Minerva anestesiologica
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Minerva anestesiologica · Oct 2012
Neonatal congenital diaphragmatic hernia: respiratory and blood-gas derived indices in choosing surgical timing.
Congenital diaphragmatic hernia (CDH) still has a high mortality despite advanced assistance techniques. The aim of this study is to verify the validity of five respiratory and blood-gas-derived indices in defining presurgical stabilization: the oxygenation index (OI), the alveolar-arterial O(2) gradient (A-aDO(2)), the arterial-alveolar O(2) tension ratio (a/AO(2)), the arterial pH and the PaCO(2). ⋯ The study confirms the validity of these indices as a guide to the treatment of neonates with CDH, showing a good reliability in identifying presurgical stabilization.
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Minerva anestesiologica · Sep 2012
Controlled Clinical TrialThe use of Modified Early Warning Score may help anesthesists in postoperative level of care selection in emergency abdominal surgery.
The Modified Early Warning Score (MEWS) was proposed for early identification of patients deterioration. The purpose of this study was to determine if MEWS calculation can help the anaesthesist select the correct level of care to avoid inappropriate admission to the ICU and to enhance the use of the High Dependency Unit (HDU) after emergency surgical procedures. ⋯ This study suggests that the use of a simple and reproducible score system may help in reducing ICU admissions after emergency surgery.
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Minerva anestesiologica · Sep 2012
Comparative Study Clinical TrialGood prognostic value of the intraoperative tissue Doppler-derived index E/e' after non-cardiac surgery.
The index E/e' derived from tissue Doppler imaging and pulsed Doppler is the ratio of the early transmitral flow velocity and the early mitral annular velocity and it correlates with left ventricular filling pressure. The purpose of this study was to investigate the relationship between intraoperative E/e' and postoperative cardiovascular complications and length of ICU and hospital stays after a non cardiac surgery. ⋯ This data suggests that the tissue Doppler index E/e' may be a useful indicator for predicting morbid events after non-cardiac surgery. Furthermore, patients with an elevated intraoperative E/e' may need more careful postoperative management.