Minerva anestesiologica
-
Minerva anestesiologica · Nov 2015
Multicenter StudyInternational survey on the management of mechanical ventilation during extracorporeal membrane oxygenation in adults with severe respiratory failure.
No consensus exists on the optimal settings of mechanical ventilation during veno-venous extracorporeal membrane oxygenation (ECMO). Our aim was to describe how mechanical ventilation and related interventions are managed by adult ECMO centres. ⋯ We found large variability in ventilatory practices during ECMO. The clinicians' training background and the centres' experience had no influence on the approach to ventilation. This survey shows that well conducted studies are necessary to determine the best practice of mechanical ventilation during ECMO and its impact on patient outcome.
-
Minerva anestesiologica · Nov 2015
Preventing against hospital malnutrition: a survey on nutritional policies in an italian university hospital.
A proper strategy for fighting hospital malnutrition should include nutritional screening of all hospitalized patients, adequate utilization of the Hospital facilities - such as Clinical Nutrition Services or Nutrition Teams - and an adequate algorithm for the adoption of proper nutrition support (oral, enteral or parenteral) with proper timing. The main aim of the present study was to investigate the current policies of different non-intensive wards of our institution (a 1100 beds University Hospital) in terms of prevention of hospital malnutrition. ⋯ Our survey confirmed that in large hospitals the main barriers to the fight against hospital malnutrition are the lack of knowledge and/or commitment by nurses and physicians as well as the lack of well-defined hospital policies on early nutritional screening, surveillance of nutritional status and indication to nutrition support.
-
Minerva anestesiologica · Nov 2015
Editorial CommentMechanical ventilation on ECMO: unfinished business.