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Minerva Anestesiologica

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https://www.readbyqxmd.com/read/30226346/predicting-extubation-success-instrumental-assessment-clinical-tests-and-cave-diving
#1
Giulio Frova, Massimiliano Sorbello
No abstract text is available yet for this article.
September 18, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226345/stroke-volume-variation-and-intraoperative-bleeding-during-functional-endoscopic-sinus-surgery
#2
Mario Dauri, Roberta Di Mauro, Fabiana Lucci, Federica Martino, Maria B Silvi, Eleonora Gidaro, Santo Di Lorenzo, Nicola Toschi, Stefano Di Girolamo
No abstract text is available yet for this article.
September 18, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226344/organ-donation-after-neurological-or-circulatory-death-two-is-better-than-one
#3
Alessandro Nanni Costa, Francesco Procaccio
No abstract text is available yet for this article.
September 18, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226343/cardiac-output-monitoring-during-liver-transplantation-which-tool-to-choose
#4
Mohan Gurjar, Tommaso Mauri
No abstract text is available yet for this article.
September 18, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226342/intraoperative-dexmedetomidine-attenuates-stress-responses-in-patients-undergoing-major-spine-surgery
#5
Myoung H Kim, Ki Y Lee, Sun J Bae, Minju Jo, Jin S Cho
BACKGROUND: Surgical stress induces stress hormone release and sympathetic hyperactivation, resulting in hemodynamic instability. Dexmedetomidine has sympatholytic and hemodynamic stabilizing effects. We investigated whether dexmedetomidine could attenuate stress responses in major spine surgery. METHODS: In this prospective randomized study, 52 patients undergoing spine fusion surgery were randomized to placebo (n=26) or to dexmedetomidine (n=26) groups. Dexmedetomidine at a rate of 0...
September 18, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226341/evaluation-of-an-active-decision-support-system-for-hemodynamic-optimization-during-elective-major-vascular-surgery
#6
Johannes Menger, Arabella Fischer, Mohamed Mouhieddine, Mathias Seidel, Maximilian Edlinger-Stanger, Michele Bevilacqua, Michael Hiesmayr, Martin Dworschak
BACKGROUND: Active decision support systems implementing goal directed therapy may be an approach to reduce disparities in outcome between different health care providers. We assessed feasibility of and adherence to an active decision support system (ADSS) comprising fluids, vasopressors, and dobutamine to optimize hemodynamics during high-risk vascular surgery. METHODS: In this prospective observational trial a closed-loop goal-directed therapy protocol, employing the minimally-invasive LiDCOrapid device, was used to actively provide advice to the anesthesiologist during surgery...
September 18, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226340/comparative-effectiveness-of-pharmacologic-interventions-to-prevent-shivering-after-surgery-a-network-meta-analysis
#7
Pyoyoon Kang, Sun-Kyung Park, Seokha Yoo, Min Hur, Won H Kim, Jin-Tae Kim, Jae-Hyon Bahk
INTRODUCTION: Although many drugs have been studied to prevent postoperative shivering, their comparative effectiveness is unknown. We attempted to assess the comparative effectiveness of the pharmacologic strategies to prevent shivering after surgery including intravenous (IV) and intrathecal (IT) meperidine, IV and IT dexmedetomidine, IV and IT clonidine, nefopam, tramadol, ketamine, and serotonin receptor antagonists. EVIDENCE ACQUISITION: We implemented a frequentist network meta-analysis of randomised trials...
September 18, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226339/comparing-low-dose-bupivacaine-with-epidural-volume-extension-to-standard-bupivacaine-dosing-for-short-obstetric-procedures-a-prospective-randomized-study
#8
Mark F Powell, Christopher M Blakely, Yasser Sakawi, Michael A Frölich
BACKGROUND: Intrathecal bupivacaine's long duration of action can unnecessarily increase the time to meet post-anesthesia care unit (PACU) discharge criteria for patients undergoing short obstetric procedures. We sought to use a technique known as epidural volume extension (EVE) to determine if we could provide an adequate surgical block while significantly decreasing the time required to meet PACU discharge criteria for patients undergoing short obstetric procedures. METHODS: Fifty participants were randomized into two groups...
September 18, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226037/myocardial-injury-after-non-cardiac-surgery-troponin-assay-is-not-enough-we-need-perioperative-bearings
#9
Riccardo Colombo
No abstract text is available yet for this article.
September 13, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226036/the-challenge-of-advance-care-planning-the-new-italian-law
#10
Alberto Giannini
No abstract text is available yet for this article.
September 13, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226035/incidence-of-difficult-airway-in-thoracic-anaesthesia-practice-a-retrospective-observational-study
#11
Ruggero M Corso, Chiara De Fazio, Emanuele Ornigotti, Stefano Maitan, Emanuele Piraccini, Massimiliano Sorbello
No abstract text is available yet for this article.
September 13, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30226034/thinking-outside-the-box-off-label-use-of-the-bispectral-index-bis-within-context-and-limitations-for-conditions-other-than-depth-of-anesthesia-light-and-shadow-of-the-bis
#12
Ashraf A Dahaba
Numerous articles appeared in literature using Brain Function Monitors (BFM) such as the bispectral index (BIS) to assess cerebral cognitive conditions not related to depth of anesthesia. The BIS cannot be considered a "true" reflection of the electroencephalography (EEG) signal nor an independent measure of brain function. The BIS algorithm was retrospectively derived from EEG changes with incremental doses of γ-amino butyric acid (GABA)ergic anesthetic agents while measuring 3 descriptors. In many instances we are confronted with BIS values that do not concur with clinically judged anesthetic state arising from an underlying alteration of the patients' own EEG...
September 13, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30207137/pectoral-nerve-block-ii-with-programmed-intermittent-bolus-of-local-anesthetic-and-post-operative-pain-relief-in-breast-surgery
#13
Cinzia Tiburzi, Vittorio Cerotto, Eleonora Gargaglia, Luciano Carli, Fabio Gori
No abstract text is available yet for this article.
September 10, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30207136/effects-of-dexmedetomidine-on-inflammatory-mediators-after-tourniquet-induced-ischemia-reperfusion-injury-a-randomized-double-blinded-controlled-study
#14
Seung H Kim, Do-Hyeong Kim, Seokyung Shin, Seon J Kim, Tae L Kim, Yong S Choi
BACKGROUND: Tourniquet use during total knee arthroplasty (TKA) produces ischemia- reperfusion injury (IRI), with systemic release of inflammatory cytokines and reactive oxygen species upon tourniquet release. We conducted a randomized, placebo-controlled, double-blind trial to examine whether dexmedetomidine (DEX) as an adjunct during general anesthesia in patients undergoing unilateral TKA could attenuate the rise in inflammatory cytokines and oxidative stress. METHODS: Sixty-eight patients were randomized to either the control or DEX group...
September 10, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30207135/ultrasound-guided-mandibular-nerve-block-with-local-anesthetic-and-low-molecular-weight-dextran-helps-reduce-anesthetic-requirements-for-parotidectomy
#15
Masahiko Tsuchiya, Koh Mizutani, Mitsuhide Yabe, Takashi Mori, Wasa Ueda
No abstract text is available yet for this article.
September 10, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30207134/effect-of-ultrasound-image-enhancement-software-on-the-quality-of-vision-of-regional-anesthesia-needles
#16
Alfredo Abad-Gurumeta, Rubén Casans-Francés, Enrique Roca-Castillo, Javier Ripollés-Melchor, José M Calvo-Vecino
BACKGROUND: Our objective was to evaluate and compare the visualization of different types of needles with or without ultrasound image enhancement software, both in biological tissues and artificial models. METHODS: This is an observational study on fresh porcine tissue and gelatin models. Six types of plexus needles were studied. The same anesthesiologist performed inplane punctures with each needle at 30°, 40° and 50° in both 2D mode and using software-based enhanced mode without changing position, generating 72 images...
September 10, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30207133/plasma-levels-of-mid-regional-pro-adrenomedullin-in-sepsis-are-associated-with-risk-of-death
#17
Francisco Valenzuela-Sánchez, Blanca Valenzuela-Méndez, Rafael Bohollo de Austria, Juan F Rodríguez-Gutiérrez, Ángel Estella García, Laura Fernández-Ruiz, María Á González-García, Jordi Rello
BACKGROUND: Identifying ICU patients with sepsis and predicting the risk of death are unmet clinical needs. METHODS: Prospective observational singlecenter study of 120 consecutive ICU patients with suspected severe sepsis at Jerez Hospital. Epidemiological, clinical, laboratory data and MRproADM, Procalcitonin (PCT) and Creactive protein (CRP) levels were recorded at ICU admission and followup. RESULTS: At ICU discharge, 104 patients were diagnosed with severe sepsis and 39 died...
September 10, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30207132/lma%C3%A2-protectortm-airway-first-experience-with-a-new-second-generation-laryngeal-mask
#18
Fabian Eckardt, Jörg Engel, Sacha Tw Mann, Matthias Müller, Thomas Zajonz, Christian M Koerner, Michael Sander, Valesco Mann
BACKGROUND: The LMA ProtectorTM Airway (LMA-Protector) is a new supraglottic airway promising a better seal, an improved drainage of gastric secretions and the opportunity of a simplified fiberscopic guided tracheal intubation. The aim of this study was to present a primary evaluation of the LMA-Protector in a clinical setting. METHODS: After informed consent 50 patients, scheduled for minor/moderate surgery in supine position, were recruited. Pharyngeal seal pressures were examined in neutral position of the patients ́ head and in maximum passive extension of the neck...
September 10, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30035458/monitoring-cerebrovascular-autoregulation-a-potential-new-tool-to-prevent-neurocognitive-complications-after-cardiac-surgery
#19
Paolo Zanatta, Simone Messerotti Benvenuti
No abstract text is available yet for this article.
July 20, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/30035457/the-effect-of-scoliosis-on-surface-landmarks-for-lumbar-plexus-block-a-magnetic-resonance-imaging-based-retrospective-case-control-series
#20
Steven B Porter, Rex M Holliday, Prasanna Vibhute, Vivek Gupta, Colleen S Thomas, Christopher B Robards
BACKGROUND: Degenerative scoliosis (DS) may affect surface landmarks for performance of lumbar plexus (LP) block. We hypothesized the extent of any difference in surface landmarks could be calculated by a formula based on measured degree of DS, body mass index, sex, and age. METHODS: We retrospectively searched our radiology database until 113 consecutive adult patients with DS were identified with lumbar spine radiographs and magnetic resonance imaging examinations performed...
July 20, 2018: Minerva Anestesiologica
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