Remote ischemic preconditioning: the hunt is still open.
Authors: Donatelli F, Pietropaoli L Abstract PMID: 30404431 [PubMed - in process] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 9, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Effects of liver ischemia-reperfusion injury on respiratory mechanics and driving pressure during orthotopic liver transplantation.
The objective of this prospective, observational trial was to assess the effects of IRI on lung and chest wall mechanics in the intraoperative period of patients undergoing OLT. METHODS: In 26 patients undergoing OLT, we measured elastance of the respiratory system (ERS), partitioned into lung (EL) and chest wall (ECW), hemodynamics, and fluid and blood product intake before laparotomy (T1), after portal/caval surgical clamp (T2), and immediately (T3) and, at 90 and 180 min post-reperfusion (T4 and T5, respectively). IL-6, MCP-1, IL-1β and TNF-α plasma concentrations were assessed at T1, T4 and T5. RESUL...
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The velocity curve of the clotting waveform of rotational thromboelastometry predicts bleeding after cardiac surgery but conventional rotational thromboelastometric parameters do not.
CONCLUSIONS: The ROTEM V-curve parameters can predict postoperative bleeding and clinical outcomes after cardiac surgery. PMID: 30394063 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

NPO guidelines: what is changing, what is not, and what should?
Authors: Presta MV, Bhavani SS, Abdelmalak BB Abstract Preoperative Nil Per Os' (NPO) guidelines have been in existence since the recognition of the risk of perioperative aspiration. These guidelines aim at reducing the risk for gastric content aspiration to the lowest possible, to avoid associated morbidity, unplanned hospital and/or an intensive care admission. Thus, such guidelines are not only considered for patients having major surgeries, but more so in those having ambulatory surgery including those performed at non-operating room anesthesia locations. NPO guidelines have always been controversial due to the...
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Closed loop administration of propofol based on a Smith predictor: a randomized controlled trial.
Authors: Reboso JA, Gonzalez-Cava JM, León A, Mendez-Perez JA Abstract BACKGROUND: Delay in the propofol pharmacodynamics effect is commonly observed in total intravenous anesthesia (TIVA). To face the delay in the hypnosis control, we have proposed a Proportional-Integral (PI) controller with a Smith predictor (PI+Smith). We have evaluated the feasibility of this closed-loop control for propofol administration and compared the performance with manual administration guided by the Bispectral Index (BIS). METHODS: Fifty-seven adult patients under TIVA with propofol and remifentanil were randomly assigned t...
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Postpartum chronic pain.
Authors: Lavand'homme P Abstract Postpartum chronic pain is a clinical reality which affects 6.1 to 11.5% of women after delivery and affects their recovery. The large range of incidence observed in the literature relies on criteria used to define chronic postpartum pain. The features depend on the type of delivery. Cesarean delivery which rate is increasing worldwide seems currently associated with lower risk of chronic postpartum pain, specifically chronic pelvic pain. Further chronic scar pain which often involves a neuropathic component is often of mild intensity. In opposite, after vaginal delivery, chronic pe...
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Prolonged sedation in critically ill children: is dexmedetomidine a safe option for younger age? An off-label experience.
Authors: Sperotto F, Mondardini MC, Vitale F, Daverio M, Campagnano E, Ferrero F, Rossetti E, Vasile B, Dusio MP, Ferrario S, Savron F, Brugnaro L, Amigoni A, Pediatric Neurological Protection and Drugs (PeNPAD) Study Group Abstract BACKGROUND: Dexmedetomidine (DEX) is a alpha-2-adrenergic agonist, recently approved by Italian- Medicines-Agency for difficult sedation in pediatrics, but few data exist regarding prolonged infusions in critically-ill children, especially in younger ages. Aim of our study was to evaluate DEX use and safety for prolonged sedation in Pediatric Intensive Care Units (PICUs). METHODS: P...
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Why don't multicenter randomized controlled trials (RCT) confirm the positive findings of single center RCTs in acute care? (Zeno's Paradox of the Tortoise and Achilles revisited).
Authors: Landoni G, Pieri M, Young PJ, Bellomo R Abstract It is a common observation that many multicenter randomized controlled trials (mRCT) performed in critically ill patients do not achieve the positive findings often seen in single centre studies (sRCT). This has, of course, relevant consequences for clinical practice, as mRCTs have higher scientific validity compared to sRCTs. The aim of this manuscript was to review and discuss the several potential causes of this phenomenon and to relate them to the future of mRCTs in critical care medicine. Overall, this seems to recall the old mythologic story of Achille...
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Searching for the perfect brain-protecting agent.
Authors: Algarra NN Abstract PMID: 30394069 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The use of i-gel ® at the prone position in a patient with massive pulmonary bullae.
The use of i-gel® at the prone position in a patient with massive pulmonary bullae. Minerva Anestesiol. 2018 Oct 30;: Authors: Yamasaki T, Ohtake K, Kinoshita H Abstract PMID: 30394070 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Brugada Syndrome: anaesthetic considerations and management algorithm.
Authors: Espinosa Á, Ripollés-Melchor J, Brugada R, Campuzano Ó, Sarquella-Brugada G, Abad-Motos A, Zaballos-García M, Abad-Torrent A, Prieto-Gundin A, Brugada J Abstract Brugada syndrome is characterized by arrhythmogenic risk that may be exacerbated by different metabolic and pharmacological factors. Since its first description, knowledge of this syndrome and its detection by physicians belonging to different specialties have gradually increased. The risk of arrhythmias is well known to increase in the postoperative period, and this risk is particularly accentuated in patients with Bru...
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Xenon as a quick reversal anaesthetic agent for asleep awake asleep approach.
Authors: Piazza O, De Benedictis G Abstract PMID: 30394072 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Expanding the burdens of airway management: not only endotracheal tubes.
Authors: Sorbello M Abstract PMID: 30394073 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Low dose spinal anaesthesia plus Epidural Volume Extension for ambulatory obstetric surgery: is it a suitable option?
Authors: Brogly N, Guasch E Abstract PMID: 30394074 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Do residents in anesthesiology feel adequately prepared for handling infections by multi-resistant pathogens? Results of a survey in German hospitals.
Authors: May M, Kees M, Brookman-May S, Jacob M, MR2 - study group Abstract PMID: 30394075 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Xenon: towards a tailored anesthetic approach?
Authors: Bertini P Abstract PMID: 30394076 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Delirium in the post-anesthesia care unit may be associated with the development of postoperative delirium in a cohort of elderly patients.
Authors: Gutiérrez RG, Reyes FI, Penna A Abstract PMID: 30394077 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Intravenous immunoglobulin in sepsis: can we find the right dose?
Authors: Szakmany T Abstract PMID: 30394078 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - November 6, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The Shamrock sign: comprehending the trefoil may refine block execution.
Authors: Nielsen MV, Nielsen TD, Bendtsen TF, Børglum J Abstract PMID: 30328331 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - October 19, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Post-operative shivering: a common phenomenon with multiple causes.
Authors: Caruselli M Abstract PMID: 30328332 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - October 19, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Acute coronary ostial stenosis resulting from the left main trunk stenting deformity during the aortic valve replacement.
Authors: Kasuga T, Kinoshita H, Otake K, Yamasaki T, Ishii H Abstract PMID: 30328333 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - October 19, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Mechanical ventilation during extra-corporeal membrane oxygenation: more questions than answers.
Authors: Kneyber MC Abstract PMID: 30328334 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - October 19, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The entropic world of the difficult airway.
Authors: Rossi M Abstract PMID: 30328335 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - October 19, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Taking the pain by the horns: rams and measuring tape.
Authors: Cattano D, Rigamonti A Abstract PMID: 30328336 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - October 19, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Good antimicrobial practice: time to update the "choosing wisely" ® top 5 list in critical care medicine.
Good antimicrobial practice: time to update the "choosing wisely"® top 5 list in critical care medicine. Minerva Anestesiol. 2018 Oct 17;: Authors: Dalfino L, Brienza N, Bruno F Abstract PMID: 30328337 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - October 19, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The search for the holy grail for regional anesthesia continues.
Authors: Soliman LM, Farag E Abstract PMID: 30328338 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - October 19, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Assessing nociception: steps towards intraoperative "full monitoring".
Assessing nociception: steps towards intraoperative "full monitoring". Minerva Anestesiol. 2018 Oct;84(10):1123-1125 Authors: Gómez-Ríos MÁ, Abad-Gurumeta A, Calvo-Vecino JM PMID: 30274508 [PubMed - in process] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - October 3, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Thinking outside the box; off-label use of the Bispectral Index (BIS) within context and limitations for conditions other than depth of anesthesia. Light and shadow of the BIS.
Authors: Dahaba AA Abstract Numerous articles appeared in literature using Brain Function Monitors (BFM) such as the bispectral index (BIS) to assess cerebral cognitive conditions not related to depth of anesthesia. The BIS cannot be considered a "true" reflection of the electroencephalography (EEG) signal nor an independent measure of brain function. The BIS algorithm was retrospectively derived from EEG changes with incremental doses of γ-amino butyric acid (GABA)ergic anesthetic agents while measuring 3 descriptors. In many instances we are confronted with BIS values that do not concur with clini...
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Incidence of difficult airway in thoracic anaesthesia practice: a retrospective observational study.
Authors: Corso RM, De Fazio C, Ornigotti E, Maitan S, Piraccini E, Sorbello M PMID: 30226035 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The challenge of advance care planning: the new Italian law.
Authors: Giannini A PMID: 30226036 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Myocardial injury after non cardiac surgery: troponin assay is not enough, we need perioperative bearings.
Authors: Colombo R PMID: 30226037 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Comparing low-dose bupivacaine with epidural volume extension to standard bupivacaine dosing for short obstetric procedures: a prospective, randomized study.
Authors: Powell MF, Blakely CM, Sakawi Y, Frölich MA Abstract BACKGROUND: Intrathecal bupivacaine's long duration of action can unnecessarily increase the time to meet post-anesthesia care unit (PACU) discharge criteria for patients undergoing short obstetric procedures. We sought to use a technique known as epidural volume extension (EVE) to determine if we could provide an adequate surgical block while significantly decreasing the time required to meet PACU discharge criteria for patients undergoing short obstetric procedures. METHODS: Fifty participants were randomized into two groups. The control group...
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Comparative effectiveness of pharmacologic interventions to prevent shivering after surgery: a network meta-analysis.
CONCLUSIONS: Nefopam was ranked best regarding both severity and incidence of postoperative shivering. In addition to nefopam, tramadol, meperidine IV and IT, and dexmedetomidine IV were ranked high. However, there was significant heterogeneity regarding the individual drug regimen and surgery type, precluding firm conclusion. Further randomized trials are required to compare the efficacy of the drugs with high rank. PMID: 30226340 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Evaluation of an active decision support system for hemodynamic optimization during elective major vascular surgery.
CONCLUSIONS: High rates of compliance underline clinical acceptability and feasibility of this ADSS during vascular surgery. It may therefore facilitate the work of anesthesiologists and reduce disparities in patient outcomes due to different healthcare providers. Particularly, rapidly developing hemodynamic perturbances as well as co-factors the ADSS as of now does not anticipate are current limitations. These findings may serve to further improve this stand-alone real-time ADSS. PMID: 30226341 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Intraoperative dexmedetomidine attenuates stress responses in patients undergoing major spine surgery.
Authors: Kim MH, Lee KY, Bae SJ, Jo M, Cho JS Abstract BACKGROUND: Surgical stress induces stress hormone release and sympathetic hyperactivation, resulting in hemodynamic instability. Dexmedetomidine has sympatholytic and hemodynamic stabilizing effects. We investigated whether dexmedetomidine could attenuate stress responses in major spine surgery. METHODS: In this prospective randomized study, 52 patients undergoing spine fusion surgery were randomized to placebo (n=26) or to dexmedetomidine (n=26) groups. Dexmedetomidine at a rate of 0.4 μg/kg/h or saline was infused, starting immediately after anestheti...
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Cardiac output monitoring during liver transplantation: which tool to choose?
Authors: Gurjar M, Mauri T PMID: 30226343 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Organ donation after neurological or circulatory death? Two is better than one.
Authors: Nanni Costa A, Procaccio F PMID: 30226344 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Stroke volume variation and intraoperative bleeding during functional endoscopic sinus surgery.
Authors: Dauri M, Di Mauro R, Lucci F, Martino F, Silvi MB, Gidaro E, Di Lorenzo S, Toschi N, Di Girolamo S PMID: 30226345 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Predicting extubation success: instrumental assessment, clinical tests and cave diving.
Authors: Frova G, Sorbello M PMID: 30226346 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 20, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

LMA ® ProtectorTM Airway. First experience with a new second generation laryngeal mask.
LMA® ProtectorTM Airway. First experience with a new second generation laryngeal mask. Minerva Anestesiol. 2018 Sep 10;: Authors: Eckardt F, Engel J, Tw Mann S, Müller M, Zajonz T, Koerner CM, Sander M, Mann V Abstract BACKGROUND: The LMA ProtectorTM Airway (LMA-Protector) is a new supraglottic airway promising a better seal, an improved drainage of gastric secretions and the opportunity of a simplified fiberscopic guided tracheal intubation. The aim of this study was to present a primary evaluation of the LMA-Protector in a clinical setting. METHODS: After informed consent 50 patients, sc...
Source: Minerva Anestesiologica - September 13, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Plasma levels of mid-regional pro-adrenomedullin in sepsis are associated with risk of death.
Authors: Valenzuela-Sánchez F, Valenzuela-Méndez B, Austria RB, Rodríguez-Gutiérrez JF, Estella García Á, Fernández-Ruiz L, González-García MÁ, Rello J Abstract BACKGROUND: Identifying ICU patients with sepsis and predicting the risk of death are unmet clinical needs. METHODS: Prospective observational singlecenter study of 120 consecutive ICU patients with suspected severe sepsis at Jerez Hospital. Epidemiological, clinical, laboratory data and MRproADM, Procalcitonin (PCT) and Creactive protein (CRP) levels were recorded at ICU admission an...
Source: Minerva Anestesiologica - September 13, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Effect of ultrasound image enhancement software on the quality of vision of regional anesthesia needles.
We described the results as mean (standard deviation). RESULTS: The Echoplex needle, 8.31 (1.94), was significantly better than the Sonoplex needle, 7.53 (2.16), p = 0.0003, and both were significantly better than the other needles (p
Source: Minerva Anestesiologica - September 13, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Ultrasound-guided mandibular nerve block with local anesthetic and low-molecular weight dextran helps reduce anesthetic requirements for parotidectomy.
Authors: Tsuchiya M, Mizutani K, Yabe M, Mori T, Ueda W PMID: 30207135 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 13, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Effects of dexmedetomidine on inflammatory mediators after tourniquet-induced ischemia-reperfusion injury: a randomized, double-blinded, controlled study.
Authors: Kim SH, Kim DH, Shin S, Kim SJ, Kim TL, Choi YS Abstract BACKGROUND: Tourniquet use during total knee arthroplasty (TKA) produces ischemia- reperfusion injury (IRI), with systemic release of inflammatory cytokines and reactive oxygen species upon tourniquet release. We conducted a randomized, placebo-controlled, double-blind trial to examine whether dexmedetomidine (DEX) as an adjunct during general anesthesia in patients undergoing unilateral TKA could attenuate the rise in inflammatory cytokines and oxidative stress. METHODS: Sixty-eight patients were randomized to either the control or DEX group. DE...
Source: Minerva Anestesiologica - September 13, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Pectoral Nerve block II with programmed intermittent bolus of local anesthetic and post-operative pain relief in breast surgery.
Authors: Tiburzi C, Cerotto V, Gargaglia E, Carli L, Gori F PMID: 30207137 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - September 13, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Office-based anesthesia: hot topics and expert opinions.
Authors: Mason KP, Cavaliere F PMID: 30044070 [PubMed - in process] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - July 27, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Xenon anesthesia for awake craniotomy: safety and efficacy. A prospective observational case series.
CONCLUSIONS: In this case series, Xenon anesthesia was successfully used for the sedative phase of an awake craniotomy accomplished with an AAA approach. PMID: 30035455 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - July 25, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Predictors of difficult airway in a Chinese surgical population: the gender effect.
Authors: Wang B, Zheng C, Yao W, Guo L, Peng H, Yang F, Wang M, Jin X Abstract BACKGROUND: Compared with men, women often have a shorter interincisor distance and a shorter thyromental distance but are less likely to have difficult airway. The hypothesis is that the prediction criteria of difficult airway differ between men and women. The aim of this study was to investigate differences in the prediction criteria of anatomic predictors for difficult airways in men and women. METHODS: We enrolled adult patients who underwent general anesthesia and tracheal intubation. The interincisor distance, thyromental dista...
Source: Minerva Anestesiologica - July 25, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

The effect of scoliosis on surface landmarks for lumbar plexus block: a magnetic resonance imaging-based retrospective case-control series.
CONCLUSIONS: There is a larger degree of lateral deviation of the LP on the concave side of scoliosis compared to medial deviation on the convex side. These deviations remained consistent irrespective of the direction of scoliosis. A review of the imaging studies and pre procedural ultrasound assessment of anatomy should be strongly considered prior to needle puncture. In patients with severe DS, an alternative approach may be considered to avoid the possibility of visceral organ injury. PMID: 30035457 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - July 25, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research

Monitoring cerebrovascular autoregulation: a potential new tool to prevent neurocognitive complications after cardiac surgery.
Authors: Zanatta P, Messerotti Benvenuti S PMID: 30035458 [PubMed - as supplied by publisher] (Source: Minerva Anestesiologica)
Source: Minerva Anestesiologica - July 25, 2018 Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research