Minerva anestesiologica
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Minerva anestesiologica · Feb 2015
Review GuidelineItalian Intersociety Recommendations (SIAARTI, SIMEU, SIS 118, AISD, SIARED, SICUT, IRC) on Pain Management in the Emergency Setting.
Pain is the primary reason for admission to the Emergency Department (ED). However, the management of pain in this setting is often inadequate because of opiophagia, fear of excessive sedation, and fear of compromising an adequate clinical assessment. ⋯ The diagnostic-therapeutic pathway of pain management in emergency should be implemented, through further interdisciplinary trials, in order to improve the EBM level of specific guidelines.
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Minerva anestesiologica · Feb 2015
Recommendations for the organization of intensive care follow-up clinics; report from a survey and conference of Dutch intensive cares.
With the increasing awareness of postintensive care syndrome and the unbridled development of post-ICU clinics in the Netherlands, guidelines for ICU after care are needed. The purpose of this study was to develop recommendations for the set-up of post-ICU clinics. ⋯ This study recommends how to organize post-ICU clinics based on literature and expert opinion. The implementation of the recommendations will facilitate the set-up of post-ICU clinics, research on effectiveness of post-ICU clinics and benchmarking of quality of ICU care.
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Minerva anestesiologica · Feb 2015
Real-time ultrasound guided percutaneous dilatational tracheostomy -with and without bronchoscopic control : an observational study.
Real-time ultrasound guidance may enable precise introducer needle and guidewire insertion during percutaneous dilatational tracheostomy (PDT). However, the safety of PDT done solely under ultrasound guidance has not been compared to additional bronchoscopic confirmation. We aimed to compare the efficacy, incidence of complications and procedural times of real-time ultrasound guided PDTs done with and without bronchoscopic confirmation. ⋯ Ultrasound guidance for PDT may be equally safe, even without bronchoscopic confirmation; the incidence of hypoxic episodes may be less and the procedure can be performed in less time.