Dott. Luigi Vicari on gennaio 9th, 2011

The brain under general anesthesia isn’t “asleep” as surgery patients are often told — it is placed into a state that is a reversible coma, according to three neuroscientists who have published an extensive review of general anesthesia, sleep and coma, in the Dec. 30 issue of the New England Journal of Medicine. This insight and [...]

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Dott. Luigi Vicari on gennaio 1st, 2011

Il trattamento ventilatorio nel paziente con grave crisi asmatica intubato è un argomento ancora oggi poco supportato dalle evidenze scientifiche, tuttavia gli esperti concordano nel ritenere valida una strategia basata su criteri fisiopatologici. Eccone, in sintesi, gli aspetti salienti.

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A new guideline published will ensure that anxious young NHS patients do not receive ineffective or unsafe sedation drugs ahead of any therapeutic or diagnostic procedure. The National Institute for Health and Clinical Excellence (NICE) has developed this first-ever national guideline to improve NHS care and safety standards within England and Wales for sedating infants, [...]

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Dott. Luigi Vicari on novembre 6th, 2010

Sulla rivista Deutsches Aerzteblatt International è stato pubblicato un nuovo articolo dal titolo Nausea and Vomiting after Surgery under General Anesthesia.

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An alternative anesthetic technique can be employed when conventional nasal intubation methods do not work.. The method involves a gum elastic bougie (GEB) device, which is useful for difficult airway management but seldom has been used for nasotracheal intubation. Leggi l’articolo intero.

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Dott. Luigi Vicari on ottobre 24th, 2010

New research suggests that there are distinct patterns of neurobiology that occur during loss of consciousness and recovery following anesthesia. The work was presented here at the American Society of Anesthesiologists 2010 Annual Meeting.

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Dott. Luigi Vicari on ottobre 24th, 2010

ICSI (10/2010): Perioperative Protocol

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Dott. Luigi Vicari on ottobre 21st, 2010

Smokers experience more pain and are more likely to suffer from severe pain following ambulatory surgery, according to a study presented here at the American Society of Anesthesiologists 2010 Annual Meeting.

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Dott. Luigi Vicari on ottobre 21st, 2010

Individuals with existing depression or anxiety appear to have an increased risk for death within 30 days of surgery, new research suggests.

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Dott. Luigi Vicari on ottobre 11th, 2010

Temporary combativeness after surgery-a complication affecting up to half of anesthetized children-may be preventable with drugs that decrease epinephrine production, according to a Medical College of Georgia pediatric anesthesiologist. Leggi il resto dell’articolo.

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Dott. Luigi Vicari on ottobre 10th, 2010

Postoperative hyperglycemia may predict surgical site infection (SSI), according to the results of a retrospective medical record review reported in the September issue of Archives of Surgery.

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Dott. Luigi Vicari on settembre 24th, 2010

Dopo due precedenti revisioni del 2000 e del 2003, è uscita nel luglio di quest’anno una nuova revisione sistematica della Cochrane che ha avuto come obiettivo quello di verificare l’efficacia dell’utilizzo di calze a compressione graduata (GCS) nel diminuire il rischio di Trombosi venosa profonda (TVP) degli arti inferiori che si verificano in pazienti ospedalizzati [...]

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Children at high risk for perioperative respiratory adverse events could be systematically identified at the preanesthetic assessment, and the information gained there could be used to optimize anesthetic care. They might also benefit from specifically targeted anesthesia management.

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Dott. Luigi Vicari on settembre 14th, 2010

Rivaroxaban, inibitore diretto del fattore Xa, risulta più efficace della dose raccomandata di enoxaparina come strategia di tromboprofilassi dopo artroplastica d’anca e di ginocchio. Simili, invece, i profili di sicurezza delle due terapie.

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Dott. Luigi Vicari on agosto 9th, 2010

Practice advisory on anesthetic care for magnetic resonance imaging. A report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging. Practice guidelines for the prevention, detection, and management of respiratory depression associated with neuraxial opioid administration. An updated report by the American Society of Anesthesiologists Task Force on Neuraxial [...]

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