Minerva anestesiologica
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Minerva anestesiologica · Jan 2022
Multicenter StudyUltrasound assessment of the gastric content among diabetic and non-diabetic patients before elective surgery: a prospective multicenter study.
Although diabetic gastroparesis could be responsible for delayed gastric emptying, there is conflicting evidence about the volume of gastric content in diabetic patients after preoperative fasting. We hypothesized that diabetic patients had an increased gastric content before anesthesia induction despite the following of fasting recommendations. We used ultrasound assessment of gastric content to evaluate this risk. ⋯ Our study documents that gastric content is increased among diabetic patients compared to control patients despite following appropriate fasting guidelines.
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Minerva anestesiologica · May 2021
Multicenter Study Observational StudyRisk factors for difficult Laryngeal Mask Airway LMA-Supreme™ (LMAS) placement in adults: a multicentric prospective observational study in an Italian population.
Supraglottic airway devices (SADs) are precious tools for airway management in both routine and rescue situations; few studies have analyzed the risk factors for their difficult insertion. ⋯ The alignment of the laryngeal and pharyngeal axes seems to facilitate the procedure, together with NMBA administration; on the contrary, Mallampati grade III-IV are associated with difficult LMAS placement.
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Minerva anestesiologica · Nov 2020
Randomized Controlled Trial Multicenter StudyHands-free induction of general anaesthesia: a randomised pilot study comparing usual care and high-flow nasal oxygen.
Pre-induction high-flow nasal oxygenation may be an acceptable alternative to traditional face-mask pre-oxygenation, with patient-comfort benefits.
pearl -
Minerva anestesiologica · Oct 2020
Multicenter Study Meta AnalysisEffect of volatile anesthetics on mortality and clinical outcomes in patients undergoing coronary artery bypass grafting: a meta-analysis of randomized clinical trials.
For patients undergoing coronary artery bypass grafting there is no mortality difference between volatile anaesthesia and TIVA.
pearl -
Minerva anestesiologica · Aug 2020
Multicenter Study Observational StudySafety and efficacy of a Staged-Extubation-Set in patients with difficult airway: a prospective multicenter study.
A safe extubation is the extension of any airway management strategy. Despite different guidelines, a number of extubation accidents still occurs. Re-intubation failure could be fatal, thus a strategy and safe and efficient devices for this purpose are essential. ⋯ The results from this study show a relatively satisfactory success rate with a relatively high number of re-intubations failure and a low incidence of complications when using a SES in a cohort of difficult airway patients, all failures due to guidewire dislodgement during or after extubation. Further research is needed to improve success rate; at the same time the need for an extubation protocol is strongly advocated.