title: [Alfentanyl and midazolam in combined anesthesia. Clinical evaluation].
abstract: We have evaluated the effectiveness of a technique of blended anaesthesia (epidural-general) in 31 patients undergoing major surgery. Thoracic epidural blockade with lidocaina CO2, adrenalin 1/200000, ensures analgesia while induction and hypnosis maintenance were obtained with midazolam, alfentanil, atracurium and N2O/O2. This technique seems able to protect the patients from endotracheal intubation and surgical stress and also to enable a rapid, quiet awakening. The dose of midazolam necessary to maintain hypnosis was inversely proportional to the patient's age. The reversal of hypnosis was necessary in 4 patients only.
authors.affiliation: Servizio di Anestesia e Rianimazione, Ospedale Civico di Lugano Svizzera.
authors.forename: L
authors.initials: L
authors.lastname: Arena
authors.forename: N
authors.initials: N
authors.lastname: Di Sebastiano
authors.forename: L
authors.initials: L
authors.lastname: Russo
authors.forename: A
authors.initials: A
authors.lastname: Di Filippo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015760:Alfentanil / Q000008:administration & dosage*; D000758:Anesthesia / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008874:Midazolam / Q000008:administration & dosage*; D008875:Middle Aged
chemical_list: D015760:Alfentanil; D008874:Midazolam
vernacular_title: Alfentanile e midazolam nell'anestesia combinata. Valutazione clinica.