Mag
24

Updates in the perioperative and emergency management of non-vitamin K antagonist oral anticoagulants

Dott. Luigi Vicari on 24 maggio 2015

Perioperative management of patients treated with the non-vitamin K antagonist oral anticoagulants is an ongoing challenge. Due to the lack of good clinical studies involving adequate monitoring and reversal therapies, management requires knowledge and understanding of pharmacokinetics, renal function, drug interactions, and evaluation of the surgical bleeding risk. Consideration of the benefit of reversal of […]

Continue reading about Updates in the perioperative and emergency management of non-vitamin K antagonist oral anticoagulants

Anestesia No comments »
Mag
24

Perioperative lung protective ventilation in obese patients

Dott. Luigi Vicari on 24 maggio 2015

The perioperative use and relevance of protective ventilation in surgical patients is being increasingly recognized. Obesity poses particular challenges to adequate mechanical ventilation in addition to surgical constraints, primarily by restricted lung mechanics due to excessive adiposity, frequent respiratory comorbidities (i.e. sleep apnea, asthma), and concerns of postoperative respiratory depression and other pulmonary complications. The […]

Continue reading about Perioperative lung protective ventilation in obese patients

Anestesia No comments »
Mag
24

Liposomal-Encased Bupivacaine Offers Advantages in Breast Surgical Procedures

Dott. Luigi Vicari on 24 maggio 2015

Liposomal-encased bupivacaine (LEB) is a good, cost-effective medical choice for pain control after breast surgery.

Continue reading about Liposomal-Encased Bupivacaine Offers Advantages in Breast Surgical Procedures

Anestesia No comments »
Mag
24

Ultrasound-Guided Penile Nerve Block for Circumcision: A New, Modified Technique

Dott. Luigi Vicari on 24 maggio 2015

I describe here a new, modified, ultrasound-guided penile block for male pediatric patients undergoing circumcision. The technique uses portable ultrasound with a linear probe and real-time scan at the base of the penis to identify vessels and fascia layers, which allows safe advancement of the needle and injection of local anesthesia bilaterally. The technique allows […]

Continue reading about Ultrasound-Guided Penile Nerve Block for Circumcision: A New, Modified Technique

Anestesia No comments »
Mag
24

Current Concepts In the Management of The Difficult Airway

Dott. Luigi Vicari on 24 maggio 2015

Management of the difficult airway remains one of the most relevant and challenging tasks for anesthesia care providers. This review focuses on several of the alternative airway management devices/techniques and their clinical applications, with particular emphasis on the difficult or failed airway. It includes descriptions of many new airway devices, several of which have been […]

Continue reading about Current Concepts In the Management of The Difficult Airway

Anestesia No comments »