Minerva anestesiologica
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Minerva anestesiologica · Oct 2013
Comparative Study Observational StudyComparison of three methods of diagnosis of plasma unmeasured anions in critically ill patients.
The measurement of plasma unmeasured anions (PUA) is paramount in assessing metabolic acid base disorders. The aim of this study was to compare the accuracy of three methods in diagnosing abnormal PUA values: standard base excess (SBE), the albumin corrected anion gap (AGc), and the Stewart-Figge approach, based on unidentified anions (XAc-). ⋯ In ICU patients, AGc and the Stewart-Figge approach should be preferred over SBE for diagnosing abnormal PUA values and predicting hyperlactatemia. The Stewart-Figge approach based on unidentified anions, is the most efficient in diagnosing high PUA values not associated with hyperlactatemia.
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Minerva anestesiologica · Oct 2013
Letter Case ReportsFusarium spp: an evolving challenges to critically ill patients.
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Minerva anestesiologica · Oct 2013
Hospital survival and long term quality of life after emergency institution of venoarterial ECMO for refractory circulatory collapse.
Thanks to significant technical improvements, VA-ECMO is increasingly used to reverse circulatory collapse refractory to standard treatments. ⋯ Emergency VA-ECMO institution can reverse refractory acute cardiovascular collapse, provided it is carried out before significant organ dysfunction occurs. Light sedation and spontaneous breathing while on VA-ECMO can be well tolerated by patients, but related clinical benefits should be proved. Patients successfully bridged to heart recovery or transplant are candidates for long-term good quality of life.