[The use of propofol for sedation in endoscopic procedures].

The authors illustrate different endoscopic procedures that may require anaesthesiological assistance through analgo-sedation procedures. Analgo-sedation is useful to the patient and to the endoscopist that can carry out the exam more rapidly and in optimal conditions. The technique employed consists in the administration of propophol, starting with an initial bolus of the drug followed by a continuous perfusion to maintain the hypnotic state. Monitoring of cardiovascular and respiratory parameters shows a great reliability of the drug and effectiveness of the method

TIVA: impiego del Midazolam durante interventi di adenomectomia trans vescicale

Negli ultimi tempi l'interesse per l'anestesia eseguita con farmaci somministrati esclusivamente per via endovenosa ha subito un notevole incremento in qiuanto presenta vantaggi quali, la riduzione dell'ipossiemia postoperatoriada diffusione e della distensione degli organi cavi,la riduzione dell'incidenza di PONV, ma anche l'eliminazione dell'esposizione agli agenti inalatori da parte del personale di sala operatori

Intraoperative high-resolution hepatosonography in the detection of occult metastases in colorectal carcinoma

During surgery of colorectal cancer, real time B-mode high resolution ultrasound scanning was employed intraoperatively in 25 consecutive patients free of metastases at preoperative evaluation, to localize hepatic deposits. Results showed that intraoperative ultrasonography is a safe and simple technique providing the surgeon with accurate informations which may affect surgical technique as for -) extended indications for hepatic resection -) reduction of resections oncologically useless -) a more correct staging of resected colorectal cancer -) reduction of false positives at second look guided by CEA elevation