Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Oct 2020
Multicenter StudySARS-CoV-2 in Spanish Intensive Care Units: Early experience with 15-day survival in Vitoria.
Community transmission of SARS-CoV-2 was detected in Spain in February 2020, with 216% intensive care unit (ICU) capacity expanded in Vitoria by March 18th, 2020. ⋯ This early experience with SARS-CoV-2 in Spain suggests that a strategy of right oxygenation avoiding non-invasive mechanical ventilation was life-saving. Seven-day mortality in SARS-CoV-2 requiring intubation was lower than 15%, with 80% of patients still requiring mechanical ventilation. After 15 days of ICU admission, half of patients remained intubated, whereas one third died.
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Anaesth Crit Care Pain Med · Oct 2020
Haemodynamic monitoring and management in COVID-19 intensive care patients: an International survey.
To survey haemodynamic monitoring and management practices in intensive care patients with the coronavirus disease 2019 (COVID-19). ⋯ Our survey confirms that vasopressor support is not uncommon in COVID-19 ICU patients and suggests that different haemodynamic phenotypes may be observed. Ultrasounds were used by many respondents, to assess cardiac function but also to predict fluid responsiveness and quantify pulmonary oedema. Although we observed regional differences, current international guidelines were followed by most respondents.
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Anaesth Crit Care Pain Med · Oct 2020
Injection pressure monitoring during peripheral nerve blocks: from bench to operating theatre.
Nerve damage can occur after ultrasound-guided peripheral nerve block (PNB). Injection pressure monitoring could improve the safety of PNB. The aim was to analyse parameters affecting pressure measurements during PNB. ⋯ Needle diameter, needle tip location, type of nerve/plexus, flow rates, and the anaesthetist can have a significant effect on injection pressure values and monitoring.