Mag
11

Propranolol attenuates hemorrhage and accelerates wound healing in severely burned adults

Dott. Luigi Vicari on 11 maggio 2015

Propranolol, a non-selective β-blocker, exerts an indirect effect on the vasculature by leaving α-adrenergic receptors unopposed, resulting in peripheral vasoconstriction. We have previously shown that propranolol diminishes peripheral blood following burn injury by increasing vascular resistance. The purpose of this study was to investigate whether wound healing and perioperative hemodynamics are affected by propranolol administration in severely burned adults.

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Mag
11

A comprehensive method to develop a checklist to increase safetyof intra-hospital transport of critically ill patients

Dott. Luigi Vicari on 11 maggio 2015

Transport of critically ill patients from the Intensive Care Unit (ICU) to other departments for diagnostic or therapeutic procedures is often a necessary part of the critical care process. Transport of critically ill patients is potentially dangerous with up to 70% adverse events occurring. The aim of this study was to develop a checklist to increase safety of intra-hospital transport (IHT) in critically ill 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 both is one of the leading causes of perioperative complications. Adequate perioperative management guided by effective and timely hemodynamic monitoring can help reduce the risk of complications and thus potentially improve outcomes. In this review, we describe the various available hemodynamic monitoring systems and how they can best be used to guide cardiovascular and fluid management in the perioperative period in high-risk surgical patients.

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Mag
6

Cassazione civile – (solo la condotta abnorme del lavoratore salva il datore dalla responsabilità)

Dott. Luigi Vicari on 6 maggio 2015

il datore di lavoro è responsabile dell’infortunio occorso al lavoratore, sia quando ometta di adottare le idonee misure protettive, sia quando non accerti e vigili che di queste misure venga fatto effettivamente uso da parte del dipendente, non potendo attribuirsi alcun effetto esimente all’eventuale concorso di colpa del lavoratore, la cui condotta può comportare l’esonero totale del datore di lavoro da ogni responsabilità solo quando presenti i caratteri dell’abnormità e dell’imprevedibilità rispetto al procedimento lavorativo “tipico” ed alle direttive ricevute, così da porsi come causa esclusiva dell’evento.

[Avv. Ennio Grassini – www.dirittosanitario.net]

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Mag
6

Le responsabilità del medico nel ricovero in day surgery o ordinario

Dott. Luigi Vicari on 6 maggio 2015

Ricovero ordinario o day surgery? Ci sono differenze sostanziali. Il medico che sceglie per l’una o l’altra soluzione può incorrere in problemi penali, come vedremo nel caso in questione risolto dalla sentenza della Corte di Cassazione numero 1832 dello scorso gennaio.

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