Minerva anestesiologica
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Minerva anestesiologica · Oct 2019
Clinical TrialBody Mass Index does not affect intraoperative goal-directed fluid requirements.
Perioperative normovolemia is a major determinant of tissue oxygen availability and postoperative outcome. Thus, adequate volume replacement therapy remains an essential part of perioperative management. Nevertheless, volume optimization in overweight and obese surgical patients with alterations in cardiovascular function, peripheral perfusion, and body composition remains challenging. We, therefore, tested the hypothesis that Body Mass Index (BMI) correlates with fluid requirements during goal-directed management. Furthermore, we evaluated subcutaneous tissue oxygen tension (PsqO2) as an indicator of intravascular volume status and peripheral perfusion. ⋯ BMI did not affect intraoperative fluid requirements. Doppler-guided intravascular volume optimization was associated with well-maintained subcutaneous tissue oxygen availability in all BMI groups.
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Minerva anestesiologica · Oct 2019
Letter Case ReportsThe association of erector spinae plane block and ultrasound guided dry needling could be a winning strategy for long-term relief of chronic musculoskeletal pain.
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Minerva anestesiologica · Oct 2019
Editorial CommentDo we need a strategy to reduce postoperative hypoxemia in morbidity obese patients?
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Minerva anestesiologica · Oct 2019
Letter Case ReportsFascial plane blocks and peripheral nerve blocks: two planets not so far apart.
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Minerva anestesiologica · Oct 2019
ReviewRegional analgesia techniques for pain management in patients admitted to the intensive care unit.
Controlling pain should be a priority in the clinical practice of intensive care units (ICUs). Monomodal analgesic approaches, such as the administration of opioids, are widely employed; however, the widespread use of opioids has catastrophic consequences, given their multiple side effects and the development of dependence. Regional analgesia (RA), with single or continuous dosing using neuraxial and peripheral catheters, can play an important role in multimodal analgesia for management of pain in critical care patients. ⋯ Many critically ill, post-surgical or traumatically injured patients would benefit from these techniques. For these reasons, we aim to establish a set of potential indications integrating the use of RA in analgesia protocols routinely used in ICUs. We performed a review of literature sources with contrasted evidence levels to present RA techniques and their potential applications in ICU patients.