Minerva anestesiologica
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Minerva anestesiologica · Jun 2018
Randomized Controlled Trial Comparative StudyPatient controlled epidural analgesia with and without basal infusion using ropivacaine 0.15% and fentanyl 2γ/mL for labour analgesia: a prospective comparative randomised trial.
Patient-controlled epidural analgesia (PCEA) is a common practice for labor pain relief. This study aimed to compare two different settings of a PCEA device using the same solution to obtain labor analgesia. ⋯ The addition of background infusion plus PCEA demand bolus doses increased local anesthetic consumption and reduced breakthrough pain without affecting maternal satisfaction and neonatal outcomes.
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Minerva anestesiologica · Jun 2018
Randomized Controlled Trial Comparative StudyA prospective, randomised trial of the Ambu AuraGain laryngeal mask versus the LMA Protector Airway in paralysed, anaesthetised adult men.
We hypothesize that oropharyngeal leak pressures differ between the LMA® Protector™ and the AuraGain™, two novel supraglottic airway devices offering the possibility of intubation. ⋯ Because of the higher success rate in first time insertion of the laryngeal mask and the gastric tube, respectively, as well as the lower resistance to insertion of the endotracheal tube we conclude a possible easier handling of the AuraGainTM in anesthetized male patients.
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Minerva anestesiologica · Jun 2018
Can red blood cell distribution width predict outcome after cardiac arrest?
In critically ill patients, high red blood cell distribution width (RDW) values have been associated with increased hospital mortality, but there are no data on the impact of RDW on outcomes of patients resuscitated from cardiac arrest (CA). The aim of this study was to investigate the relationship between RDW and long-term neurologic outcome in CA survivors. ⋯ High RDW values are associated with poor neurological outcome among CA survivors.
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Minerva anestesiologica · Jun 2018
Meta AnalysisEffect of therapeutic hypothermia on survival and neurological outcome in adults suffering cardiac arrest: a systematic review and meta-analysis.
The aim of this review was to determine current evidence for the effect of therapeutic hypothermia (TH) on survival and neurological outcome in adults suffering cardiac arrest (CA). ⋯ Evidence from RCTs suggests TH does not improve survival or neurological outcome, while observational trials favor TH over normothermia. TH may be attended with higher risk for complications.