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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

Frequency: Monthly

ISSN 0375-9393

Online ISSN 1827-1596


Minerva Anestesiologica 2002 September;68(9):669-80



General anesthesia with spontaneous ventilation without intubation for short-stay operations

Napoli V. 1, Napoli E. 1, Parino E. 2

1 Department of Medical and Surgical Disciplines, University of Turin, Turin,
2 “G. Pisani” Center of Foot Surgery, Turin, Italy

Back­ground. The ­choice of the anes­thet­ic tech­nique ­plays a deci­sive ­role in the use of oper­at­ing pro­to­cols in day hos­pi­tal or ­short-­stay giv­en ­that ­full com­pli­ance ­with sur­gi­cal ­needs ­must be asso­ciat­ed ­with rap­id recov­ery and the ­patient’s ­renewed auton­o­my lead­ing to dis­charge in ­total safe­ty.
Meth­ods. The use of spon­ta­ne­ous ven­ti­la­tion gen­er­al anes­the­sia with­out intu­ba­tion is pro­posed for all oper­a­tions not requir­ing mus­cu­lar par­al­y­sis and ­where the ­patient’s con­di­tions are com­pat­ible. The ­authors ­describe the tech­nique ­used and its util­isa­tion in ­over 4,000 patients under­go­ing ortho­pe­dic sur­gery of the leg.
­Results. ­Using rap­id clear­ance ­drugs ­with min­i­mum meta­bol­ic involve­ment ­this anes­thet­ic tech­nique ­allows a ­full post­op­er­a­tive recov­ery with­in a ­short ­time and ­with no imme­di­ate or ­long-­term seque­lae.
Con­clu­sions. It can be ­used for ­short-­stay or day-­case sur­gery ­when con­com­i­tant ­with ade­quate sur­gi­cal require­ments.

language: English, Italian


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