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Last name: LAMPUGNANI E.
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Introduction: Ropivacaine is a new long acting amide local anesthetic with properties similar to bupivacaine; studies on adults suggest that ropivacaine is less cardiotoxic, with less dense motor block and similar analgesia . (1,2) At this time no data is available in literature about ropivacaine in pediatrics. Aim of this study is to make a...
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Introduction: Beneficial effects of the a-2 agonist clonidine have recently been reported in children both regarding its use during general anesthesia (Mkawa et al) and following epidural administration (Ivani et al). The pharmacokinetic and hemodynamic profile of clonidine after intravenous administration has also been found acceptable in...
Posterior urethral valves (PUV) represent an important clinical problem due to their high morbidity. In particular, the frequent association with renal dysplasia, and chronic obstruction with subsequent hydroureteronephrosis are the major causes of progressive renal failure. Early diagnosis and infection control, suitable elective surgery,...
In a double-blind, multicentre study 245 children aged 1-10 yr undergoing elective minor surgery as inpatients were randomly allocated to receive a single caudal extradural injection of 1 ml kg-1 of either 0.25% bupivacaine or 0.2% ropivacaine after induction of light general anaesthesia. The groups were comparable for age, weight, vital signs...
Background: Pathogenic variants in the dynamin 1 like gene are related to abnormal mitochondrial dynamics and distributions and are associated to variable clinical phenotypes. A few patients harboring the p.Arg403Cys missense variant appears to be different from the classical, more severe phenotypes, showing sudden onset of drug resistant...
Teamwork is one of the most important trend in modern medicine. Airway team were created in many places to respond in a multidisciplinary and coordinated way to challenging clinical problems which were beyond the possibility of an individual management. In this chapter, we illustrate the historical steps leading to the development of an airway...