Minerva anestesiologica
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Minerva anestesiologica · Mar 2014
Randomized Controlled Trial Comparative StudyOral Fiberoptic Intubation with Wire Reinforced Endotracheal Tube Vs. Parker Flex-Tip Tube: A Randomized Clinical Trial.
The aim of the study was to compare the Parker Flex-Tip (PFT) (group P) tube to a wire reinforced tracheal tube in two orientations, i.e., with posteriorly and anteriorly positioned tip bevels (WRP and WRA groups, respectively), for oral fiberoptic intubation. ⋯ Advancement of the ETT over a fiberoptic bronchoscope was easier with the PFT tube and with a posteriorly positioned wire-reinforced tube than with an anteriorly positioned wire-reinforced tube.
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Minerva anestesiologica · Mar 2014
Current practice in obstetric anaesthesia: a 2012 European survey.
New scientific findings are gradually implemented into daily clinical routine. The present questionnaire survey investigated the current practice in obstetric anesthesia in Europe. ⋯ Subarachnoid anesthesia is mostly favored among European anesthesiologists, while general anesthesia is reserved only for cases with anticipated hemorrhage. Fluid coloading and phenylephrine have gained popularity, in line with current knowledge. Conversely, cricoid pressure, standard supplemental oxygen and high oxytocin doses ‑ though strongly questioned ‑ are still advocated by most anaesthesiologists.
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Minerva anestesiologica · Mar 2014
Management program decreases postoperative nausea and vomiting in high-risk and in general surgical patients: a quality improvement cycle.
Preventing postoperative nausea and vomiting (PONV) is a major priority for postsurgical patient care. Our objective was to assess the efficacy of a multimodal postoperative nausea and vomiting (PONV) approach, which was associated with a continuous quality improvement program, in maintaining a low PONV incidence in the PACU. ⋯ We highlight the association with a sharp decrease in PONV incidence over a one-year period and a multimodal PONV approach using feedback to clinicians associated with continuous quality improvement program.