Minerva anestesiologica
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Minerva anestesiologica · Jan 2016
Defining needs and goals of post-ICU care for trauma patients: preliminary study.
The aim of this study was to assess the long-term physical and psychological disabilities and their economic impact in severe trauma survivors. ⋯ Survivors of severe trauma in our cohort had limited autonomy and need long-term rehabilitation. Most of them rely on private healthcare services with a significant financial impact on their family budget. Almost all patients had moderate to severe depression. Future post-ICU counseling services should facilitate access to rehabilitation and psychological support for these patients.
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Minerva anestesiologica · Jan 2016
Early vascular complications after percutaneous cannulation for Extracorporeal Membrane Oxygenation for cardiac assist.
Extracorporeal membrane oxygenation (VA ECMO) demonstrated an advantage in survival and neurological outcome in patients with cardiogenic shock and, in selected population, in victims of refractory cardiac arrest. The incidence of vascular complications ranges in recent series from 10 to 70% including both early and late complications. The aim of the present study was to determine the incidence of early vascular complications and the effectiveness of the prevention of limb ischemia by the insertion of a catheter for distal perfusion. ⋯ The majority of ischemic episodes were resolved with the insertion of a distal perfusion catheter. We did not observe any mortal vascular complication, nor any of the observed complications was related to increased mortality.