Minerva anestesiologica
-
Minerva anestesiologica · Nov 2019
Observational StudyMini-Cog to predict postoperative mortality in geriatric elective surgical patients under general anesthesia: a prospective cohort study.
The aim of this study was to examine whether preoperative Mini-Cog testing can predict postoperative mortality in geriatric patients undergoing general surgery. ⋯ Mini-Cog can be used to identify geriatric patients at risk of increased one-year mortality following elective surgery.
-
Minerva anestesiologica · Nov 2019
The incidence of intraoperative gastric tube malposition verified by Point-of-Care Ultrasound.
Over a million gastric tubes are placed yearly for varying medical reasons including gastric decompression. In the operating room (OR), this is performed blindly, and position is confirmed by auscultation, aspiration, or palpation by a surgeon. Despite the known risks of malpositioned gastric tubes, there is limited data in anesthesia literature about the incidence of intraoperative malpositioned gastric tubes. In this study, we use Point-of-Care ultrasonography (POCUS) to confirm gastric tube placement in the OR. ⋯ In summary, we demonstrated that the incidence of malposition of blindly gastric tubes was 14%. Given the attendant risks of malpositioned gastric tubes, this data should inform decision algorithms for the blind placement of gastric tubes.
-
Minerva anestesiologica · Nov 2019
Letter Case ReportsPersistent hiccups after cervical facet dexamethasone injections.
-
Minerva anestesiologica · Nov 2019
Observational StudyA challenge with 5 cmH2O of positive end-expiratory pressure predicts fluid responsiveness in neurosurgery patients with protective ventilation: an observational study.
Positive end-expiratory pressure (PEEP) increment induces a decrease in Stroke Volume Index (SVI). We hypothesized that the magnitude of SVI reduction due to a 5 cmH2O increase in PEEP could predict fluid responsiveness during low tidal volume ventilation. ⋯ SVI change percentage during SLPC can predict fluid responsiveness better than PPV and SVV in neurosurgery patients ventilated with low tidal volume.