Fernando Alemanno

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BACKGROUND The aim of this study was to evaluate the efficacy of tramadol as an adjuvant to the local anaesthetic solution in patients undergoing shoulder arthroscopy for rotator cuff tear after middle interscalene block (MIB). METHODS We enrolled 120 patients (ASA I-II), scheduled for arthroscopic surgery for rotator cuff tear. The patients were sedated(More)
The aim of this study was to assess whether addition of epineural buprenorphine prolonged postoperative analgesia of middle interscalene brachial plexus block (MIB) with levobupivacaine. One hundred and fifty consenting adult patients, scheduled for shoulder arthroscopic surgery for a rotator cuff tear under MIB with 29.5 ml of 0.75 % levobupivacaine, were(More)
The paper reports the results of a new brachial plexus blockade technique using a supraclavicular route which was carried out in 74 patients. From the analysis of results it can be seen that the technique is comparable to that of Moore and Winnie in terms of the success of the blockade. However, this technique appears to be safer in relation to(More)
BACKGROUND Perineural administration of thiamine, via axonal flow, could strenghthen synthesis of ACh in the dorsal horn inhibitory interneurons, thus potentiating analgesia. The purpose of the present retrospective analysis is therefore to investigate whether adding perineurally 2 mg/Kg of thiamine to 0.75% levobupivacaine in patients undergoing middle(More)
AIM The study analyzes the extension of anesthesia induced by Alemanno's brachial plexus block technique on the various areas of competence of the different nerves. METHODS The study was conducted on 58 patients in ASA classes 1 and 2 scheduled to receive shoulder arthroscopy. At the end of the operation, about 2 hours after induction of anesthesia,(More)
Having described the therapeutic protocol to be followed in cases of cerebral edema, starting with aspecific measures (hyperventilation in a position of 30 degrees, etc.) for slight cases and progressing to specific therapy (osmotherapy, barbiturates) for more severe cases, the paper focuses on osmotherapy and illustrates the theoretical principles on which(More)
BACKGROUND Malignancies of the peritoneum remain a challenge in any hospital that accepts to manage them, due not only to difficulties associated with the complexity of the procedures involved but also the costs, which - in Italy and other countries that use a diagnosis-related group (DRG) system - are not adequately reimbursed. MATERIAL AND METHODS We(More)
BACKGROUND The aim of this retrospective study was to compare buprenorphine and tramadol, in order to assess their different efficacy in prolonging postoperative analgesia and their associated side effects when used as perineural adjuvants with a local anesthetic. METHODS The clinical records of 161 consecutive ASA 1-2 adult patients scheduled for(More)