Minerva anestesiologica
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The erector spinae plane (ESP) block is an interfascial block proposed to provide analgesia for chronic thoracic pain. It consists in an injection of local anesthetic in a plane between the transverse process and the erector spinae muscles group. ⋯ Although data suggests that ESP block is an easy and safe technique, more studies are needed to assess safety, complications rates and efficacy of this technique. In particular, we need well designed RCTs comparing ESP block to gold standard regional anesthesia technique. Nevertheless, ESP block is already a viable option for anesthesiologists all over the world.
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Minerva anestesiologica · Mar 2019
Prediction of extubation failure in intensive care unit: systematic review of parameters investigated.
Extubation failure (EF) refers to the inability to maintain spontaneous breathing after removal of endotracheal tube. The aim of this review is to identify the best parameter to predict EF in adult intensive care patients. ⋯ This review shows that all parameters used to predict EF have a low PPV. Therefore, the limitation of use of such predictive tests may prolong unnecessarily the intubation and increase the unfavorable outcome. A prospective study involving all variables could be useful to predict the EF in ICU.
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Minerva anestesiologica · Mar 2019
Utilization of echocardiography in Intensive Care Units: results of an online survey in Germany.
In patients with hemodynamic instability echocardiography has been recommended as the preferred modality to evaluate the underlying pathophysiology. However, due to the fact that recent scientific data on the utilization of echocardiography in German Intensive Care Units (ICU) are scarce, we sought to investigate current practice. ⋯ The results of this survey demonstrate a widespread utilization of echocardiography as part of routine diagnostic on frequent number of operative ICUs. However, there might be a lack of structured echocardiographic training especially for anesthesiologists.
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Minerva anestesiologica · Mar 2019
CommentPredicting extubation success: instrumental assessment, clinical tests and cave diving.
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Minerva anestesiologica · Mar 2019
Letter Case ReportsAcute coronary ostial stenosis resulting from the left main trunk stenting deformity during the aortic valve replacement.
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