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[Alfentanyl and midazolam in combined anesthesia. Clinical evaluation]
L Arena1, N Di Sebastiano, L Russo
1Servizio di Anestesia e Rianimazione, Ospedale Civico di Lugano Svizzera.
Minerva Anestesiologica
|June 1, 1992
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.