[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 failure. INTERVENTION:Pump driven continuous veno-venous hemofiltration (PDCVVH) with high flux was performed. All pts were intubated, under mechanical ventilation and treated with vasoactive agents for hemodynamic instability. Fluid balance was achieved with an automatic fluid control system, Equaline, on daily basis according to clinical needs. MEASURES:Length of treatment, daily amount of ultrafiltrate and urea removal, urea and creatinine blood level before and after the treatment were registered. RESULTS:Age was 59.1 years, SAPS 17.2. Patients were treated for an average period of 9 days obtaining a daily ultrafiltrate production of 21.4 L. In all pts, though the high catabolism (daily nitrogen production > 30 g), there was a significant decrease of urea and creatinine concentration. CONCLUSION:Equaline system was able to maintain intravascular volume in the face of high ultrafiltration rate avoiding clinically important discrepancies between ultrafiltrate formation and fluid replacement. We conclude that PDCVVH management is greatly improved with use of such servo-controlled feedback system.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

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

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

37-42

issue

1-2

eissn

0375-9393

issn

1827-1596

journal_volume

60

pub_type

杂志文章
  • QT interval and QT dispersion during the induction of anesthesia and tracheal intubation: a comparison of remifentanil and fentanyl.

    abstract:BACKGROUND:The aim of this paper was to determine if there were any significant differences between the effects of fentanyl delivered as a bolus or remifentanil delivered as a continuous infusion on the QT interval and QT dispersion (QTD) during the induction of anesthesia and tracheal intubation. METHODS:This was a p...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Cafiero T,Di Minno RM,Di Iorio C

    更新日期:2011-02-01 00:00:00

  • [Variations of esophageal temperature during general anesthesia with a low-flow circuit].

    abstract:BACKGROUND:Anaesthesia drugs cause the cutaneous vasodilatation that produces core temperature lowering at the beginning of general anaesthesia; when the thermal threshold for vasoconstriction is reached the cutaneous heat losses are decreased. Furthermore, the soda lime begins to produce water and heat after 40 minute...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Di Filippo A,Minoni C,Bonetti L,Rizzo L,Novelli GP

    更新日期:1995-09-01 00:00:00

  • How to optimize the lung donor.

    abstract::Over the last two decades, lung transplantation emerged as the standard of care for patients with advanced and terminal lung disease. Despite the increment in lung transplantation rates, in 2016 the overall mortality while on waiting list in Italy reached 10%, whereas only 39% of the wait-list patients were successful...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.17.12130-9

    authors: Sales G,Costamagna A,Fanelli V,Boffini M,Pugliese F,Mascia L,Brazzi L

    更新日期:2018-02-01 00:00:00

  • [Effectiveness of regional anesthesia for loco-regional carotid surgery. Retrospective review of 147 interventions].

    abstract::The Authors present a retrospective review that compares general anesthesia with regional anesthesia performed during carotid endarterectomy surgery. The study includes 147 procedures, performed on 144 patients: 76 had general anesthesia and 71 had regional anesthesia. After emphasizing the importance of conscience pr...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bartoloni A,Savron F,Rigo V,Pasetto A,Spezie C,Ischia A,Perbellini A

    更新日期:1991-03-01 00:00:00

  • Incidence of anaerobic bacteria in patients with suspected pneumonia in surgical Intensive Care Unit.

    abstract:BACKGROUND:Few studies have investigated the incidence of pulmonary anaerobes in a specific population in surgical Intensive Care Unit (ICU). The objective of this work was to determine the incidence of anaerobes in surgical ICU patients with suspected pneumonia. METHODS:This was a prospective observational, single-ce...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Clavier T,Gouin P,Frebourg N,Rey N,Royon V,Bergis A,Hobeika S,Dureuil B,Veber B

    更新日期:2014-10-01 00:00:00

  • [Gastric tonometry. Experience of a polyvalent intensive care unit].

    abstract::Tonomitor NG tube was positioned in the stomach of 11 critical ill patients during their stay in ICU and 48 measurements of intramucosal pH (pHi) have been performed. In 7 patients haemodynamic measurement were performed in concomitance with each pHi measure. The Authors looked for statistical relations between pHi an...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Pappagallo S,Romagnoli P,Tulli G

    更新日期:1992-11-01 00:00:00

  • [Anesthesia with continuous infusion of propofol in myasthenic patients].

    abstract::Anaesthesia with atracurium, fentanyl, and continuous intravenous infusion of propofol in two myasthenic patients is described. There were no intra and postoperative problems and operative conditions were considered excellent. This technique offers a safe alternative to inhalational anaesthesia for patients with myast...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: De Grazia R,Belluco A,Chiarini L,Nani R

    更新日期:1992-03-01 00:00:00

  • Metabolic stress during hypoglycaemia clamp assessed by microdialysis.

    abstract:AIM:Microdialysis allows the biochemical analysis of interstitial fluids as a bedside procedure. This technique is of interest to evaluate the glucose dependent metabolism in hypoglycaemic patients. It was the aim to perform subcutaneous and blood microdialysis during hypoglycaemic clamp experiments in 12 healthy young...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bahlmann L,Oltmanns KM,Peters A,Poeling J,Schwemmer U,Heringlake M,Klaus S

    更新日期:2005-11-01 00:00:00

  • Ileus in the critically ill: causes, treatment and prevention.

    abstract::Bowel dysfunction, especially ileus, has been increasingly recognized in critically ill patients. Ileus is commonly associated to constipation, however abnormal motility can also concern the upper digestive tract, therefore impaired gastrointestinal transit (IGT) seems to be a more appropriate term. IGT, especially co...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14778-3

    authors: Ariès P,Huet O

    更新日期:2020-09-01 00:00:00

  • [Muscular enzyme level disorders and a malignant hyperthermia susceptability test: postoperative study of a patient with elevated CPK].

    abstract::The preoperative evaluation of the enzymatic level concerning the functioning of the neuromuscular system, is of particular importance. The diseases of these regions may lead to Malignant Hyperthermia (MH) in the course of general anaesthesia. The authors illustrate the case of a young asymptomatic patient with consta...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Perugini M,Montironi C,Rocchi S

    更新日期:1998-01-01 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

  • Enhanced visual acuity with echogenic needles in ultrasound-guided axillary brachial plexus block: a randomized, comparative, observer-blinded study.

    abstract:BACKGROUND:We prospectively evaluated the effect of insertion angle on the visibility of echogenic and nonechogenic needles in phantoms and in axillary nerve blocks in patients. METHODS:Conventional and echogenic needles were studied in phantoms at insertion angles of 0-30°, 30-45°, and ≥ 45°. Operators rated comfort ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Abbal B,Choquet O,Gourari A,Bouic N,Massone A,Biboulet P,Bringuier S,Capdevila X

    更新日期:2015-04-01 00:00:00

  • [The sigh in ARDS (acute respiratory distress syndrome)].

    abstract::We studied 10 consecutive, sedated and paralyzed patients with Acute Respiratory Distress Syndrome (ARDS). The entire study lasted 4 hours, divided in 3 periods: 2 hours of recommended ventilation [lung protective strategy, LPS, i.e., ventilation with low tidal volume (< 8 mL/kg), limiting the plateau at 35 cm H2O, to...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Pelosi P,Bottino N,Panigada M,Eccher G,Gattinoni L

    更新日期:1999-05-01 00:00:00

  • High-volume hemofiltration in critically ill patients: a systematic review and meta-analysis.

    abstract:BACKGROUND:High volume hemofiltration (HVHF) has been proposed as method for blood purification, especially under the condition of systemic inflammatory syndromes. Our goal was to evaluate the effects of HVHF in critically ill patients. METHODS:A systematic review and meta-analysis was conducted of randomized controll...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,meta分析,评审

    doi:

    authors: Lehner GF,Wiedermann CJ,Joannidis M

    更新日期:2014-05-01 00:00:00

  • An in-vitro study to evaluate high-volume low-pressure endotracheal tube cuff deflation dynamics.

    abstract:BACKGROUND:High-volume low-pressure (HVLP) endotracheal tube (ETT) cuffs for critically ill patients often deflate during the course of mechanical ventilation. We performed an in-vitro study to comprehensively assess HVLP cuff deflation dynamics and potential preventive measures. METHODS:We evaluated 24-hour deflation...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.19.13133-1

    authors: Marti JD,Li Bassi G,Isetta V,Lazaro MR,Aguilera-Xiol E,Comaru T,Battaglini D,Meli A,Ferrer M,Navajas D,Pelosi P,Chiumello D,Torres A,Farre R

    更新日期:2019-08-01 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

  • Blunted inflammatory response to lipopolysaccharide endotracheal instillation due to thermal preconditioning.

    abstract:AIM:Heat shock proteins (HSPs), induced by thermal stress, make the cells more resistant to following stress. We aimed to verify if rats heating reduces the production of TNF-alpha in a model of acute respiratory distress syndrome (ARDS). METHODS:We divided 34 Wistar rats in Group A and Group B. The rats of Group A re...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Di Filippo A,Rinaldi S,Pascente C,Messeri D,De Gaudio AR

    更新日期:2005-10-01 00:00:00

  • Effectiveness and predictors of success of noninvasive ventilation during H1N1 pandemics: a multicenter study.

    abstract:BACKGROUND:The use of non-invasive ventilation (NIV) in acute hypoxemic respiratory failure (AHRF) due to H1N1 virus infection is controversial. In this multicenter study we aimed to assess the efficacy of NIV in avoiding endotracheal intubation (ETI) and to identify predictors of success or failure. METHODS:In this p...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Nicolini A,Tonveronachi E,Navalesi P,Antonelli M,Valentini I,Melotti RM,Pigna A,Carrassi A,Righini P,Ferrari Bravo M,Pelosi P,Nicoli F,Cosentini R,Vaschetto R,Faenza S,Nava S

    更新日期:2012-12-01 00:00:00

  • Effective doses of cisatracurium. Potentiation by sevoflurane and increasing requirements with age.

    abstract:BACKGROUND:The aim of the study was to investigate whether or not sevoflurane at different concentrations influenced the ED(effective dose) 50, 90 and 95 of cisatracurium and whether there is any relationship with age. METHODS:Individual dose response curves for cisatracurium were constructed in 80 consecutive patient...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Melloni C,Antolini F

    更新日期:2000-03-01 00:00:00

  • [Hemodynamic and respiratory changes during hip and knee arthroplasty. An echocardiographic study].

    abstract:BACKGROUND:The "bone cement implantation syndrome" is a rare but severe complication observed especially during the insertion of cemented prostheses in hip and knee replacement surgery. Several mechanisms are involved: effects of methylmethacrilate, embolism of fat, air and bone marrow, and release of tissue thrombopla...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章

    doi:

    authors: Dambrosio M,Tullo L,Moretti B,Patella V,Simone C,Calò MN,Dalfino L,Cinnella G

    更新日期:2002-06-01 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

  • Sepsis and organ dysfunction/failure. An overview.

    abstract::Sepsis is a condition at high risk for the patients to develop organ(s) or system dysfunction/failure and represent a very limiting process for survival. Researchers and clinicians proposed standardization of terminology for sepsis and related problems to improve communication and to evaluate the efficacy of preventiv...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Gullo A

    更新日期:1999-07-01 00:00:00

  • [Report of a case of spontaneous thrombolysis].

    abstract::Spontaneous thrombolysis is a quite rare event. It's not predictable through a clinical examination of the patient, but there are some markers that are supposed to be diagnostic because of the high percentage of their occurrence in coincidence with spontaneous thrombolysis. The goal of the authors is to describe a cas...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Mennini MS,D'Aiutolo V,Cerroni A

    更新日期:1993-09-01 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

  • [Appropriate arterial pressure management for subarachnoid hemorrhage ].

    abstract::A correct assessment of arterial pressure state during SAH is one of most critical issue in neurologic intensive care. It is important to evaluate two different clinical conditions: a) during SAH when the aneurysm is open, b) after aneurysmal clipping or embolization. The authors propose pressure parameters appropriat...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: De Vivo P,Ciritella P,Del Gaudio A

    更新日期:1998-05-01 00:00:00

  • Efficacy of a novel prewarming system in the prevention of perioperative hypothermia. A prospective, randomized, multicenter study.

    abstract:BACKGROUND:Perioperative hypothermia is a common complication during general anesthesia. Although rewarming of patients before surgery has been used as a preventive measure and some guidelines recommend it, the implementation of prewarming for every surgical patient is cumbersome. Therefore, we sought to determine the ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:

    authors: Perl T,Peichl LH,Reyntjens K,Deblaere I,Zaballos JM,Bräuer A

    更新日期:2014-04-01 00:00:00

  • The optimal effect site concentration of remifentanil in combination with intravenous midazolam and topical lidocaine for awake fibreoptic nasotracheal intubation in patients undergoing cervical spine surgery.

    abstract:BACKGROUND:Remifentanil has been suggested as a suitable agent for conscious sedation during fibreoptic intubation. We evaluated the optimal effect site concentration (Ce) of remifentanil target-controlled infusion (TCI) for awake nasotracheal fibreoptic intubation in patients undergoing elective cervical spine surgery...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Song JW,Kwak YL,Lee JW,Chang CH,Kim HS,Shim YH

    更新日期:2012-05-01 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

  • Advances in neuraxial blocks for labor analgesia: new techniques, new systems.

    abstract::Neuraxial block for labor analgesia is widely accepted and highly effective. Much progress has been achieved in terms of providing safer and more efficacious analgesia. Emphasis has been placed on maternal autonomy and individualization of therapy. The introduction of the combined spinal-epidural technique in the labo...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Fun W,Lew E,Sia AT

    更新日期:2008-03-01 00:00:00

  • Regional anaesthesia in vascular surgery: a multidisciplinary approach to accelerate recovery and postoperative discharge.

    abstract::A multimodal, rehabilitative, fast discharge approach to abdominal aortic surgery is analyzed. The approach was developed in two phases during the years 1997-2000: in the first phase (1997) patients had thoracic epidural anesthesia plus TIVA and analgesia. They had improvement of the classical surrogate outcomes and a...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Albani A,Renghi A,Gramaglia L,Pascu M,Brustia P,Montone N

    更新日期:2001-09-01 00:00:00