Minerva anestesiologica
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Minerva anestesiologica · Aug 2019
LetterPreimplant outcome predictors in patients supported with veno-arterial extracorporeal membrane oxygenation. Does the right time exist?
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Minerva anestesiologica · Aug 2019
ReviewJoint consensus on anesthesia in urologic and gynecologic robotic surgery: specific issues in management from a task force of the SIAARTI, SIGO, and SIU.
Proper management of patients undergoing robotic-assisted urologic and gynecologic surgery must consider a series of peculiarities in the procedures for anesthesiology, critical care medicine, respiratory care, and pain management. Although the indications for robotic-assisted urogynecologic surgeries have increased in recent years, specific guidance documents are still lacking. ⋯ This consensus document provides guidance for the management of urologic and gynecologic patients scheduled for robotic-assisted surgery. Moreover, the identified unmet needs highlight the requirement for further prospective randomized studies.
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Minerva anestesiologica · Aug 2019
The effects of ropivacaine 0.0625% and levobupivacaine 0.0625% on uterine and abdominal muscle electromyographic activity during the second stage of labor.
This study investigated the effect of ropivacaine on uterine and abdominal muscle electromyographic activity during the second stage of labor. ⋯ In conclusion 0.0625% ropivacaine does not suppress abdominal muscle electromyographic activity during the second stage of labor. Maternal and neonatal outcomes were similar in patients receiving ropivacaine or no PCEA.
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Minerva anestesiologica · Aug 2019
Letter Case ReportsUltrasound-guided quadratus lumborum block type 2 associated to continuous intravenous infusion of dexmetomidine for anesthesiologic management in laparoscopic adrenalectomy for pheochromocytoma: could it be a safe strategy?
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Minerva anestesiologica · Aug 2019
Randomized Controlled TrialVeno-venous extracorporeal membrane oxygenation in acute respiratory distress syndrome: should the EOLIA Study results change our clinical approach?
The original discouraging results of extracorporeal membrane oxygenation (ECMO) application in acute respiratory failure caused the technique to be almost abandoned. Fortunately, ECMO survived thanks to the good results obtained in neonates. The interest on ECMO renewed after the publication of the CESAR Trial in 2009. ⋯ In 2018 the group of investigators led by Alain Combes designed and implemented the EOLIA Study to test the efficacy of veno-venous ECMO in patients with severe acute respiratory distress syndrome (ARDS). This article discusses the primary and secondary results of the trial and the considerations emerged in the medical community. We will also discuss how ECMO could evolve to maximize lung protection rather than just prevent hypoxic death.