Anestesia

Mag
11

Preoperative and postoperative analgesic techniques in the treatment of patients undergoing transabdominal hysterectomy: a preliminary randomized trial

Dott. Luigi Vicari on 11 maggio 2015

Although pre-emptive analgesia is commonly used for the management of postoperative pain in developed countries, no defined protocol has been carried out and widely practiced, especially in transabdominal hysterectomy. Keeping this in mind the present study aimed to investigate the effects of multimodal pre-emptive analgesia on pain management, stress response and inflammatory factors of patients […]

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Mag
11

Perioperative cardiovascular monitoring of high-risk patients: a consensus of 12

Dott. Luigi Vicari on 11 maggio 2015

A significant number of surgical patients are at risk of intra- or post-operative complications or both, which are associated with increased lengths of stay, costs, and mortality. Reducing these risks is important for the individual patient but also for health-care planners and managers. Insufficient tissue perfusion and cellular oxygenation due to hypovolemia, heart dysfunction or […]

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Apr
24

Use of Cuffed Tracheal Tubes in Neonates Requires Caution

Dott. Luigi Vicari on 24 aprile 2015

NEW ORLEANS—The use of cuffed tracheal tubes is increasingly popular in pediatric anesthesia, but investigators have found that there is a risk for increased trauma without proper diligence.

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Apr
24

Change in serum sodium level predicts clinical manifestations of transurethral resection syndrome: a retrospective review

Dott. Luigi Vicari on 24 aprile 2015

Patients undergoing transurethral resection (TUR) of the prostate are at risk of TUR syndrome, generally defined as having cardiovascular and/or neurological manifestations, along with serum sodium concentrations less than or equal to 125 mmol/l. As these symptoms can also occur in patients with serum sodium greater than 125 mmol/l, this study aimed to investigate the relationship between serum sodium […]

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Apr
24

Effects of changes in intraoperative management on recovery from anesthesia: a review of practice improvement initiative

Dott. Luigi Vicari on 24 aprile 2015

Our anesthetic practice was hindered by inadequate postanesthesia care unit space resulting in operating room inefficiencies. In response, an anesthetic protocol designed to reduce the duration of postanesthesia stay by decreasing residual anesthetic sedation and postoperative nausea and vomiting (PONV) was introduced. Here the impact of this practice change is analyzed.

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