Minerva anestesiologica
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Minerva anestesiologica · Nov 2018
Editorial CommentAutomated left ventricular ejection fraction measurements: a better approach, or just fun and games?
Abstract
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Minerva anestesiologica · Nov 2018
ReviewConsiderations in treating obese patients in office-based anesthesia.
The rise in obesity prevalence worldwide has presented problems for practitioners treating patients in the ambulatory setting. As more procedures are being performed in office-based suites, anesthesiologists are being asked to provide more anesthesia services for obese patients that may compromise safety. ⋯ However, not every OBA location is similar, thus contributing to the difficulty in establishing consensus BMI limits. Here, we review literature addressing obesity in ambulatory surgery and point out concerns that anesthesiologists should consider when treating obese patients in an OBA setting.
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Minerva anestesiologica · Nov 2018
ReviewEffects of inhalation and intravenous anesthesia on intraoperative cardiopulmonary function and postoperative complications in patients undergoing thoracic surgery.
There is a high incidence of postoperative cardiopulmonary complications after thoracic surgery with one lung ventilation (OLV), the effect of general anesthetics on intraoperative cardiopulmonary function and postoperative complications is still unclear. ⋯ Inhalation anesthesia can preserve intraoperative cardiac function and reduce postoperative pulmonary complications in patients undergoing thoracic surgery with OLV; although it decreases intraoperative pulmonary function, inhalation anesthesia may be superior to intravenous anesthesia in thoracic surgery. Publication bias existed in some included studies, and the sample size was not large enough in CI and cardiac adverse events.
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Minerva anestesiologica · Nov 2018
The presence of elastic compression stockings reduces the fluid responsiveness of patients in the operating room.
The aim of this study was to investigate whether elastic compression stockings (ECS) can affect fluid responsiveness parameters before and during passive leg raising (PLR) maneuvers. ⋯ In the OR, ECS provoke a self-fluid loading increasing ABF, decreasing ΔPP and PLR response. The presence of ECS should be considered when managing hemodynamic parameters of patients.
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Minerva anestesiologica · Nov 2018
Editorial CommentSeeking an answer to an unanswered question: gas or drip.
Abstract