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Minerva Anestesiologica

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https://www.readbyqxmd.com/read/28752738/veno-arterial-extracorporeal-membrane-oxygenation-as-an-intraoperative-rescue-option-in-case-of-portopulmonary-hypertension-recognized-during-liver-transplantation
#1
Gennaro Martucci, Gaetano Burgio, Fabio Lullo, Giovanna Panarello, Antonio Arcadipane
No abstract text is available yet for this article.
July 28, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28752737/serratus-anterior-plane-block-for-right-minithoracotomy-revision-after-mitral-valve-repair
#2
Fabio Costa, Antonio Nenna, Raffaele Barbato, Maria Benedetto, Romualdo Del Buono, Felice E Agrò
No abstract text is available yet for this article.
July 28, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28752736/influence-of-skin-disinfection-prior-removal-of-perineural-catheter-on-bacterial-colonization-contamination-and-local-inflammation-a-prospective-randomized-study
#3
Stephan Blumenthal, Reinhard Zbinden, Sascha Mandic, Christoph A Rüst, José Aguirre, Alain Borgeat
BACKGROUND: There is a wide variation of perineural catheter (PNC) colonization rates in the literature. The impact of skin disinfection on PNC colonization and inflammation is not clear. The objective of this prospective, randomized clinical study was to investigate the influence of alcoholic skin disinfection before PNC removal on the detection of bacteria on PNC. METHODS: Two hundred patients receiving a PNC for orthopaedic surgery were random- ized to receive (with-group) or not (without-group) a skin disinfection with a sprayed alcoholic solution before removal of the PNC...
July 28, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28749096/early-goal-directed-therapy-by-continuous-non-invasive-hemodynamic-monitoring-still-elusive
#4
Ole Broch, Matthias Gruenewald, Arne Carstens, Jochen Renner
No abstract text is available yet for this article.
July 26, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28749095/a-new-arterial-mechanical-property-indicator-reflecting-differences-in-invasive-stimulus-intensity-induced-by-alteration-of-remifentanil-concentration-during-laryngoscopy
#5
Kensuke Yanabe, Ryuji Nakamura, Noboru Saeki, Elbegzaya Sukhdorj, Abdugheni Kutluk, Hiroki Hirano, Harutoyo Hirano, Masao Yoshizumi, Toshio Tsuji, Masashi Kawamoto
BACKGROUND: Reliable analgesia monitoring is not available for general anaesthesia cases. In 2003, we introduced a method to characterise arterial mechanical properties, which we termed arterial stiffness (K). However, it is unclear whether differences in K actually indicate changes in the intensity of a noxious stimulus. Thus, we examined the relationship between stress intensity and the value of K. METHODS: Thirty patients under general anaesthesia were randomly divided into two remifentanil concentration groups (2 and 6 ng/ml)...
July 26, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28749094/superiority-of-ultrasound-guided-shamrock-lumbar-plexus-block
#6
Martin V Nielsen, Thomas F Bendtsen, Jens Børglum
BACKGROUND: Ultrasound-guided lumbar plexus block performed with the Shamrock approach has received much interest since the technique was first described in 2013. The technique is believed to be faster and easier to perform and possibly safer in regards to potential complications compared with other lumbar plexus blocks. METHODS: In order to outline some favorable characteristics of the Shamrock lumbar plexus block, we performed an exhaustive search of the current literature; even though it is rather limited...
July 26, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28749093/comparing-low-volume-saphenous-obturator-block-with-placebo-and-femoral-obturator-block-for-anterior-cruciate-ligament-reconstruction-a-randomized-controlled-trial
#7
Katja Lenz, Kenneth Jensen, Katrine Tanggaard, Mojgan Vazin, Thomas F Bendtsen, Vincent Chan, Michael R Krogsgaard, Mikael L Strube, Jens Børglum
BACKGROUND: Anterior cruciate ligament reconstruction (ACL-RC) is often associated with moderate to severe postoperative pain even with a multimodal analgesic regimen. We aimed to compare the analgesic efficacy of low volume saphenous-obturator block with placebo and femoral- obturator block in patients undergoing ACL-RC. METHODS: In a randomized controlled trial eighty-two patients undergoing ACL-RC with hamstring autograft were allocated to either low volume saphenous-obturator block, placebo block or femoral-obturator block...
July 26, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28726366/-i-am-in-pain-is-it-really-the-magic-formula-to-open-the-door-of-opioid-abuse
#8
Flaminia Coluzzi
No abstract text is available yet for this article.
July 20, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28726365/labor-epidural-failure-a-serious-concern
#9
Gaetano Draisci, Stefano Catarci
No abstract text is available yet for this article.
July 20, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28726364/new-frontiers-art-and-innovation-for-intraoperative-ventilatory-management
#10
Carlos Ferrando, F Javier Belda
No abstract text is available yet for this article.
July 20, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28726363/does-dexmedetomidine-offer-brain-protection
#11
Nelson N Algarra
No abstract text is available yet for this article.
July 20, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28726362/early-hypertension-after-vasopressor-weaning-during-septic-shock-associated-factors-and-prognostic-significance
#12
Rostane Gaci, Jérémie Lemarie, Marie Conrad, Aurélie Cravoisy, Pierre E Bollaert, Sébastien Gibot
BACKGROUND: During septic shock, early development of hypertension after vasopressors weaning seems paradoxical. The aim of this study was to authenticate this empirical observation, identify associated factors and document its prognostic significance. METHODS: We conducted a descriptive, retrospective study in a medical ICU of a teaching hospital among adult patients with septic shock. RESULTS: From 01.01.2013 to 31.12.2014, 262 consecutive patients over 18 years of age were admitted because of septic shock; 195 of them were successfully weaned from vasopressors...
July 20, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28726361/risk-of-spontaneous-fungal-peritonitis-sfp-in-hospitalized-cirrhotic-patients-with-ascites-a-systematic-review-of-observational-studies-and-meta-analysis
#13
Marco Fiore, Paolo Chiodini, Vincenzo Pota, Pasquale Sansone, Maria B Passavanti, Sebastiano Leone, Caterina Aurilio, Maria C Pace
INTRODUCTION: Spontaneous Fungal Peritonitis (SFP) is an infection of ascitic fluid occurring in cirrhotic patients. SFP prevalence varies from 0 to 41% of patients with spontaneous peritonitis (SP) and a positive ascitic fluid culture. Cirrhotic patients with SFP who fail to show improvement with empirical antibiotic therapy, before the identification of the fungal pathogen, have high mortality (89.5-100%). Although the weight of the disease is so dramatic, more recent guidelines on infections in cirrhosis do not consider SFP management...
July 20, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28726360/machine-perfusion-in-liver-transplantation-an-essential-treatment-or-just-an-expensive-toy
#14
Andrea A Schlegel, Marit Kalisvaart, Paolo Muiesan
This review focuses on recent developments in preservation techniques in liver transplantation. First, we discuss mechanisms of organ injury when using high-risk organs, including DCD and steatotic grafts and we summarize pathways of ischemia reperfusion injury together with their link to the immune response. Second, we report on improvement strategies of marginal liver grafts by different machine perfusion concepts and summarize perfusion approaches with recent clinical implementation.
July 20, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28726359/earplugs-during-the-first-night-after-cardiothoracic-surgery-may-improve-a-fast-track-protocol
#15
Johannes Menger, Bernhard Urbanek, Keso Skhirtladze-Dworschak, Viktoria Wolf, Arabella Fischer, Harald Rinösl, Martin Dworschak
BACKGROUND: Sleep deprivation after major surgery is common and associated with worse outcome. Noise is one important reason for sleep fragmentation, which contributes to enhanced morbidity. The purpose of this work was to evaluate the impact of earplugs on patients' sleep quality during their first night after cardiothoracic surgery to eventually improve an existing fast-track concept. METHODS: Sixty-three patients undergoing cardiothoracic surgery eligible for a postoperative fast- track regimen on our cardiothoracic post anaesthesia care unit (C-PACU) were prospectively included...
July 20, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28714298/effect-of-sugammadex-on-coagulation-as-detected-by-rotational-thromboelastometry-in-morbidly-obese-patients
#16
Michele Carron, Diana Bertini, Tancredi Prandini, Francesca Fanton, Mirto Foletto, Carlo Ori, Egle Perissinotto, Paolo Simioni
BACKGROUND: Sugammadex, which is used to reverse rocuronium-induced neuromuscular blockade, has a limited and transient effect on activated partial thromboplastin time and prothrombin time. However, no data are available on the effects of sugammadex on coagulation in morbidly obese patients, as assessed by rotational thromboelastometry (ROTEM®). METHODS: Sixty patients received sugammadex 2 mg/kg or 4 mg/kg to reverse moderate or deep rocuronium-induced neuromuscular blockade (n = 30/group) at the end of surgery under desflurane anesthesia...
July 13, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28707847/is-sedation-for-endoscopy-as-safe-as-you-think
#17
Germano DE Cosmo, Elisabetta Congedo
No abstract text is available yet for this article.
July 12, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28707846/palliative-sedation-ethical-aspects
#18
Guido Miccinesi, Augusto Caraceni, Marco Maltoni
Palliative sedation (PS), the medical act of decreasing a patient's awareness to relieve otherwise intractable suffering, is considered by some commentators to be controversial because of its consequences on residual survival and/or quality of life, and to be inappropriate for treating pure existential suffering. We will argue that PS must be always proportional, i.e. controlling refractory symptoms while keeping the loss of personal values (communication, affective relationships, care relationship) as low as possible, and that imminence of death is necessary too, from an ethical point of view, if a deep and continuous sedation (DCS) is proposed...
July 12, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28707845/clinical-ethics-what-the-anaesthesiologist-and-the-intensivist-need-to-know
#19
Marco Vergano, Emma Magavern, Nereo Zamperetti
Clinical ethics if often perceived as an intuitive understanding of what is right versus wrong. This is insufficient for healthcare workers in general, but particularly for anesthesiologists and intensivists, who often must weigh up complex and emergent life or death decisions and subsequently justify these decisions to their team and patients, as well as patient's families. Articulating the rationale for such decisions is an arduous task. Thus, a brief introduction to the basic conceptual framework and vocabulary of clinical ethics may be useful to this population of physicians...
July 12, 2017: Minerva Anestesiologica
https://www.readbyqxmd.com/read/28679202/the-ultrasound-guided-transmuscular-quadratus-lumborum-block-for-perioperative-analgesia-in-open-nephrectomy-a-case-report
#20
Ruggero M Corso, Emanuele Piraccini, Massimiliano Sorbello, Daniele Bellantonio, Mario Tedesco
No abstract text is available yet for this article.
July 5, 2017: Minerva Anestesiologica
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