Minerva anestesiologica
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Minerva anestesiologica · Mar 2014
Review Meta AnalysisA review of the hemodynamic effects of external leg and lower body compression.
External leg and lower body compression (ELC) has been used for decades in the prevention of deep vein thrombosis and the treatment of leg ischemia. Because of systemic effects, the methods have regained interest in anesthesia, surgery and critical care. This review intends to summarize hemodynamic effects and their mechanisms. ⋯ ELC may help future research and optimizing treatment of hemodynamically unstable, surgical or critically ill patients, independent of plasma volume expansion.
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Minerva anestesiologica · Mar 2014
Randomized Controlled Trial Comparative StudyComparison of the Efficacy of Different Concentrations and Volumes of Levobupivacaine in Axillary Brachial Plexus Blockade.
The aim of this study was to compare the effect of the same dosage but different concentrations and volumes of levobupivacaine used for axillary block on the onset and intensity of the block. ⋯ Decreasing the concentration and increasing the volume of levobupivacaine without changing its dosage prolongs the duration of analgesia, although it delays the onset and decreases the intensity of sensory and motor block in axillary block.
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Minerva anestesiologica · Mar 2014
Prone Positioning During Veno Venous Extra Corporeal Membrane Oxygenation For Severe Acute Respiratory Distress Syndrome in Adults.
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is an effective rescue therapy for improving oxygenation in selected severe acute respiratory distress syndrome (ARDS). Prone position (PP) is usually considered before vvECMO and few data are available on the association of PP during VV-ECMO. Thus, we investigated the effect on oxygenation and the safety of PP during vvECMO. ⋯ PP may be considered in selected patients difficult to wean or remaining very hypoxemic despite VV-ECMO support.