Minerva anestesiologica
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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.
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Minerva anestesiologica · Nov 2019
Observational StudyThe prognostic role of red blood cell distribution width in transfused and non-transfused critically ill patients.
Red blood cell distribution width (RDW) value is gaining popularity as a prognostic factor in critically ill patients. However, its role in transfused patients is unclear. The aim of this study was to evaluate the predictive value of Red blood cell distribution width (RDW) on Intensive Care Unit (ICU) admission for 90-day mortality among either transfused or non-transfused critically ill patients. ⋯ High RDW values on ICU admission are independently associated with 90-day mortality in critically ill patients regardless of previous red blood cells transfusion. However, we identified two different cut-offs of "high RDW" to be used in ICU in transfused and non-transfused patients.
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Minerva anestesiologica · Nov 2019
ReviewMonitoring of regional lung ventilation using electrical impedance tomography.
Among recent lung imaging techniques and devices, electrical impedance tomography (EIT) can provide dynamic information on the distribution regional lung ventilation. EIT images possess a high temporal and functional resolution allowing the visualization of dynamic physiological and pathological changes on a breath-by-breath basis. ⋯ The use of EIT in clinical practice is supported by several studies demonstrating a good correlation between impedance tomography data and other validated methods of measuring lung volume. In this review, we will provide an overview on the rationale, basic functioning and most common applications of EIT in the management of mechanically ventilated patients.
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Minerva anestesiologica · Nov 2019
ReviewProcessed EEG monitoring for anesthesia and intensive care practice.
Individual response to sedatives and hypnotics is characterized by high variability and the identification of a personalized dose during anesthesia in the operating room and during sedation in the intensive care unit may have beneficial effects. Although the brain is the main target of general intravenous and inhaled anesthetic agents, electroencephalography (EEG) is not routinely utilized to explore cerebral response to sedation and anesthesia probably because EEG trace reading is complex and requires encephalographers' skills. ⋯ In this context, anesthesia in the operating rooms and moderate/deep sedation in intensive care units driven by pEEG monitors could become a standard practice in the near future. The aim of the present review was to provide an overview of current knowledge and debate on available technologies for pEEG monitoring and their role in clinical practice for anesthesia and sedation.