Minerva anestesiologica
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Minerva anestesiologica · Apr 2023
Dexmedetomidine versus remifentanil for sedation under monitored anesthetic care in complex endovascular aortic aneurysm repair: a single center experience with mid-term follow-up.
Sedation protocols in patients undergoing complex endovascular aortic aneurysm repair are not fully investigated. The aim of this study was to compare a dexmedetomidine (DEX) based sedation protocol with a remifentanil-based sedation protocol. ⋯ In this setting remifentanil provides reliable sedation with higher patient's satisfaction and less hemodynamic effect than DEX.
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Minerva anestesiologica · Apr 2023
Observational StudyHydrocortisone may act through the angiotensin II receptor-2 level in patients with catecholamine-resistant septic shock.
This study aimed to compare the serum angiotensin II and its receptor levels (AT1, AT2) in septic patients with catecholamine-responsive or resistant. The effect of hydrocortisone treatment on angiotensin II levels in the catecholamine-resistant septic patients was evaluated. ⋯ It was concluded that angiotensin II and AT1 can be used as a biomarker of refractory septic shock and hydrocortisone may provide their blood pressure correcting effect by reducing AT2 level in these patients. AT2 can be a therapeutic target in the catecholamine-resistant septic shock patients.
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Minerva anestesiologica · Apr 2023
Electroencephalographic Density Spectral Array monitoring in pediatric anesthesia: clinical background and practical applications.
Depth of hypnosis monitoring using numerical index based processed electroencephalography is part of the standard anesthesia equipment in many operating rooms. Unfortunately, this method has its limitations, especially in pediatric patients. ⋯ Electroencephalographic density spectral array (DSA) monitoring is a real-time technique that can be used in all age groups and with all common anesthetics. We present a practice-oriented introduction to the principle of DSA monitoring in pediatric anesthesia for pediatric anesthesiologists and two algorithms for using this technology in children under sevoflurane and propofol anesthesia.