Minerva anestesiologica
-
Minerva anestesiologica · Nov 2017
Observational StudyQuality of recovery after gastroscopy, colonoscopy, or both endoscopic procedures: an observational pilot study.
Gastroscopy and colonoscopy are procedures with low complication rates and patients are usually discharged few hours after the procedures. Nevertheless, postoperative cognitive decline is a common condition, is often missed, and can potentially affect patients' ability to drive and undertake other daily living activities. The primary aim was to assess the incidence of failure to recover at Day 1 after either colonoscopy, gastroscopy, or both procedures combined. ⋯ This study showed that incomplete recovery is common past discharge after gastroscopy, colonoscopy, or both procedures and the study demonstrated modest but clinically important differences in early quality of recovery between the procedures.
-
Minerva anestesiologica · Nov 2017
Editorial CommentAre you "too old" to survive a traumatic brain injury?
-
Minerva anestesiologica · Nov 2017
Age-related outcome of patients after traumatic brain injury: a single-centre observation.
The purpose of the present study was to analyze clinical features of patients with traumatic brain injury (TBI), their age-related outcomes and determinants of long-term outcome. ⋯ Older patients are at higher risk for long-term unfavorable outcomes than younger patients. Use of anticoagulants and/or antiplatelet agents and lower hemoglobin levels during rescue phase are associated with unfavorable long-term outcomes. Fall prevention in the elderly should be a key target of intervention programs.
-
Minerva anestesiologica · Nov 2017
ReviewPerioperative cardiac arrest in the operating room environment: a review of the literature.
Cardiac arrest in the operating room (OR) environment is a rare but potentially catastrophic event with mortality rates of more than 50%. Contributing factors are known, and the event is generally rapidly recognized, as patients are usually under full monitoring. The nature of the cardiac arrest in the OR is different to other environments as it is not only related to the patient's conditions but likewise to the anaesthetic and the surgical procedure. The aim of this article is to review recent literature on cardiac arrest in the immediate perioperative environment with a focus on incidence, causes and treatment. ⋯ Successful management of cardiac arrest during surgery and beyond requires not only individual technical skills and a well-organized team response, but also an institutional safety culture embedded in everyday practice through continuous education, training and multidisciplinary cooperation. Evidence based guidelines and standardized treatment algorithms addressing the particularities of peri-operative cardiac arrest would be helpful to facilitate training. Existing guidelines are not comprehensive enough to cover specific aspects in depth; for the future, more detailed and more explicit guidelines are required.