Minerva anestesiologica
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Minerva anestesiologica · Oct 2011
Survey of non-invasive ventilation practices: a snapshot of Italian practice.
In Italy, NIV began to be employed in the late 1980s. Because it was adopted earlier than in Italy than in other countries, the pattern and rate of utilization of NIV may be different. We aim to determine factors that may influence Italian physicians' preferences towards NIV use, with a particular emphasis on the primary specialty of these physicians and the type of hospital in which they work. ⋯ Overall, Italian physicians perceived that NIV represents an essential tool when dealing with acute episodes of respiratory failure, irrespective of the type of hospital in which they worked.
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Minerva anestesiologica · Oct 2011
Superinfections in Pseudomonas aeruginosa ventilator-associated pneumonia.
Data on superinfections in patients with ventilator-associated pneumonia vary, but different pathogens are typically studied as a single category. We studied the incidence of superinfections and the outcomes of patients with superinfections in Pseudomonas aeruginosa ventilator-associated pneumonia. ⋯ For Pseudomonas aeruginosa ventilator-associated pneumonia, superinfections are not uncommon as early as day three, but they do not increase mortality.
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Minerva anestesiologica · Oct 2011
A new difficult airway management algorithm based upon the El Ganzouri Risk Index and GlideScope® videolaryngoscope: a new look for intubation?
An El Ganzouri risk index test (EGRI) score of seven and the ability to achieve difficult laryngeal exposure with the GlideScope® may represent a highly predictive decisional threshold. Hence, we hypothesized that a new difficult airways algorithm that is EGRI- and GlideScope®-based may enable tracheal intubation in every patient. ⋯ Adherence to the decisional process of the algorithm and to GlideScope® videolaryngoscopy achieved successful tracheal intubation in our cohort of patients.
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Minerva anestesiologica · Oct 2011
Randomized Controlled Trial Comparative StudyThe nerve stimulation technique versus the loss of resistance technique for the posterior approach to lumbar plexus block: a randomized, prospective, observer-blinded, pilot study.
This prospective, randomized, observer-blinded, pilot study compares the effects of the nerve stimulation guidance technique (NS) with the loss of resistance technique (LOR) on readiness for surgery during the posterior approach to lumbar plexus block. ⋯ Nerve stimulation allowed faster readiness for surgery than loss of resistance. Nevertheless, the two techniques seem to be comparable in terms of local anesthetic consumption, morphine requirements and pain scores.