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 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)
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)
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)
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)
BACKGROUND Systems for Target Controlled Infusion accepting not only patient' data, like Diprifusor, but also a pharmacokinetic model have not been available in Italy in the last years. Therefore a program which controls a Pilot Anesthesia Vial pump and accepts any pharmacokinetic model was developed and applied to propofol infusion for anaesthesia and(More)
The anesthetic management of a hemodialyzed patient with a dopamine producing pheochromocytoma is described. A 56-years old man underwent surgical procedure the day after hemodialysis. Prior to intervention adrenal cortex hormones were normal as well as other endocrine variables (T3-T4-TSH-cortisol-ACTH-parathyroid hormone); epinephrine and norepinephrine,(More)