Dott. Luigi Vicari on 5 febbraio 2015

Many of the benefits of effective epidural analgesia for open abdominal surgery are soundly established. A well-managed epidural can provide excellent analgesia in the postoperative period allowing the patient to be pain free at rest and when mobilizing. In addition, epidural block will obtund the acute stress response to surgery. Consequently along with the analgesic […]

Continue reading about What Is the Role of Epidural Analgesia in Abdominal Surgery?

Dott. Luigi Vicari on 5 febbraio 2015

The American Geriatrics Society (AGS) has released a new practice guideline for preventing and treating postoperative delirium in patients aged 65 years or older. The guideline was published online November 4 on the AGS website. An additional best practices document containing almost all guideline recommendations plus additional clinical recommendations was published online November 14 in […]

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Dott. Luigi Vicari on 15 gennaio 2015

Montreal—A review of the records of more than 20,000 women in labor has found that even those with platelet counts as low as 50×109/L can safely receive regional anesthesia (RA), under the right circumstances. Although RA is now the standard of care in laboring women, turning to epidurals and spinals in high-risk parturients—especially those with […]

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Dott. Luigi Vicari on 15 gennaio 2015

m4s0n501 image In nearly all cases in which patients suffered accidental awareness during general anesthesia, a neuromuscular block (NMB) was also given, despite NMBs being routinely used less than half the time when anesthesia is administered. So concluded the largest and most comprehensive study of accidental awareness to date.

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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