo A,Celeste E,Torri G

    更新日期:1994-03-01 00:00:00

  • Thrombolytic therapy during cardiopulmonary resuscitation.

    abstract::Recently, efforts have been undertaken to investigate the effects of thrombolysis during cardiopulmonary resuscitation (CRP) in patients suffering from massive pulmonary embolism or acute myocardial infarction. In up to 70% of patients with cardiac arrest, one of these two diseases is the underlying cause of deteriora...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Snyder-Ramos SA,Motsch J,Martin E,Böttiger BW

    更新日期:2002-04-01 00:00:00

  • [Use of atracurium in patients with muscular diseases. 2 cases of distal and mitochondrial myopathy].

    abstract::The successful management of 2 cases of rare myopathies, who underwent hemithyroidectomy, is here reported. Anaesthesia was induced with TPS and fentanyl, and maintained with isoflurane. Neuromuscular blockade was achieved by atracurium; neuromuscular monitoring by Neurostar-Medeleck was performed. This intraoperative...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Perilli V,Sollazzi L,Valenti M,D'Alessandro AM,Lo Monaco M,Pelosi G

    更新日期:1991-07-01 00:00:00

  • Tracheal amylase dosage as a marker for microaspiration: a pilot study.

    abstract:BACKGROUND:Devices that limit microaspiration through the cuffs of endotracheal tubes could help prevent ventilator-associated pneumonia (VAP). The amount of tracheal microaspirations could be a relevant study endpoint. The aim of our study was to assess whether amylase measured in tracheal secretions constituted a rel...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Filloux B,Bedel A,Nseir S,Mathiaux J,Amadéo B,Clouzeau B,Pillot J,Saghi T,Vargas F,Hilbert G,Gruson D,Boyer A

    更新日期:2013-09-01 00:00:00

  • Ileus in the critically ill: causes, treatment and prevention.

    abstract::Bowel dysfunction, especially ileus, has been increasingly recognized in critically ill patients. Ileus is commonly associated to constipation, however abnormal motility can also concern the upper digestive tract, therefore impaired gastrointestinal transit (IGT) seems to be a more appropriate term. IGT, especially co...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14778-3

    authors: Ariès P,Huet O

    更新日期:2020-09-01 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

  • Another failed attempt of neuroprotection: progesterone for moderate and severe traumatic brain injury.

    abstract::Two large phase-III prospective, multicenter, controlled, double-blind, randomized clinical trials (the PROTECT III study; the SYNAPSE study) evaluated the effectiveness of an early administration of progesterone in patients with moderate to severe traumatic brain injury (TBI). In the PROTECT III Trial, patients were ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Meyfroidt G,Taccone FS

    更新日期:2016-04-01 00:00:00

  • Preconditioning effects of the anesthetic administered to the donor on grafted kidney function in living donor kidney transplantation recipients.

    abstract:BACKGROUND:In living donor kidney transplantation (LDKT), we evaluated if there was any difference in grafted kidney function according to the type of anesthetic used in the donor because some laboratory studies have demonstrated that volatile anesthetics at clinically relevant concentrations protect the kidneys agains...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Lee JH,Joo DJ,Kim JM,Park JH,Kim YS,Koo BN

    更新日期:2013-05-01 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

  • Anesthetic complications during general anesthesia without intravenous access in pediatric ophthalmologic clinic: assessment of 5216 cases.

    abstract:BACKGROUND:General anesthesia utilizing inhalational agents without intravenous (IV) access for minor procedures is controversial. Eliminating IV access increases efficiency and patient satisfaction; however, the ability to introduce rapid acting medications into the circulation during an unanticipated emergency become...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.17.11565-8

    authors: Hung CW,Licina L,Abramson DH,Arslan-Carlon V

    更新日期:2017-07-01 00:00:00

  • Inhaled nitric oxide during anesthesia for bilateral single lung transplantation. Case report.

    abstract::Recently inhaled nitric oxide (iNO) has been used as pulmonary vasodilator without any effect on systemic hemodynamics. iNO has been also used in cardiac and thoracic surgery, involving lung transplantation. In this case report a patient, 41 years old female, affected by bronchiectasis, underwent bilateral sequential ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Della Rocca G,Pugliese F,Antonini M,Coccia C,Pompei L,Venuta F,Rendina EA,Ricci C

    更新日期:1998-06-01 00:00:00

  • Inhalation anesthetics: a review.

    abstract::Inhalation agents represent a basic drug used in modern balanced anesthesia. In the present review, the pharmacokinetics, effectiveness and clinical effects of inhalation agents on different systems are discussed. Data concerning the metabolism and related toxicity of halogenated agents is reviewed, with particular re...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Torri G

    更新日期:2010-03-01 00:00:00

  • Thrombolytics in CPR. Current advantages in cardiopulmonary resuscitation.

    abstract::Cardiac arrest carries a very poor prognosis. More than 70% of cardiac arrests are caused by acute myocardial infarction (AMI) or massive pulmonary embolism (PE). Thrombolysis during CPR has two major effects: first, it causally treats the condition that caused cardiac arrest and second, it has been shown to have bene...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Spöhr F,Böttiger BW

    更新日期:2005-06-01 00:00:00