Minerva anestesiologica
-
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.
-
Minerva anestesiologica · Sep 2012
Clinical TrialAirway management in pediatric patients using the Glidescope Cobalt®: a feasibility study.
Video laryngoscopes are claimed to improve airway management. Several studies showed an equal or better glottic view using the Glidescope® compared with direct laryngoscopy in adults and in paediatric patients. Many case reports also described successful intubation in patients with a difficult airway. The Glidescope Cobalt® is a modified Glidescope® with a disposable sheath. Data on clinical application in paediatric patients is insufficient. ⋯ The Glidescope Cobalt® presented suitable for use in children. C&L grade was significantly improved in all patients with a C&L grade of 2 or 3. Especially for educational purposes in pediatric anesthesia it provides a good view for all participants.
-
Minerva anestesiologica · Sep 2012
No additive effects of inhaled iloprost and prone positioning on pulmonary hypertension and oxygenation in acute respiratory distress syndrome.
In acute respiratory distress syndrome (ARDS), pulmonary hypertension is associated with a poor prognosis. Prone position is effective to improve oxygenation whereas inhaled iloprost can treat pulmonary hypertension. However, combination of these interventions has not been examined before. The hypothesis was that this combination had additive effects on oxygenation and pulmonary hemodynamics as compared with each intervention alone. ⋯ Although iloprost reduced pulmonary arterial pressures, and prone positioning improved oxygenation; there are no additive effects of the combination of both interventions on both parameters. To treat both pulmonary hypertension and hypoxemia, application of iloprost in prone position is suggested.