[Fibrinolysis and prospects of fibrinolytic treatment].
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Biomedical subjects
Publications and source records attributed to L Sarcinelli.
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Obesity, its complications and its treatment have a great importance for the anesthesiologist. The pathophysiological consequences of obesity involve great part of the organs so that the perioperative management of these subjects may affect surgical outcome. For this reason care should be taken to the peroperative evaluation of the obese patient regarding his pulmonary, metabolic and cardiac function. The anesthesiologist also needs to be aware of intraoperative problems caused by obesity. Recovery in ICU for a short time could be required for the prevention and treatment of post-operative complications.
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We studied 20 outpatients undergoing surgery of the extremities with regional intravenous anesthesia (RIA). In our study RIA vas performed with the help of a double tourniquet in order to prevent adverse reactions; the drug of choice was lidocaine, because we considered it more suitable for this kind of procedure. The technique was of simple execution and well tolerated by the patient. This technique maker it possible to perform surgery of forearm and foot with a small amount of anesthetic even in outpatients.