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Minerva Anestesiologica

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https://www.readbyqxmd.com/read/30394078/intravenous-immunoglobulin-in-sepsis-can-we-find-the-right-dose
#1
Tamas Szakmany
No abstract text is available yet for this article.
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394077/delirium-in-the-post-anesthesia-care-unit-may-be-associated-with-the-development-of-postoperative-delirium-in-a-cohort-of-elderly-patients
#2
Rodrigo G Gutiérrez, Fernando I Reyes, Antonello Penna
No abstract text is available yet for this article.
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394076/xenon-towards-a-tailored-anesthetic-approach
#3
Pietro Bertini
No abstract text is available yet for this article.
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394075/do-residents-in-anesthesiology-feel-adequately-prepared-for-handling-infections-by-multi-resistant-pathogens-results-of-a-survey-in-german-hospitals
#4
Matthias May, Martin Kees, Sabine Brookman-May, Matthias Jacob
No abstract text is available yet for this article.
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394074/low-dose-spinal-anaesthesia-plus-epidural-volume-extension-for-ambulatory-obstetric-surgery-is-it-a-suitable-option
#5
Nicolas Brogly, Emilia Guasch
No abstract text is available yet for this article.
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394073/expanding-the-burdens-of-airway-management-not-only-endotracheal-tubes
#6
Massimiliano Sorbello
No abstract text is available yet for this article.
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394072/xenon-as-a-quick-reversal-anaesthetic-agent-for-asleep-awake-asleep-approach
#7
Ornella Piazza, Giuseppe De Benedictis
No abstract text is available yet for this article.
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394071/brugada-syndrome-anaesthetic-considerations-and-management-algorithm
#8
Ángel Espinosa, Javier Ripollés-Melchor, Ramón Brugada, Óscar Campuzano, Georgia Sarquella-Brugada, Ane Abad-Motos, Matilde Zaballos-García, Ana Abad-Torrent, Alejandra Prieto-Gundin, Josep Brugada
Brugada syndrome is characterized by arrhythmogenic risk that may be exacerbated by different metabolic and pharmacological factors. Since its first description, knowledge of this syndrome and its detection by physicians belonging to different specialties have gradually increased. The risk of arrhythmias is well known to increase in the postoperative period, and this risk is particularly accentuated in patients with Brugada syndrome. The purpose of this review is to analice the relationship between this syndrome and anaesthesia; establish recommendations for the safe management of these patients in the surgical setting; and update the relevant concepts regarding the safety of drug administration in individuals with Brugada syndrome...
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394070/the-use-of-i-gel%C3%A2-at-the-prone-position-in-a-patient-with-massive-pulmonary-bullae
#9
Takashi Yamasaki, Kazunobu Ohtake, Hiroyuki Kinoshita
No abstract text is available yet for this article.
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394069/searching-for-the-perfect-brain-protecting-agent
#10
Nelson N Algarra
No abstract text is available yet for this article.
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394068/why-don-t-multicenter-randomized-controlled-trials-rct-confirm-the-positive-findings-of-single-center-rcts-in-acute-care-zeno-s-paradox-of-the-tortoise-and-achilles-revisited
#11
Giovanni Landoni, Marina Pieri, Paul J Young, Rinaldo Bellomo
It is a common observation that many multicenter randomized controlled trials (mRCT) performed in critically ill patients do not achieve the positive findings often seen in single centre studies (sRCT). This has, of course, relevant consequences for clinical practice, as mRCTs have higher scientific validity compared to sRCTs. The aim of this manuscript was to review and discuss the several potential causes of this phenomenon and to relate them to the future of mRCTs in critical care medicine. Overall, this seems to recall the old mythologic story of Achilles and the tortoise: although mRCTs (i...
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394067/prolonged-sedation-in-critically-ill-children-is-dexmedetomidine-a-safe-option-for-younger-age-an-off-label-experience
#12
Francesca Sperotto, Maria C Mondardini, Francesca Vitale, Marco Daverio, Emiliana Campagnano, Federica Ferrero, Emanuele Rossetti, Beatrice Vasile, Maria P Dusio, Stefania Ferrario, Fabio Savron, Luca Brugnaro, Angela Amigoni
BACKGROUND: Dexmedetomidine (DEX) is a alpha-2-adrenergic agonist, recently approved by Italian- Medicines-Agency for difficult sedation in pediatrics, but few data exist regarding prolonged infusions in critically-ill children, especially in younger ages. Aim of our study was to evaluate DEX use and safety for prolonged sedation in Pediatric Intensive Care Units (PICUs). METHODS: Patients receiving DEX for ≥24 hours were retrospectively evaluated to analyze DEX indications, dosages, use of analgesics or sedatives, adverse events (AEs), withdrawal syndrome or delirium...
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394066/postpartum-chronic-pain
#13
Patricia Lavand'homme
Postpartum chronic pain is a clinical reality which affects 6.1 to 11.5% of women after delivery and affects their recovery. The large range of incidence observed in the literature relies on criteria used to define chronic postpartum pain. The features depend on the type of delivery. Cesarean delivery which rate is increasing worldwide seems currently associated with lower risk of chronic postpartum pain, specifically chronic pelvic pain. Further chronic scar pain which often involves a neuropathic component is often of mild intensity...
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394065/closed-loop-administration-of-propofol-based-on-a-smith-predictor-a-randomized-controlled-trial
#14
Jose A Reboso, Jose M Gonzalez-Cava, Ana León, Juan A Mendez-Perez
BACKGROUND: Delay in the propofol pharmacodynamics effect is commonly observed in total intravenous anesthesia (TIVA). To face the delay in the hypnosis control, we have proposed a Proportional-Integral (PI) controller with a Smith predictor (PI+Smith). We have evaluated the feasibility of this closed-loop control for propofol administration and compared the performance with manual administration guided by the Bispectral Index (BIS). METHODS: Fifty-seven adult patients under TIVA with propofol and remifentanil were randomly assigned to PI+Smith (PI+Smith) or Manual Control (MC) group...
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394064/npo-guidelines-what-is-changing-what-is-not-and-what-should
#15
Michael V Presta, Sekar S Bhavani, Basem B Abdelmalak
Preoperative Nil Per Os' (NPO) guidelines have been in existence since the recognition of the risk of perioperative aspiration. These guidelines aim at reducing the risk for gastric content aspiration to the lowest possible, to avoid associated morbidity, unplanned hospital and/or an intensive care admission. Thus, such guidelines are not only considered for patients having major surgeries, but more so in those having ambulatory surgery including those performed at non-operating room anesthesia locations. NPO guidelines have always been controversial due to the paucity of data in support of one recommendation versus another and have seen multiple changes and updates by the issuing national anesthesiology societies as new evidence emerges...
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394063/the-velocity-curve-of-the-clotting-waveform-of-rotational-thromboelastometry-predicts-bleeding-after-cardiac-surgery-but-conventional-rotational-thromboelastometric-parameters-do-not
#16
Karam Nam, Yunseok Jeon, Tae K Kim, Woo Y Jo, Sehee Yoon, Jooah Kwak, Youn J Cho
BACKGROUND: Early detection of a risk of postoperative bleeding is essential in cardiac surgery patients. The aim of the present study was to evaluate the utility of the first derivative curve (the V-curve) of the clotting waveform of rotational thromboelastometry (ROTEM) in terms of predicting bleeding after cardiac surgery. METHODS: We retrospectively analysed 534 cardiac surgery patients. We used the chest tube output during the stay in the intensive care unit to divide patients into a higher blood loss group (HBL group; the fourth quartile) and a lower blood loss group (LBL group; the lower quartiles)...
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30394062/effects-of-liver-ischemia-reperfusion-injury-on-respiratory-mechanics-and-driving-pressure-during-orthotopic-liver-transplantation
#17
Vito Fanelli, Andrea Costamagna, Fabio Carosso, Giuseppe Rotondo, Emanuele E Pivetta, Angelo Panio, Paola Cappello, Anna T Mazzeo, Lorenzo Del Sorbo, Salvatore Grasso, Luciana Mascia, Luca Brazzi, Renato Romagnoli, Mauro Salizzoni, Marco V Ranieri
BACKGROUND: During orthotopic liver transplantation (OLT), liver graft ischemia-reperfusion injury (IRI) triggers a cytokine-mediated systemic inflammatory response, which impairs graft function and disrupts distal organ homeostasis. The objective of this prospective, observational trial was to assess the effects of IRI on lung and chest wall mechanics in the intraoperative period of patients undergoing OLT. METHODS: In 26 patients undergoing OLT, we measured elastance of the respiratory system (ERS), partitioned into lung (EL) and chest wall (ECW), hemodynamics, and fluid and blood product intake before laparotomy (T1), after portal/caval surgical clamp (T2), and immediately (T3) and, at 90 and 180 min post-reperfusion (T4 and T5, respectively)...
October 30, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30328338/the-search-for-the-holy-grail-for-regional-anesthesia-continues
#18
Loran M Soliman, Ehab Farag
No abstract text is available yet for this article.
October 17, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30328337/good-antimicrobial-practice-time-to-update-the-choosing-wisely-%C3%A2-top-5-list-in-critical-care-medicine
#19
Lidia Dalfino, Nicola Brienza, Francesco Bruno
No abstract text is available yet for this article.
October 17, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30328336/taking-the-pain-by-the-horns-rams-and-measuring-tape
#20
Davide Cattano, Andrea Rigamonti
No abstract text is available yet for this article.
October 17, 2018: Minerva Anestesiologica
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