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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The growing number of laparoscopic surgical procedures performed in obese patients has increased the need to explore suitable analgesic techniques for a prone population to postoperative complications. The morbidly obese population may particularly benefit from the opioid-sparing or the opioid-free anesthesia/analgesia, which maximize the use of locoregional techniques. ⋯ Inadequate needle positioning, failed regional analgesia, and possible related risks must be counterbalanced by adequate evidence of effectiveness. The present article will discuss the pros and cons of TAP block in the treatment of obese patients.
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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.