Minerva anestesiologica
-
Minerva anestesiologica · Mar 2014
Management program decreases postoperative nausea and vomiting in high-risk and in general surgical patients: a quality improvement cycle.
Preventing postoperative nausea and vomiting (PONV) is a major priority for postsurgical patient care. Our objective was to assess the efficacy of a multimodal postoperative nausea and vomiting (PONV) approach, which was associated with a continuous quality improvement program, in maintaining a low PONV incidence in the PACU. ⋯ We highlight the association with a sharp decrease in PONV incidence over a one-year period and a multimodal PONV approach using feedback to clinicians associated with continuous quality improvement program.
-
Minerva anestesiologica · Mar 2014
Review Meta AnalysisA review of the hemodynamic effects of external leg and lower body compression.
External leg and lower body compression (ELC) has been used for decades in the prevention of deep vein thrombosis and the treatment of leg ischemia. Because of systemic effects, the methods have regained interest in anesthesia, surgery and critical care. This review intends to summarize hemodynamic effects and their mechanisms. ⋯ ELC may help future research and optimizing treatment of hemodynamically unstable, surgical or critically ill patients, independent of plasma volume expansion.
-
Minerva anestesiologica · Mar 2014
Randomized Controlled Trial Comparative StudyOral Fiberoptic Intubation with Wire Reinforced Endotracheal Tube Vs. Parker Flex-Tip Tube: A Randomized Clinical Trial.
The aim of the study was to compare the Parker Flex-Tip (PFT) (group P) tube to a wire reinforced tracheal tube in two orientations, i.e., with posteriorly and anteriorly positioned tip bevels (WRP and WRA groups, respectively), for oral fiberoptic intubation. ⋯ Advancement of the ETT over a fiberoptic bronchoscope was easier with the PFT tube and with a posteriorly positioned wire-reinforced tube than with an anteriorly positioned wire-reinforced tube.