Minerva anestesiologica
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Minerva anestesiologica · Apr 2014
Observational StudyHyponatremia at the Emergency Department: a case-control study.
Hyponatremia (HNA) is a common electrolyte disturbance associated with morbidity and mortality. The aim of this study was to assess incidence and prognosis value of HNA in the Emergency Department (ED). ⋯ HNA was present in 2.4% of patients with a blood analysis and was associated independently with solid tumors and hospital death.
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Minerva anestesiologica · Apr 2014
Randomized Controlled TrialDopamine infusion and fluid administration improve renal function during laparoscopic surgery.
Previous studies have documented the negative influence of pneumoperitoneum on cardiac and renal function during laparoscopy. In this respect, regard there is a lack of data regarding the use of an appropriate management of fluid therapy to decrease these side effects. The aim of this study was to investigate the cardiac and renal responses to the administration of different amounts of crystalloid solution, alone or in association with dopamine during laparoscopy. ⋯ A low rate of saline infusion could lead to an impaired renal function during laparoscopic surgery. This could be prevented by increasing the amount of saline solutions infused per hour or by adding a dopamine infusion.
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Minerva anestesiologica · Apr 2014
Randomized Controlled Trial Multicenter StudyEfficacy of a Novel Prewarming System in the Prevention of Perioperative Hypothermia. A prospective, randomized, multi-centre study.
Perioperative hypothermia is a common complication during general anesthesia. Although rewarming of patients before surgery has been used as a preventive measure and some guidelines recommend it, the implementation of prewarming for every surgical patient is cumbersome. Therefore, we sought to determine the efficacy of two novel prewarming methods that could facilitate prewarming in daily practice. ⋯ In our study active prewarming with a forced-air warmer and an insulating prewarming suit achieves significantly higher core temperatures during anesthesia and at the end of surgery and avoids hypothermia at the end of surgery compared to commercial or conventional insulation techniques.
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Minerva anestesiologica · Apr 2014
Letter Case ReportsFever and brugada syndrome: a dangerous combination.