Minerva anestesiologica
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Minerva anestesiologica · Sep 2019
Comparative Study Observational StudyEffects of a physiotherapic program in patients on veno-venous extracorporeal membrane oxygenation. A 8 year single center experience.
To date, there is no agreement on the timing to perform a physical session in patients on veno-venous extracorporeal membrane oxygenation (VV-ECMO). We aimed to assess whether early physiotherapy (within the first week from ECMO start) could affect in-ICU mortality. ⋯ In patients on VV-ECMO support, physiotherapy is feasible and safe and that early physiotherapy, initiated within the first week from ECMO start, is associated with shorter duration of ECMO support and ICU length of stay.
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Minerva anestesiologica · Sep 2019
Observational StudySevoflurane sedation for weaning from mechanical ventilation in pediatric intensive care unit.
Light sedation is the prerequisite for weaning from mechanical ventilation. Our aim was to evaluate the technical feasibility and efficacy of sevoflurane delivered by anesthetic conserving device (ACD) for sedation of children during weaning from mechanical ventilation. ⋯ Sevoflurane administration by ACD is technically feasible in critically ill children. It provides sedation within the desired sedation interval 89% of time, with short time to extubation after termination of administration. Decrease in mean arterial pressure warrants good hemodynamic monitoring and optimization of preload. Longer sevoflurane sedation and higher ETsevo is associated with development of reversible psychomotor dysfunction.
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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.
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Minerva anestesiologica · Sep 2019
Editorial CommentLong-term outcome after VV ECMO: like the iceberg beneath the Titanic.
Abstract
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Minerva anestesiologica · Sep 2019
Letter Case ReportsAssessing severe alteration of tissue perfusion during atrial fibrillation using esophageal photoplethysmography.
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