[TOSS (time oriented score system): definition of the nurse/patient relations based on the timing of the workload. Validation during the stay. Gruppo Italiano Multicentrico di Ricerche in Terapia Intensiva (GIRTI)].

Abstract:

:TOSS, together with severity of illness (SAPS) and intensity of processes (TISS), has been determined in 941 patients on the 9th day of ICU stay, to ascertain the validity of TOSS in the calculation of the nurse/patient ratio, not only at the time of admission to ICU but also during the stay. The mean values of all indexes measured on day 9 proved lower than those measured on day 1. When the patient population were divided into survivors and non survivors, the above finding held true for surviving patients, while only TISS showed such behavior in patients who eventually died. On the contrary, both TOSS and SAPS on day 9 were not significantly different from those on day 1. Moreover, overall TOSS and TISS were linearly correlated on both occasions; however, the slope of regression lines were significantly different for the two measurements. Specifically, TOSS grew less rapidly, as a function of TISS, on day 1 compared to day 9; this yields, at equal TOSS value, a lower TISS value on day 9 compared to day 1. Therefore, TOSS demonstrates to be a suitable index to determine the nurse/patient ratio, more reliable and straightforward to be measured than TISS.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

keywords:

subject

Has Abstract

pub_date

1992-12-01 00:00:00

pages

1331-4

issue

12

eissn

0375-9393

issn

1827-1596

journal_volume

58

pub_type

杂志文章,多中心研究
  • Managing intensive supports. The attitudes of the health care workers of five Italian Hospitals to institution of CPR and admission to the ICU.

    abstract:AIM:The aim of the paper was to examine the attitudes of the health care workers (HCW) of five Italian Hospitals towards intensive supports, in the hypothesis that a large involvement could help to solve the problems of a more adequate management of vital supports. METHODS: DESIGN:Hospital HCWs' attitudes towards car...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Zamperetti N,Mazzon D,Orsi L,Barneschi MG,Marsili M,Rossi C,Primadei M,Ethics Commission of the Italian Society of Anaesthesia, Analgesia, Resuscitation and Intensive Care.

    更新日期:2007-03-01 00:00:00

  • Mechanical LUCAS resuscitation is effective, reduces physical workload and improves mental performance of helicopter teams.

    abstract:BACKGROUND:Physical and mental workload during cardiopulmonary resuscitation (CPR) is challenging under extreme working conditions. We hypothesized that the mechanical chest-compression device Lund University Cardiac Assist System (LUCAS) increases the effectiveness of CPR, decreases the physical workload and improves ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Rehatschek G,Muench M,Schenk I,Dittrich W,Schewe JC,Dirk C,Hering R

    更新日期:2016-04-01 00:00:00

  • Sensory assessment and block duration of transmuscular quadratus lumborum block at L2 versus L4 in volunteers: a randomized controlled trial.

    abstract:BACKGROUND:The efficacy of an ultrasound guided transmuscular quadratus lumborum block (QLB) for perioperative analgesia of the upper and lower abdomen remain debatable. The purpose of this study was to compare the cutaneous sensory blocked area (CSBA) between QLB blocks performed at the L2 vs. L4 levels. METHODS:Twen...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:10.23736/S0375-9393.19.13656-5

    authors: Lu Y,Zhang J,Xu X,Chen W,Zhang S,Zheng H,Xia Y,Papadimos TJ,Xu X,Chen H

    更新日期:2019-12-01 00:00:00

  • Correction to: A year in review in Minerva Anestesiologica 2019. Critical care.

    abstract::This corrects the article DOI:10.23736/S0375-9393.20.14384-0. ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,已发布勘误

    doi:10.23736/S0375-9393.20.14856-9

    authors: Cavaliere F,Biancofiore G,Bignami E,De Robertis E,Giannini A,Grasso S,Piastra M,Scolletta S,Taccone FS,Terragni P

    更新日期:2020-06-01 00:00:00

  • [Laryngeal mask vs tracheal intubation during mechanical ventilation in pediatric anesthesia].

    abstract:AIM:The aim of this study was to evaluate and compare the parameters for mechanical respiration in pediatric patients undergoing controlled ventilation with a laryngeal mask (LM) and an uncuffed orotracheal tube. METHODS:The study examined 100 ASA 1 patients undergoing general anesthesia with myoresolution and mechani...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Tartari S,Poole D,Bocchi A,Sgarbi A,Alvisi R

    更新日期:2000-01-01 00:00:00

  • Improving postoperative analgesia after axillary brachial plexus anesthesia with 0.75% ropivacaine. A double-blind evaluation of adding clonidine.

    abstract:BACKGROUND:The aim of this prospective, randomized, double-blind study was to evaluate the effects of adding 1 microg/kg clonidine to 20 ml of ropivacaine 0.75% for axillary brachial plexus anesthesia. METHODS:With Ethical Committee approval and written consent, 30 ASA physical status I-II in-patients, undergoing uppe...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Casati A,Magistris L,Beccaria P,Cappelleri G,Aldegheri G,Fanelli G

    更新日期:2001-05-01 00:00:00

  • [Postoperative intravenous analgesia].

    abstract::The authors report the results of two clinical studies on postoperative pain relief with PCA. In the first clinical study 44 patients, undergoing gynecologic surgery, were assigned at random to two groups. The first was treated by PCA (infusor Baxter) with morphine i.v. (basal bolus 0.05 mg/kg, loading doses 1 mg ever...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Paoletti F,Ciammitti B,Tosti F,Boanelli A,Pasqualucci V

    更新日期:1993-10-01 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

  • [Tranylcypromine and general anesthesia. Description of a clinical case].

    abstract::The Authors report a collapsial reaction during general anaesthesia for total hip replacement in a patient treated with tranylcipromine, an inhibitor of MAO, as antidepressant agent. She had discontinued drug intake eight days before. Nevertheless a serious collapsial reaction appeared in association with general anae...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Vimercati C,Monsagrati A,Seveso M

    更新日期:1990-06-01 00:00:00

  • Complete neurological recovery after systemic air embolism during endoscopic retrograde cholangiopancreatography.

    abstract::Systemic air embolisms are a rare but often a fatal complication of endoscopic retrograde cholangiopancreatography (ERCP). Only few cases have been reported in scientific studies. This paper concerns a case of a systemic air embolism that occurred during endoscopic sphincterotomy for gallstone removal in a 79-year-old...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bechi A,Nucera MP,Olivotto I,Manetti R,Fabbri LP

    更新日期:2012-05-01 00:00:00

  • [Comparison of 2 low molecular weight heparins in patients undergoing major abdominal surgery].

    abstract:INTRODUCTION AND AIMS:Thromboembolic disease can, in a large number of cases, be prevented in patients undergoing major surgery by using low molecular weight heparin (LMWH). These molecules extracted from standard heparin using a variety of cleavage methods possess different physical and chemical characteristics. The a...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Mabilia MA,Minicucci S,Pettiti G,Tamponi G,Bogli F

    更新日期:1996-12-01 00:00:00

  • [Validity of the V/Q index in the monitoring of critical patients].

    abstract::The Authors have controlled the validity of VQI to quantify pulmonary shunt (Qs/Qt). The survey involved (group A) patients who had undergone major surgery and (group B) patients hospitalized in ICU for cardiorespiratory failure. Four subgroups were identified in both the groups according to different values of SaO2. ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Donati A,Orsetti G,Bini G,Luzi A,Valente M,Giovannini C,De Ritis GC,Pietropaoli P

    更新日期:1992-01-01 00:00:00

  • A new pressure guided management tool for epidural space detection: feasibility assessment in a clinical scenario.

    abstract:BACKGROUND:The detection of epidural space is usually performed by the technique of loss of resistance (LOR) without technological support, although there are few commercial options. In this work, we aimed to assess the feasibility of a new, non-invasive, mechatronic system for LOR detection in clinical settings. The s...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14031-8

    authors: Carassiti M,Cataldo R,Formica D,Massaroni C,De Filippis A,Palermo P,Di Tocco J,Setola R,Valenti C,Schena E

    更新日期:2020-07-01 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

  • Is the pCO2 gap obtained from the superior vena cava in agreement with that from the pulmonary artery?

    abstract:BACKGROUND:The partial pressure of carbon dioxide (pCO2) gap is the difference between pCO2 values in the arterial and mixed venous blood; values higher than six mmHg may be predictive of tissue hypoperfusion. It is still doubtful if central venous blood can be used to assess the gap. This study was aimed to compare th...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.19.13554-7

    authors: Cavaliere F,Antoniucci ME,Arlotta G,Bevilacqua F,Calabrese M,Corrado M,Corsi F,De Paulis S,Guarneri S,Scapigliati A

    更新日期:2019-12-01 00:00:00

  • Molecular weight and molar substitution are more important in HES-induced renal impairment than concentration after hemorrhagic and septic shock.

    abstract:BACKGROUND:Clinical studies have raised concerns about the safety of 6% hydroxyethylstarch (HES) 130/0.42, but the pathomechanisms of this renal impairment remain unknown. To evaluate the effects of different HES concentrations, molar substitutions and molecular weights in HES-induced renal impairment, we used a porcin...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Simon TP,Thiele C,Schuerholz T,Fries M,Stadermann F,Haase G,Amann KU,Marx G

    更新日期:2015-06-01 00:00:00

  • Femoral and sciatic nerves block (BiBlock) in orthopedic traumatologic lower limbs surgery in patients with multiple sclerosis.

    abstract::Multiple sclerosis is a progressive demyelinating disease which affects large areas of the brain and of the spinal cord. Stressful events, surgical procedures, general anaesthesia and central blocks seem to be responsible for relapses, with worsening of the disease. So, when we scheduled 2 patients with multiple scler...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Ingrosso M,Cirillo V,Papasso A,Merolla V,Cecere F

    更新日期:2005-05-01 00:00:00

  • Extracorporeal respiratory support and minimally invasive ventilation in severe ARDS.

    abstract:BACKGROUND:To evaluate the results of treatment of severe acute respiratory distress syndrome (ARDS) with extracorporeal life support (ECLS), minimal sedation and low pressure supported ventilation in adults. METHODS: DESIGN AND SETTING:observational study in a tertiary referral center, Intensive Care Unit, Astrid Li...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Frenckner B,Palmér P,Lindén V

    更新日期:2002-05-01 00:00:00

  • [Evaluation of cerebral perfusion during aortic clamping and cross-clamping in patients undergoing resection for abdominal aortic aneurysm. A study with transcranial doppler].

    abstract:OBJECTIVE:To evaluate the cerebral blood flow parameters assessed by transcranial Doppler during aortic cross-clamping and unclamping in patients undergoing abdominal aortic aneurysmectomy. METHODS:Invasive intraoperative monitoring of mean arterial pressure (MAP) and PaCO2, and right middle cerebral artery (RMCA) mon...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Pittella G,Benanti CF,Palombo C,Kozàkovà M,Distante A,Giunta F

    更新日期:1997-03-01 00:00:00

  • Lactic acidosis.

    abstract::The detection of tissue hypoxia and its correction is one of the aim of the hemodynamic monitoring. Classical hemodynamic variable often fail to achieve this goal. Lactate measurements may be a good indicator of tissue hypoxia. Selected review of the articles on lactate in critically ill patients. Tissue hypoxia is as...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: De Backer D

    更新日期:2003-04-01 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

  • Ultrasound-guided posterior approach to brachial plexus for the treatment of upper phantom limb syndrome.

    abstract::The purpose of the case is to report the clinical value of the ultrasound-guided posterior approach to the brachial plexus in the treatment of phantom limb syndrome after an upper extremity amputation. The author experienced ultrasound guidance as sole technique to localize the brachial plexus for the purpose of placi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Tognù A,Borghi B,Gullotta S,White PF

    更新日期:2012-01-01 00:00:00

  • [Althesin in cryoextraction of the lens].

    abstract::The bulbar hypotonizing activity of Althesin in eye surgery has been assessed. The anaesthetic was then utilized in the induction and maintenance of narcosis in cryoextraction operations on the crystalline lens. In the 50 narcoses examined, a mean decrease in ocular tone of 30% was noted with respect to basal value fi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bottazzi D,Arena C,Bellini R,Guglielmetti M

    更新日期:1980-02-01 00:00:00

  • Long-term extracorporeal membrane oxygenation with minimal ventilatory support: a new paradigm for severe ARDS?

    abstract::Pulmonary tuberculosis can lead to acute respiratory distress syndrome (ARDS) which is associated with high mortality. We report the case of a patient with pulmonary tuberculosis and severe ARDS (PaO2/FiO2<100 mmHg) who was initially managed with advanced up-to-date treatments (protective ventilation and extracorporea...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Mauri T,Foti G,Zanella A,Bombino M,Confalonieri A,Patroniti N,Bellani G,Pesenti A

    更新日期:2012-03-01 00:00:00

  • Antiemetic efficacy of combined aprepitant and dexamethasone in patients at high-risk of postoperative nausea and vomiting from epidural fentanyl analgesia.

    abstract:BACKGROUND:Postoperative opioid analgesia increases the incidence of postoperative nausea and vomiting (PONV). We investigated whether a combination of the neurokinin-1 antagonist aprepitant and dexamethasone decreases PONV incidence compared with dexamethasone alone in high-risk patients receiving continuous epidural ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Kawano H,Matsumoto T,Hamaguchi E,Manabe S,Nakagawa M,Yamada A,Fujimoto M,Tada F

    更新日期:2015-04-01 00:00:00

  • Comparison of the i-gel™ with the AuraGain™ laryngeal mask airways in patients with a simulated cervical immobilization: a randomized controlled trial.

    abstract:BACKGROUND:The use of second generation supraglottic airway devices is recommended for airway rescue in failed tracheal intubation. This study was performed to compare the clinical performance of the i-gel™ with that of the AuraGain™ in patients with simulated cervical immobilization. METHODS:We conducted a prospectiv...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14237-8

    authors: Hur M,Choi S,Row HS,Kim TK

    更新日期:2020-07-01 00:00:00

  • Ambulatory inguinal herniorrhaphy: paravertebral block versus spinal anesthesia.

    abstract:AIM:Inguinal herniorrhaphy (IH) is a common surgical procedure that can be successfully performed by using general, regional or local anesthesia and is usually performed in an outpatient setting. In this study, recovery profile, incidence of adverse effects, postoperative pain scores and patient satisfaction between pa...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Akcaboy EY,Akcaboy ZN,Gogus N

    更新日期:2009-12-01 00:00:00

  • Effects of intracisternal tramadol on cerebral and spinal neuronal cells in rat.

    abstract:BACKGROUND:The aim was to investigate whether tramadol had toxic effect on cerebral neurons and/or spinal cord neurons when it was administered into the cerebrospinal fluid. Due to lipid peroxidation (LPO) and myeloperoxidation (MPO) levels are not specific predictors of neuronal damage, these biochemical markers of ti...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Kose EA,Bakar B,Ayva SK,Kilinc K,Apan A

    更新日期:2014-08-01 00:00:00

  • Early dysglycemia and mortality in traumatic brain injury and subarachnoid hemorrhage.

    abstract:BACKGROUND:Traumatic brain injury (TBI) and subarachnoid hemorrhage (SAH) are the most common causes of severe acute brain injury in younger Intensive Care Unit (ICU) patients. Dysglycemia (abnormal peak glycemia, glycemic variability, mean glycemia, nadir glycemia) is common in these patients but its comparative outco...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.19.13307-X

    authors: Pappacena S,Bailey M,Cabrini L,Landoni G,Udy A,Pilcher DV,Young P,Bellomo R

    更新日期:2019-08-01 00:00:00

  • [Intravenous anesthesia with perfused propofol combined with loco-regional spinal anesthesia].

    abstract::The authors review the advantages and disadvantages of general and regional anesthesia in bad clinical conditions. The purpose of this study was to evaluate the efficacy of Blended Anesthesia (association of general anesthesia with a regional technique) in 25 patients belonging to ASA classes II-III-IV, undergoing sur...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Lo Presti C,Vitalone V,Fusco G,Assisi P

    更新日期:1993-04-01 00:00:00