[Non-invasive nasal ventilation in a a case of hypercapnic coma].

Abstract:

:Noninvasive positive pressure ventilation (NPPV) via nasal mask is well known to be effective in the treatment of acute respiratory failure (ARF) secondary to chronic obstructive pulmonary disease (COPD). A case of ARF with hypercapnic coma due to exacerbation of COPD is described. Six hours of conservative therapy with oxygen and medical treatment did not show any result. As endotracheal intubation (ET) was avoided on the basis of advanced age, poor life expectancy of the patient and family wish, NPPV was set up using a pressure triggered ventilator. After 61 hours of uninterrupted NPPV, the acid-base alteration and the lethargic status was fully reversed. The conclusions is drawn that NPPV may be useful also in the treatment of patients affected by severe decompensated hypercapnic respiratory failure in whom ET is not indicated.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Scala R,Archinucci I,Naldi M,Donato Alessi S,Fabianelli F,Coniglio G,Guadagni G,Rossi M

subject

Has Abstract

pub_date

1997-07-01 00:00:00

pages

245-8

issue

7-8

eissn

0375-9393

issn

1827-1596

journal_volume

63

pub_type

杂志文章
  • Epidemiology and outcome of sepsis syndromes in Italian ICUs: a muticentre, observational cohort study in the region of Piedmont.

    abstract:BACKGROUND:Sepsis is an important cause of mortality and morbidity in the intensive care unit (ICU). We performed a study to describe the epidemiology of sepsis syndromes in patients admitted to ICUs of the Piedmont region. METHODS:In this prospective, multicentre, observational study, all 3902 patients admitted to a ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Sakr Y,Elia C,Mascia L,Barberis B,Cardellino S,Livigni S,Fiore G,Filippini C,Ranieri VM

    更新日期:2013-09-01 00:00:00

  • Low-concentration distal nerve blocks with 0.125% levobupivacaine versus systemic analgesia for ambulatory trapeziectomy performed under axillary block: a randomized controlled trial.

    abstract:BACKGROUND:Trapeziectomy is one of the most painful procedures in ambulatory surgery. This prospective randomized trial aimed to compare postoperative pain control using distal peripheral nerve blocks (dPNB) with a low concentration of a long-acting local anesthetic versus conventional systemic analgesia. METHODS:Fift...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:10.23736/S0375-9393.18.12291-7

    authors: Rodríguez Prieto M,González FJ,Sabaté S,García M,Lamas C,Font A,Moreno M,Proubasta I,Gil De Bernabé MÀ,Moral MV,Hoffmann R

    更新日期:2018-11-01 00:00:00

  • Serious renal and urological complications in fast-track primary total hip and knee arthroplasty; a detailed observational cohort study.

    abstract:BACKGROUND:Overall medical complications have been reduced after fast-track total hip (THA) and knee arthroplasty (TKA), but data on specific renal and urological (RU) complications are limited. METHODS:To describe the incidence and consequences of serious RU complications resulting in length of stay > 4 days or 30-da...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Bjerregaard LS,Jorgensen CC,Kehlet H,Lundbeck Foundation Centre for Fast-Track Hip and Knee Replacement Collaborative Group.

    更新日期:2016-03-30 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

  • Anaesthetic management in asthma.

    abstract::Anaesthetic management in asthmatic patients has been focused on avoiding bronchoconstriction and inducing bronchodilation. However, the definition of asthma has changed over the past decade. Asthma has been defined as a clinical syndrome characterized by an inflammatory process that extends beyond the central airways...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Burburan SM,Xisto DG,Rocco PR

    更新日期:2007-06-01 00:00:00

  • Update on anesthetic complications of robotic thoracic surgery.

    abstract::In the last decade, there has been increasing use of the da Vinci® robot surgical system to perform minimally invasive thoracic surgery. The robotic technology can be applied for surgery of the lungs, mediastinum, and esophagus. A number of case reports have been shown steep learning curve, and promising surgical outc...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Campos J,Ueda K

    更新日期:2014-01-01 00:00:00

  • Performance of the laryngeal tube for airway management during cardiopulmonary resuscitation: a systematic review and meta-analysis.

    abstract:BACKGROUND:Sudden cardiac arrest is one of the leading causes of death in Europe and the whole world. Effective chest compressions and advanced airway management have been shown to improve survival rates. Supraglottic airway devices such as the laryngeal tube (LT) are a well-known strategy for patients with cardiac arr...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:10.23736/S0375-9393.20.14446-8

    authors: Hinkelbein J,Schmitz J,Mathes A,De Robertis E

    更新日期:2020-12-10 00:00:00

  • [A new ventilation method: the laryngeal mask].

    abstract::A size 3 laryngeal mask was used in 20 patients who underwent elective general surgery. It consists of a silicon tube attached to mask which must be inserted into the hypopharynx and then inflated. No curarisation nor laryngoscopy is needed. Operations were performed in assisted or spontaneous ventilation, with good a...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Festa M,Ballaris MA,Cerutti E,Morolli G

    更新日期:1992-05-01 00:00:00

  • [Experience of an intermediate respiratory intensive therapy in the treatment of prolonged weaning from mechanical ventilation].

    abstract::109 patients who suffered from an episode of acute respiratory failure, necessitated mechanical ventilation (MV) in a general Intensive Care Unit (ICU) and admitted to our Respiratory Intermediate Intensive Unit (RIIU), were retrospectively evaluated for outcome and weaning success. The patients, 69 +/- 9 years old, p...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: Vitacca M,Clini E,Porta R,Sereni D,Ambrosino N

    更新日期:1996-03-01 00:00:00

  • Failure of an Abiomed left ventricular assist device in association with factor VIIa administration.

    abstract::Factor VIIa might be a useful treatment for coagulopathy and massive hemorrhage following implantation of a mechanical circulatory assist device, but there is a theoretical risk of device thrombosis. To date this complication has not been reported. We describe the first case of clotting of a left ventricular assist de...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Reade MC,Toyoda YN,Murray HN

    更新日期:2008-04-01 00:00:00

  • Insulin differentially influences brain glucose and lactate in traumatic brain injured patients.

    abstract:BACKGROUND:Hypo- and hyperglycemia must be avoided to prevent additional brain damage following traumatic brain injury (TBI). However, the optimal blood glucose range requiring insulin remains unknown. Cerebral microdialysis is helpful in unmasking signs of metabolic impairment, thereby identifying deleterious blood gl...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Béchir M,Meierhans R,Brandi G,Sommerfeld J,Fasshauer M,Cottini SR,Stocker R,Stover JF

    更新日期:2010-11-01 00:00:00

  • Biomarkers in sepsis: towards precision medicine for the prevention of adverse outcomes.

    abstract:: ...

    journal_title:Minerva anestesiologica

    pub_type: 评论,社论

    doi:10.23736/S0375-9393.18.13260-3

    authors: Montini L,Antonelli M

    更新日期:2019-04-01 00:00:00

  • [Targets and prevention of complications in nursing of subarachnoid hemorrhage].

    abstract::A qualified nursing care is mandatory in patients after SAH. Clinical and instrumental monitoring are basilar to assure the rapid control of dangerous ICP or CPP changes and of epileptic crisis. Prophylaxis of infections is greatly minimized when coherent treatments are applied to any invasive devices, patient body, p...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:

    authors: De Bellis P,Traverso F,Zattoni PL

    更新日期:1998-05-01 00:00:00

  • [Tracheal cannulation technics in cervical vertebral and spinal cord injuries. A comparative study].

    abstract::Cervical vertebral dislocations and fractures require the complete immobility of the neck until an intervention of stabilization of the spinal cord, by surgery or external means, is performed. Endotracheal intubation, which might represent a harmful operation, can become difficult when the stabilization of the spinal ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Giron GP,Ori C

    更新日期:1989-03-01 00:00:00

  • Machine perfusion in liver transplantation: an essential treatment or just an expensive toy?

    abstract::This review focuses on recent developments in preservation techniques in liver transplantation. First, we discuss mechanisms of organ injury when using high-risk organs, including donation after circulatory death and steatotic grafts and we summarize pathways of ischemia reperfusion injury together with their link to ...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,评审

    doi:10.23736/S0375-9393.17.12016-X

    authors: Schlegel AA,Kalisvaart M,Muiesan P

    更新日期:2018-02-01 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

  • 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

  • [Continuous venous infusion of buprenorphine with autonomous elastomeric system in the control of postoperative pain].

    abstract::We herein evaluated the analgesic effectiveness of low doses of buprenorphine with or without a primer and the practicality and usefulness of a constant flow disposable infusion set (Infusor Baxter 2 ml/h). Our series consists of 300 patients, seen between January 1992 and December 1993, randomly distributed in three ...

    journal_title:Minerva anestesiologica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Greco R,Piastra M,Iacovacci V,Belcastro F,Forastiere EM,Proietti S,Piastra L

    更新日期:1994-10-01 00:00:00

  • Intracranial pressure and outcome in critically ill patients with aneurysmal subarachnoid hemorrhage: a systematic review.

    abstract:BACKGROUND:Evidences supporting the use of ICP monitoring after aneurysmal subarachnoid hemorrhage (aSAH) are limited. The aim of our paper is to examine whether elevated intracranial pressure (ICP) and ICP-derived variables predict mortality and functional outcomes after aSAH. METHODS:A systematic review of the liter...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Cossu G,Messerer M,Stocchetti N,Levivier M,Daniel RT,Oddo M

    更新日期:2016-04-05 00:00:00

  • Indices of muscular damage in the perioperative period of peripheral revascularization procedures.

    abstract:AIM:We evaluated the perioperative levels of plasma myoglobin (Mb) and creatine kinase (CK) in patients submitted to peripheral revascularization surgery for a variety of conditions. METHODS, DESIGN AND SETTING: Observational study in a surgical ward of a community hospital. subjects: 50 consecutive patients were inclu...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Olivei MC,Sosso E,Suckzs Ventimiglia K,Macchiarulo R,Quatrocchio G,Guglielmotti E

    更新日期:2004-12-01 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

  • [Effects of hyperbaric oxygenation in skin and pulmonary infections caused by Pseudomonas aeruginosa].

    abstract::About 80% of nosocomial infections are caused by aerobic bacteria. The Pseudomonas aeruginosa is a Gram-negative bacterium pertaining to the Pseudomonadaceae family. P. aeruginosa is responsible for 6-22% of all hospital infections. The aim of this paper is to evaluate the efficacy of both hyperbaric oxygen-therapy (H...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Marmo M,Contaldi G,Luongo C,Imperatore F,Tufano MA,Catalanotti P,Baroni A,Mangoni G,Stefano S,Rossi F

    更新日期:1996-09-01 00:00:00

  • Italian Intersociety Recommendations on pain management in the emergency setting (SIAARTI, SIMEU, SIS 118, AISD, SIARED, SICUT, IRC).

    abstract:BACKGRAUND:Pain is the primary reason for admission to the Emergency Department (ED). However, the management of pain in this setting is often inadequate because of opiophagia, fear of excessive sedation, and fear of compromising an adequate clinical assessment. METHODS:An intersociety consensus conference was held in...

    journal_title:Minerva anestesiologica

    pub_type: 指南,杂志文章,评审

    doi:

    authors: Savoia G,Coluzzi F,Di Maria C,Ambrosio F,Della Corte F,Oggioni R,Messina A,Costantini A,Launo C,Mattia C,Paoletti F,Lo Presti C,Bertini L,Peduto AV,De Iaco F,Schiraldi F,Bussani F,De Vito L,Giagnorio G,Marinangeli F

    更新日期:2015-02-01 00:00:00

  • [The effect of various drugs on post-operative pain-producing sensations].

    abstract::The influence of diazepam, the hemisuccinic ester of oxazepam, fentanyl and pentazocine on pain-producing sensation after surgery was tested in 160 patients subjected to ordinary and major surgery. Use was made of Dundee and Moore's modification of Clutton-Brock's test, and Bromage's test. Analysis of the results indi...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章

    doi:

    authors: Gerardi AU,Miletti S,Miele G

    更新日期:1980-05-01 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

  • 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

  • [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

  • Is breakthrough pain better managed by adding programmed intermittent epidural bolus to a background infusion during labor epidural analgesia? A randomized controlled trial.

    abstract:BACKGROUND:Breakthrough pain (BTP) is a common problem during labor analgesia. Programmed intermittent epidural bolus (PIEB) has demonstrated superior to background epidural infusion (BEI) concerning BTP, but the effect of combining both modes remains unknown. We hypothesized that this combination could reduce BTP inci...

    journal_title:Minerva anestesiologica

    pub_type: 杂志文章,随机对照试验

    doi:10.23736/S0375-9393.19.13470-0

    authors: Diez-Picazo LD,Guasch E,Brogly N,Gilsanz F

    更新日期:2019-10-01 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

  • [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