Minerva anestesiologica
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Minerva anestesiologica · Jun 2015
Prone position affects stroke volume variation performance in predicting fluid responsiveness in neurosurgical patients.
Stroke volume variation (SVV) during mechanical ventilation predicts preload responsiveness. We hypothesized that the prone position would alter the performance of this dynamic indicator. ⋯ In ventilated patients with low tidal volume, a prone position may have a direct effect on the heart that alters the performance of SVV in predicting fluid responsiveness. External factor such as prone position renders difficult the interpretation of SVV as a dynamic indicator of cardiac preload.
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Minerva anestesiologica · Jun 2015
Multimodal neurological approach can lead the treatment in post-cardiac arrest persistent refractory status epilepticus.
Refractory status epilepticus (RSE) is a common challenge in the setting of post resuscitation care. We describe how multimodal neurological approach can lead treatment and improve the prognosis. ⋯ No evidence-based data exist to guide management of RSE in the setting of anoxic brain injury. Our cases emphasize the need for continuous active treatment led by a multimodal approach in order to improve neurological outcome.