Early versus late tracheal intubation in COVID-19 patients: a pro-con debate also considering heart-lung interactions.

Abstract:

:The best timing of orotracheal intubation and invasive ventilation in COVID-19 patients with acute respiratory distress syndrome is unknown. The use of non-invasive ventilation, a life-saving technique in many medical conditions, is debated in patients with ARDS since prolonged NIV and delayed intubation may be harmful. Shortage of intensive care beds and ventilators during a respiratory pandemic can trigger a widespread use of early non-invasive ventilation in many hospitals but which is the best way to ventilate patients with severe bilateral pneumonia and severely increased spontaneous ventilation is controversial. Moreover, viral spreading to health-care workers and other hospitalized patients is an issue for any device used to administer oxygen. Even if protective mechanical ventilation is currently the gold standard for the management of acute respiratory distress syndrome, tracheal intubation is not without risks and is associated with delirium, hemodynamic instability, immobilization and post intensive care syndrome. Both invasive and non-invasive ventilation are associated with advantages and limitations that should be carefully considered when patients with COVID-19-ARDS need our attention. In the absence of strong evidence , in this review we highlight all the pro and con of these two different approaches.

journal_name

Minerva Cardioangiol

authors

Cabrini L,Ghislanzoni L,Severgnini P,Landoni G,Baiardo Redaelli M,Franchi F,Romagnoli S

doi

10.23736/S0026-4725.20.05356-6

subject

Has Abstract

pub_date

2020-10-15 00:00:00

eissn

0026-4725

issn

1827-1618

pii

S0026-4725.20.05356-6

pub_type

杂志文章
  • The Ultimaster® coronary stent system: state of the art.

    abstract::Percutaneous coronary intervention (PCI) has been a mainstay in the management of coronary artery disease since its introduction in the late 1970s. Bare-metal stent (BMS) and then first- and second-generation drug-eluting stents (DES) have enhanced the results of PCI by improving early results and reducing the risk of...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Longo G,La Manna A,Capodanno D,Tamburino C

    更新日期:2015-06-01 00:00:00

  • [Pseudoaneurysm of the right iliac artery with fistula into the cecum. A clinical case].

    abstract::A case is reported of pseudoaneurysm of the right iliac artery secondary to an endarterectomy with dacron patch due to atherosclerosis performed 4 years ago. The case presented acute anemia and massive enteric hemorrhage subsequent to arterial rupture into the cecum. Because of the dramatic onset, the patient was imme...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Anfossi A,Mosca L,Gori A,Brunengo M

    更新日期:1990-01-01 00:00:00

  • Oesophageal electrical cardioversion of atrial fibrillation.

    abstract::Atrial fibrillation is the most common cardiac arrhythmia and the most frequent cause of hospitalization and utilization expense among all heart diseases. Taking into account persistent atrial fibrillation we know that, in order to cardiovert persistent atrial fibrillation, external direct current cardioversion is the...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Santini L,Forleo GB,Santini M,Romeo F

    更新日期:2004-04-01 00:00:00

  • Carotid endoarterectomy in the presence of contralateral carotid occlusion.

    abstract:BACKGROUND:The purpose of this study was to define a correct anesthesiological and surgical approach in patient who present a significant carotid stenosis with contralateral carotid occlusion. METHODS:Between 1996 and 1998 in our Department of Vascular Surgery of the Hospital S. Giovanni Battista has been executed 337...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Merlo M,Carignano G,Verri A,Gaia S,Leotta L,Castagno PL

    更新日期:1998-11-01 00:00:00

  • Early evaluation of coronary microcirculation by echocardiography with contrast medium in patients with acute myocardial infarction treated with primary percutaneous transluminal coronary angioplasty.

    abstract:AIM:In about 30% of patients with ST elevated myocardial infarction (STEMI), in which a TIMI 3 flow is obtained in the infarct related artery (IRA) after primary percutaneous transluminal coronary angioplasty (PTCA), it's not possible to obtain a good perfusion of coronary microcirculation (no reflow). Aim of the study...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Guiducci V,Fioroni S,Giacometti P,Manari A,Gaddi O

    更新日期:2005-06-01 00:00:00

  • [Heparan sulfate: efficacy and safety in patients with chronic venous insufficiency].

    abstract::Fifty patients suffering from chronic venous disease were treated for 30 days with heparan sulphate 100 mg per os, b.i.d., or mesoglycan 50 mg per os, t.i.d., in a single blind random study. Both therapies led to a marked improvement in comparison to basal clinical values, but patients treated with heparan sulphate sh...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Agrati AM,De Bartolo G,Palmieri G

    更新日期:1991-10-01 00:00:00

  • [Stress myocardial scintigraphy in the pre- and postoperative diagnosis of ischemic cardiopathy. The correlations between the clinical aspects and the coronary angiographic picture].

    abstract::With radioisotopes it is possible to study the heart obtaining complementary or substitutive informations to those provided by the most common noninvasive methods of myocardial assessment and by coronarography. This paper aim is to report experience with thallium 201 and 99mTc isonitrile in the diagnosis and followup ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Capuani A,Russo R,Cappagli M,Poggi P,Leoncini R,Coli A,Duce T,Battistini S,Castellano A,Ragazzini G

    更新日期:1994-01-01 00:00:00

  • [Improved survival in the treatment of ruptured abdominal aortic aneurysm].

    abstract::Personal experience in the management of 70 ruptured abdominal aortic aneurysm over the past 5 years is reported dividing patients into 2 groups, before and after establishment of intensive care unit: survival was 30.76% on the first, 66.66% in the second. Factors that allowed that result are discussed. ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Patrone P,Barabino G,Geddo E,Brunori C,Dagnino A,Zinicola N

    更新日期:1990-06-01 00:00:00

  • [Deficit of anticoagulant factors, endothelial stress and thrombophilia].

    abstract::Thrombophilia is characterised by elevated thrombotic and embolic risk and may be caused by congenital or acquired coagulating inhibitor deficit. A young man was repeatedly admitted to Emergency Medicine Units because of pain, oedema and slight functional impairment of the left leg, and recurrent thrombophlebitis was ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Neri S,Ierna D,Sfogliano L

    更新日期:1997-10-01 00:00:00

  • Radial versus femoral approach in STEMI: what do we know so far?

    abstract::Radial approach has been used since 1989 to perform coronary angiography as an alternative to femoral access. During past decades, the development of dedicated equipment has led to high efficacy also in complex procedures. ST elevation myocardial infarction (STEMI) is known to be a high bleeding risk setting and in tu...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Santucci A,Gargiulo G,Ariotti S,Marino M,Magnani G,Baldo A,Piccolo R,Franzone A,Valgimigli M

    更新日期:2016-06-01 00:00:00

  • [The Study Group of Quinapril in Arterial Hypertension. The Steering Committee].

    abstract::The efficacy and safety of the treatment of arterial hypertension with the ACE-inhibitor quinapril, were evaluated in a multicentre study conducted in Italy. The study, lasting 14 weeks, after a preliminary wash-out period, allowed response-based titration of quinapril dose from 10 mg to 40 mg once a day, with provisi...

    journal_title:Minerva cardioangiologica

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Ambrosioni E,Brusca A,Caponnetto S,Condorelli M,Corea L,Dal Palù C,Fogari R,Mameli P,Mancia G,Neri Serneri GG

    更新日期:1992-03-01 00:00:00

  • [Cardiac troponin I in unstable angina].

    abstract:BACKGROUND:Unstable angina implies high risk of myocardial infarction and sudden death. Increased levels of cytoplasmatic enzymes and proteins (creatine phosphokinase, MB creatine phosphokinase troponin T, etc.) were described in unstable angina, providing information about incoming major coronary events. Cardiac tropo...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Musso P,Vernocchi A,Crippa A,Bajardi D,Ottello B,Pinnavaia A,Ronzani G,Bergandi G,Ravera A,Scrocca I

    更新日期:1996-04-01 00:00:00

  • [Pseudoaneurysm of the superficial femoral artery diagnosed preoperatively by magnetic resonance].

    abstract::A case of pseudoaneurysm of the superficial femoral artery identified preoperatively by Magnetic Resonance is reported. The number of different parameters and planes covered by the technique permitted an accurate assessment of the site, extent, internal conformation and staging of the thrombotic deposits inside the ps...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Pavone P,Tella S,Di Renzi P,Di Cesare E

    更新日期:1989-03-01 00:00:00

  • What makes a coronary myocardial bridge symptomatic?

    abstract::The clinical significance of coronary myocardial bridging has been debated and different interventional strategies proposed. We discuss the case of a patient who presented with the recent onset of symptoms of exertional chest pain, diaphoresis, and electrocardiographic signs of acute anterior myocardial wall ischemia....

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Podbielski FJ,el Chaer R,Massad MG,Chami YG,Nawas S,O'Leary P,Benedetti E

    更新日期:1998-04-01 00:00:00

  • [Bacterial endocarditis in pregnancy. Description of 2 cases and review of the literature].

    abstract::Bacterial endocarditis in pregnancy is uncommon. We described two cases: the first case of endocarditis, caused by staphylococcus epidermidis (at the 35th week of pregnancy) was complicated by severe aortic valvular insufficiency; the second case, endocarditis caused by streptococcus alpha hemolytic (at the 32nd week ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Zamprogno R,Neri G,Alitto F,Moro E,Sandri R

    更新日期:1990-03-01 00:00:00

  • New drug-eluting stents, optimizing technique, and the problem of drug-eluting stent restenosis.

    abstract::The development of drug-eluting stents is one of the major revolutions in the field of Interventional Cardiology. Restenosis rate has been significantly reduced, in comparison to bare metal stents. The ideal drug to prevent restenosis must have an anti-proliferative and anti-migratory effect on smooth muscle cells but...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Vaina S,Ong AT,Serruys PW

    更新日期:2005-10-01 00:00:00

  • [In-hospital mortality of elderly patients with myocardial infarct. Difference between the sexes].

    abstract::The number of women who become ill and die from acute myocardial infarction (AMI) increases steadily with age. It is not yet clearly defined whether and why women suffer from a higher in-hospital mortality rate after AMI. In this study we evaluated the importance of the female sex as a risk factor for in-hospital mort...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Fiandra U,Bo M,Poli L,Casoli G,Esposito E,Fonte G,Bobbio M,Fabris F

    更新日期:1997-06-01 00:00:00

  • Alternative incision sutureless aortic valve replacement: propensity matched comparison between partial sternotomy and right anterior minithoracotomy.

    abstract:BACKGROUND:Sutureless aortic valve prostheses have the potential to augment the adoption of alternative incision approaches for aortic valve replacement (AVR). Still, we lack the evidence on which surgical approach is best associated with sutureless AVR. METHODS:Data on 483 patients undergoing sutureless small incisio...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.17.04568-6

    authors: Gilmanov D,Solinas M,Santarpino G,Farneti PA,Murzi M,Fischlein T,Pfeiffer S

    更新日期:2018-04-01 00:00:00

  • [Clinical and capillaroscopic evaluation of chronic uncomplicated venous insufficiency with procyanidins extracted from vitis vinifera].

    abstract:BACKGROUND:The pharmacological treatment of non-complicated chronic venous insufficiency is a current and well-debated topic. The introduction of new products with action on the venous system, improved knowledge on the physiopathology of venous insufficiency and the possibility provided by new analytical instruments, h...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Costantini A,De Bernardi T,Gotti A

    更新日期:1999-01-01 00:00:00

  • Accuracy of the "International Criteria" for ECG screening in athletes in comparison with previous published criteria: rationale and design of a diagnostic meta-analysis.

    abstract:INTRODUCTION:The impact of the 'International Criteria' for ECG interpretation in athletes has further improved the diagnostic accuracy of the 12-lead ECG use for pre-participation screening (PPS) and these criteria have been evaluated in different populations of athletes and settings proving good results. EVIDENCE AC...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:10.23736/S0026-4725.20.05347-5

    authors: Cavarretta E,Pingitore A,Della Porta S,Capitani R,Bernardi M,Sciarra L,Saglietto A,Versaci F,Autore C,Perroni F,Biondi-Zoccai G,Frati G,Peruzzi M

    更新日期:2020-09-30 00:00:00

  • [Cardiac echinococcosis. Report of a case].

    abstract::Cardiac hydatid disease represents 0.02-2% of the possible locations of the parasite. The case of an asymptomatic 60-year-old male patient, hospitalised for mnesic and cognitive disease, and with history of hepatic and pulmonary echinococcosis is reported. The patient showed a cardiac cyst localised in the mediobasal ...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Busacca G,Puzzo A,Fiamma G

    更新日期:1998-01-01 00:00:00

  • The predictive value of plasma biomarkers in discharged heart failure patients: role of galectin-3.

    abstract::Over the last years a number of new biomarkers reflecting different aspects of heart failure (HF) pathophysiology have been evaluated in order to improve diagnosis and to better define prognosis of patients. Among these, Galectin 3 (Gal-3) seems particularly promising. It is a soluble beta galactoside-binding lectin p...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Leone M,Iacoviello M

    更新日期:2016-04-01 00:00:00

  • [Left intraventricular thrombosis causing an embolism to the right leg during an acute myocardial infarct. A report of a case monitored echocardiographically with diagnostic and therapeutic comments].

    abstract::Report of a case of a 54-year-old man who, during acute anterior myocardial infarction developed an apical thrombus and an embolism of the right leg. The serial echocardiographic study demonstrates how the original shape of the thrombus acutely changed at the same time of the embolic episode and how the new morphology...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Butera A,Lupia Palmieri G,Pelaggi P,Vitale U,Ferlaino G

    更新日期:1993-12-01 00:00:00

  • Catheter ablation for cardiac arrhythmias.

    abstract::The clinical introduction of catheter ablation in 1981 revolutionized the treatment of cardiac arrhythmias. Implementation of radiofrequency as an alternative energy source, with the advantages of higher selectivity and less collateral damage, provided an expansion of catheter ablation therapy. Today the majority of a...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Lickfett L,Calkins H

    更新日期:2002-06-01 00:00:00

  • Carotid plaque stabilization induced by the supplement association Pycnogenol® and centella asiatica (Centellicum®).

    abstract:BACKGROUND:Aim of this registry study was the evaluation of the stability of carotid plaques by ultrasound in asymptomatic subjects with high oxidative stress following supplementation with a combination of the extract from bark of Pinus pinaster, Pycnogenol®, with an extract from Centella asiatica leaves, Centellicum®...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Luzzi R,Belcaro G,Ippolito E

    更新日期:2016-12-01 00:00:00

  • Effects of verapamil and adenosine in an adjunct to tirofiban on resolution and prognosis of noreflow phenomenon in patients with acute myocardial infarction.

    abstract:AIM:We aimed to investigate the effects of verapamil and adenosine in an adjunct to intravenous tirofiban on management and prognosis of no-reflow phenomenon during primary percutaneous coronary intervention (PPCI) and to compare their efficacies on reversing of no-reflow phenomenon and short and midterm survival. MET...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Faruk Akturk I,Arif Yalcin A,Biyik I,Sarikamis C,Turhan Caglar N,Erturk M,Celik O,Uzun F,Murat Caglar I,Oner E

    更新日期:2014-10-01 00:00:00

  • [Postoperative evaluation of vascular bifurcation prostheses by means of helical CT].

    abstract::The dilatation of the vascular grafts is a well known phenomenon. It is usually evaluated by means of ultrasounds or, in selected cases, by CT scans or MRI; nevertheless its characteristics are far beyond to be fully recognized. Following our promising preliminary experience with helical CT as sole preoperative imagin...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Simoni G,Cittadini G Jr,Perrone R,Conzi R,Resasco M,Camerini G,Bachi V

    更新日期:1996-05-01 00:00:00

  • Gender-dependent negative correlation of peripheral E2 estradiol levels with ventricular diastolic functions.

    abstract:BACKGROUND:The aim of this study to investigate the correlation of the peripheral concentrations of one representative estrogen, E2 estradiol, with various indicators reflecting different aspects of cardiac structures and functions. METHODS:A total of 84 typical patients with hypertrophic cardiomyopathy (HCM) and 77 h...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Tan B,Zhao L,FaweiHE F

    更新日期:2016-08-01 00:00:00

  • Management of uncomplicated ankle sprains with topical or oral ketoprofen treatment. A registry study.

    abstract::Ankle sprains mainly caused by accidents or strenuous sport activities can often be quite painful and impair motility. If not treated immediately and correctly, sprains may lead to severe complications. The aim of the present study was to compare the efficacy and safety of topically applied ketoprofen versus orally ad...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Vinciguerra G,Belcaro G,Cesarone MR,Errichi BM,Di Renzo A,Errichi S,Ricci A,Gizzi G,Dugall M,Cacchio M,Ippolito E,Ruffini I,Fano F,Stuard S,Grossi MG

    更新日期:2008-10-01 00:00:00

  • Impact of reperfusion strategy on outcomes in very elderly patients with acute myocardial infarction.

    abstract:AIM:The best reperfusion strategy for patients of advanced age (either primary-angioplasty or thrombolysis) after a ST-segment elevation myocardial infarction (STEMI) remains controversial. Aim of the study was to test differences in morbidity and mortality regarding the reperfusion strategy adopted. METHODS:From 2007...

    journal_title:Minerva cardioangiologica

    pub_type: 杂志文章

    doi:

    authors: Renilla A,Barreiro M,Díaz E,Rozado J,Barriales V,Moris C

    更新日期:2014-12-01 00:00:00