Minerva anestesiologica
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Minerva anestesiologica · Apr 2014
Randomized Controlled TrialDopamine infusion and fluid administration improve renal function during laparoscopic surgery.
Previous studies have documented the negative influence of pneumoperitoneum on cardiac and renal function during laparoscopy. In this respect, regard there is a lack of data regarding the use of an appropriate management of fluid therapy to decrease these side effects. The aim of this study was to investigate the cardiac and renal responses to the administration of different amounts of crystalloid solution, alone or in association with dopamine during laparoscopy. ⋯ A low rate of saline infusion could lead to an impaired renal function during laparoscopic surgery. This could be prevented by increasing the amount of saline solutions infused per hour or by adding a dopamine infusion.
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Minerva anestesiologica · Apr 2014
Observational StudyAerophagia increases the risk of ventilator-associated pneumonia in critically-ill patients.
Gastric residual volume in ventilated critically ill may complicate gut function. Over the years studies suggested to tolerate progressively higher residuals. The relationship between such volumes and the development of ventilator-associated pneumonia (VAP) is still under debate. No reports deal with the relevant anecdotal finding of air in the stomach. Aim of the present study is to test the role of air in the development of VAPs. ⋯ High volumes of air in the stomach significantly increased the risk of developing VAP, while gastric residual volumes were not associated with the incidence of pneumonia.
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Minerva anestesiologica · Apr 2014
Observational StudyHyponatremia at the Emergency Department: a case-control study.
Hyponatremia (HNA) is a common electrolyte disturbance associated with morbidity and mortality. The aim of this study was to assess incidence and prognosis value of HNA in the Emergency Department (ED). ⋯ HNA was present in 2.4% of patients with a blood analysis and was associated independently with solid tumors and hospital death.