Sedation in the Intensive Care Unit. The basis of the problem.

Abstract:

:The authors briefly discuss the advantages and limits of sedation in critically ill patients. They also focus the importance of an individualized sedative approach which provides pain relief and modulates stress response, allowing patients to be easily arousable and cooperative as necessary.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Conti G,Mercurio G,Iacobone E,Auricchio D,Liberati Q

keywords:

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

240-4

issue

4

eissn

0375-9393

issn

1827-1596

journal_volume

68

pub_type

杂志文章,评审
  • Preoperative autonomic nervous system analysis may stratify the risk of hypotension after spinal anesthesia.

    abstract:BACKGROUND:Studies on pregnant women undergoing cesarean delivery or elderly men scheduled for prostate brachytherapy have demonstrated the predictive value of heart rate variability (HRV) analysis for hypotension during spinal anesthesia. We conducted a prospective observational study to investigate if preoperative HR...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Raimondi F,Colombo R,Spazzolini A,Corona A,Castelli A,Rech R,Borghi B,Fossali T,Guzzetti S

    更新日期:2015-07-01 00:00:00

  • Acute reduction of cerebrospinal fluid volume prior to spinal anesthesia: implications for sensory block extent.

    abstract:BACKGROUND:Multiple patient and clinical characteristics contribute to the variable outcome of spinal anesthesia (SPA). Acute reduction of cerebrospinal fluid (CSF) volume may alter the effect of SPA. The objective of the present study was to test if aspiration of 10 mL CSF immediately prior to SPA is associated with h...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14138-5

    authors: Bjurström MF,Mattsson N,Harsten A,Dietz N,Bodelsson M

    更新日期:2020-06-01 00:00:00

  • Treatment of fever in neurosurgical patients.

    abstract::Even moderate temperature elevations soon acute cerebral damage may markedly worsen initial brain injury. These effects may justify aggressive antipyretic treatment in neurosurgical intensive care unit (NICU). On the basis of a literature survey, it is observed that fever is extraordinarily common in the neurosurgical...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Cormio M,Citerio G,Portella G,Patruno A,Pesenti A

    更新日期:2003-04-01 00:00:00

  • [Postoperative cerebral edema. Physiopathology of the edema and medical therapy].

    abstract::Cerebral edema complicates many neurosurgical conditions, such as head injuries, neoplasms and infections, and is the direct result of operative trauma. The recognition and the treatment of brain edema are of great practical importance, particularly in those conditions leading to brain herniations and/or intracranial ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Tommasino C

    更新日期:1992-04-01 00:00:00

  • Inhalation anesthetics: a review.

    abstract::Inhalation agents represent a basic drug used in modern balanced anesthesia. In the present review, the pharmacokinetics, effectiveness and clinical effects of inhalation agents on different systems are discussed. Data concerning the metabolism and related toxicity of halogenated agents is reviewed, with particular re...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Torri G

    更新日期:2010-03-01 00:00:00

  • Randomized controlled pilot trial of the rigid and flexing laryngoscope versus the fiberoptic bronchoscope for intubation of potentially difficult airway.

    abstract:BACKGROUND:The flexible fiberoptic bronchoscope (FOB) is viewed as the gold standard device for awake intubation in the difficult airway. The newer rigid flexible laryngoscope (RIFL) was developed for similar indications. In this study we compare these two devices for management of potentially difficult airways after i...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Alvis BD,King AB,Hester D,Hughes CG,Higgins MS

    更新日期:2015-09-01 00:00:00

  • [Recovery after serious mushroom poisoning (grade IV encephalopathy) with intensive care support and without liver transplantation. Clinical case].

    abstract::Despite consistent improvement in its treatment, amatoxin poisoning still extolls an elevated overall mortality, ranging between 10 and 15%, which approaches 100% when severe (grade 3-4 encephalopathy) hepatic failure supervened. Therefore, the proper treatment of intoxication by amatoxin containing mushrooms, and par...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Ronzoni G,Vesconi S,Radrizzani D,Corbetta C,Langer M,Iapichino G

    更新日期:1991-06-01 00:00:00

  • [Plasmapheresis and intraoperative hemodilution. Comparison of 2 methods].

    abstract::Fifty patients undergoing cardiac surgery suffering from coronary artery disease and valvular incompetence or stenosis, were randomly divided into two groups of 25 patients to compare the plasmapheresis effects on bleeding, transfusion requirements, economicity and paramedical staff compliance versus intraoperative au...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Sonzogni V,Bellavita P,Aceti M,Cossolini M,Lorini L

    更新日期:1995-07-01 00:00:00

  • Association between intra-abdominal pressure and jugular bulb saturation in critically ill patients.

    abstract:BACKGROUND:Disorders in cerebral circulation following elevated intra-abdominal pressure (IAP) may lead to silent brain ischemia, which can be serious problem in sedated critically ill patients. The aim of the present study was to analyse the possible association between jugular venous bulb pressure (JVBP) and jugular ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Kotlinska-Hasiec E,Dabrowski W,Rzecki Z,Rybojad B,Pilat J,De Keulenaer B,Lng Malbrain M

    更新日期:2014-07-01 00:00:00

  • [Plasma hyperosmolarity aspects in intensive care and its treatment with potassium canreonate].

    abstract::Intravenous administration of 400-600 mg/day potassium canrenoate normalised plasma osmolarity and permitted rapid re-establishment of the metabolic picture in 9/12 patients with hyperosmolarity admitted to a resuscitation department for complex physiopathological pictures. The soundness of the drug in this sense is a...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Ruggerini R,Mazzocchi F,Albini G,Cifalinò M

    更新日期:1979-09-01 00:00:00

  • A preoperative single dose of methadone for moderate-to-severely painful surgery reduces postoperative morphine consumption.

    abstract:BACKGROUND:Data from patient questionnaires reveal that the intensity of postoperative pain is widely underestimated. Insufficient pain control may contribute to impaired short- and long-term outcome. Preoperative administration of methadone might potentially improve postoperative pain control due to its long pharmacol...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:10.23736/S0375-9393.19.13136-7

    authors: Bastian K,Buehler PK,Slizyte D,Rüst CA,Toft K,Studer W,Lecheler L,Aguirre J,Siegemund M,Hollinger A

    更新日期:2019-10-01 00:00:00

  • Diuretics in acute kidney injury.

    abstract:BACKGROUND:In an acute care setting, diuretics are often prescribed to maintain or increase urine output in patients presenting with acute kidney injury (AKI). The rationale behind giving diuretics is that they may protect the kidney from ischemic injury by maintaining a nonoliguric state. There have been many studies ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Karajala V,Mansour W,Kellum JA

    更新日期:2009-05-01 00:00:00

  • [Diffuse traumatic cerebral injuries in children].

    abstract::A consecutive series of 41 patients aged less than 16 and admitted to the Department of Neurosurgery of the University of Milan in the period 1977-1978 following serious cranioencephalic trauma with Glasgow Coma Score (GCS) less than or equal to 7, duration of coma longer than 24 h and CT picture of diffuse lesion has...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Sganzerla EP,Massei R,De Santis A,Guerra P,Tiberio F,Parma A,Villani R,Trazzi R

    更新日期:1989-04-01 00:00:00

  • [Anesthesiologic and surgical problems in adenotonsillectomy in pediatric patients. Our current trend].

    abstract:AIM:To verify, in dissection adenotonsillectomy (AT) performed in Rose position under general anaesthesia with oro-tracheal intubation, the following: 1) the ability of tramadol to produce an effective intra- and postoperative analgesia without any considerable side effects or interferences with the normal post-surgica...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Macarone Palmieri A,Meglio M,Testa D,Salafia M,Iasiello A

    更新日期:1998-12-01 00:00:00

  • Metabolic treatment of critically ill patients: energy expenditure and energy supply.

    abstract::Nutrition in critically ill patients should be considered as therapy: assessing the energy expenditure and the termogenic effect of food, and knowing the differences among composition and amount of given substrates, it is possible restore, maintain, or at least limit the derangement of energy equilibrium. Energy metab...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Iapichino G,Radrizzani D,Giacomini M,Pezzi A,Zaniboni M,Mistraletti G

    更新日期:2006-06-01 00:00:00

  • Preconditioning effects of the anesthetic administered to the donor on grafted kidney function in living donor kidney transplantation recipients.

    abstract:BACKGROUND:In living donor kidney transplantation (LDKT), we evaluated if there was any difference in grafted kidney function according to the type of anesthetic used in the donor because some laboratory studies have demonstrated that volatile anesthetics at clinically relevant concentrations protect the kidneys agains...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Lee JH,Joo DJ,Kim JM,Park JH,Kim YS,Koo BN

    更新日期:2013-05-01 00:00:00

  • Time to wake up the patients in the ICU: a crazy idea or common sense?

    abstract::With the first generation of ventilators, it was often necessary to sedate patients to avoid dyssynchrony between patient and ventilator. The standard treatment of patients in need of mechanical ventilation has therefore traditionally included sedation. Modern ventilators are able to simulate the patients breathing ef...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Strøm T,Toft P

    更新日期:2011-01-01 00:00:00

  • Lumbar erector spinae plane block for postoperative analgesia after nephrectomy followed by emergent complication surgery.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 信件

    doi:10.23736/S0375-9393.19.13663-2

    authors: Canturk M

    更新日期:2019-09-01 00:00:00

  • Urinary neutrophil gelatinase-associated lipocalin to hepcidin ratio as a biomarker of acute kidney injury in intensive care unit patients.

    abstract:BACKGROUND:Labile iron is important in the pathogenesis of acute kidney injury (AKI). Neutrophil gelatinase-associated lipocalin (NGAL) and hepcidin control iron metabolism and are upregulated during renal stress. However, higher levels of urinary NGAL are associated with AKI severity whereas higher urinary hepcidin le...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Mårtensson J,Glassford NJ,Jones S,Eastwood GM,Young H,Peck L,Ostland V,Westerman M,Venge P,Bellomo R

    更新日期:2015-11-01 00:00:00

  • Red blood cell transfusion strategies in critically ill patients: lessons from recent randomized clinical studies.

    abstract::A randomized, multicenter trial conducted in 32 northern European general intensive care units (ICUs) enrolled some patients with septic shock randomly assigned to receive a red blood cell transfusion when the hemoglobin (Hb) level was ≤7 g/dL ("lower threshold"; N.=502) or ≤9 g/dL ("higher threshold"; N.=496) through...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Lelubre C,Vincent JL,Taccone FS

    更新日期:2016-09-01 00:00:00

  • Influence of LMA cuff pressure on the incidence of pharyngolaryngeal adverse effects and evaluation of the use of manometry during different ventilation modes: a randomized clinical trial.

    abstract:BACKGROUND:Pharyngolaryngeal discomfort is a significant complication following the use of laryngeal mask airway (LMA). The present study aimed to investigate the relation of LMA cuff pressure and the occurrence of pharyngolaryngeal discomfort during spontaneous ventilation (SV), pressure support (PSV) and pressure con...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Chantzara G,Stroumpoulis K,Alexandrou N,Kokkinos L,Iacovidou N,Xanthos T

    更新日期:2014-05-01 00:00:00

  • [Automatic fluid control during high-flow continuous hemofiltration: the Equaline system].

    abstract:OBJECTIVE:To describe the use of an automatic fluid control system, Equaline, during high flux continuous hemofiltration. DESIGN:Prospective descriptive study. SETTING:General intensive care unit in a general hospital. PATIENTS:15 consecutive patients suffering from septic shock, hypercatabolic with acute renal fail...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Sicignano A,De Pietri P,Latis G,Minuto A,Riboni A,Vesconi S

    更新日期:1994-01-01 00:00:00

  • [Continuous intravenous infusion with patient-controlled anesthesia for postoperative analgesia in cesarean section: morphine versus buprenorphine].

    abstract::A double blind comparison between morphine and buprenorphine was performed in 20 patients using a new demand and continuous infusion analgesic system to provide analgesia after cesarean section. The patients were randomized in two equal groups to receive either morphine 1 mg/h or buprenorphine 0.03 mg/h. The PCA syste...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Capogna G,Celleno D,Sebastiani M,Costantino P,Reggio S

    更新日期:1989-01-01 00:00:00

  • A prospective, observational evaluation of a new supraglottic airway: the PAXpress.

    abstract:AIM:Little information is available on efficacy and safety of the new supraglottic device, PA(Xpress), in anesthetized patients. The aim of this prospective observational study was to evaluate the use of this new supraglottic device in clinical practice. METHODS:Ninety-one patients (mean age: 45+/-11 years) undergoing...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Mondello E,Casati A,Italian PAXpress Group.

    更新日期:2003-06-01 00:00:00

  • Timing and duration of intracranial hypertension versus outcomes after severe traumatic brain injury.

    abstract:BACKGROUND:The goal of this paper was to investigate the association between patterns of intracranial hypertension (IH) and outcomes, to describe the treatment of patients with different patterns of IH, and to examine whether IH is an independent predictor of mortality and unfavourable outcome, respectively. METHODS:A...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Majdan M,Mauritz W,Wilbacher I,Brazinova A,Rusnak M,Leitgeb J

    更新日期:2014-12-01 00:00:00

  • What anesthesiologists should know about paracetamol (acetaminophen).

    abstract::Paracetamol is widely used in the management of acute and chronic pain. The purpose of this review is to give anesthesiologists answers to some of the most common questions about paracetamol, specifically the following questions. What is the mechanism of action of paracetamol? Is paracetamol a NSAID? Which endogenous ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Mattia C,Coluzzi F

    更新日期:2009-11-01 00:00:00

  • Clinical decision support system clears the way for perioperative goal directed therapy protocol adherence improvement: a reply.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 评论,信件

    doi:10.23736/S0375-9393.19.13586-9

    authors: Menger J,Dworschak M

    更新日期:2019-06-01 00:00:00

  • Acute renal failure in rhabdomyolysis.

    abstract::Fifteen to 30% of patients develop acute renal failure (ARF) following rhabdomyolysis and rhabdomyolysis accounts for 5 to 9% of all ARF. Experimental studies revealed two critical factors that predispose to myoglobinuric ARF: hypovolemia/dehydration and aciduria. At the nephron level, three basic mechanisms underlie ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Guglielminotti J,Guidet B

    更新日期:1999-05-01 00:00:00

  • [Role of assisted breathing in severe traumatic brain injury].

    abstract:BACKGROUND:Based on available data, there is no definite clinical research describing option, timing and effects of assisted as opposed to controlled ventilation to successfully treat acute severely brain-injured patients. This study demonstrates pressure support ventilation as a possible alternative to controlled vent...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cormio M,Portella G,Spreafico E,Mazza L,Pesenti A,Citerio G

    更新日期:2002-04-01 00:00:00

  • [Comparison of 2 modified Fick methods and thermodilution for determining the cardiac output in patients with mechanical ventilation].

    abstract:OBJECTIVE:To evaluate the effectiveness of two cardiac output measurement methods based on a modified Fick equation, that calculate the O2 consumption (VO2) dividing the CO2 production (VCO2) by a fixed respiratory quotient (RQ). DESIGN:Comparative study. SETTING:One 5 beds general intensive care unit in a 500 beds g...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Corbanese U,Possamai C

    更新日期:1995-05-01 00:00:00