Minerva anestesiologica
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Minerva anestesiologica · Jan 2017
ReviewThe link between anesthesiology and neurology: a mindful cooperation to improve brain protection.
Preventing neurological injury is mandatory during the perioperative period of any kind of surgery and in the care of critically ill patients in the intensive care unit. During daily practice, both anesthesiologists and neurologists focus on brain protection as an integral part of systemic homeostasis maintenance. This article highlights the intriguing overlap between anesthesiology and neurology in clinical practice along with its potential implications for outcome. ⋯ Clinical vigilance and the use of shared monitoring and diagnostic technology could allow early recognition and treatment of cerebral dysfunction occurring in the perioperative period or in the critical care setting, thus reducing morbidity and mortality. In order to improve patient safety and outcome, neurologists and anesthesiologists should more closely and successfully collaborate, using shared monitoring tools and integrating traditional areas of expertise. Daily activity, education, research and training programs in anesthesia and neurology could benefit from a stronger relationship with each other.
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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
Letter Randomized Controlled Trial Comparative StudyA needle-guidance device facilitates axillary vein cannulation. A randomized controlled study on an inanimate manikin.
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Minerva anestesiologica · Jan 2017
Outpatient therapeutic chronic opioid consumption in Italy. A one-year survey.
In Italy since the 38/2010 law concerning Palliative Care and pain therapy has been promulgated, the consumption of opioids started increasing. However, despite the availability of a large amount of data regarding opioid prescription, a database including all patients on chronic opioid therapy does not yet exist. ⋯ Relatively to MED, We found that in Italy chronic cancer pain patients receive doses similar to patients with cancer pain in other Literature reports, whereas patients with chronic non-cancer pain received lower dosages.