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L’ipotermia nell’arresto cardiaco e l’implementazione delle linee guida
L'articolo presenta le linee guida per l'esecuzione dell’ipotermia nell’arresto cardiac
Pulmonary infections in the intensive care unit
Pulmonary infections in the intensive care uni
New results about early therapeutic hypothermia in sudden cardiac death and following return of spontaneous circulation
in this paper the authors review the results of therapeutic hypothermia in patient with rosc following sudden cardia arres
Principi di monitoraggio della fluidoterapia perioperatoria
Principi di monitoraggio della fluidoterapia perioperatori
Retrogasserian glycerol injection: a retrospective study of 112 patients
From 1984 to 1989, 112 patients with typical drug-refractory trigeminal neuralgia were treated by retrogasserian glycerol injection. The present study assesses results and complications after a mean follow-up period of 3.5 years (range 0.1-5.5 years). One hundred and three of 112 patients (91.9%) showed complete pain relief 1 month postoperatively, and at the end of follow-up 80 patients (71.4%) were still enjoying complete pain relief (recurrence rate 20.5%). Abnormal facial sensations were noted in 49 patients, the most common complication being mild hypoesthesia (32% of patients), while paresthesia occurred in 19% of cases and dysesthesia in 3%. The corneal reflex was absent in 3% of patients and reduced in 5%. None of the patients developed anesthesia dolorosa, permanent masseter weakness, neuroparalytic keratitis, or diplopia
Stimolatori midollari e sottocutanei
Viene analizzato il ruolo degli stimolatori midollari e sottocutanei nel trattamento del dolore cronic
The role of neurolytic celiac plexus block in the treatment of pancreatic cancer pain
Pancreatic carcinoma, an important leading cause of cancer death, has increased steadily
in incidence and still has a poor prognosis. Pain is one of the most frequent symptoms,
affecting more than 75% of patients. It is often present in the early stages of disease and
may be severe and difficult to treat. Abdominal viscera, including pancreas, liver,
gallbladder, adrenal, kidney, and the gastrointestinal tract from the level of the gastroesophageal
junction to the splenic flexure of the colon are innervated, at least in part, via
the celiac plexus. Thus, painful tumors in these viscera may have pain relieved through the
use of a neurolytic celiac plexus block (NCPB). Although some investigators questioned
the role and the efficacy of NCPB in the treatment of upper abdominal cancer pain, most
of them have suggested that it may represent the optimal treatment, especially for
pancreatic cancer pain. In this report we have reviewed the techniques, results, and
complications of NCPB for the treatment of pancreatic cancer pai
Pancreatite acuta necrotico-emorragica
Gli autori espongono le caratteristiche cliniche della pancreatite acuta necrotico-emorragica, le sue complicanze e il suo trattament
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