Minerva anestesiologica
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Minerva anestesiologica · Dec 2018
Determination of 1,3-ß-D-glucan in the peritoneal fluid for the diagnosis of intra-abdominal candidiasis in critically ill patients: a pilot study.
Decision to start an anti-fungal therapy in intra-abdominal candidiasis (IAC) is complex. Yeast culture, considered the gold standard, suffers from a delayed response time and exposes the patient to delayed introduction of anti-fungal therapy. We sought to evaluate the performance and feasibility of measuring 1,3-β-D-glucan (1,3-BDG) in the peritoneal fluid (PF) for the diagnosis of IAC. ⋯ In secondary peritonitis, a peritoneal measurement of 1,3-BDG ≤310 pg/mL could rule out IAC.
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Minerva anestesiologica · Dec 2018
Implementing a donation after circulatory death program in a setting of donation after brain death activity.
Donation after circulatory death (DCD) is an emerging way to implement organ procurement for transplantation. In Italy, until June 2016, the only formal DCD program was implemented in Pavia, the so-called "Alba program." ⋯ A DCD program was feasible and increased procurement of splancnic organs (kidney and liver). Starting a DCD program in a traditionally oriented to DBD poses some organizational and cultural problems. A skilled, experienced ECMO team is necessary to guarantee organ ex vivo perfusion. Another important aspect for the implementation of a DCD program is the collaboration with the emergency system which allows a therapeutic approach of patients with cardiac arrest.
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Minerva anestesiologica · Dec 2018
Letter Case ReportsThe combination of Erector Spinae Plane block and PECS blocks could avoid general anesthesia for radical mastectomy in high risk patients.
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Minerva anestesiologica · Dec 2018
LetterIncidence of difficult airway in thoracic anaesthesia practice: a retrospective observational study.
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Minerva anestesiologica · Dec 2018
Comment LetterThe thumb-up: a different view of the Shamrock lumbar plexus block.
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