Minerva anestesiologica
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Minerva anestesiologica · Sep 2011
Changes in calculated arterio-jugular venous glutamate difference and SjvO2 in patients with severe traumatic brain injury.
Cerebral metabolic impairment is feared to induce secondary brain damage following traumatic brain injury (TBI). The present study was designed to assess the temporal profile of calculated arterio- jugular venous differences in glutamate (AJVDglu) and SjvO(2) in patients subjected to continuous pharmacologic coma. Metabolic impairment was assumed to be reflected by increased jugular venous glutamate levels and decreased jugular venous oxygen saturation (SjvO(2)). ⋯ During pharmacologic coma increased ICP was associated with significantly decreased SjvO(2) which coincided only with a trend to increased cerebral glutamate release. Calculated AJVDglu appears to be inferior in unmasking altered brain metabolism compared to SjvO(2) whenever ICP is increased.
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Minerva anestesiologica · Sep 2011
Electrophysiologic neuromonitoring during repair of the thoracoabdominal aorta by anesthesiologists.
Surgical repair of the thoracoabdominal aorta is associated with risk of spinal ischemia. Electrophysiologic neuromonitoring reduces this risk, but is usually performed by neurophysiologists not always available. In this study repair of the thoracoabdominal aorta monitored by anesthesiologists has been investigated. ⋯ Electrophysiologic neuromonitoring during surgical repair of the descending aorta can be successfully provided by anesthesiologists and should be predominately encouraged where neurophysiologists are not available due to organizational or financial shortcomings.
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Minerva anestesiologica · Sep 2011
Management of acute respiratory complications from influenza A (H1N1) infection: experience of a tertiarylevel Intensive Care Unit.
The novel influenza A (H1N1) pandemic was associated with an epidemic of critical illness. ⋯ In the majority of our patients, critical illness caused by pandemic influenza A (H1N1) was associated with severe hypoxemia, multiple organ failure, requirement for mechanical ventilation and frequent use of rescue therapies and ECLS support.
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Minerva anestesiologica · Sep 2011
Systemic adverse events during 2005 phacoemulsifications under monitored anesthesia care: a prospective evaluation.
The aim of the study was to evaluate the systemic adverse events triggering on-call anesthesiologist's intervention during 2005 phacoemulsification under topical anesthesia on a day-surgery monitored anesthesia care regimen. ⋯ One-day cataract surgery performed under topical anesthesia with monitored anesthesia care required anesthesiologist intervention in 21.6% of cases, mainly because of agitation or hypertension. Agitation occurred more often in younger patients with neurological or psychiatric comorbidities. Hypertension occurred more often in older patients with higher ASA scores.