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Biomedical subjects

G C Serra

Publications and source records attributed to G C Serra.

At least 37 records · Page 2Linked to original sources

[The anesthesia outpatient department. A structure in keeping with the Health Service Reform].

Attention is drawn to the pressing need to establish out-patient departments for anaesthesia and anaesthesiological treatment within anaesthesia, resuscitation and intensive therapy services. In addition to offering specialist services, such as anaesthesiological therapy, and such services as may be in keeping with the local situation, such departments should be engaged in research, and towards the provision of preoperative anaesthesiological management prior to admission, on behalf of patients undergoing surgery of choice, so as to cut down the overlong period of preoperative stay. An assessment is made of the economic and social benefits of such departments, particularly in the light of the experience gained from similar structures that have long been in use in other countries.

Anesthesia Department, Hospital↗

[Enflurane-pancuronium combination: real progress toward greater safe conditions in general anesthesia].

The literature data and personal experience with high - and very high - risk patients show that the association of enflurane as anaesthetic and pancuronium as muscle-relaxant constitutes a positive advance in balanced general anaesthesia. Cardiocirculatory depression is not encountered; if anything, there is an improvement of homeostatic conditions. This results in increased safety, even for patients regarded as inoperable. Confirmation of the reasons for associating these two drugs has certainly been obtained. The method cannot, however, be employed indiscriminately, but, at least in theory, should be avoided in patients with serious hypertension or a myocardium that is particularly sensitive to endogenic catecholamine incretion. In hypotension, on the other hand, cases of imminent or frank shock, or situations where surgery cannot be postponed, the association is, paradoxically, a true pharmacological "support", backed up, of course, by other usual procedures. This contradiction of modern views concerning the peripheral circulation is only apparent, since the duration of anaesthesia is reduced; main aim in this period is the maintenance of sufficient circulation to the more important organs. Comparison with associations combining d-Tubocurarine, halothane and methoxyfluorane is still an open question as far as objective assessment of their usefulness is concerned. There can be no doubt, however, that the association of enflurane and pancuronium has eliminated a large sector of contraindications in the field of general anaesthesia.

Adjuvants, Anesthesia↗