Minerva anestesiologica
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Minerva anestesiologica · Jan 2017
Randomized Controlled Trial Comparative StudySpatial relationship of I-gelTM and Ambu® AuraOnceTM on pediatric airway: a randomized comparison based on three dimensional magnetic resonance imaging.
Gross morphological differences exist among different brands of pediatric supraglottic devices (SGDs). The aim of this study is to compare the spatial relationship of i-gel® and Ambu® AuraOnce (AO)TM on pediatric airway based on three dimensional (3-D) magnetic resonance imaging (MRI) measurements. ⋯ Based on 3-D MRI measurements done on living patients, both SGDs distorted the anatomy of pediatric airway compared to their respective native values to variable extent. The relevance of these effects needs further studies on larger patient group in order to reduce morbidity on pediatric airway.
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Minerva anestesiologica · Jan 2017
Randomized Controlled Trial Comparative StudyMay pre-procedure neuroaxial ultrasound improve the identification of potential epidural space when compared with anatomical landmarks? A prospective randomized study.
Regional epidural analgesia is considered the gold standard for pain treatment in labor. However, epidural catheter placement may be a challenging procedure because of the difficulty in the palpation of anatomical landmarks, particularly in pregnant women. Pre-procedural neuroaxial ultrasound may facilitate the procedure. ⋯ The US-assisted technique for epidural catheter placement for labor analgesia is safe, effective, easy to perform, and is a valuable aid to improve the identification of the epidural space compared with the palpation of anatomical landmarks and the loss of resistance technique. Pre-puncture ultrasound assessment shows the exact location of the intervertebral space, the optimal point of insertion and the tilt angle of the needle, the depth of the epidural space and any anatomical abnormalities of the spine, thereby increasing the success rate and reducing procedural complications of the blind approach.
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Minerva anestesiologica · Jan 2017
Characteristics and outcomes of chronic pain patients referred to hospital pain clinics: a prospective observational study.
Understanding the patient referral patterns and medical profiles of patients attending hospital pain clinics, and the therapies offered to them, can provide a useful starting point for evaluating their effectiveness and identifying areas for improvement. ⋯ Pain clinicians refined the diagnoses and treatments of patients referred to hospital pain clinics and improved outcomes. Relatively few patients are referred from primary care considering the prevalence of chronic pain in this setting.
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Minerva anestesiologica · Jan 2017
Goal-directed fluid management in free flap surgery for cancer of the head and neck.
Goal-directed fluid management using stroke volume variation (SVV) analysis is not well studied in free flap reconstruction surgery in patients with head and neck cancer. ⋯ The SVV-guided fluid management reduces fluid administration in free flap reconstruction surgery with head and neck cancer.
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Minerva anestesiologica · Jan 2017
Editorial CommentWhat am I compressing with my supraglottic device?