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Minerva Anestesiologica

Ezzeldin Ibrahim, Wesameldin Sultan, Saffa Helal, Hatem Abo-Elwafa, Ahmed Abdelaziz
BACKGROUND: Conscious sedation is usually required during flexible bronchoscopy. Sedation should be achieved without respiratory depression or loss of consciousness. The present study was designed to evaluate the effect of pregabalin pre-medication on reducing the amount of sedatives and to show its advantages for patients undergoing flexible bronchoscopy with dexmedetomidine. METHODS: Seventy patients undergoing elective flexible bronchoscopy were randomly divided into two groups of 35 patients each...
July 18, 2018: Minerva Anestesiologica
Zhaosheng Jin, Ornella Piazza, Daqing Ma, Giuliana Scarpati, Edoardo De Robertis
Xenon is a colourless and odourless noble gas, licensed for human use as an anaesthetic gas as well as a radiological marker. The MAC of this gas is about 63% but Xenon anaesthesia is associated with fast recovery of cognitive function and cardiovascular stability. Nevertheless, Postoperative nausea and vomiting (PONV) incidence for xenon anaesthesia is very high. Xenon has been reported to have cytoprotective effects that may have therapeutic values in both CNS protection, and in organ graft preservation. Currently, there are few studies about the effect of Xenon on ischaemia reperfusion injury of transplantable organs and insufficient clinical data upon its effect on intracranial and cerebral perfusion pressure...
July 17, 2018: Minerva Anestesiologica
Bernd Saugel, F Javier Belda
No abstract text is available yet for this article.
July 9, 2018: Minerva Anestesiologica
Alessandro De Cassai, Alberto Marchet, Carlo Ori
No abstract text is available yet for this article.
July 9, 2018: Minerva Anestesiologica
Chunyong Yang, Kaizhi Lu
No abstract text is available yet for this article.
July 9, 2018: Minerva Anestesiologica
Kaushic A Theerth, Kamath Sriganesh, K R Reddy, Dhritiman Chakrabarti, G S Rao
BACKGROUND: Scalp block or local anesthetic infiltration for craniotomy blunts hemodynamic response to noxious stimuli, reduces opioid requirement and decreases post-operative pain. Analgesia Nociception Index (ANI) provides objective information about the magnitude of pain (rated from 0 to 100 with 0 indicating extreme nociception and 100 indicating absence of nociception) and adequacy of intra-operative analgesia. This study compared intra-operative fentanyl consumption guided by ANI and postoperative pain in patients who receive scalp block with those who receive incision-site local anesthetic infiltration for craniotomy...
July 9, 2018: Minerva Anestesiologica
Michele Divella, Luigi Vetrugno, Daniele Orso, Nicola Langiano, Elena Bignami, Tiziana Bove
BACKGROUND: While interscalenic nerve block (INB) is still considered the 'gold standard' for shoulder arthroscopy, its postoperative analgesic effectiveness has recently been called into question. Meanwhile, in light of its high-quality postoperative pain relief, a renewed interest has emerged in suprascapular nerve block (SNB). The first aim of our study was to compare the postoperative analgesia effects of these two types of block at 2, 4 and 6 hours after surgery. We also assessed shoulder functional recovery over a six-month follow-up period...
July 9, 2018: Minerva Anestesiologica
Giorgia Montrucchio, Gabriele Sales, Silvia Corcione, Francesco G De Rosa, Luca Brazzi
More than two-thirds of critically ill patients receive an antimicrobial therapy with a percentage between 30 and 50% of all prescribed antibiotics reported to be unnecessary, inappropriate or misused. Since inappropriate prescription of antibiotic drugs concurs to dissemination of the multi-drug resistant organisms, a reasoned antibiotics use is crucial especially in Intensive Care Unit (ICU), where up to 60% of the admitted patients develops an infection during their ICU stay. Even if the concept of Antimicrobial Stewardship (AS) has been clearly described as a series of coordinated interventions designed to improve antimicrobial agents use, few studies are reporting about its effectiveness to improve outcomes, reduce adverse events and costs and decrease resistance rate spread...
July 9, 2018: Minerva Anestesiologica
Filomena S Lombardi, Antonella Cotoia, Rocco Petta, Marcus Schultz, Gilda Cinnella, Janneke Horn
INTRODUCTION: Extubation failure (EF) refers to the inability to maintain spontaneous breathing after removal of endotracheal tube. The aim of this review is to identify the best parameter to predict EF in adult intensive care patients. EVIDENCE ACQUISITION: We searched for publications in PubMed (2000-2016). Studies of patients intubated and mechanically ventilated for more than 24 hours were included and divided in groups basing on the extubation method. 2x2 tables were performed to evaluate the sensitivity, specificity and the predictive values only for those parameters investigated in more than three studies...
July 9, 2018: Minerva Anestesiologica
Emmanuel Novy, François-Xavier Laithier, Marie-Claire Machouart, Eliane Albuisson, Philippe Guerci, Marie-Reine Losser
BACKGROUND: Decision to start an anti-fungal therapy in intra-abdominal candidiasis (IAC) is complex. Yeast culture, considered the gold standard, suffers from a delayed response time and exposes the patient to delayed introduction of anti-fungal therapy. We sought to evaluate the performance and feasibility of measuring 1,3-Beta-D-Glucan (1,3BDG) in the peritoneal fluid (PF) for the diagnosis of IAC. METHODS: We analyzed retrospectively all PF obtained during abdominal surgery for critically ill adult patients presenting intra-abdominal infections...
July 9, 2018: Minerva Anestesiologica
Satoru Fujii, Ray J Zhou
No abstract text is available yet for this article.
June 29, 2018: Minerva Anestesiologica
Pierfrancesco Fusco, Marco Vespasiano, Stefano Di Carlo, Paolo Scimia, Emiliano Petrucci, Franco Marinangeli
No abstract text is available yet for this article.
June 29, 2018: Minerva Anestesiologica
Marco Rossi, Antonio Corcione, Clelia Esposito, Massimo Micaglio, Roberta Monzani, Carlo Ori
No abstract text is available yet for this article.
June 26, 2018: Minerva Anestesiologica
Ruggero M Corso, Giulia Biondi, Matteo Seligardi, Lorenzo Sciolino, Stefano Maitan, Emanuele Piraccini, Giorgio Ercolani
No abstract text is available yet for this article.
June 26, 2018: Minerva Anestesiologica
Davide Durì, Luigi Vetrugno, Marco Violino, Tiziana Bove, Amato De Monte
No abstract text is available yet for this article.
June 26, 2018: Minerva Anestesiologica
Pietro Bertini
No abstract text is available yet for this article.
June 26, 2018: Minerva Anestesiologica
Jeffrey W Lee
The rise in obesity prevalence worldwide has presented problems for practitioners treating patients in the ambulatory setting. As more procedures are being performed in office based suites, anesthesiologists are being asked to provide more anesthesia services for obese patients that may compromise safety. Conventional wisdom associates a higher bodymass index (BMI) with the potential for more adverse outcomes. When combined with the limited resources available in officebased anesthesia (OBA) locations, this prompts anesthesiologists to consider placing limits on BMI...
June 26, 2018: Minerva Anestesiologica
Felix Balzer, Ralf F Trauzeddel, Martin Ertmer, Joachim Erb, Matthias Heringlake, Heinrich V Groesdonk, Matthias Goepfert, Daniel A Reuter, Michael Sander, Sascha Treskatsch
BACKGROUND: In patients with haemodynamic instability echocardiography has been recommended as the preferred modality to evaluate the underlying pathophysiology. However, due to the fact that recent scientific data on the utilisation of echocardiography in German intensive care units (ICU) are scarce, we sought to investigate current practice. METHODS: A structured, web-based, anonymised survey was performed from May until July 2015 among members of the German Interdisciplinary Association of Critical Care and Emergency Medicine (DIVI) consisting of 14 questions...
June 26, 2018: Minerva Anestesiologica
Jie Liu, Yong Wang, Wuhua Ma
INTRODUCTION: Perioperative shivering during cesarean sections (CSs) under neuraxial anesthesia (NA) is clinically common but often under-treated. It may prominently increase oxygen consumption, which can be catastrophic for parturients with ischemic cardiovascular disease. Thus, the prevention and treatment of shivering may be of great significance in parturients. The purpose of this systematic review was to investigate the effectiveness of several drugs on shivering prevention and treatment during CSs under NA...
June 26, 2018: Minerva Anestesiologica
Carina Benstoem, Andreas Goetzenich, Rüdiger Autschbach, Gernot Marx, Christian Stoppe, Thomas Breuer
INTRODUCTION: So far, the concept of remote ischaemic preconditioning (RIPC) failed its translation from experimental to clinical studies. In addition to our Cochrane Systematic Review, we systematically assessed the use of the intravenous anaesthetic propofol, as a potential confounding factor. EVIDENCE ANALYSIS: We searched CENTRAL, MEDLINE, Embase and Web of Science. We included randomised controlled trials comparing RIPC with no RIPC in adult patients scheduled for coronary artery bypass graft surgery (with or without valve surgery) receiving either exclusively propofol or exclusively volatile anaesthetics...
June 26, 2018: Minerva Anestesiologica
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