Minerva anestesiologica
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Minerva anestesiologica · Sep 2019
Editorial CommentInhaled sevoflurane for ICU sedation in pediatrics: what is the safest approach?
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Minerva anestesiologica · Sep 2019
Letter Case ReportsErector spinae plane block as a rescue analgesic technique for multiple rib fractures after failed serratus anterior plane block.
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Minerva anestesiologica · Sep 2019
Letter Case ReportsLumbar erector spinae plane block for postoperative analgesia after nephrectomy followed by emergent complication surgery.
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Minerva anestesiologica · Sep 2019
ReviewInjection pressures measuring for a safe peripheral nerve block.
The performance of a precise and safe peripheral nerve blockade (PNB) can currently rely on the aid of the ultrasounds and nerve stimulators. The injection pressure monitoring may be beneficial to perform a safer procedure. This review focuses on the pressures measured during PNB among studies conducted on animal, and human models. ⋯ So it is desirable to make further studies in order to assess them. In the future, the monitoring of the pressure could allow the use of a minimal quantity of anesthetic, empowering the safety of the nerve blocks. Moreover, the sensitive system should not be invasive and it should not hinder the job of the anesthetists.
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Minerva anestesiologica · Sep 2019
Observational StudyAbility of mini-fluid challenge to predict fluid responsiveness in obese patients undergoing surgery in the prone position.
Pulse pressure variation (PPV) and stroke volume variation (SVV) can predict fluid responsiveness effectively. However, high Body Mass Index (BMI) can restrict their use due to changes in respiratory system compliance (CS), intra-abdominal pressure, and stroke volume (SV) in the prone position. Therefore, we aimed to investigate the effectiveness of mini-fluid challenge (MFC) in predicting fluid responsiveness in obese (BMI ≥30 kg/m2) patients in the prone position. ⋯ The increase in SVI after a rapid infusion of 100 mL crystalloid could predict fluid responsiveness in patients with BMI ≥30 kg/m2 in the prone position.