Anestesia subaracnoidea con levobupivacaina isobarica e fentanyl in chirurgia ortopedica

Miastenia gravis e sclerosi multipla in ostetricia. Considerazioni anestesiologiche-rianimatorie. Caso clinico

Clinical analysis following lumbar interspinous devices implant: where we are and where we go

Objectives:We present our experience with patients treated with interspinous devices who are affected by neurogenic intermittent claudication (NIC) or lumbar disc herniation (LDH) where the interspinous system has been inserted following microdiscectomy.Study design:Retrospective study.Methods:This study included patients (n=100) with NIC secondary to lumbar spinal stenosis (group 1), and patients (n=100) with LDH (group 2) in whom the interspinous device has been implanted following radicular decompression in a period spanning 6 years. The latter have been compared with a homogenous group of patients (n=100) where no interspinous system has been implanted following microdiscectomy (group 3…

Somministrazione di sevofluorane guidata da Narcotrend negli interventi di taglio cesareo: studio preliminare sui target materno-fetali

Monitoraggio del livello di analgo-sedazione nel paziente ricoverato in U.T.I. mediante la scala MSAT (Minnesota Sedation Assesment Tool) e il Narcotrend (NT). Nostra esperienza clinica.

The role of erythropoietin in aneurysmal subarachnoid haemorrhage: from bench to bedside.

Subarachnoid haemorrhage (SAH) caused by a ruptured aneurysm accounts for only 5% of strokes, but occurs at a fairly young age and carries a poor prognosis. Delayed cerebral ischaemia (DCI) is an important cause of death and dependence after aneurysmal SAH. The current mainstay of preventing DCI is nimodipine and maintenance of normovolemia, but even with this strategy DCI occurs in a considerable proportion of patients. Several drugs have been developed that have the potential to limit cerebral vasospasm and delayed ischaemic neurologic defi cit, thus improving outcome for patients. However, although numerous agents can prevent arterial narrowing and/or block the excitatory cascade of even…

Hemostasis in brain tumor surgery using the Aquamantys system

Background: Adequate hemostasis in cranial and spinal tumor surgery is of paramount importance in neurosurgical practice. Generalized ooze bleeding from the surgical walls cavity, coming from neoplastic vessels or nervous tissue, may be problematic. Recent technical advances have dramatically reduced intraoperative complications related to blood loss. Several techniques are usually employed to control hemostasis in tumor surgery, including preoperative embolization, intraoperative hypotension, electrical coagulation, and local application of fibrin sealants or hemostatic matrix, which influence coagulation. Material/Methods: Our aim in this study was to evaluate the efficacy and the safety …

Narcotrend (NT) monitoring depth of anesthesia in gynaecologic surgery: a comparison with Bispectral Index (BIS)

Monitoring depth of anesthesia with Bispectral Index (BIS) and Narcotrend (NT) during caesarean section.

The Role of Erythropoietin in Neuroprotection: Therapeutic Perspectives

Nervous system diseases are very complex conditions comprising a large variety of local and systemic responses. Several therapeutic agents interfering with all or in part the biochemical steps that ultimately cause neuronal death have been demonstrated to be neuroprotective in preclinical models. However, all the agents so far investigated have inexorably failed in the phase III trials carried out. A large body of evidence suggests that the hormone erythropoietin (EPO), besides its well-known hematopoietic action, exerts beneficial effects in the central nervous system. EPO's effect has been assessed in several experimental models of brain and spinal cord injury thus becoming a serious cand…

The Role of Erythropoietin in Aneurysmal Subarachnoid Haemorrhage: From Bench to Bedside

Subarachnoid haemorrhage (SAH) caused by a ruptured aneurysm accounts for only 5 % of strokes, but occurs at a fairly young age and carries a poor prognosis. Delayed cerebral ischaemia (DCI) is an important cause of death and dependence after aneurysmal SAH. The current mainstay of preventing DCI is nimodipine and maintenance of normovolemia, but even with this strategy DCI occurs in a considerable proportion of patients.

Minnesota Sedation Assessment Tool (MSAT) vs Narcotrend (NT) to monitorize analgo-sedation in ICU

Le Reazioni al Mezzo di Contrasto: il Ruolo del Radiologo nel Trattamento.

Intramedullary spinal cord tumor presenting as the initial manifestation of metastatic colon cancer: case report and review of the literature

Study design: Case reports and review of the literature. Objective: Intramedullary spinal cord metastases (ISCMs) are rare type of central nervous system (CNS) involvement of systemic malignant tumors. Since the advent of new neuroradiological techniques, their detection have become increasingly diagnosed in recent years and, although somewhat controversial, surgical treatment has been considered a valid option. Setting: Neurosurgical Clinic, Department of Clinic Neuroscience, University of Palermo, Italy. Method: The authors describe the case of a 61-year-old woman who was admitted presenting withprogres sive tetraplegia. Investigations revealed an intramedullary spinal cord lesion at the …

Utilizzo di Desflurane (D) o Sevoflurane (S) in “day surgery anesthesia” con Laringeal Mask Airway (LMA®) durante fecondazione medicalmente assistita (FMA). Nostra esperienza.

Monitoraggio ambientale e biologico dei gas anestetici: studio condotto in 20 sale operatorie di ospedali palermitani

Premedicazione mediante somministrazione di Midazolam per via rettale in età pediatrica

Anestesia totalmente inalatoria versus bilanciata per la correzione della craniostenosi

Unusual recurrence of trigeminal neuralgia after microvascular decompression by muscle interposal.

Summary Background Patients with trigeminal neuralgia (TN) and persistent or recurrent facial pain after microvascular decompression (MVD) typically undergo less invasive procedures in the hope of providing pain relief. However, re-operation should be considered in selected patients. Case Report A 48-year-old woman presented with recurrent trigeminal neuralgia (TN) 3 years following microvascular decompression (MVD). The patient underwent brain magnetic resonance angiography (MRA), which did not reveal neurovascular compression; therefore surgical re-exploration was carried out. During the operation, the fifth cranial nerve was seen without impingement from any blood vessels; however, a ver…

Monitoring with Narcotrend (NT) or standard anaesthesiologist's technique (SAT) during anesthesia with desflurane-remifentanil in majer gyaecological surgery. Our experience

Monitoring with Narcotrend (NT) or standard anaesthesiologists technique (SAT) during anesthesia with desflurane-remifentanil in major gynaecological surgery. Our experience

Vascular and pulmonary embolisms following percutaneous vertebroplasty.

Halogenated Anesthetics Determination in Urine by SPME/GC/MS and Urine Levels Relationship Evaluation with Surgical Theatres Contamination

In this work, a new sensitive analytical method has been developed and evaluated for the determination of the most commonly used gaseous anesthetics, desflurane, sevoflurane, and this latter’s hepatic metabolite hexafluoroisopropanol (HFIP) in the urine. In addition, an evaluation of anesthetics exposition on the urine levels of a small population of surgical operators has been performed and results are briefly discussed.

MONITORING OF THE DEPTH OF NARCOSYS WITH BIS AND NARCOTREND DURING CAESAREAN SECTION

Anterior cervical discectomy and fusion with ROI-C peek cage: cervical alignment and patient outcomes

OBJECTIVE: The intersomatic cage ROI-C one is a new promising system in anterior cervical discectomy with subsequent fusion. METHODS: Patients were studied prospectively. ROI-C cages were used in consecutive 32 patients. Intraoperative parameters, clinical features and dysphagia scores were recorded. Radiographs evaluated the height of intervertebral space, the cervical Cobb angle and implant positioning. Data were collected on the last day of hospital stay, at 6 weeks, at 3, 6, 12 and 24 months. RESULTS: A total of 32 cages were implanted. One patient had transient dysphagia. The intervertebral height and the cervical Cobb angle were significantly improved at 24 months follow-up (P < 0.05)…

Minnesota sedation assesment too (MSAT) vs Narcotrend to monitorize analgo-sedation in ICU.

Narcotrend(NT), nuova metodica per valutare la profondità della narcosi, vs. BIS: risultati preliminari in chirurgia ginecologica maggiore

Valutazione Comparativa tra Narcotrend ed Entropia in chirurgia ginecologica maggiore con utilizzo di desflurane e remifentanil. Risultati preliminari.

Monitoraggio della profondità e della stabilità del piano di anestesia con BIS e Narcotrend in chirurgia pediatrica

Monitoring depth of anesthesia with Bispectral Index (BIS) and Narcotrend (NT) during caesarean section

Monitoraggio del livello di analgosedazione nel paziente ricoverato in UTI mediante la scala MSAT e il Narcotrend. esperienza clinica.

Typical trigeminal neuralgia by an atypical compression: case report and review of the literature.

Aim Trigeminal neuralgia is a disabling form of facial pain that causes a considerable discomfort and a marked reduction in the quality of life. Although neurovascular compression is often associated with trigeminal neuralgia, other intracranial pathologies can result in compression along the nerve. Case description The authors report a case of a patient suffering from a typical left trigeminal neuralgia affecting both the second and the third branches. Neuroradiological examinations showed the presence of an arachnoid cyst located in the left temporal lobe, contiguous with the Meckel's cave, eroding the greater wing of the sphenoid bone. Following a meticulous decision-making process the p…

Monitoraggio della profondità e della stabilità del piano di anestesia con BIS e Narcotrend