[Enoximone in weaning from mechanical circulation support in pediatric patients].

Abstract:

OBJECTIVE:To assess and record the response to continuous infusion of the phosphodiesterase inhibitor enoximone during weaning from mechanical circulatory support (MCS) and to verify the possibility of success with this indication in pediatric patients. DESIGN:Retrospective study. SETTING:Pediatric cardiac surgery intensive care unit. PATIENTS:Two pediatric patients operated for complex congenital heart disease with low cardiac output syndrome in the immediate postoperative period, evolved in cardiocirculatory arrest despite massive inotropic pharmacological support, and then assisted by mechanical circulatory support. INTERVENTIONS:Weaning from mechanical circulatory support with continuous infusion of enoximone, only in one case preceded by a loading dose and associated with catecholamine infusion. MEASUREMENTS AND MAIN RESULTS:During weaning hemodynamic parameters (LAP, CVP, MAP, HR), SvO2, diuresis, rectal and cutaneous temperatures were assessed and recorded. A serial echocardiographic assessment of left ventricular systolic and diastolic diameters and ejection fraction (EF%) has also been performed every 12 hours. Weaning from MCS using enoximone as inotropic support was possible in both cases. CONCLUSIONS:Enoximone proved to be useful in weaning from MCS in two pediatric patients, despite the difficulty to assess its effect in one of the two cases in which enoximone was used together with high dosages of other inotropic drugs. These initial positive results urge us to further investigate applications of this drug in pediatric patients.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Bevilacqua S,Del Sarto P,Tommasini G,Moschetti R,Scebba L,Murzi B,Genovesi M,Nicolini A,Santoli F

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

9-16

issue

1-2

eissn

0375-9393

issn

1827-1596

journal_volume

63

pub_type

临床试验,杂志文章
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    abstract::The bulbar hypotonizing activity of Althesin in eye surgery has been assessed. The anaesthetic was then utilized in the induction and maintenance of narcosis in cryoextraction operations on the crystalline lens. In the 50 narcoses examined, a mean decrease in ocular tone of 30% was noted with respect to basal value fi...

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    authors: Bottazzi D,Arena C,Bellini R,Guglielmetti M

    更新日期:1980-02-01 00:00:00

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    journal_title:Minerva anestesiologica

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    doi:

    authors: Diaz G,Flood P

    更新日期:2006-03-01 00:00:00

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

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    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

  • [Propofol, fentanyl, nitrous oxide: useful and current combination?].

    abstract::The introduction of use of propofol in the anesthetists' pharmacopoeia has reinvigorated the research for a totally intravenous anaesthesia, for which the Authors propose a diagram. However, in experience related to the supplementary use of N2O, in virtue of its analgesic power, demonstrates yet another utility, permi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Taddia G,Affuso A,Navi A,Orlandi C,Pompei F,Damanzo A

    更新日期:1992-04-01 00:00:00

  • Modulation of inflammation during acute normovolemic anemia with different fluid replacement.

    abstract:BACKGROUND:Acute normovolaemic anemia (ANA) frequently occurs during cardiopulmonary bypass (CPB) and major surgeries. We investigated whether fluids (with different compositions) used to replace blood elicit any degree of systemic or lung inflammatory response. METHODS:We evaluated systemic and pulmonary inflammatory...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Kahvegian M,Aya Otsuki D,Holms C,Oliveira Massoco C,Costa Auler Júnior JO,Tabacchi Fantoni D

    更新日期:2013-10-01 00:00:00

  • What anesthesiologists should know about paracetamol (acetaminophen).

    abstract::Paracetamol is widely used in the management of acute and chronic pain. The purpose of this review is to give anesthesiologists answers to some of the most common questions about paracetamol, specifically the following questions. What is the mechanism of action of paracetamol? Is paracetamol a NSAID? Which endogenous ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Mattia C,Coluzzi F

    更新日期:2009-11-01 00:00:00

  • [Orthopaedic day surgery in Emilia-Romagna].

    abstract::It is well known that the organizational model of day surgery, concerning surgical problems defined by the literature as minor, has the aim of optimising the use of hospital resources and facilitating patients and their families, from a psychological and social point of view, by reducing hospitalisation time and the a...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Rolli M,Rodler M,Petropulacos K,Baldi R

    更新日期:2001-09-01 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

  • 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

  • [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

  • 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

  • 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

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  • [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

  • 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

  • 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 insig...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Camu F

    更新日期:2000-05-01 00:00:00

  • [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

  • Absent SEP during therapeutic hypothermia did not reappear after re-warming in comatose patients following cardiac arrest.

    abstract:BACKGROUND:Early prediction of neurological outcome for patients resuscitated from cardiac arrest (CA) is a challenging task. Therapeutic hypothermia (TH) has been shown to improve neurological outcome after CA. Two recent studies indicated that somatosensory evoked potentials (SEP) recorded during TH retains high pred...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Grippo A,Carrai R,Fossi S,Cossu C,Mazzeschi E,Peris A,Bonizzoli M,Ciapetti M,Gensini GF,Pinto F,Amantini A

    更新日期:2013-04-01 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

  • Difficult mask ventilation in obese patients: analysis of predictive factors.

    abstract:BACKGROUND:This study aimed to determine the accuracy of commonly used preoperative difficult airway indices as predictors of difficult mask ventilation (DMV) in obese patients (BMI >30 kg/m2). METHODS:In 309 consecutive obese patients undergoing general surgery, the modified Mallampati test, patient's Height/Thyromen...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Leoni A,Arlati S,Ghisi D,Verwej M,Lugani D,Ghisi P,Cappelleri G,Cedrati V,El Tantawi Ali Alsheraei A,Pocar M,Ceriani V,Aldegheri G

    更新日期:2014-02-01 00:00:00

  • Intrathecal therapy with ziconotide: clinical experience and considerations on its use.

    abstract::Ziconotide is a synthetic peptide equivalent of an w-conotoxin, obtained from the marine snail Conus magus, which acts by blocking N-type calcium channels in the spinal cord, reducing the perception of pain. It is a newly marketed drug, exclusively for intrathecal use, indicated for severe chronic pain. Ziconotide cam...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Vitale V,Battelli D,Gasperoni E,Monachese N

    更新日期:2008-12-01 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

  • [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

  • 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

  • How to optimize the lung donor.

    abstract::Over the last two decades, lung transplantation emerged as the standard of care for patients with advanced and terminal lung disease. Despite the increment in lung transplantation rates, in 2016 the overall mortality while on waiting list in Italy reached 10%, whereas only 39% of the wait-list patients were successful...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.17.12130-9

    authors: Sales G,Costamagna A,Fanelli V,Boffini M,Pugliese F,Mascia L,Brazzi L

    更新日期:2018-02-01 00:00:00

  • Metabolic treatment of critically ill patients: energy expenditure and energy supply.

    abstract::Nutrition in critically ill patients should be considered as therapy: assessing the energy expenditure and the termogenic effect of food, and knowing the differences among composition and amount of given substrates, it is possible restore, maintain, or at least limit the derangement of energy equilibrium. Energy metab...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Iapichino G,Radrizzani D,Giacomini M,Pezzi A,Zaniboni M,Mistraletti G

    更新日期:2006-06-01 00:00:00

  • [Paraquat poisoning. Clinical and anatomo-pathological aspects].

    abstract::Two cases of Paraquat poisoning of anticonservative origin are described. A brief account of the chemical composition and mechanism of action of Paraquat is followed by a discussion of the clinical and therapeutic features of the two cases. The anatomopathological findings obtained from lung specimens examined during ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Massano G,Torre C,Triolo G,Stratta P,Parigi L

    更新日期:1979-12-01 00:00:00

  • Platelet morphological indices on ICU admission predict mortality in septic but not in non-septic patients.

    abstract:BACKGROUND:Thrombocytopenia is associated with worse outcomes in critically ill patients. The clinical relevance of other platelets indices is less studied. We investigated the ability of the platelets distribution width (PDW) and the mean platelet volume (MPV) to predict mortality in critically ill patients. We hypoth...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14528-0

    authors: Fogagnolo A,Taccone FS,Benetto G,Franchi F,Scolletta S,Cotoia A,Kozhevnikova I,Volta CA,Spadaro S

    更新日期:2020-09-22 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

  • 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

  • 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