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Minerva Anestesiologica

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https://www.readbyqxmd.com/read/28094486/understanding-developmental-hemostasis-through-the-use-of-viscoelastic-tests-of-whole-blood-coagulation
#1
David Faraoni, James D O'Leary
No abstract text is available yet for this article.
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28094485/management-of-coagulopathy-in-the-severely-burned-patient-a-place-for-antifibrinolytic-therapy
#2
Ruedger Kopp, Christian Bruells
No abstract text is available yet for this article.
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28094484/a-simplified-screening-tool-to-identify-seriously-ill-patients-in-the-emergency-department-for-referral-to-a-palliative-care-team
#3
Paolo Cotogni, Anna DE Luca, Andrea Evangelista, Claudia Filippini, Renata Gili, Antonio Scarmozzino, Giovannino Ciccone, Luca Brazzi
BACKGROUND: The aims of this study were to evaluate the feasibility of an Emergency Department (ED)-initiated screening to identify seriously ill patients in need of palliative care (PC) and to develop a simplified screening tool (SST). METHODS: Eligible patients with known diagnosis of chronic heart, lung, liver, and kidney failures, progressive neurological diseases or advanced cancer, awaiting to be hospitalized after an ED-visit, were assessed with the screening tool from the Italian Society Anaesthesia Analgesia Resuscitation Intensive Care (SIAARTI)...
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28094483/italian-validation-of-the-amsterdam-preoperative-anxiety-and-information-scale-apais
#4
Pasquale Buonanno, Anna Laiola, Chiara Palumbo, Gianmario Spinelli, Virginia Terminiello, Giuseppe Servillo
BACKGROUND: Preoperative anxiety is usually experienced by patients awaiting surgical procedures and it can negatively impact patient's outcome. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) is a questionnaire created to identify anxious patients and their need for information: it has been translated and validated in many languages because of its reliability and ease of completion. To date, no Italian version of the APAIS has been produced; our aim was to translate and validate the APAIS in Italian...
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28094482/real-time-ultrasound-guided-spinal-anesthesia-in-patients-with-predicted-difficult-anatomy
#5
Hesham Elsharkawy, Ankit Maheshwari, Rovnat Babazade, Anahi Perlas, Sherif Zaky, Loran M Soliman
BACKGROUND: There are limited reports of lumbar neuraxial blocks using real-time ultrasound in patients with predicted difficulties. We compared the number of attempts to perform spinal anesthesia using real time ultrasound guidance versus landmark technique in patients meeting predefined criteria for difficult spinal anesthesia. We also compared procedure time, block success, patient satisfaction and difficulty scores between groups. METHODS: Following institutional review board approval patients scheduled for total hip or knee arthroplasty with expected difficulty to perform spinal anesthesia were included...
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28094481/influence-of-the-thoracic-epidural-anesthesia-on-the-left-ventricular-function-an-echocardiographic-study
#6
Miguel Miró, Filippo Sanfilippo, Fátima Pérez, Santiago García Del Valle, Juan I Gómez-Arnau
BACKGROUND: Thoracic epidural anesthesia (TEA) is widely used for major surgery, but studies assessing its impact on left ventricular (LV) systolic and diastolic function are limited, and such studies have assessed patients already under general anesthesia and/or receiving volume expansion between examinations. METHODS: Observational study at a secondary university hospital including consecutive awake patients undergoing major abdominal surgery without significant pre-existing cardiac disease...
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28094480/anesthetic-complications-during-general-anesthesia-without-intravenous-access-in-pediatric-ophthalmologic-clinic-assessment-of-5216-cases
#7
Chun W Hung, Lauren Licina, David H Abramson, Vittoria Arslan-Carlon
BACKGROUNDː General anesthesia utilizing inhalational agents without intravenous (IV) access for minor procedures is controversial1. Eliminating IV access increases efficiency and patient satisfaction; however, the ability to introduce rapid acting medications into the circulation during an unanticipated emergency becomes challenging. The objective of this study was to examine complication risk following pediatric ophthalmologic examinations under anesthesia (EUA) without IV placement. METHODSː A retrospective review of consecutive pediatric patients who underwent EUA for retinoblastoma management was performed from 2004 to 2014...
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28094479/retromolar-laryngoscopy-a-randomised-cross-over-vocal-cords-visualisation-study
#8
Christian Reiterer, Barbara Waltl, Barbara Kabon, Wolfgang Schramm
BACKGROUND: Vocal cords visualisation is a major determinant for successful tracheal intubation. The aim of our study was to compare vocal cord visualisation by using conventional direct laryngoscopy with retromolar direct laryngoscopy in patients with an existing retromolar gap at the right mandible. METHODS: We enrolled 100 adults needing endotracheal intubation for elective surgery. In each patient the vocal cords were visualised and scored according to Cormack & Lehane with a Macintosh blade #3 for conventional technique and with a Miller blade #4 for the retromolar technique in a randomised sequence...
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28094478/fluid-management-in-cardiac-surgery-patients-pitfalls-challenges-and-solutions
#9
Elena Bignami, Marcello Guarnieri, Marco Gemma
Fluid administration is a powerful tool for hemodynamic stabilization as it increases preload and improves cardiac function in fluid-responsive patients. However, there are various types of fluid to choose from. The use of colloids and crystalloids in non-cardiac Intensive Care Units (ICU) has been reported, showing controversial results. Many trials on sepsis in a non-cardiac ICU setting show that colloids, in particular hydroxyethyl starches and gelatins, might have a detrimental effect on kidney function, and on major outcomes such as mortality...
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28094477/effects-of-intravenous-lidocaine-dexmedetomidine-and-their-combination-on-the-postoperative-pain-and-recovery-of-bowel-function-in-patients-undergoing-abdominal-hysterectomy
#10
Si Q Xu, Yuan H Li, Shen B Wang, Sheng H Hu, Xia Ju, Jin B Xiao
BACKGROUND: Intravenous (IV) lidocaine and dexmedetomidine have been shown to decrease postoperative pain, reduce analgesic consumption and facilitate return of bowel function. We investigated whether lidocaine combined with dexmedetomidine infusion was superior in controlling pain and recovery of bowel function. METHODS: 240 women undergoing elective abdominal hysterectomy were randomly assigned into four groups: group CON received normal saline infusion, group LIDO received lidocaine infusion (1...
January 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28006887/palliative-sedation-the-position-statement-of-the-italian-national-committee-for-bioethics-incb
#11
Luciano Orsi, Giuseppe R Gristina
In January 2016 the Italian National Bioethics Committee (NBC) published a position statement entitled "Deep and continuous palliative sedation in the imminence of death", related to the use of sedation and analgesia for relief from pain and psychological distress in dying patients. The Committee, in this statement, points out the clinical and ethical appropriateness of palliative sedation as a therapeutic procedure. As a result, palliative sedation has to be considered today useful, scientifically safe and reliable, and acknowledged as an integral part of good clinical practice...
December 22, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28006886/neuromuscular-effect-of-dexmedetomidine-on-sevoflurane-an-open-label-dose-escalation-clinical-trial
#12
Hui H Ke, Huang H Wu, Qi Zhu, Yan Zhang, Jin R Xiao, Xiu Z Su, Wan J Zheng, Yu P Cai, Xiao Z Wu, Yu T Wang, Guo Z Chen
BACKGROUND: Sevoflurane presents reliable central neuromuscular effects. However, little knowledge is available regarding the interaction between sevoflurane and demedetomidine. We evaluated the neuromuscular effect of dexmedetomidine on sevoflurane in patients with normal neuromuscular transmission and calculated the 50% effective concentration (EC50). METHODS: One-hundred and forty-four ASA grade I~II patients with normal neuromuscular transmission, aged 20~60 years old, undergoing lower limbs surgery were enrolled in this open- label, dose-escalation clinical trial...
December 22, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28006885/epidemiology-and-outcomes-of-cardiac-arrest-among-children-with-down-syndrome-a-multicenter-analysis
#13
Asif Padiyath, Mallikarjuna Rettiganti, Jeffrey M Gossett, Sachin D Tadphale, Xiomara Garcia, Paul M Seib, Punkaj Gupta
BACKGROUND: With the increasing prevalence of Down syndrome, it is unknown if children with Down syndrome are associated with increased incidence of cardiac arrest and poor outcomes after cardiac arrest. The objective of this study was to evaluate the epidemiology of cardiac arrest and mortality after cardiac arrest among critically ill children with and without Down syndrome. METHODS: Patients ≤ 18 years admitted at a Pediatric Health Information Systems (PHIS) participating Intensive Care Unit were included (2004-2014)...
December 22, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28006884/an-awake-videolaryngoscope-assisted-intubation-in-a-patient-with-madelung-disease-and-a-critical-airway-obstruction
#14
Tatjana Stopar-Pintaric, Liljana Markova, Matevz Tomazevic, Iljaz Hodzovic
No abstract text is available yet for this article.
December 22, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27982557/incorrect-position-of-the-bite-block-lead-to-serious-gastrointestinal-flatulence-during-gynecological-laparoscopic-surgery
#15
Yuangui Lin, Dong Luo, Linli Luo
No abstract text is available yet for this article.
December 16, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27982556/to-icu-or-not-to-icu-tailoring-postoperative-care-in-the-face-of-reduced-resources-and-increased-morbidity
#16
Fabio Guarracino, Pietro Bertini
No abstract text is available yet for this article.
December 16, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27982555/how-to-manage-blood-pressure-after-brain-injury
#17
Laurent Carteron, Fabio S Taccone, Mauro Oddo
Manipulation of blood pressure (BP) is a mainstay of therapy in patients with acute brain injury (ABI). In the early emergent phase (first hours from injury), depending on intracranial pathology, BP manipulation aims to 1) limit the progression of parenchymal hematomas or hemorrhagic transformation (in patients with ischemic/hemorrhagic stroke and aneurysmal subarachnoid hemorrhage [SAH]), and 2) attenuate hypoperfusion and secondary cerebral ischemic insults (in patients with traumatic brain injury [TBI])...
December 16, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27982554/regional-anaesthesia-and-antithrombotic-agents-instructions-for-use
#18
Gennaro Scibelli, Lucia Maio, Gennaro Savoia
BACKGROUND: The use of anticoagulant agents represents a serious limitation of regional anesthesia, due to the risk of spinal hematoma. Examining all the principles currently available, it has been possible to notice that published guidelines are very often incomplete or also differ significantly on the rules to be followed relating to a specific drug. METHODS: We have carried out a comparison between the guidelines of major scientific societies in order to take a practical and simple user guide which operators can consult...
December 16, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27922260/acute-exacerbation-of-idiopathic-pulmonary-fibrosis-when-bronchoalveolar-lavage-becomes-a-lethal-weapon
#19
Gaetano Rea, Giuseppe Fiorentino, Antonio Corcione, Maurizia Lanza, Francesco Perna, Anna A Stanziola
No abstract text is available yet for this article.
December 6, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27922259/development-of-neurocritical-care-enhanced-neuromonitoring-or-better-specialists-cooperation
#20
Nicolas Bruder, Salah Boussen, Lionel Velly
No abstract text is available yet for this article.
December 6, 2016: Minerva Anestesiologica
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