Minerva anestesiologica
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Minerva anestesiologica · Dec 2022
A view on pediatric airway management: a cross sectional survey study.
This survey aimed to investigate routine practices and approaches of clinicians on pediatric airway in anesthesia and intensive care medicine. ⋯ This survey on airway management in pediatric anesthesia revealed that the use of cuffed tubes and the routine monitoring of cuff pressure are rare. In addition, the rate of videolaryngoscopy or flexible optical intubation was low for expected difficult intubation. Our survey highlights the need for properly trained pediatric anesthesiologists working in-line with updated scientific evidence.
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Minerva anestesiologica · Dec 2022
Randomized Controlled TrialVentilatory performance of BASKA mask as an alternative to endotracheal intubation in short-term gynecologic laparoscopic procedures: a prospective randomized clinical trial.
Using laryngeal mask airways (LMAs) in laparoscopic surgery is still controversial because of the risk of insufficient ventilation and gastric overinflation. We investigated the use of BASKA LMA as an alternative to endotracheal intubation in low-risk females undergoing short-term gynecologic laparoscopic surgeries in Trendelenburg position under general anesthesia and positive pressure ventilation. ⋯ BASKA mask can be considered as a safe alternative to ETT with comparable ventilatory performance in low-risk females undergoing short-term gynecologic laparoscopic surgeries.
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Minerva anestesiologica · Dec 2022
Meta AnalysisRemimazolam versus propofol for procedural sedation and anesthesia: a systemic review and meta-analysis.
The aim of this systemic review and meta-analysis was to evaluate the efficacy and safety of remimazolam compared with propofol when used for procedural sedation and general anesthesia. ⋯ Remimazolam could be alternatively used in procedural sedation and general anesthesia. Additional research is needed to develop higher quality evidence on the use of remimazolam, especially in general anesthesia.
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Minerva anestesiologica · Dec 2022
Research progress of goal-directed fluid therapy in prone position surgery.
Goal-directed fluid therapy (GDFT) is currently recognized as a scientific and reasonable method of perioperative capacity management. However, most of the studies on GDFT are carried out in the supine position, while there are few studies on applying GDFT in the prone position. ⋯ Although it is controversial whether the GDFT strategy can improve the clinical outcome of patients undergoing prone position surgery, it is still the mainstream choice of fluid therapy. In the future, we need to explore further the method of predicting the fluid responsiveness of patients in the prone position, improve the GDFT strategy, and guide the perioperative fluid therapy of patients in the prone position.
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Minerva anestesiologica · Dec 2022
How many of the COVID-19 deaths occurred in the Intensive Care Unit?
The percentage of overall COVID-19 deaths which occurred in intensive care units (ICU) is unknown. We estimated 18% in Italy from February 21, 2020, to February 21, 2021, using cumulative numbers from publicly available databases. This study aims to confirm this percentage using raw data from Italian and European registries. ⋯ The percentage of COVID-19 deaths which occurred in European ICUs was 16% and consistent across different countries, ranging from 10% to 22%. Interestingly, we observed no difference between pandemic waves and intra-pandemic periods.