Minerva anestesiologica
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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.
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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
Letter Case ReportsPersistent hiccups after cervical facet dexamethasone injections.
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Minerva anestesiologica · Nov 2019
The incidence of intraoperative gastric tube malposition verified by Point-of-Care Ultrasound.
Over a million gastric tubes are placed yearly for varying medical reasons including gastric decompression. In the operating room (OR), this is performed blindly, and position is confirmed by auscultation, aspiration, or palpation by a surgeon. Despite the known risks of malpositioned gastric tubes, there is limited data in anesthesia literature about the incidence of intraoperative malpositioned gastric tubes. In this study, we use Point-of-Care ultrasonography (POCUS) to confirm gastric tube placement in the OR. ⋯ In summary, we demonstrated that the incidence of malposition of blindly gastric tubes was 14%. Given the attendant risks of malpositioned gastric tubes, this data should inform decision algorithms for the blind placement of gastric tubes.