Minerva anestesiologica
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Minerva anestesiologica · Mar 2018
Randomized Controlled Trial Comparative StudyComparison between adenosine and magnesium sulphate as adjuvants for transversus abdominis plane block. A prospective randomized controlled trial.
Various adjuvants have been employed during different nerve blocks. We aimed to evaluate the effect of adding adenosine versus magnesium sulfate to bupivacaine on the quality and duration of transversus abdominis plane (TAP) block. ⋯ Both adenosine and magnesium improved the quality and duration of TAP block, but the duration was relatively longer with magnesium.
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Minerva anestesiologica · Mar 2018
Comparative Study Observational StudyPatterns of changes in functional and neurocognitive status in elderly patients after transcatheter vs surgical aortic valve replacements.
Replacement of severely stenotic aortic valve may influence cognitive and physical functioning. The aim of this study was to compare cognitive and functional status after surgical (SAVR) vs. transcatheter aortic valve replacements (TAVR) in the elderly with severe aortic stenosis (AS). ⋯ Cognitive patterns differed between the TAVR and SAVR patients. A transient MMSE decline did not alter the 6-month status. TAVR might improve functionality. Periprocedural SBP decrease and larger changes in SBP are risk factors for functionality deterioration after TAVR.
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Minerva anestesiologica · Mar 2018
Case ReportsLung ultrasonography and echocardiography in the ICU: a combined and practical approach.
This article describes some practical applications of critical care ultrasonography that are of interest to the frontline intensivist. Instead of presenting a standard state of the art review article, we present 3 typical clinical cases where combined echocardiography, lung ultrasonography, and other ultrasonography techniques were helpful to the critical care team. The manuscript includes a variety figures and video clips that illustrate the utility of critical care ultrasonography in guiding diagnosis and management of the critically ill patient.