Publications (21)45.16 Total impact
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Article: Postoperative pain treatment SIAARTI Recommendations 2010. Short version.
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ABSTRACT: The aim of these recommendations is the revision of data published in 2002 in the "SIAARTI Recommendations for acute postoperative pain treatment". In this version, the SIAARTI Study Group for acute and chronic pain decided to grade evidence based on the "modified Delphi" method with 5 levels of recommendation strength. Analgesia is a fundamental right of the patient. The appropriate management of postoperative pain (POP) is known to significantly reduce perioperative morbidity, including the incidence of postoperative complications, hospital stay and costs, especially in high-risk patients (ASA III-V), those undergoing major surgery and those hospitalized in a critical unit (Level A). Therefore, the treatment of POP represents a high-priority institutional objective, as well as an integral part of the treatment plan for "perioperative disease", which includes analgesia, early mobilization, early enteral nutrition and active physiokinesitherapy (Level A). In order to improve an ACUTE PAIN SERVICE organization, we recommend: --a plan for pain management that includes adequate preoperative evaluation, pain measurement, organization of existing resources, identification and training of involved personnel in order to assure multimodal analgesia, early mobilization, early enteral nutrition and active physiokinesitherapy (Level A); --the implementation of an Acute Pain Service, a multidisciplinary structure which includes an anesthetist (team coordinator), surgeons, nurses, physiotherapists and eventually other specialists; --referring to high-quality indicators in establishing an APS and considering the following key points in its organization (Level C): --service adoption; --identifying a referring anesthetist who is on call 24 hours a day; --patient care during the night and weekend; --sharing, drafting and updating written therapeutic protocols; --continuous medical education; --systematic pain assessment; --data collection regarding the efficacy and safety of the implemented protocols; --at least one audit per year. --a preoperative evaluation, including all the necessary information for the management of postoperative analgesia (Level C); --to adequately inform the patient about the risks and benefits of drugs and procedures used to obtain the maximum efficacy from the administered treatments (Level D). We describe pharmacological and loco-regional techniques with special attention to day surgery and difficult populations. Risk management pathways must be the reference for early identification and treatment of adverse events and chronic pain development.Minerva anestesiologica 08/2010; 76(8):657-67. · 2.66 Impact Factor -
Article: SIAARTI recommendations for chronic noncancer pain.
Minerva anestesiologica 12/2006; 72(11):859-80. · 2.66 Impact Factor -
Article: SIAARTI recommendations for analgo-sedation in intensive care unit.
Minerva anestesiologica 11/2006; 72(10):769-805. · 2.66 Impact Factor -
Article: SIAARTI recommendations on the assessment and treatment of chronic cancer pain.
Minerva anestesiologica 10/2003; 69(9):697-716, 717-29. · 2.66 Impact Factor -
Article: SIAARTI recommendations for the treatment of postoperative pain.
Minerva anestesiologica 11/2002; 68(10):735-50. · 2.66 Impact Factor -
Article: Use of the peridural catheter with subcutaneous port in a 13-year-old girl: 120 anesthesia procedures in 31 months.
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ABSTRACT: The authors report their experience using a peridural catheter with a subcutaneous port. This was used to obtain 120 peridural anesthesia inductions during a program of surgical debridement in a 13-year-old girl. The authors advocate the use of epidural dexamethasone to treat the ineffective anesthetic injection through a long-lasting catheter.Journal of Pediatric Surgery 11/1995; 30(10):1493-4. · 1.45 Impact Factor -
Article: [Safety in hyperbarism].
Minerva anestesiologica 06/1991; 57(5):277-87. · 2.66 Impact Factor -
Article: [Indications for hyperbaric oxygenation therapy].
Minerva anestesiologica 06/1991; 57(5):231-9. · 2.66 Impact Factor -
Article: Substrate availability other than glucose in the brain during euglycemia and insulin-induced hypoglycemia in dogs.
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ABSTRACT: Alternative substrates other than glucose could be used by the brain. In this study we hypothesized that lactate and ketone bodies can provide a significant portion of oxidative brain substrates in insulin-dependent diabetes mellitus (IDDM). Six control (C) and six insulin-treated streptozotocin diabetic (IDDM) dogs were studied during euglycemia (EU) and acute insulin induced hypoglycemia (HYPO). During EU for similar plasma glucose concentration (5.5 +/- 0.4 v 5.2 +/- 0.2 mmol/L in IDDM dogs showed a higher baseline lactate concentration (1.5 +/- 0.25 v 0.74 +/- 0.10 mmol/L; P less than .05). The ketone body concentrations were also increased in IDDM dogs but this increase was not statistically significant. The brain glucose uptake was 6.9 +/- 0.6 mumol/kg/min in C and 5.4 +/- 0.7 in IDDM. Lactate was released by the brain both in IDDM dogs (11.36 +/- 1.8 mumol/kg/min) and in C dogs (3.87 +/- 0.9; P less than .05). The brain ketones rate of disappearance (Rd) was 0.3 +/- 0.05 mumol/kg/min in IDDM dogs and 0.19 +/- 0.08 in C dogs. During HYPO the glucose uptake across the brain was 2.88 +/- 0.7 mumol/kg/min in IDDM and 3.12 +/- 0.5 in C dogs. We observed an overall brain lactate release (3.21 +/- 1.7 mol/kg/min) in C dogs and a net uptake (13.44 +/- 1.1; P less than .01) in IDDM (P less than .01). The brain ketones Rd was 0.1 +/- 0.2 mumol/kg/min in IDDM and 0.1 +/- 0.1 in C dogs.(ABSTRACT TRUNCATED AT 250 WORDS)Metabolism 02/1990; 39(1):46-50. · 2.66 Impact Factor -
Article: Diode laser in cervical myofascial pain: a double-blind study versus placebo.
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ABSTRACT: We present a double-blind trial in which a pulsed infrared beam was compared with a placebo in the treatment of myofascial pain in the cervical region. The patients were submitted to 12 sessions on alternate days to a total energy dose of 5 J each. At each session, the four most painful muscular trigger points and five bilateral homometameric acupuncture points were irradiated. Those in the placebo group submitted to the same number of sessions following an identical procedure, the only difference being that the laser apparatus was nonoperational. Pain was monitored using the Italian version of the McGill pain questionnaire and the Scott-Huskisson visual analogue scale. The results show a pain attenuation in the treated group and a statistically significant difference between the two groups of patients, both at the end of therapy and at the 3-month follow-up examination.Clinical Journal of Pain 01/1990; 5(4):301-4. · 2.81 Impact Factor -
Article: Modifications of [3H]imipramine binding sites in platelets of chronic pain patients treated with mianserin.
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ABSTRACT: Tritiated imipramine binding to whole platelets was measured in 16 chronic pain patients who were free from major depression, and in a control group. The maximum binding was significantly lower in chronic pain patients than in the control group, whereas the binding affinity was not significantly different. Twelve patients were treated with mianserin for 21 days; this produced a significant improvement in the mean scores for pain (evaluated with the McGill Questionnaire) and depressive symptoms (assessed with the Zung Self-Rating Scale). The improvement in both types of symptom was accompanied by a significant mean increase in the density of the [3H]imipramine binding sites without modifications in the values of the constant of affinity. All the patients who responded well to treatment (N = 8) had a family history of depressive spectrum disorders (DSD), while none of those who failed to respond had a first degree relative with DSD.Pain 10/1987; 30(3):311-20. · 5.78 Impact Factor -
Article: [3H]imipramine binding sites are decreased in platelets of chronic pain patients.
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ABSTRACT: Tritiated imipramine binding to whole platelets was measured in 16 chronic pain patients not suffering from major depression and in a control group. Maximum binding was significantly lower in chronic pain patients than in the control group, whereas the binding affinity was not significantly different.Clinical Neuropharmacology 05/1987; 10(2):175-7. · 2.17 Impact Factor -
Article: [Therapy of primary headache with somatic acupuncture. Proposal for an experimental protocol for a multicenter study].
Minerva medica 04/1982; 73(13):731-53. · 0.90 Impact Factor -
Article: The influence of acupuncture on blood serum levels of tryptophan in healthy volunteers subjected to ketamine anesthesia.
Acupuncture & electro-therapeutics research 02/1982; 7(2-3):123-32. · 1.30 Impact Factor -
Article: Influence of acupuncture on the postoperative complications following ketamine anesthesia. The importance of manual stimulation of point R and shen menn.
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ABSTRACT: The Authors have investigated the antihallucinogenic and sedative effects of auricular points R and shen menn during surgery under ketamine anesthesia. The results demonstrate that the insertion of the needle in point R is very efficient in reducing hallucinations of ketamine emergence, while the insertion of needle in auricular point shen menn causes only a brief period of sedation in the beginning of the emergence period. The acupunctural technique employed by the Authors has been shown to increase considerably approbation of ketamine anesthesia.Acupuncture & electro-therapeutics research 02/1981; 6(4):255-64. · 1.30 Impact Factor -
Article: Comparison study between acupuncture and pentazocine analgesic and respiratory post-operative effects.
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ABSTRACT: The authors studied the effects of acupuncture and pentazocine on post-operative respiratory function and pain management on patients hysterectomized by means of a subumbilical midline incision. The acupunctural technique consisted of GB-26, St-36, Sp-6 and auricular Shen-Men bilateral electrostimulation for 40 minutes. The analgesic effect of acupuncture was equivalent to that of 30 mg pentazocine, yet the most important effect of acupuncture consisted in a net increase of vital capacity during the period of acupuncture analgesia that lasted for 3-4 hr after stimulation; contrariwise, pentazocine did not cause any vital capacity increment and vital capacity remained at the levels observed prior to narcotic administration.The American Journal of Chinese Medicine 02/1981; 9(3):225-35. · 1.98 Impact Factor -
Article: [Proposed method for double-blind study of reflexotherapy phenomena].
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ABSTRACT: The Authors report their experience with the placebo, an essential step in the clinical study of reflexotherapy. They assert that also in this branch of medicine it is possible to carry out a "double blind" clinical experimentation by means of placebo, that is, an essential condition in order to develop a scientific assessment of both the limits and the potentialities of reflexotherapy.Minerva medica 04/1980; 71(12):919-22. · 0.90 Impact Factor -
Article: Pain control in day surgery: SIAARTI guidelines.
Minerva anestesiologica 70(1-2):5-24. · 2.66 Impact Factor -
Article: [Safety in the multiplace chamber].
Minerva anestesiologica 56(7-8):587-9. · 2.66 Impact Factor -
Article: [High-frequency ventilation in thoracic surgery].
Cahiers d'anesthésiologie 32(1):39-40.
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Institutions
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1990–2006
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University of Padua
Padova, Veneto, Italy
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