Minerva anestesiologica
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Minerva anestesiologica · May 2010
Case ReportsKidney instant monitoring (K.IN.G): a new analyzer to monitor kidney function.
The key role of the kidney in the regulation of body fluids and acid-base status is well known. Nonetheless, urine analysis has not received great attention in critically ill patients, likely due to the common practice of only analyzing 24-hour collected specimens. We hypothesized that the kidney may react more rapidly to minimal hemodynamic and acid-base status variations than can be assessed by a 24-hour analysis. Accordingly, we developed and tested a urine analyzer, allowing quasi-continuous urinary analysis. ⋯ The K.IN.G analyzer, allowing quasi-continuous monitoring of urinary pH and principal electrolyte levels, may represent a novel tool for clinical and research purposes.
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Minerva anestesiologica · May 2010
Letter Case ReportsInsertion of the i-gel airway in prone position.
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Minerva anestesiologica · Apr 2010
Transcatheter implantation of an aortic valve: anesthesiological management.
Aortic stenosis (AS) is the most common form of valvular disease in adults. This condition also causes significant morbidity and mortality, especially among the elderly. Recent progress in balloon and stent technologies has offered the potential to transform the management of aortic stenosis. ⋯ Notably, TAVI probably requires a "failing health patient" score. In our opinion, the evaluation of procedural risk should include the specific scoring of newer parameters that are not currently in use. TAVI offers a number of advantages to patients and medical teams, but there are still accompanying anesthesiological risks, and the hemodynamic periprocedural setting is an important issue for this type of procedure.