Francesco Meo

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BACKGROUND Remifentanil may attenuate maternal hemodynamic response during cesarean section under general anesthesia, but could cause transient but significant neonatal depression. We investigated the effect of low-dose remifentanil on maternal neuroendocrine response and fetal wellbeing. METHODS Forty-two ASA I-II parturients undergoing cesarean section(More)
STUDY OBJECTIVE To quantify and compare neuroendocrine stress responses during and immediately after surgery by laparoscopy, minilaparotomy, and laparotomy for benign ovarian cysts. DESIGN Prospective study (Canadian Task Force classification II-1). SETTING Tertiary care university hospital. PATIENTS Thirty healthy women with no major diseases and(More)
STUDY OBJECTIVE To evaluate the stress hormone response after pelvic surgery performed by laparoscopy versus laparotomy. DESIGN Prospective study. SETTING A tertiary care university hospital. PATIENTS Ten women were scheduled to undergo laparoscopic surgery and 10 laparotomy for either tubal disease or endometriosis. INTERVENTIONS Surgical(More)
STUDY OBJECTIVE To compare intraoperative and postoperative neuroendocrine stress responses during total intravenous anesthesia (TIVA) using propofol and remifentanil versus sevoflurane anesthesia, during laparoscopic surgery. DESIGN Prospective, randomized study. SETTING Tertiary-care university hospital. PATIENTS 46 ASA physical status I patients(More)
PURPOSE Stress response to surgery is modulated by several factors, including magnitude of the injury, type of procedure (e.g., laparoscopy vs laparotomy) and type of anesthesia. Our purpose was to compare intra- and postoperative hormonal changes during isoflurane vs sevoflurane anesthesia, in a clinical model of well defined operative stress (laparoscopic(More)
OBJECTIVE To verify the correlation of basal 17beta-E(2) with ovarian response to stimulation and outcome of in vitro fertilization (IVF). DESIGN Retrospective observational study. SETTING The Assisted Conception Unit, University College London Hospitals. PATIENT(S) Three hundred five women undergoing IVF and IVF with intracytoplasmic sperm injection.(More)
OBJECTIVES We sought to investigate the effectiveness of glucocorticoid administration or continuous venovenous hemodiafiltration on endothelin and corticotropin-releasing factor release or clearance during prolonged fetal cardiac bypass and on the overall performance of fetuses. METHODS Circulating endothelin 1, 2, and 3 and corticotropin-releasing(More)
BACKGROUND About 98% of plasma propofol is bound to albumin. We investigated if severe hypoalbuminaemia may affect the accuracy of a target-controlled infusion (TCI) device, the Diprifusor, during sedation in critically ill patients. METHODS Ten critically ill hypoalbuminaemic patients (<24 g litre(-1)) and 10 critically ill normoalbuminaemic patients(More)
To determine whether preliminary assessment of ovarian reserve by simultaneous evaluation of basal follicle-stimulating hormone (FSH) and oestradiol response to gonadotrophin releasing hormone (GnRH) analogue (F-G-test) can be used to tailor individually the drug regimen for ovarian stimulation, the in-vitro fertilization (IVF) results of 238 patients were(More)