Minerva anestesiologica
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Minerva anestesiologica · Nov 2020
Randomized Controlled Trial Multicenter StudyHands-free induction of general anaesthesia: a randomised pilot study comparing usual care and high-flow nasal oxygen.
Pre-induction high-flow nasal oxygenation may be an acceptable alternative to traditional face-mask pre-oxygenation, with patient-comfort benefits.
pearl -
Minerva anestesiologica · Nov 2020
Validity of presepsin for the diagnosis and prognosis of sepsis in elderly patients admitted to the intensive care unit.
Preliminary reports suggested that presepsin was a powerful biomarker for sepsis in a general population. However, presepsin levels change with age. This study aimed to investigate the diagnostic and prognostic value of presepsin among elderly patients with sepsis in the intensive care unit (ICU). ⋯ The presepsin level was significantly higher in elderly patients with sepsis compared with the non-infection and infection groups. Presepsin has a reliable early diagnostic ability for sepsis comparable to that of PCT. However, it cannot be defined as a perfect biomarker for prognosis of 30-day mortality in elderly patients. An overall and continual assessment of all the clinical indexes for sepsis during the course of the disease is necessary.
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Minerva anestesiologica · Nov 2020
Observational StudyThe doctor's point of view: eye-tracking as an investigative tool in the extubationprocess in intensive care units. A pilot study.
Patient safety is a top priority in healthcare. Little is known about the visual behavior of professionals during high-risk procedures. The aim of this study was to assess feasibility, usability and safety of eye-tracking to analyze gaze patterns during the extubation process in the intensive care unit. ⋯ Eye-tracking can demonstrate that there is a mismatch between physicians' subjective evaluations and corresponding objective real-life measurements. Structured and standardized extubation processes should be performed to improve patient safety. In the immediate postextubation phase, long dwell time on the patient shows that clinical observation remains the most important cornerstone beyond monitoring devices.