Minerva anestesiologica
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Minerva anestesiologica · Apr 2001
Review[NIV in the treatment of acute exacerbation of COPD and status asthmaticus].
The authors describe the application of NIV as a useful tool to correct hypercarbia, gas exchanges and to reduce the complications caused by mechanical ventilation with ETT in patients with acute exacerbation of COPD and acute asthma attack.
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Quality of recovery after anesthesia and surgery is an important dimension of the patient's experience and may be related to the quality of anesthesia care. Quality of recovery is also related to patient satisfaction. We have developed and validated a quality of recovery (QoR) score. ⋯ Patient satisfaction is associated with higher QoR Scores. The measurement of quality of recovery is an important aspect of a quality anaesthetic practice. The QoR Score can be incorporated into routine practice and this should improve patient care and resultant levels of satisfaction.
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Perioperative medicine starts with preoperative assessment and preparation of patients undergoing various procedures. It includes intraoperative care and continues postproceudral management, from recovery room to intensive care and step-down facilities. ⋯ Potential areas of anesthesia involvement, still unclear, include preoperative and postoperative ward management and complete preparation such as cardiology or pulmonary testing. Further steps to take in the direction of perioperative medicine are the development of a different model of resident training, and the improvement of information technology and medical record.
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The importance of sedation in the ICU. The authors shortly describe the use of sedation as useful tool to reduce patient discomfort and to modulate stress response, in critically ill patients.