Minerva anestesiologica
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Minerva anestesiologica · Oct 2019
Editorial CommentDo we need a strategy to reduce postoperative hypoxemia in morbidity obese patients?
Abstract
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Minerva anestesiologica · Oct 2019
Randomized Controlled TrialHigh-flow nasal cannula oxygenation reduces postoperative hypoxemia in morbidly obese patients: a randomized controlled trial.
Postoperative pulmonary complications (PPCs) are common in high-risk surgical patients. Postoperative ventilatory management may improve their outcome. Supplemental oxygen through a high-flow nasal cannula (HFNC) has become an alternative to classical oxygenation techniques, although the results published for postoperative patients are contradictory. We examined the efficacy of HFNC in postoperative morbidly obese patients who were ventilated intraoperatively with an open-lung approach (OLA). ⋯ Early application of HFNC in the operating room before extubation and during the immediate postoperative period decreases postoperative hypoxemia in obese patients after bariatric surgery who were intraoperatively ventilated using an OLA approach.
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Minerva anestesiologica · Oct 2019
Multicenter StudySOFA Score prognostic performance among patients admitted to High-Dependency Units.
The aim of this study was to assess prognostic stratification in patients admitted in two Italian Emergency-Department High-Dependency Units (ED-HDU). ⋯ SOFA Score showed a good discrimination ability for both HDU - mortality and indication to increase the level of care.
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Minerva anestesiologica · Oct 2019
Randomized Controlled TrialA preoperative single dose of methadone for moderate-to-severely painful surgery reduces postoperative morphine consumption.
Data from patient questionnaires reveal that the intensity of postoperative pain is widely underestimated. Insufficient pain control may contribute to impaired short- and long-term outcome. Preoperative administration of methadone might potentially improve postoperative pain control due to its long pharmacological half-life. ⋯ A single dose of methadone administered at anesthesia induction prior to moderate-to-severely painful surgery is a possible strategy to reduce postoperative morphine consumption.