Minerva anestesiologica
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Minerva anestesiologica · Feb 2021
Randomized Controlled TrialThe aerosol box for tracheal intubation by a junior operator in patients with COVID-19.
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Minerva anestesiologica · Feb 2021
Opioid free anesthesia: evidence for short and long-term outcome.
The introduction of synthetic opioids in clinical practice played a major role in the history of anesthesiology. For years, anesthesiologists have been thinking that opioids are needed for intraoperative anesthesia. However, we now know that opioids (especially synthetic short-acting molecules) are definitely not ideal analgesics and may even be counterproductive, increasing postoperative pain. ⋯ OFA may also increase patient-reported outcomes; despite it is difficult to specifically rule out the effect of intraoperative opioids. Finally, few data are available on long-term outcomes (persistent pain and opioid abuse, cancer outcome). New studies and data are required to elaborate the optimal approach for each patient/surgery, but interest and publication are increasing and may open the road to the wider adoption of OFA.
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Minerva anestesiologica · Feb 2021
Observational StudySublingual sufentanil tablet system for the management of acute postoperative pain in a hospital setting: an observational study.
The use of a strong opioid with intravenous patient-controlled analgesia (IV-PCA) is recommended for postoperative pain, but its use is restricted due to technical problems. Other delivery systems, like sublingual PCA, with the sufentanil tablet system (SSTS) device, could overcome the safety concerns related to IV-PCA. ⋯ Under a real-life clinical practice setting, SSTS provides effective pain management and is easy to use for patients and nurses.
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Minerva anestesiologica · Feb 2021
Randomized Controlled TrialSerratus- intercostal interfascial plane block in supraumbilical surgery: a prospective randomized comparison.
Upper abdominal wall surgical incisions may lead to a severe postoperative pain. Therefore, adequate analgesia is important. Here we investigate whether the low serratus-intercostal interfascial plane block (SIPB) achieves an effective analgesia, considering opioids consumption, pain control and recovery quality in upper abdominal surgeries. ⋯ The low serratus-intercostal interfascial plane block (SIPB) provides efficient analgesia leading to a saving of opioids and improvement of the recovery quality in patients undergoing upper abdominal wall surgeries.