Minerva anestesiologica
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Minerva anestesiologica · Jul 2013
Informed consent for tracheostomy procedures in Intensive Care Unit: an Italian national survey.
Critically ill patients in Intensive Care Unit (ICU), due to their temporary or permanent incompetence, are often not capable to provide informed consent (IC), although required, for not emergency invasive procedures, like elective tracheostomy. By Italian law, a person with partially/temporarily physical/mental impairment needs a legal tutorship appointed by the court (Support Administrator, SA). We performed a national survey in Italy to investigate IC practice for elective tracheostomy procedure in critically ill conscious and unconscious patients in ICU. ⋯ In Italian ICUs, participating to this study, the procedures related to IC for conscious and unconscious critically ill patients requiring surgical or percutaneous tracheostomy are not in line with current legal rules and procedures.
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Minerva anestesiologica · Jul 2013
Survey on the current management of rapid sequence induction in Germany.
The practice of rapid sequence induction (RSI) differs widely within and between countries. We undertook this web-based survey to assess the variability in the practice of RSI amongst German anesthetists. We hypothesized that considerable variability exists. ⋯ This to date largest survey undertaken in the context of RSI documents large management differences in the practice of RSI amongst German anesthetists. These differences are unrelated to qualification, years of work experience and type of institution. This survey emphasizes the need for solid scientific evidence regarding all interventions undertaken in the context of RSI.