Minerva anestesiologica
-
Minerva anestesiologica · Nov 2018
The presence of elastic compression stockings reduces the fluid responsiveness of patients in the operating room.
The aim of this study was to investigate whether elastic compression stockings (ECS) can affect fluid responsiveness parameters before and during passive leg raising (PLR) maneuvers. ⋯ In the OR, ECS provoke a self-fluid loading increasing ABF, decreasing ΔPP and PLR response. The presence of ECS should be considered when managing hemodynamic parameters of patients.
-
Minerva anestesiologica · Nov 2018
Comparative StudyAssessment of left ventricular ejection fraction in critically ill patients at the time of speckle tracking echocardiography: intensivists in training for echocardiography versus experienced operators.
The biplane Simpson's method is considered the gold standard to assess and monitor left ventricular (LV) ejection fraction (EF) in critically ill patients. Recently, a new semi-automatic technique based on speckle tracking echocardiography called "Auto-EF" has been introduced. We compared LVEF values obtained with biplane Simpson's method and Auto-EF by two groups of operators: trainee echocardiography intensivists and experienced echocardiographers. ⋯ Due to its semiautomatic nature, for inexpert operators Auto-EF seems more reproducible than the traditional Simpson's method for monitoring left ventricular function in critically ill patients.
-
Minerva anestesiologica · Nov 2018
Editorial CommentSeeking an answer to an unanswered question: gas or drip.
Abstract
-
Minerva anestesiologica · Nov 2018
ReviewConsiderations in treating obese patients in office-based anesthesia.
The rise in obesity prevalence worldwide has presented problems for practitioners treating patients in the ambulatory setting. As more procedures are being performed in office-based suites, anesthesiologists are being asked to provide more anesthesia services for obese patients that may compromise safety. ⋯ However, not every OBA location is similar, thus contributing to the difficulty in establishing consensus BMI limits. Here, we review literature addressing obesity in ambulatory surgery and point out concerns that anesthesiologists should consider when treating obese patients in an OBA setting.
-
Minerva anestesiologica · Nov 2018
Observational StudyBronchial blocker positioning: learning curve and confidence in its use.
Despite being simple and safe to use and cheap, EZ blocker (EZB) remains underused probably because it requires particular skills in recognizing airway and in using fiber-bronchoscopy to check the exact position of their cuffs. Thus, we planned an education training program on the use of EZB for novices in anesthesia and evaluated the number of procedures required for the acquisition of the skills of this technique. ⋯ EZB is a valid strategy for obtaining one lung ventilation. Thus, it should be included in the armamentarium of all anesthetists interested in the field of thoracic surgery. Our teaching course seems to be a valuable method to instill easily and speedily in training novices in anesthesia the skills in placing EZB.