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Minerva Anestesiologica

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https://www.readbyqxmd.com/read/28275228/no-needle-no-party
#1
Maria Sammartino, Fabio Sbaraglia
No abstract text is available yet for this article.
March 8, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28275227/halogenated-volatile-anesthetics-in-the-intensive-care-unit-current-knowledge-on-an-upcoming-practice
#2
Pascal L Langlois, Frederick D'Aragon, William Manzanares
The aim of this narrative review was to highlight key points of volatile anesthetics administration in the intensive care unit (ICU), including AnaConDa® and Mirus® devices characteristics and the reported findings on clinical outcomes in critically ill patients. Intravenous sedation in the ICU is associated with issues, such as over- and under-sedation. Halogenated compounds, which can be safely administered by inserting a device in any ICU ventilation circuit, have interesting pharmacodynamic and pharmacokinetic profiles for patients with multi-organ failure...
March 8, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28275226/prediction-of-fluid-responsiveness-based-on-liver-compression-induced-blood-pressure-changes-in-children-after-cardiac-surgery
#3
Ji-Hyun Lee, In-Kyung Song, Eun-Hee Kim, Hee-Soo Kim, Jin-Tae Kim
BACKGROUND: This study evaluated whether liver compression-induced blood pressure changes can predict fluid responsiveness in children after cardiac surgery. METHODS: Children aged < 5 years who were undergoing cardiac surgery were evaluated after the sternum was closed. Before fluid loading, the right upper abdomen was compressed at a pressure of 30 mmHg for 15 seconds and changes in blood pressure waves were recorded. Then, 10 ml/kg of colloid solution was administered...
March 8, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28275225/low-flow-veno-venous-extracorporeal-co2-removal-for-acute-hypercapnic-respiratory-failure
#4
Matthias P Hilty, Thomas Riva, Silvia R Cottini, Eva-Maria Kleinert, Alessandra Maggiorini, Marco Maggiorini
BACKGROUND: Ventilation with low tidal volume and airway pressure results in a survival benefit in ARDS patients. Previous research suggests that avoiding mechanical ventilation altogether may be beneficial in some cases of respiratory failure. Our hypothesis was that low flow veno-venous extracorporeal CO2 removal (ECCO2R) enables maintenance of a lung protective ventilation strategy or awake spontaneous ventilation despite severe hypercapnic respiratory failure (HRF). METHODS: Twenty patients with HRF were investigated while mechanically ventilated (n=14) or breathing spontaneously close to respiratory exhaustion (n=6)...
March 8, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28275224/aggressive-versus-conservative-antibiotic-use-to-prevent-and-treat-ventilator-associated-pneumonia-in-patients-with-severe-traumatic-brain-injury-comparison-of-two-case-series
#5
Arturo Chieregato, Paolo Malacarne, Francesco Cocciolo, Maurizio Ravaldini, Emanuele Russo, Bruno Viaggi, Michele Giardino, Carlotta Rossi, Bruno Simini, Guido Bertolini
BACKGROUND: In patients with traumatic brain injury (TBI), ventilator-associated pneumonia (VAP) is considered a dangerous complication, prompting early aggressive antibiotic treatment and prophylaxis. While this approach increases the selection of multidrug-resistant bacteria (MDR), its clinical benefit has not been demonstrated. METHODS: One-year incidence of VAP in severe TBI patients (ICU stay >48 hours, with either Glasgow Coma Scale 8 or receiving intracranial pressure monitoring, or having undergone emergency surgery) and the prevalence of MDR among those who eventually developed it, were compared in two Italian intensive care units (ICUs) adopting different antibiotic approaches...
March 8, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28275223/evaluation-of-eight-biomarkers-to-predict-short-term-mortality-in-patients-with-acute-severe-dyspnea
#6
Claire Ara-Somohano, Agnès Bonadona, Francoise Carpentier, Patricia Pavese, Aurélien Vesin, Rebecca Hamidfar-Roy, Clémence Minet, Gerald Vanzetto, Carole Schwebel, Jean F Timsit
BACKGROUND: Being able to better predict risk and optimal care for patients presenting with acute dyspnea is critical. Prognostic biomarkers are well known: amino-terminal pro-Btype Natriuretic Peptide, troponin, C-reactive protein, procalcitonin. Some were more recently developed: mid-regional pro-A-type natriuretic peptide (Mid Pro-ANP), mid-regional-proadrenomedullin (MR-proADM), pro-endothelin, copeptin. The aim of the paper was to evaluate prognostic value of clinical findings and 8 biomarkers in patients with severe acute dyspnea...
March 8, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28276672/current-adoption-of-lung-ultrasound-in-intensive-care-units-an-italian-multi-centre-survey
#7
Italo Calamai, Massimiliano Greco, Guido Bertolini, Rosario Spina
BACKGROUND: Lung ultrasound (LUS) is a useful tool for assessing lung status in critically ill patients, but is not widely applied in intensive care units (ICUs). The aim of this study was to investigate the use of LUS in Italian ICUs. METHODS: A questionnaire was distributed to 116 ICU representatives belonging to the Italian GiViTI network, participating in a national project on continuous quality of care assessment. The answers to the questionnaire were analysed with the data collected in the course of said project...
March 7, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28256817/intensifying-sdd-a-thought-generating-analysis
#8
Johanna M Pieterse, Dinis Dos Reis Miranda, Wim Rietdijk, Jan Bakker
No abstract text is available yet for this article.
March 3, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28256816/the-inclusion-of-dexmedetomidine-for-specific-pediatric-indications-in-the-list-of-medicinal-products-issued-by-the-national-law-648-96
#9
Maria C Mondardini, Marinella Astuto, Angela Amigoni
No abstract text is available yet for this article.
March 3, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28256815/critically-ill-children-with-down-syndrome-the-associated-risk-for-cardiac-arrest-and-subsequent-mortality
#10
Claudio Sandroni, Sonia D'Arrigo
No abstract text is available yet for this article.
March 3, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28256814/palliative-sedation-a-feasible-option-to-improve-end-of-life-care-in-seriously-ill-dying-patients
#11
Paolo Cotogni, Luca Brazzi
No abstract text is available yet for this article.
March 3, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28256813/intraspinal-administration-of-morphine-hydrochloride-combined-with-low-doses-of-bupivacaine-in-hemorrhoidectomy-a-clinical-randomised-trial
#12
Manuel Ruiz-Castro, Marta San José Santos, Antonio Rodríguez-Miguel, Francisco J de Abajo Iglesias
BACKGROUND: Intrathecal local anesthetics, associated or not to opioids, is commonplace in anorectal surgery, but it is unknown which is the option with the best risk-benefit ratio. The main aim was to assess whether the combination of morphine (50 mcg) with low-dose bupivacaine (3 mg) in an intradural solution has a better analgesic short-term effect than bupivacaine alone at standard doses (5 mg) in hemorrhoidectomy. METHODS: 66 patients of any sex were randomly assigned to two alternative treatments and 63 patients were considered valid for analysis...
March 3, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28256812/severe-perioperative-hyperglycemia-attenuates-postoperative-monocytic-function-basophil-count-and-t-cell-activation
#13
Gunnar Lachmann, Clarissa von Haefen, Tobias Wollersheim, Claudia Spies
BACKGROUND: Hyperglycemia in hospitalized patients is associated with increased morbidity and mortality. Postoperative infections are particularly common in the setting of preoperative hyperglycemia; however, the relationship between perioperative glucose levels and the innate immune system remains unclear. METHODS: Immune cells, monocytic respectively T cell function and T cell subspecies of 32 patients after esophageal or pancreatic resection were analyzed preoperatively and on the first day after surgery (pod1)...
March 3, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28240530/fear-of-the-back-are-we-justified-to-refrain-from-neuraxial-anesthesia
#14
Paolo Mura, Salvatore Sardo, Gabriele Finco
No abstract text is available yet for this article.
February 27, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28211652/fluids-in-cardiac-surgery-sailing-calm-on-a-stormy-sea-common-sense-is-the-guidance
#15
Filippo Sanfilippo, Sabino Scolletta
No abstract text is available yet for this article.
February 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28211651/role-of-a-miller-blade-in-retromolar-intubation
#16
Hiroyuki Kinoshita
No abstract text is available yet for this article.
February 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28211650/the-right-choice-at-the-right-time
#17
Luciano Orsi, Giuseppe R Gristina
No abstract text is available yet for this article.
February 17, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28206736/mechanical-ventilation-withdrawal-at-end-of-life-terminal-extubation-and-terminal-weaning
#18
Alberto Giannini, Guido Miccinesi
No abstract text is available yet for this article.
February 15, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28206735/regional-anesthesia-the-best-is-yet-to-come
#19
Dario Bugada, Massimo Allegri, Paolo Grossi, Alberto Manassero, Rosa L Pinciroli, Nicola Zadra, Guido Fanelli, Alberto Zarcone, Rita Cataldo, Giorgio Danelli, Battista Borghi
No abstract text is available yet for this article.
February 15, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28206734/medication-induced-hypertriglyceridaemia-in-special-circumstances-of-emergency-cardiovascular-care
#20
Francesco Sbrana, Emilio M Pasanisi
No abstract text is available yet for this article.
February 15, 2017: Minerva Anestesiologica
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