Anestesia

The optimal range of fluid administration in patients undergoing lung resection surgery has been a controversial topic in anesthesia. There are hazards at both ends of the spectrum: Liberal o verhydration can lead to fluid-induced lung injury, while conservative fluid-management strategies have a risk for organ ischemia.

Continue reading about Fluid Management Strategy for Thoracic Surgery: Are You Conservative or Liberal?

The optimal range of fluid administration in patients undergoing lung resection surgery has been a controversial topic in anesthesia. There are hazards at both ends of the spectrum: Liberal o verhydration can lead to fluid-induced lung injury, while conservative fluid-management strategies have a risk for organ ischemia.According to a review of the recent literature, however, […]

Continue reading about Fluid Management Strategy for Thoracic Surgery: Are You Conservative or Liberal?

Dott. Luigi Vicari on 15 marzo 2016

PALM SPRINGS, California — A noninvasive, easy-to-administer sphenopalatine ganglion block relieves postdural puncture headache (PDPH) faster than an epidural blood patch in obstetric patients and has fewer adverse effects, new research shows.The block works so well in patients with PDPH that it should the considered the first line treatment in this population, said Preet Patel, […]

Continue reading about Ganglion Block Beats Blood Patch for Dural Puncture Headache

Dott. Luigi Vicari on 8 ottobre 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

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