Minerva anestesiologica
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Minerva anestesiologica · Nov 2019
ReviewMonitoring of regional lung ventilation using electrical impedance tomography.
Among recent lung imaging techniques and devices, electrical impedance tomography (EIT) can provide dynamic information on the distribution regional lung ventilation. EIT images possess a high temporal and functional resolution allowing the visualization of dynamic physiological and pathological changes on a breath-by-breath basis. ⋯ The use of EIT in clinical practice is supported by several studies demonstrating a good correlation between impedance tomography data and other validated methods of measuring lung volume. In this review, we will provide an overview on the rationale, basic functioning and most common applications of EIT in the management of mechanically ventilated patients.
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Minerva anestesiologica · Nov 2019
Observational StudyEffects of the anesthesia technique used during cesarean section on maternal-neonatal thiol disulfide homeostasis.
Thiols are organic compounds consisting of a sulfhydryl group which exerts antioxidant effects via dynamic thiol-disulfide homeostasis (TDH). The shift towards the disulfide states signals an oxidative situation. Maternal-neonatal oxidative stress can be affected by the anesthetic technique used during cesarean section. This study aimed to evaluate the relationship between the type of anesthesia used and the maternal-neonatal TDH. ⋯ Our results showed that general anesthesia in cesarean section leads to an impairment in TDH when compared with spinal anesthesia. Oxidative stress might be modified by the preferred anesthetic technique.
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Minerva anestesiologica · Nov 2019
Observational StudyMini-Cog to predict postoperative mortality in geriatric elective surgical patients under general anesthesia: a prospective cohort study.
The aim of this study was to examine whether preoperative Mini-Cog testing can predict postoperative mortality in geriatric patients undergoing general surgery. ⋯ Mini-Cog can be used to identify geriatric patients at risk of increased one-year mortality following elective surgery.