Minerva anestesiologica
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Minerva anestesiologica · Mar 2014
Randomized Controlled Trial Comparative StudyOral Fiberoptic Intubation with Wire Reinforced Endotracheal Tube Vs. Parker Flex-Tip Tube: A Randomized Clinical Trial.
The aim of the study was to compare the Parker Flex-Tip (PFT) (group P) tube to a wire reinforced tracheal tube in two orientations, i.e., with posteriorly and anteriorly positioned tip bevels (WRP and WRA groups, respectively), for oral fiberoptic intubation. ⋯ Advancement of the ETT over a fiberoptic bronchoscope was easier with the PFT tube and with a posteriorly positioned wire-reinforced tube than with an anteriorly positioned wire-reinforced tube.
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Minerva anestesiologica · Mar 2014
Review Meta AnalysisA systematic review and individual patient data meta-analysis on intra-abdominal hypertension in critically ill patients: the wake-up project. World initiative on Abdominal Hypertension Epidemiology, a Unifying Project (WAKE-Up!).
Intra-abdominal hypertension (IAH), defined as a pathologically increase in intraabdominal pressure, is commonly found in critically ill patients. While IAH has been associated with several abdominal as well as extra-abdominal conditions, few studies have examined the occurrence of IAH in relation to mortality. The aim of this paper was to evaluate the prognostic role of IAH and its risk factors at admission in critically ill patients across a wide range of settings and countries. ⋯ Five hundred thirteen patients (30.8%) died in intensive care. The independent predictors for intensive care mortality were IAH, SAPS II score, SOFA score and admission category. This systematic review and individual patient data meta-analysis shows that IAH is frequently present in critically ill patients and it is an independent predictor for mortality.
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Minerva anestesiologica · Mar 2014
Randomized Controlled Trial Comparative StudyComparison of the Efficacy of Different Concentrations and Volumes of Levobupivacaine in Axillary Brachial Plexus Blockade.
The aim of this study was to compare the effect of the same dosage but different concentrations and volumes of levobupivacaine used for axillary block on the onset and intensity of the block. ⋯ Decreasing the concentration and increasing the volume of levobupivacaine without changing its dosage prolongs the duration of analgesia, although it delays the onset and decreases the intensity of sensory and motor block in axillary block.