Minerva anestesiologica
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Minerva anestesiologica · Feb 2018
ReviewMachine perfusion in liver transplantation - an essential treatment or just an expensive toy?
This review focuses on recent developments in preservation techniques in liver transplantation. First, we discuss mechanisms of organ injury when using high-risk organs, including donation after circulatory death and steatotic grafts and we summarize pathways of ischemia reperfusion injury together with their link to the immune response. Second, we report on improvement strategies of marginal liver grafts by different machine perfusion concepts and summarize perfusion approaches with recent clinical implementation.
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Minerva anestesiologica · Feb 2018
ReviewBispectral index (BIS) and non-BIS anesthetic protocols on postoperative recovery outcomes: a systematic review and meta-analysis.
The study aimed to compare Bispectral Index (BIS) and non-BIS anesthetic protocols on postoperative recovery outcomes. ⋯ The use of BIS-monitoring is superior to non-BIS monitored anesthesia in terms of shorter time to eye-opening, extubation, and orientation. BIS monitor may be considered a safe and effective method for monitoring depth of anesthesia during surgery.