Minerva anestesiologica
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Minerva anestesiologica · Jul 2021
Meta AnalysisNon-specialist therapeutic strategies in acute respiratory distress syndrome: a meta-analysis.
Acute respiratory distress syndrome (ARDS) is associated with significant morbidity and mortality. We undertook a meta-analysis of randomized controlled trials (RCTs) to determine the mortality benefit of non-specialist therapeutic interventions for ARDS available to general critical care units. ⋯ Among non-specialist therapeutic strategies available to general critical care units, low tidal volumes and prone position ventilation for greater than 12 hours improve mortality in ARDS.
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Perioperative medicine is a patient-centered, multidisciplinary and integrated clinical practice that starts from the moment of contemplation of surgery until full recovery. Every perioperative phase (preoperative, intraoperative and postoperative) must be studied and planned in order to optimize the entire patient management. Perioperative optimization does not only concern a short-term outcome improvement, but it has also a strong impact on long term survival. ⋯ Perioperative medicine is the cornerstone of surgical patient management and the tools deriving from the application of AI seem very promising as a support in optimizing the management of each individual patient. Despite the increasing help that will derive from the use of AI tools, the uniqueness of the patient and the particularity of each individual clinical case will always keep the role of the human mind central in clinical and perioperative management. The role of the physician, who must analyze the outputs provided by AI by following his own experience and knowledge, remains and will always be essential.