Anestesia

Secondo dei dati presentati al congresso del WCRAPT, tenutosi in novembre a Città del Capo, la durata della degenza ospedaliera per protesi totale d’anca (total hip replacement, THR) primaria elettiva è significativamente influenzata dalla sincope ipotensiva postoperatoria, mentre non è comprovato che la modalità di anestesia prolunghi la degenza.

Continue reading about WCRAPT: È noto che ipotensione e sincope perioperatorie aumentano la degenza nel THR, ma non la modalità di anestesia

Dott. Luigi Vicari on 26 novembre 2014

Montreal—Preliminary data indicate reduced postoperative/post-discharge nausea and vomiting (PONV/PDNV) and improved patient satisfaction after a single dose of IV acetaminophen in patients undergoing laparoscopic cholecystectomy, compared with traditional opioid-based anesthetics. Despite this, the overall amount of opioid administered intraoperatively and in the postanesthesia care unit (PACU) was not reduced. Fonte: Anesthesiology News

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Dott. Luigi Vicari on 26 novembre 2014

When performing deep sedation in children undergoing magnetic resonance imaging (MRI) studies, anesthesiologists often are on the lookout for a drug that will not inhibit airway patency. A trial by a group of Buffalo researchers has concluded that dexmedetomidine may be one such alternative, as it causes no more airway collapses than propofol in these […]

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Hypotension is a common problem during spinal anesthesia for cesarean delivery. Intravenous fluid loading is used to correct preoperative dehydration and reduce the incidence and severity of hypotension. Different fluid regimens have been studied but colloid preload and crystalloid co-load have not been compared.

Continue reading about Comparison between colloid preload and crystalloid co-load in cesarean section under spinal anesthesia: a randomized controlled trial.

Dott. Luigi Vicari on 22 agosto 2014

A topical application of tranexamic acid (TXA) after surgery is a simple, effective way to reduce blood loss, transfusions and the risk for systemic side effects, researchers have found. Normally given orally or intravenously, TXA has been used successfully in a variety of surgeries to prevent the dissolution of blood clots, but some clinicians are […]

Continue reading about Topical Tranexamic Acid Blunts Blood Loss After TKA