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Joint consensus on abdominal robotic surgery and anaesthesia from a task force of the SIAARTI and SIC.
CONCLUSIONS: The consensus document provides evidence-based recommendations and expert statements aimed at improving the implementation and management of robotic abdominal surgery. PMID: 29648413 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 15, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Assessment of left ventricular ejection fraction in critically ill patients at the time of speckle tracking echocardiography: intensivists in training for echocardiography versus experienced operators.
Authors: Franchi F, Cameli M, Taccone FS, Mazzetti L, Bigio E, Contorni M, Mondillo S, Scolletta S Abstract BACKGROUND: The biplane Simpson's method is considered the gold standard to assess and monitor left ventricular (LV) ejection fraction (EF) in critically ill patients. Recently, a new semiautomatic technique based on speckle tracking echocardiography called "Auto-EF" has been introduced. We compared LVEF values obtained with biplane Simpson's method and Auto-EF by two groups of operators: trainee echocardiography intensivists and experienced echocardiographers. METHODS: A standard transthoracic ...
Source: Minerva Anestesiologica - April 15, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Management of abdominal compartment syndrome during extracorporeal membrane oxygenation: water-assisted colonoscopy as early emergency treatment.
Authors: Martucci G, Granata A, Traina M, DI Francesco F, Gruttadauria S, Panarello G, Arcadipane A PMID: 29648415 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 15, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Hemodynamic assessment in 2018: back to pathophysiological approach.
Authors: Antonucci E PMID: 29648416 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 15, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The influence of gabapentin on postoperative outcome in obese patients.
Authors: Rupniewska-Ladyko A PMID: 29648417 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 15, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

A comparison of two different concentrations and infusion rates of ropivacaine in perineural infusion administered at the same total dose for analgesia after foot and ankle surgery: a randomized, double blinded, controlled study.
CONCLUSIONS: Our results suggest that local anesthetic total dose is the primary determinant of continuous popliteal perineural infusion effects. PMID: 29633812 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 12, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Effects of warmed, humidified CO2 insufflation on body core temperature and cytokine response: head-to-head randomized comparison versus standard insufflation during robot-assisted radical prostatectomy.
Authors: Oderda M, Cerutti E, Gontero P, Manetta T, Mengozzi G, Meyer N, Munegato S, Noll E, Rampa P, Piéchaud T, Diemunsch P PMID: 29633813 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 12, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Patient management after total knee arthroplasty: and the quest continues!
Authors: Rizk MS, Ayoub CM PMID: 29633814 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 12, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Unconventional monitoring methods: can BIS predict airway obstruction?
Authors: DI Marco P, Iannuccelli F PMID: 29633815 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 12, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Erector spinae plane block and dual antiplatelet therapy.
Authors: DE Cassai A, Ieppariello G, Ori C PMID: 29633816 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 12, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

OSA: screening is the waiting room for preoperative testing, postoperative monitoring and safety measures.
Authors: Corso RM, Russotto V, Gregoretti C, Cattano D PMID: 29633817 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 12, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Patient-targeted light sedation in the Intensive Care Unit: are we ready for precision medicine with dexmedetomidine?
Authors: Dalfino L, Brienza N, Bruno F PMID: 29633818 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 12, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Hepatic encephalopathy and cirrhotic cardiomyopathy in intensive care unit.
Authors: Scarpati G, DE Robertis E, Esposito C, Piazza O Abstract Acute and chronic liver diseases may escalate to hepatic encephalopathy (HE) and multiple organ failure, requiring admission and organ support in Intensive Care Unit (ICU). Hepatic dysfunction in ICU is a broad and complex topic; unfortunately, up to now, the understanding of its underlying pathophysiology is far from complete. HE and cirrhotic cardiomyopathy (CCM) need timely diagnostic and therapeutic measures aiming at the identification and elimination of causative factors, to improve patients' prognosis. For this short review, we tried to answer...
Source: Minerva Anestesiologica - April 8, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Preoperative anxiety and implications on postoperative recovery. What we can do to change our history.
Authors: Stamenkovic DM, Rancic NK, Latas MB, Neskovic V, Rondovic GM, Wu JD, Cattano D Abstract Preoperative anxiety can influence the intensity of postoperative pain and anesthesia and analgesia requirement. In certain types of surgery, anxiety may even increase postoperative morbidity and mortality. The goal of this narrative review is to remind anesthesiologists that anxiety measurement using specific tools can be done in clinical practice, to present the implications of preoperative anxiety on postoperative patient recovery, and to acknowledge the importance of a dedicated anesthesia plan in the management of ...
Source: Minerva Anestesiologica - April 8, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Percussive ventilation rescue after HFOV failure in severe ARDS due to burn injury.
Authors: Piastra M, Morena TC, Toni F, DE Bellis A, Conti G PMID: 29624027 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 8, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Uncommon occurrence of high piperacillin-tazobactam and meropenem plasma concentrations and concomitant absence of neurotoxicity in pediatrics.
Authors: Mesini A, Loy A, Losurdo G, Moroni C, Barco S, Cangemi G, Moscatelli A, Risso F, Castagnola E PMID: 29624028 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 8, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Pressure, volume and temperature: Boyle's law rules airways.
Authors: Sorbello M, Micaglio M, Zdravkovic I, Gaçonnet C, Skinner M PMID: 29624029 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 8, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The ultrasound-guided C2-C4 compartment block combined to dexmedetomidine sedation: an ideal approach for carotid endarterectomy in awake patients.
Authors: Scimia P, Giordano C, Basso Ricci E, Petrucci E, Fusco P PMID: 29624030 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 8, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Fluid therapy and endothelial glycocalyx layer. On the track of the water-phobic Bigfoot.
Authors: Benes J, Cerny V PMID: 29624031 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 8, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Ventilator-induced lung injury in childhood.
Authors: Piastra M, Conti G PMID: 29614847 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - April 5, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Comparison of axillary nerve block duration using mepivacaine in non-insulin diabetic or renal insufficiency patients: a controlled observational matched multicentre trial.
Authors: Cuvillon P, Casier M, Demattei C, Bernard N, Boisson C, Vialles N, Lhermite J, Ripart J, Capdevila X Abstract BACKGROUND: Although studies in diabetic patients demonstrated delayed recovery after long-acting local anesthetic, its effects with short-acting LA remains to be determined. Using mepivacaine, the authors evaluated the duration of axillary nerve blocks in diabetic (DP), renal failure (creatinine clearance
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Perioperative hyperglycaemia and neurocognitive outcome after surgery: a systematic review.
CONCLUSIONS: According the available evidence,diabetes mellitus and acute perioperative hyperglycemia may be associated with an increased risk for POD/POCD. These conclusions are based mostly on observational studies and deserve more and dedicated research. This systematic review may direct the design of future studies. PMID: 29589415 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Conscious sedation in critically ill patients is associated with stressors perception lower than assessed by caregivers.
Authors: Mistraletti G, Umbrello M, Mariani V, Carloni E, Miori S, Taverna M, Sabbatini G, Formenti P, Terzoni S, Destrebecq AL, Chiumello D, Moja EA, Iapichino G Abstract BACKGROUND: In ICU, the stay is frequently a stressful experience. Caregivers may help to understand patients' perceptions; however, their reliability is uncertain. Despite the recent recommendations of lighter sedation targets, little is known about the impact of "conscious sedation" on ICU patients memories. Purpose of this prospective, observational study is to analyze the stress perception in consciously-sedated ICU-patients, compar...
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Blocking around the transversalis fascia: behind the scene.
CONCLUSIONS: Considering the thinness of the transversalis fascia and the small size of the triangular space that contains the target nerves, this is most likely a virtual, ideal rather than realistic injection site. Accordingly, it is probable that the local anesthetic is injected in the much wider retroperitoneal space and reaches the nerves by spreading backwards through the thin transversalis fascia. PMID: 29589417 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Myocardial injury after non cardiac surgery: a perioperative affair?
Authors: Miccichè V, Baldi C, DE Robertis E, Piazza O Abstract Myocardial injury after non cardiac surgery (MINS) is a rather new nosological entity and an unfortunately common perioperative complication. The diagnostic criteria for MINS, also indicated as isolated myocardi- al injury (IMI), are an elevated postoperative high sensitivity Troponin T (hsTnT level ranging between 20 and 65 ng/L with an absolute change of at least 5 ng/L or hsTnT level> 65 ng/L), in absence of symptoms and/or EKG findings suggestive of ischemia and without a non ischemic aetiology causing Troponin eleva- tion. MINS does not f...
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Influence of head and neck position on performance of the Ambu ® AuraGainTM laryngeal mask: a randomised crossover study.
Influence of head and neck position on performance of the Ambu® AuraGainTM laryngeal mask: a randomised crossover study. Minerva Anestesiol. 2018 Mar 27;: Authors: Yoo S, Park SK, Kim WH, Hur M, Bahk JH, Lim YJ, Kim JT Abstract BACKGROUND: The purpose of this study was to investigate the influence of different head and neck positions on the performance of the Ambu® AuraGainTM, a novel laryngeal mask with anatomical curvature. METHODS: Oropharyngeal leak pressure, expiratory tidal volume, peak inspiratory pressure, ventilation score, and fibreoptic view score through the AuraGainTM were meas...
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Large volume of low concentration of local anesthetic dissolved with low-molecular weight dextran as adjuvant for ultrasound-guided posterior quadratus lumborum block (QLB2) greatly enhances and extends analgesic effects.
Authors: Tsuchiya M, Mizutani K, Ueda W PMID: 29589420 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Nasotracheal intubation in ICU: an unfairly forgotten procedure.
Authors: Hariri G, Baudel JL, Dubée V, Dumas G, Joffre J, Bourcier S, Bigé N, Ait Oufella H, Maury E PMID: 29589421 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Cannabinoids in chronic pain management: a skein to be untangled.
Authors: Coluzzi F PMID: 29589422 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Ultrasound guided bilateral thoracic paravertebral block for emergency incisional hernia repair.
Authors: Santonastaso DP, DE Chiara A, Agnoletti V PMID: 29589423 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

OSA patients: mind them in the preoperative screening!
Authors: Deflandre E, Degey S PMID: 29589424 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Preventing persistent pain after breast cancer surgery: still more work to be done.
Authors: Bugada D, Ghisi D, Mariano ER PMID: 29589425 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Understanding the similarities and distinctions between withholding and withdrawing life-sustaining interventions.
Authors: Tonelli MR, Curtis JR PMID: 29589426 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Transmuscular quadratus lumborum block versus serratus-intercostal interfascial plane block: the game's just began.
Authors: Corso RM, Piraccini E, Sorbello M, Bellantonio D, Tedesco M PMID: 29589427 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Low-molecular weight dextran as adjuvant for ultrasound-guided posterior quadrates lumborum block: old things in new ways?
Authors: Corso RM, Piraccini E, Sorbello M, Bellantonio D, Tedesco M PMID: 29589428 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 30, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Use of low dose dexmedetomidine in combination with opioids and midazolam in paediatric cardiac surgical patients: randomized controlled trial.
Authors: Garisto C, Ricci Z, Tofani L, Benegni S, Pezzella C, Cogo P Abstract BACKGROUND: Dexmedetomidine is a selective agonist of α2 receptors that induces hypnotic, sedative and mild analgesic effect. The aim of our study was to test the effects of dexmedetomidine in combination with opioids and benzodiazepines compared to benzodiazepine-opioids alone. METHODS: A randomized controlled trial was conducted. Patients (children>30 days and
Source: Minerva Anestesiologica - March 10, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Comparison of the effects of low doses of dexmedetomidine and remifentanil on the maternal haemodynamic changes during caesarean delivery in patients with severe preeclampsia: a randomised trial.
Authors: El-Tahan MR, El Kenany S, Abdelaty EM, Ramzy EA Abstract BACKGROUND: Preoperative remifentanil administration blunts haemodynamic responses to tracheal intubation in parturients with severe preeclampsia. We hypothesised that the preoperative administration of low doses of remifentanil or dexmedetomidine would lead to comparable maternal neurohormonal responses and neonatal outcomes in patients with severe preeclampsia. METHODS: Parturients diagnosed with severe preeclampsia undergoing caesarean delivery were randomly allocated to receive remifentanil (0.1 μg/kg/min) or dexmedetomidine (0.4 μg/kg/...
Source: Minerva Anestesiologica - March 10, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The spritztube: a new revolution in extraglottic airway devices.
Authors: Agrò FE, Pascarella G PMID: 29516706 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 10, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Palliative sedation: theoretical and clinical point of view.
Authors: Carassiti M, Mattei A, Tambone V PMID: 29516707 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 10, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Effectiveness of spinal anaesthesia in transanal endoscopic microsurgery: a 3-years experience.
Authors: Cortese G, Sales G, Maiolo G, Morino M, Scanu M, Brazzi L Abstract BACKGROUND: The feasibility and safety of transanal endoscopic microsurgery (TEM) performed under spinal anaesthesia (SA) has been recently demonstrated. This retrospective study compared the differences in opioid consumption and postoperative recovery in patients undergoing TEM under GA and SA. METHODS: All consecutive patients who underwent TEM at 'Città della Salute e della Scienza' hospital of Turin (Italy) between January 2012 and December 2015 were enrolled. Data related to demographic characteristics, surgery, anaesthesia ...
Source: Minerva Anestesiologica - March 10, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Comparing two laryngeal masks: the twin importance of a quantitative measure of the oropharyngeal sealing pressure, and the scrupulous avoidance of an excessive intracuff pressure.
Authors: Pearce W, Vaida S PMID: 29516709 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 10, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

From the other side of the door.
Authors: Gristina G PMID: 29516710 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 10, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

ECCO2R: are we ready for the prime time?
Authors: DI Nardo M, Taccone FS, Swol J, Vercaemst L, Belliato M, EuroELSO Working Group "Innovation on ECMO and ECLS" PMID: 29516711 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 10, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

A flow-chart for a critical appraisal of new technology. The experience of NIRS.
Authors: Caricato A, Ioannoni E PMID: 29516712 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 10, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

A year in review in Minerva Anestesiologica 2017.
Authors: Cavaliere F, Allegri M, Apan A, Calderini E, Carassiti M, Coluzzi F, DI Marco P, Langeron O, Rossi M, Spieth P PMID: 29493180 [PubMed - in process] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - March 3, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Delirium and agitation in traumatic brain injury patients: an update on pathological hypotheses and treatment options.
Authors: Ganau M, Lavinio A, Prisco L Abstract Traumatic brain injury (TBI) is a global public health epidemic. It represents the principal cause of death and disability in individuals under 35 in the United States. In the subacute phase, severe TBI patients who recover consciousness go through a state of agitation and delirium. However, there is only limited research exploring the characteristics of post-traumatic delirium (PTD) although it is likely to be more frequent than in general Intensive Care Unit (ICU) patients. Evidence suggest the incidence of delirium in non-TBI ICU patients is up to 86%. The exact pat...
Source: Minerva Anestesiologica - February 27, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Dexmedetomidine as an adjunct for caudal anaesthesia and analgesia in children: a review.
CONCLUSIONS: There is sufficient evidence to recommend the addition of caudal dexmedetomidine to the LAA in patients undergoing lower extremity and infra-umbilical surgical procedures. PMID: 29479931 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - February 27, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Serratus-intercostal interfascial plane block: alternative analgesia for open nephrectomy?
Authors: Fernández Martín MT, López Álvarez S, Fajardo Pérez M, Pérez Herrero M PMID: 29479932 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - February 27, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Bariatric surgery made light: the Dutch way.
Authors: DE Gasperi A PMID: 29479933 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - February 27, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Reverse triggering with breath stacking in ARDS patients: the "optimum" can be the enemy of the "good".
Reverse triggering with breath stacking in ARDS patients: the "optimum" can be the enemy of the "good". Minerva Anestesiol. 2018 Feb 15;: Authors: Jochmans S, Mazerand S, Mercier des Rochettes E, Abdallah RI, Freeman SA, Monchi M PMID: 29469546 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - February 24, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research