Minerva anestesiologica
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Minerva anestesiologica · Aug 2019
LetterCarbon monoxide intoxication: prehospital diagnosis and direct transfer to the hyperbaric chamber.
Abstract
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Minerva anestesiologica · Aug 2019
LetterBlock failure or lack of efficacy? The "Double V" sign: a novel sonographic sign for a successful interfascial plane block.
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Minerva anestesiologica · Aug 2019
ReviewJoint consensus on anesthesia in urologic and gynecologic robotic surgery: specific issues in management from a task force of the SIAARTI, SIGO, and SIU.
Proper management of patients undergoing robotic-assisted urologic and gynecologic surgery must consider a series of peculiarities in the procedures for anesthesiology, critical care medicine, respiratory care, and pain management. Although the indications for robotic-assisted urogynecologic surgeries have increased in recent years, specific guidance documents are still lacking. ⋯ This consensus document provides guidance for the management of urologic and gynecologic patients scheduled for robotic-assisted surgery. Moreover, the identified unmet needs highlight the requirement for further prospective randomized studies.
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Minerva anestesiologica · Aug 2019
Observational StudyEarly dysglycemia and mortality in traumatic brain injury and subarachnoid hemorrhage.
Traumatic brain injury (TBI) and subarachnoid hemorrhage (SAH) are the most common causes of severe acute brain injury in younger Intensive Care Unit (ICU) patients. Dysglycemia (abnormal peak glycemia, glycemic variability, mean glycemia, nadir glycemia) is common in these patients but its comparative outcome associations are unclear. ⋯ In TBI and SAH patients, greater dysglycemia is associated with greater mortality. This association is significantly stronger than in the general population and it is significantly stronger in patients with TBI compared with SAH.
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Minerva anestesiologica · Aug 2019
An in-vitro study to evaluate high-volume low-pressure endotracheal tube cuff deflation dynamics.
High-volume low-pressure (HVLP) endotracheal tube (ETT) cuffs for critically ill patients often deflate during the course of mechanical ventilation. We performed an in-vitro study to comprehensively assess HVLP cuff deflation dynamics and potential preventive measures. ⋯ In controlled in-vitro settings, ETT cuffs consistently deflate over time, and the cuff pilot balloon valve plays a central role in this occurrence. Deflation rate decreases when cuffs are inflated within a plastic artificial tracheal model and mechanical ventilation is activated.