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Minerva Anestesiologica

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https://read.qxmd.com/read/30762333/intraoperative-nociception-if-you-can-t-measure-it-you-can-t-manage-it
#1
Flaminia Coluzzi
No abstract text is available yet for this article.
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30762332/dynamic-indices-of-preload-and-fluid-responsiveness-some-certainty-in-the-midst-of-uncertain
#2
Fabio Guarracino, Pietro Bertini
No abstract text is available yet for this article.
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30762331/erector-spinae-plane-block-the-only-block-you-need-to-know-or-the-poor-man-s-paravertebral
#3
Steve Roberts, Thomas Engelhardt
No abstract text is available yet for this article.
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30762330/fasting-guidelines-concerning-intake-of-solids-of-the-american-society-of-anesthesiologists-are-not-in-concert-with-those-of-the-european-society-of-anaesthesiologists
#4
https://read.qxmd.com/read/30762329/the-unresolved-problem-of-how-to-improve-the-prognosis-of-out-of-hospital-cardiac-arrest-at-place-of-residence
#5
Adriano Peris, Chiara Lazzeri
No abstract text is available yet for this article.
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30762328/hemoadsorption-in-cardiac-surgery-myth-against-reality
#6
Katia Donadello, Enrico Polati
No abstract text is available yet for this article.
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30762327/drug-interaction-is-the-cornerstone-of-modern-anaesthesia-practice
#7
Chien-Kun Ting
No abstract text is available yet for this article.
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30762326/airway-management-and-enhanced-recovery-after-surgery-pathways-in-a-patient-with-madelung-s-disease
#8
Yaxing Tang, Shanqiu Wang, Ping Li, Xiaoning Tang
No abstract text is available yet for this article.
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30762325/patient-ventilator-asynchrony-in-adult-critically-ill-patients
#9
Andrea Bruni, Eugenio Garofalo, Corrado Pelaia, Antonio Messina, Gianmaria Cammarota, Paolo Murabito, Silvia Corrado, Luigi Vetrugno, Federico Longhini, Paolo Navalesi
Patient-ventilator asynchrony is considered as a major clinical problem for mechanically ventilated patients. It occurs during partial ventilatory support, when the respiratory muscles and the ventilator interact to contribute generating the volume output. In this review article, we consider all studies published on patient-ventilator asynchrony in the last 25 years. We selected 62 studies. The different forms of asynchrony are first defined and classified. We also describe the methods used for detecting and quantifying asynchronies...
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30762324/inhalation-versus-intravenous-anesthesia-for-adults-undergoing-heart-valve-surgery-a-systematic-review-and-meta-analysis
#10
Shuo-Fang Ren, Hong Yu, Ying-Qiang Guo, Hai Yu
INTRODUCTION: Many studies have found that volatile anesthetics are associated with improved clinical outcomes for adults undergoing coronary artery bypass grafting. However, the effect of volatile anesthetics for adults after heart valve surgery has been unclear. So we conducted a meta-analysis of randomized controlled trials (RCTs) to explore whether the choice of an anesthetic regimen might influence patients' outcomes after valve surgery. EVIDENCE ACQUISITION: PubMed, Embase, and Cochrane Library were searched from inception to June 2018...
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30762323/clinical-standards-for-patient-blood-management-and-perioperative-hemostasis-and-coagulation-management-position-paper-of-the-italian-society-of-anesthesia-analgesia-resuscitation-and-intensive-care-siaarti
#11
Gilda Cinnella, Marco Pavesi, Andrea De Gasperi, Marco Ranucci, Lucia Mirabella
Patient blood management is currently defined as the application of evidence based medical and surgical concepts designed to maintain hemoglobin (Hb), optimize hemostasis and minimize blood loss to improve patient outcome. Blood management focus on the perioperative management of patients undergoing surgery or other invasive procedures in which significant blood loss occurs or is expected. Preventive strategies are emphasized to identify and manage anemia, reduce iatrogenic blood losses, optimize hemostasis (e...
February 13, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30735024/ulnar-nerve-pulsed-radio-frequency-prf-pain-treatment-in-a-patient-with-sarcoma-surgically-treated
#12
Luca Miceli, Rym Bednarova, Alessandro Rizzardo, Fabrizio Brescia, Tiziana Bove
No abstract text is available yet for this article.
February 7, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30735023/coronary-angiogram-after-cardiac-arrest-reasonably-and-sensibly
#13
Wulfran Bougouin, Ornella Piazza, Florence Dumas, Cesare Baldi, Alain Cariou, Edoardo De Robertis
The role of emergency coronary angiography after cardiac arrest and return of spontaneous circulation is not yet completely clear. While patients with a high risk of acute coronary lesion and with a presumed favourable neurological outcome should undergo a coronary angiography as soon as possible, the decision to perform it is questionable in patients who are less likely to have a coronary cause of arrest, and when clinical characteristics raise serious concerns regarding neurological outcome. In this paper, the Authors analyse the main pro and contra of a coronary angiogram after a successfully resuscitated cardiac arrest...
February 7, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30735022/extraperitoneal-gas-leakage-causing-pneumothorax-after-low-rectal-submucosal-dissection
#14
Arantxa Pavón-Benito, Ana Casimiro-Erviti, Leonor Veiga-Gil, Elena Pérez-Bergara, Miguel Salvador-Bravo
No abstract text is available yet for this article.
February 7, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30735021/clinical-decision-support-system-clears-the-way-for-perioperative-goal-directed-therapy-protocol-adherence-improvement
#15
Alexandre Joosten, Brenton Alexander, Jacques Duranteau
No abstract text is available yet for this article.
February 7, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30735020/early-dysglycemia-and-mortality-in-traumatic-brain-injury-and-subarachnoid-hemorrhage
#16
Simone Pappacena, Michael Bailey, Luca Cabrini, Giovanni Landoni, Andrew Udy, David V Pilcher, Paul Young, Rinaldo Bellomo
BACKGROUND: Traumatic Brain Injury (TBI) and Sub-Arachnoid Hemorrhage (SAH) are the most common causes of severe acute brain injury in younger Intensive Care Unit (ICU) patients. Dysglycemia (abnormal peak glycemia, glycemic variability, mean glycemia, nadir glycemia) is common in these patients but its comparative outcome associations are unclear. METHODS: In a retrospective, cross-sectional, study of adults admitted to Australian and New Zealand ICUs with TBI and SAH (TBI&SAH) from 2005 to 2015, we studied the relationship between multiple aspects of early (first 24 hours) dysglycemia and mortality and compared TBI and SAH patients with the general ICU population and with each other...
February 7, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30735019/what-have-we-learned-from-network-meta-analysis-applied-to-critical-care-a-narrative-review
#17
Orville V Baez-Pravia, Lara Montes-Andujar, Justo Menéndez, Pablo Cardinal-Fernández
INTRODUCTION: It is widely accepted in modern medicine that medical decisions must be supported by scientific evidence. Identifying the best intervention when several options are available constitute a great challenge for every clinician. Traditional meta-analysis (TMA) allows summarizing evidence from studies that compare the same two interventions for one event (head to head studies or direct comparisons). Network meta-analysis (NMA) is a relatively new procedure that allows to compare multiple interventions for one event, even when non head to head studies have been conducted (indirect evidence)...
February 7, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30735018/extracorporeal-blood-purification-techniques-in-children-with-hyper-inflammatory-syndromes-a-clinical-overview
#18
Gabriella Bottari, Matteo Di Nardo, James Gleeson, Francesca Minoia, Andrea Moscatelli, Corrado Cecchetti, Enrico E Verrina
BACKGROUND: Data on clinical applications of blood purification techniques in children are scarce. The aim of this review is to offer a clinical overview, as complete as possible, on blood purification in children with hyper-inflammatory syndromes (HS). METHODS: A review of the literature using the PubMed, EMBASE, Web of Science, and Scopus databases, on the most recent data about blood purification in children was conducted until June 2018. Except for three randomized controlled trials (RCTs) on Plasma-exchange (PE), no RCTs, but only observational studies or case reports were found regarding other blood purification techniques in children...
February 7, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30735017/intraoperative-monitoring-of-nociception-for-opioid-administration-a-meta-analysis-of-randomized-controlled-trials
#19
Yang Jiao, Bin He, Xingyu Tong, Ran Xia, Chengmi Zhang, Xueyin Shi
INTRODUCTION: Under-dosage or over-dosage of intraoperative analgesia can cause harm to patients. Many studies have demonstrated the clinical advantages of nociception monitoring tools, but with some conflicting results. To clarify the issue, this meta-analysis compared the effects of analgesia nociception index (ANI), surgical pleth index (SPI), and pupillometry monitoring methods with those of analgesia management practices of intraoperative opioid administration. EVIDENCE ACQUISITION: A comprehensive literature search was conducted to identify clinical trials that compared the effect of monitoring of nociception- antinociception balance (versus clinical signs) on intraoperative opioid administration...
February 7, 2019: Minerva Anestesiologica
https://read.qxmd.com/read/30735016/acute-pain-management-in-trauma-anatomy-ultrasound-guided-peripheral-nerve-blocks-and-special-considerations
#20
Theodosios Saranteas, Iosifina Koliantzaki, Olga Savvidou, Marina Tsoumpa, Georgia Eustathiou, Vasileios Kontogeorgakos, Rizos Souvaltzoglou
Pain is the most common complaint amongst trauma patients throughout the perioperative period. Multimodal analgesia is currently being regarded the mainstay, with regional anesthesia techniques constituting an integral part of it. Ultrasound imaging techniques display a plethora of advantages that have pervaded regional anesthesia practice. In this review, we set out to provide several examples of injuries, to elucidate the precise anatomy of fractured bones (osteotomes), and to elaborate on certain peripheral nerve blocks employed in pain management of trauma patients...
February 7, 2019: Minerva Anestesiologica
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