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D Rivellini

Publications and source records attributed to D Rivellini.

2 recordsLinked to original sources

Simultaneous determination of L-dopa and 3-O-methyldopa in human platelets and plasma using high-performance liquid chromatography with electrochemical detection.

Various high-performance liquid chromatographic (HPLC) methods for the determination of plasma levels of L-dopa and of its metabolite, 3-O-methyldopa (3-OMD), have been previously described. In this study, we report a modification of these methods, that enables the assay of these two compounds in platelets and plasma obtained from the same sample of whole blood. Reversed-phase (RP) HPLC with electrochemical (coulometric) detection was used. The within-run and between-run coefficients of variations, for the two compounds, were less than 10%, in both platelets and plasma; the detection limits for platelet levels of L-dopa and 3-OMD were 2 and 6 ng/10(9) platelets, respectively. In plasma, the detection limits for L-dopa and 3-OMD were 1 and 3 ng/ml, respectively. The method is rapid and simple. When applied to a population of patients with Parkinson's disease under treatment with L-dopa, this method revealed detectable levels of L-dopa and 3-OMD in the platelets of all patients. The application of this technique may provide new insights into the pharmacokinetics of L-dopa in patients with Parkinson's disease.

Adult↗

Local and regional anesthesia. Nursing implications.

Local and regional anesthesia offers many advantages and is relatively safe, resulting primarily in positive outcomes for the patient. The potential for complications and the need for patient education, however, dictate that the PACU nurse prepare the patient appropriately, remain vigilant, and initiate the necessary measures for monitoring and intervention when caring for such patients in both the preanesthesia and postanesthesia phases. Local and regional anesthetic agents and techniques have been discussed along with their implications for nursing care. Readers are also encouraged to consult the references and their own institutional policies for additional information.

Anesthesia, Conduction↗