[Continuous venous infusion of buprenorphine with autonomous elastomeric system in the control of postoperative pain].

Abstract:

:We herein evaluated the analgesic effectiveness of low doses of buprenorphine with or without a primer and the practicality and usefulness of a constant flow disposable infusion set (Infusor Baxter 2 ml/h). Our series consists of 300 patients, seen between January 1992 and December 1993, randomly distributed in three groups of 100 patients each. All patients were informed before operation about the use of pain Visual Analogical Scale (VAS) and how the infusor works. At the end of the operation all patients had an infusor positioned with a 0.01 mg/kg supplied of buprenorphine diluted to 60 ml with Ringer's Lactate solution. In addition to this, group B patients received an i.v. primer of 0.003 mg/kg of buprenorphine diluted to 10 ml with saline solution and group C patients received an i.v. primer of 0.5 mg/kg of ketorolac diluted to 10 ml with saline solution. VAS, systolic arterial pressure, diastolic arterial pressure, heart rate, respiratory rate, request of analgesics and side effects were evaluated at one hour (T0), six hours (T1), 12 hours (T2), 24 hours (T3) and 36 hours (T4) after operation. Group B and C patients showed significant reduction in VAS compared to group A patients at T0 and T1 but the difference disappeared starting from T2. Group B and C patients showed blood pressure, heart rate and respiratory rate values significantly reduced compared to group A patients at T0 and T1. Such values however then stabilized. Side effects encountered were nausea and vomiting in different percentages in the three groups.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Greco R,Piastra M,Iacovacci V,Belcastro F,Forastiere EM,Proietti S,Piastra L

subject

Has Abstract

pub_date

1994-10-01 00:00:00

pages

1-8

issue

10 Suppl 2

eissn

0375-9393

issn

1827-1596

journal_volume

60

pub_type

临床试验,杂志文章,随机对照试验
  • [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

  • [Percutaneous cervical cordotomy in cancer pain. Preliminary experience].

    abstract::Suggestions of percutaneous cervical cordotomy in treatment of advanced cancer pain, limits in treatment of terminal patients (needing pain therapy and total assistance), results and complications of the latest 64 procedures (part of 110 operations performed) are discussed. ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Orlandini G

    更新日期:1991-04-01 00:00:00

  • Measured versus calculated energy expenditure in pressure support ventilated ICU patients.

    abstract:OBJECTIVE:To evaluate the usefulness of the modified Harris-Benedict formula predicting Energy Expenditure (EE) in pressure support ventilated, critically ill patient. SETTING:The intensive care unit (ICU) of a teaching hospital. PATIENTS:Fiftyfive patients admitted to ICU for acute respiratory failure, requiring mec...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Casati A,Colombo S,Leggieri C,Muttini S,Capocasa T,Gallioli G

    更新日期:1996-05-01 00:00:00

  • [Postoperative lumbar discitis].

    abstract::The authors report our experience on 19 cases of discitis developed after operations for herniated lumbar disc. Because of the negativity of the neuroradiological studies in the acute stage, the recognition of the typical syndrome (severe back pain, spasm of the paravertebral lumbar muscles, limited spinal motility, f...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Natale M,Lama M,D'Avanzo R,Squillante D,Cioffi FA

    更新日期:1992-04-01 00:00:00

  • Whole-exome sequencing of a family with local anesthetic resistance.

    abstract:BACKGROUND:Local anesthetics (LA) work by blocking sodium conductance through voltage-gated sodium channels. Complete local anesthetic resistance is infrequent, and the cause is unknown. Genetic variation in sodium channels is a potential mechanism for local anesthetic resistance. A patient with a history of inadequate...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Clendenen N,Cannon AD,Porter S,Robards CB,Parker AS,Clendenen SR

    更新日期:2016-10-01 00:00:00

  • Insulin differentially influences brain glucose and lactate in traumatic brain injured patients.

    abstract:BACKGROUND:Hypo- and hyperglycemia must be avoided to prevent additional brain damage following traumatic brain injury (TBI). However, the optimal blood glucose range requiring insulin remains unknown. Cerebral microdialysis is helpful in unmasking signs of metabolic impairment, thereby identifying deleterious blood gl...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Béchir M,Meierhans R,Brandi G,Sommerfeld J,Fasshauer M,Cottini SR,Stocker R,Stover JF

    更新日期:2010-11-01 00:00:00

  • Transcatheter implantation of an aortic valve: anesthesiological management.

    abstract:AIM:Transcatheter aortic valve implantation (TAVI) is an emergent alternative technique to surgery in high-risk patients with aortic stenosis. Here, we describe the anesthesiological management of patients undergoing TAVI at our institution over an 18-month period. METHODS:After a proper assessment of surgical risk an...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Covello RD,Ruggeri L,Landoni G,Guarracino F,Bignami E,Gonfalini M,Virzo I,Michev I,Colombo A,Zangrillo A

    更新日期:2010-02-01 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

  • [Case report: application of peridural stimulation in a case of intractable coccygodynia].

    abstract::The Authors report a case of coccygodynia following a car accident and describe the therapeutic approach used. In view of the clinical characteristics of pain and the limited quality and duration of benefits, it was proposed to insert an epidural neurostimulation electrode in an attempt to normalise the threshold of n...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Poggi A,Fanchini P,Fara B

    更新日期:1992-11-01 00:00:00

  • [Cardiac rupture in thoracic trauma].

    abstract::Thoracic trauma frequently involve damage to the cardiac structures and in the worst cases, the progressive degeneration and necrosis of the damaged tissue lead to cardiac rupture. The high mortality resulting from cardiac tamponade requires the prompt execution of diagnostic tests to provide as much useful informatio...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Siniscalchi A,Barbieri A,De Pietri L,Rossi R

    更新日期:2000-06-01 00:00:00

  • Processing a manuscript submitted to a medical journal.

    abstract::Peer review is the process by which manuscripts submitted to medical journals are evaluated for scientific soundness and priority, and potentially improved in terms of clarity. Constructive interaction between editors, reviewers, and authors is critical for the effectiveness of the entire process. Although empirical e...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cavaliere F,Antonelli M

    更新日期:2009-10-01 00:00:00

  • Postoperative metabolic stress: interventional strategies.

    abstract::More and more evidence accumulates suggesting that the reversal of the catabolic responses to surgery is associated with better outcome. The potential for anesthesiologists to be involved in altering outcome by simply preserving a normal blood glucose, providing optimal pain control and perioperative feeding is tremen...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Carli F

    更新日期:2006-06-01 00:00:00

  • [General anesthesia with remifentanil in a case of "sleep apnea syndrome"].

    abstract::The authors report the case of a patient suffering from central sleep apnea (CSA) who underwent neurosurgery for ventriculo-peritoneal derivation under general anesthesia. Given the risk of postoperative hypoventilation in CSA, intraoperative anesthesia was induced using remifentanyl, an opiate with a plasma half-life...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Gallo F,Baratto F,Munari M,Volpin SM,Facco E

    更新日期:1999-09-01 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

  • Injection pressures measuring for a safe peripheral nerve block.

    abstract::The performance of a precise and safe peripheral nerve blockade (PNB) can currently rely on the aid of the ultrasounds and nerve stimulators. The injection pressure monitoring may be beneficial to perform a safer procedure. This review focuses on the pressures measured during PNB among studies conducted on animal, and...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0375-9393.19.13518-3

    authors: Carassiti M,De Filippis A,Palermo P,Valenti C,Costa F,Massaroni C,Schena E

    更新日期:2019-09-01 00:00:00

  • Gender differences in septic intensive care unit patients.

    abstract:INTRODUCTION:The world population is mostly male at birth, although there is a shift in predominance over 55 years of age with more females than males. Male gender was recently hypothesized to be a risk factor for sepsis and septic shock; the reasons and the consequences of this odd discrepancy are yet a matter of deba...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.17.12187-5

    authors: Campanelli F,Landoni G,Cabrini L,Zangrillo A

    更新日期:2018-04-01 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

  • 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

  • Non-opioid analgesics for pain management following ambulatory surgery: a review.

    abstract::Multimodal pain management, combining analgesics with different mode of action in order to minimize occurrence of side-effects still providing safe and efficacious pain management after ambulatory surgery has become standard of care. The combined use of local anaesthesia in order to reduce noxious influx during the pr...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Warren-Stomberg M,Brattwall M,Jakobsson JG

    更新日期:2013-09-01 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

  • [Comparison of 2 low molecular weight heparins in patients undergoing major abdominal surgery].

    abstract:INTRODUCTION AND AIMS:Thromboembolic disease can, in a large number of cases, be prevented in patients undergoing major surgery by using low molecular weight heparin (LMWH). These molecules extracted from standard heparin using a variety of cleavage methods possess different physical and chemical characteristics. The a...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Mabilia MA,Minicucci S,Pettiti G,Tamponi G,Bogli F

    更新日期:1996-12-01 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

  • [Anesthesiology problems for implant and explant of left ventricular Novacor systems].

    abstract:OBJECTIVES:To review experience with anaesthetic management in patients undergoing a left ventricular assist system (LVAS) Novacor implant as a bridge to cardiac transplantation. DESIGN:Retrospective clinical study. SETTING:Cardiothoracic operating room in a university hospital. PATIENTS:Nine, aged 37-62 years, suff...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Domenegati E,Ceriana P,Chiaudani MG,Pagani F

    更新日期:1996-06-01 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

  • [Gastric tonometry. Experience of a polyvalent intensive care unit].

    abstract::Tonomitor NG tube was positioned in the stomach of 11 critical ill patients during their stay in ICU and 48 measurements of intramucosal pH (pHi) have been performed. In 7 patients haemodynamic measurement were performed in concomitance with each pHi measure. The Authors looked for statistical relations between pHi an...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Pappagallo S,Romagnoli P,Tulli G

    更新日期:1992-11-01 00:00:00

  • Methods of lung separation.

    abstract::During video assisted thoracoscopy (VAT) the lung should be well collapsed. When the separation of the lungs is strictly indicated, use of difficult tube, such as double lumen tube (DLT) or Univent tube cannot be avoided, despite the presence of a difficult airway. If a patient has a recognized difficult airway, awake...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cohen E

    更新日期:2004-05-01 00:00:00

  • [Removal of a swallowed endotracheal tube in a neonate].

    abstract::Immediately following delivery a newborn infant was severely depressed. Because no respiratory effort was made and copious mucus was present, a Cole endotracheal tube was easily inserted into the trachea. Because of a mistaken manoeuvre for fastening the tube, the plastic adapter connection became dislodged from the t...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Peduto VA,Toscano A,Loche F

    更新日期:1994-04-01 00:00:00

  • [Anesthesia with continuous infusion of propofol in myasthenic patients].

    abstract::Anaesthesia with atracurium, fentanyl, and continuous intravenous infusion of propofol in two myasthenic patients is described. There were no intra and postoperative problems and operative conditions were considered excellent. This technique offers a safe alternative to inhalational anaesthesia for patients with myast...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: De Grazia R,Belluco A,Chiarini L,Nani R

    更新日期:1992-03-01 00:00:00

  • [Tracheal intubation in a case of idiopathic pulmonary fibrosis using remifentanil and propofol without muscle relaxants].

    abstract::The anesthetic management of a 58 year-old-male suffering from idiopathic pulmonary fibrosis associated with a previous experience of altered dose-response relationship to muscle relaxants is reported. He underwent a gastroendoscopic surgical procedure. After intravenous atropine, remifentanil 3.0 microg kg(-1) was in...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cafiero T,Burrelli R,Gargiulo G,Mastronardi P

    更新日期:2002-11-01 00:00:00