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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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 concentrations and neurological manifestations of TUR syndrome.

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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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Dott. Luigi Vicari on 24 aprile 2015

Neuroprotective strategies that limit secondary tissue loss and/or improve functional outcomes have been identified in multiple animal models of ischemic, hemorrhagic, traumatic and nontraumatic cerebral lesions. However, use of these potential interventions in human randomized controlled studies has generally given disappointing results. In this paper, we summarize the current status in terms of neuroprotective strategies, both in the immediate and later stages of acute brain injury in adults. We also review potential new strategies and highlight areas for future research.

Leggi l’Articolo Completo: Neuroprotection in acute brain injury: an up-to-date review

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Early tracheostomy may decrease the duration of mechanical ventilation, sedation exposure, and intensive care stay. These effects may result in improved clinical outcomes, but the evidence is conflicting. These authors evaluated the studies in this field. Leggi il resto di questo articolo »

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