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165 results on '"Bertoglio, Sergio"'

1. Dose-dense adjuvant chemotherapy in early breast cancer patients: 15-year results of the Phase 3 Mammella InterGruppo (MIG)-1 study

Author

Blondeaux, Eva, Lambertini, Matteo, Michelotti, Andrea, Conte, Benedetta, Benasso, Marco, Dellepiane, Chiara, Bighin, Claudia, Pastorino, Simona, Levaggi, Alessia, Alonzo, Alessia D’, Poggio, Francesca, Buzzatti, Giulia, Molinelli, Chiara, Fregatti, Piero, Bertoglio, Sergio, Boccardo, Francesco, and Del Mastro, Lucia

Published
2020
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3. A multicenter retrospective study on 4480 implanted PICC-ports: A GAVeCeLT project

Author

Bertoglio, Sergio, Annetta, Maria Giuseppina, Brescia, F., Emoli, Alessandro, Fabiani, F., Fino, M., Merlicco, D., Musaro, A., Orlandi, Mauro, Parisella, L., Pinelli, F., Reina, Sara, Selmi, V., Solari, N., Tricarico, F., Pittiruti, Mauro, Bertoglio S., Annetta M. G. (ORCID:0000-0001-7574-1311), Emoli A., Orlandi M. (ORCID:0000-0001-5894-3659), Reina S., Pittiruti M. (ORCID:0000-0003-4541-7566), Bertoglio, Sergio, Annetta, Maria Giuseppina, Brescia, F., Emoli, Alessandro, Fabiani, F., Fino, M., Merlicco, D., Musaro, A., Orlandi, Mauro, Parisella, L., Pinelli, F., Reina, Sara, Selmi, V., Solari, N., Tricarico, F., Pittiruti, Mauro, Bertoglio S., Annetta M. G. (ORCID:0000-0001-7574-1311), Emoli A., Orlandi M. (ORCID:0000-0001-5894-3659), Reina S., and Pittiruti M. (ORCID:0000-0003-4541-7566)

Abstract

Background: PICC-ports may be defined as totally implantable central venous devices inserted in the upper limb using the current state-of-the-art techniques of PICC insertion (ultrasound-guided venipuncture of deep veins of the arm, micro-puncture kits, proper location of the tip preferably by intracavitary ECG), with placement of the reservoir at the middle third of the arm. A previous report on breast cancer patients demonstrated the safety and efficacy of these devices, with a very low failure rate. Methods: This retrospective multicenter cohort study—developed by GAVeCeLT (the Italian Group of Long-Term Venous Access Devices)—investigated the outcomes of PICC-ports in a large cohort of unselected patients. The study included 4480 adult patients who underwent PICC-port insertion in five Italian centers, during a period of 60 months. The primary outcome was device failure, defined as any serious adverse event (SAE) requiring removal. The secondary outcome was the incidence of temporary adverse events (TAE) not requiring removal. Results: The median follow-up was 15.5 months. Device failure occurred in 52 cases (1.2%), the main causes being local infection (n = 7; 0.16%) and CRBSI (n = 19; 0.42%). Symptomatic catheter-related thrombosis occurred in 93 cases (2.1%), but removal was required only in one case (0.02%). Early/immediate and late TAE occurred in 904 cases (20.2%) and in 176 cases (3.9%), respectively. Conclusions: PICC-ports are safe venous access devices that should be considered as an alternative option to traditional arm-ports and chest-ports when planning chemotherapy or other long-term intermittent intravenous treatments.

Published
2023

5. Management of antithrombotic treatment and bleeding disorders in patients requiring venous access devices: A systematic review and a GAVeCeLT consensus statement

Author

Annetta, Maria Giuseppina, primary, Bertoglio, Sergio, additional, Biffi, Roberto, additional, Brescia, Fabrizio, additional, Giarretta, Igor, additional, Greca, Antonio La, additional, Panocchia, Nicola, additional, Passaro, Giovanna, additional, Perna, Francesco, additional, Pinelli, Fulvio, additional, Pittiruti, Mauro, additional, Prisco, Domenico, additional, Sanna, Tommaso, additional, and Scoppettuolo, Giancarlo, additional

Published
2022
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6. WoCoVA consensus on the clinical use of in-line filtration during intravenous infusions: Current evidence and recommendations for future research

Author

Child Health, MS Neonatologie, Infection & Immunity, Van Boxtel, Ton, Pittiruti, Mauro, Arkema, Annemarie, Ball, Patrick, Barone, Giovanni, Bertoglio, Sergio, Biffi, Roberto, Dupont, Christian, Fonzo-Christe, Caroline, Foster, Jann, Jones, Matthew, Keck, Cornelia, Ray-Barruel, Gillian, Sasse, Michael, Scoppettuolo, Giancarlo, Van Den Hoogen, Agnes, Villa, Gianluca, Hadaway, Lynn, Ryder, Marcia, Schears, Gregory, Stone, Josie, Child Health, MS Neonatologie, Infection & Immunity, Van Boxtel, Ton, Pittiruti, Mauro, Arkema, Annemarie, Ball, Patrick, Barone, Giovanni, Bertoglio, Sergio, Biffi, Roberto, Dupont, Christian, Fonzo-Christe, Caroline, Foster, Jann, Jones, Matthew, Keck, Cornelia, Ray-Barruel, Gillian, Sasse, Michael, Scoppettuolo, Giancarlo, Van Den Hoogen, Agnes, Villa, Gianluca, Hadaway, Lynn, Ryder, Marcia, Schears, Gregory, and Stone, Josie

Published
2022

7. Management of antithrombotic treatment and bleeding disorders in patients requiring venous access devices: A systematic review and a GAVeCeLT consensus statement

Author

Annetta, Maria Giuseppina, Bertoglio, Sergio, Biffi, R., Brescia, F., Giarretta, Igor, Greca, A. L., Panocchia, Nicola, Passaro, G., Perna, Francesco, Pinelli, F., Pittiruti, Mauro, Prisco, D., Sanna, Tommaso, Scoppettuolo, Giancarlo, Annetta M. G. (ORCID:0000-0001-7574-1311), Bertoglio S., Giarretta I. (ORCID:0000-0001-5380-0843), Panocchia N., Perna F., Pittiruti M. (ORCID:0000-0003-4541-7566), Sanna T. (ORCID:0000-0002-5760-6885), Scoppettuolo G., Annetta, Maria Giuseppina, Bertoglio, Sergio, Biffi, R., Brescia, F., Giarretta, Igor, Greca, A. L., Panocchia, Nicola, Passaro, G., Perna, Francesco, Pinelli, F., Pittiruti, Mauro, Prisco, D., Sanna, Tommaso, Scoppettuolo, Giancarlo, Annetta M. G. (ORCID:0000-0001-7574-1311), Bertoglio S., Giarretta I. (ORCID:0000-0001-5380-0843), Panocchia N., Perna F., Pittiruti M. (ORCID:0000-0003-4541-7566), Sanna T. (ORCID:0000-0002-5760-6885), and Scoppettuolo G.

Abstract

Insertion of venous access devices (VAD) is usually considered a procedure with low risk of bleeding. Nonetheless, insertion of some devices is invasive enough to be associated with bleeding, especially in patients with previous coagulopathy or in treatment with antithrombotic drugs for cardiovascular disease. The current practices of platelet/plasma transfusion in coagulopathic patients and of temporary suspension of the antithrombotic treatment before VAD insertion are based on local policies and are often inadequately supported by evidence, since many of the clinical studies on this topic are not recent and are not of high quality. Furthermore, the protocols of antithrombotic treatment have changed during the last decade, after the introduction of new oral anticoagulant drugs. Though some guidelines address some of these issues in relation with specific procedures (port insertion, etc.), no evidence-based document covering all the aspects of this clinical problem is currently available. Thus, the Italian Group of Venous Access Devices (GAVeCeLT) has decided to develop a consensus on the management of antithrombotic treatment and bleeding disorders in patients requiring VADs. After a systematic review of the available evidence, the panel of the consensus (which included vascular access specialists, surgeons, intensivists, anesthetists, cardiologists, vascular medicine experts, nephrologists, infective disease specialists, and thrombotic disease specialists) has structured the final recommendations as detailed answers to three sets of questions: (1) which is an appropriate classification of VAD-related procedures based on the specific bleeding risk? (2) Which is the appropriate management of the patient with bleeding disorders candidate to VAD insertion/removal? (3) Which is the appropriate management of the patient on antithrombotic treatment candidate to VAD insertion/removal? Only statements reaching a complete agreement were included in the final recommendation

Published
2022

9. A multicenter retrospective study on 4480 implanted PICC-ports: A GAVeCeLT project

Author

Bertoglio, Sergio, primary, Annetta, Maria Giuseppina, additional, Brescia, Fabrizio, additional, Emoli, Alessandro, additional, Fabiani, Fabio, additional, Fino, Maria, additional, Merlicco, Domenico, additional, Musaro, Andrea, additional, Orlandi, Marina, additional, Parisella, Laura, additional, Pinelli, Fulvio, additional, Reina, Simona, additional, Selmi, Valentina, additional, Solari, Nicola, additional, Tricarico, Fausto, additional, and Pittiruti, Mauro, additional

Published
2022
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12. European recommendations on the proper indication and use of peripheral venous access devices (the ERPIUP consensus): A WoCoVA project

Author

Pittiruti, Mauro, primary, Van Boxtel, Ton, additional, Scoppettuolo, Giancarlo, additional, Carr, Peter, additional, Konstantinou, Evangelos, additional, Ortiz Miluy, Gloria, additional, Lamperti, Massimo, additional, Goossens, Godelieve Alice, additional, Simcock, Liz, additional, Dupont, Christian, additional, Inwood, Sheila, additional, Bertoglio, Sergio, additional, Nicholson, Jackie, additional, Pinelli, Fulvio, additional, and Pepe, Gilda, additional

Published
2021
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14. WoCoVA consensus on the clinical use of in-line filtration during intravenous infusions: Current evidence and recommendations for future research

Author

Van Boxtel, Ton, primary, Pittiruti, Mauro, additional, Arkema, Annemarie, additional, Ball, Patrick, additional, Barone, Giovanni, additional, Bertoglio, Sergio, additional, Biffi, Roberto, additional, Dupont, Christian, additional, Fonzo-Christe, Caroline, additional, Foster, Jann, additional, Jones, Matthew, additional, Keck, Cornelia, additional, Ray-Barruel, Gillian, additional, Sasse, Michael, additional, Scoppettuolo, Giancarlo, additional, Van Den Hoogen, Agnes, additional, Villa, Gianluca, additional, Hadaway, Lynn, additional, Ryder, Marcia, additional, Schears, Gregory, additional, and Stone, Josie, additional

Published
2021
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17. International recommendations for a vascular access minimum dataset: a Delphi consensus-building study

Author

Schults, Jessica, primary, Kleidon, Tricia, additional, Chopra, Vineet, additional, Cooke, Marie, additional, Paterson, Rebecca, additional, Ullman, Amanda J, additional, Marsh, Nicole, additional, Ray-Barruel, Gillian, additional, Hill, Jocelyn, additional, Devrim, İlker, additional, Hammarskjold, Fredrik, additional, Pedreira, Mavilde L, additional, Bertoglio, Sergio, additional, Egan, Gail, additional, Mimoz, Olivier, additional, van Boxtel, Ton, additional, DeVries, Michelle, additional, Magalhaes, Maria, additional, Hallam, Carole, additional, Oakley, Suzanne, additional, and Rickard, Claire M, additional

Published
2020
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19. WoCoVA consensus on the clinical use of in-line filtration during intravenous infusions: Current evidence and recommendations for future research.

Author

Van Boxtel, Ton, Pittiruti, Mauro, Arkema, Annemarie, Ball, Patrick, Barone, Giovanni, Bertoglio, Sergio, Biffi, Roberto, Dupont, Christian, Fonzo-Christe, Caroline, Foster, Jann, Jones, Matthew, Keck, Cornelia, Ray-Barruel, Gillian, Sasse, Michael, Scoppettuolo, Giancarlo, Van Den Hoogen, Agnes, Villa, Gianluca, Hadaway, Lynn, Ryder, Marcia, and Schears, Gregory

Published
2022
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20. Considerations on the use of vascular access devices in patients with COVID-19 (and some practical recommendations)

Author

Pittiruti, Mauro, Pinelli, Fulvio, Annetta, Maria Giuseppina, Bertoglio, Sergio, Biasucci, Daniele G, Biffi, Roberto, Biondi, Simona, Brescia, Fabrizio, Buononato, Massimo, Capozzoli, Giuseppe, Cotogni, Paolo, Deganello, Elisa, Dolcetti, Laura, Elisei, Daniele, Elli, Stefano, Giustivi, Davide, Iacobone, Emanuele, Lamperti, Massimo, Maspero, Giada, Scoppettuolo, Giancarlo, Vailati, Davide, and Greca, Antonio La

Published
2020
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21. Considerazioni sull'utilizzo dei dispositivi per accesso vascolare nel paziente con COVID-19 (e alcune raccomandazioni pratiche) 5 aprile 2020

Author

A Cura Di, Pittiruti, Mauro, Pinelli, Fulvio, Annetta, Maria Giuseppina, Bertoglio, Sergio, Biasucci, Daniele G, Biffi, Roberto, Biondi, Simona, Brescia, Fabrizio, Buononato, Massimo, Capozzoli, Giuseppe, Cotogni, Paolo, Deganello, Elisa, Dolcetti, Laura, Elisei, Daniele, Elli, Stefano, Giustivi, Davide, Iacobone, Emanuele, Lamperti, Massimo, Maspero, Giada, Scoppettuolo, Giancarlo, Vailati, Davide, Vezzali, Daniele, and Greca, Antonio La

Published
2020
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23. International recommendations for a vascular access minimum dataset: a Delphi consensus- building study.

Author

Schults, Jessica, Kleidon, Tricia, Chopra, Vineet, Cooke, Marie, Paterson, Rebecca, Ullman, Amanda J., Marsh, Nicole, Barruel, Gillian Ray, Hill, Jocelyn, Devrim, İlker, Hammarskjold, Fredrik, Pedreira, Mavilde L., Bertoglio, Sergio, Egan, Gail, Mimoz, Olivier, van Boxtel, Ton, DeVries, Michelle, Magalhaes, Maria, Hallam, Carole, and Oakley, Suzanne

Subjects
CONSENSUS (Social sciences), BLOOD vessels, TREATMENT effectiveness, SURVEYS, BENCHMARKING (Management), HEALTH, INFORMATION resources, JUDGMENT sampling, DATA analysis software, MEDICAL equipment, DELPHI method
Abstract

Background Data regarding vascular access device use and outcomes are limited. In part, this gap reflects the absence of guidance on what variables should be collected to assess patient outcomes. We sought to derive international consensus on a vascular access minimum dataset. Methods A modified Delphi study with three rounds (two electronic surveys and a face- to- face consensus panel) was conducted involving international vascular access specialists. In Rounds 1 and 2, electronic surveys were distributed to healthcare professionals specialising in vascular access. Survey respondents were asked to rate the importance of variables, feasibility of data collection and acceptability of items, definitions and response options. In Round 3, a purposive expert panel met to review Round 1 and 2 ratings and reach consensus (defined as ≥70% agreement) on the final items to be included in a minimum dataset for vascular access devices. Results A total of 64 of 225 interdisciplinary healthcare professionals from 11 countries responded to Round 1 and 2 surveys (response rate of 34% and 29%, respectively). From the original 52 items, 50 items across five domains emerged from the Delphi procedure.Items related to demographic and clinical characteristics (n=5; eg, age), device characteristics (n=5; eg, device type), insertion (n=16; eg, indication), management (n=9; eg, dressing and securement), and complication and removal (n=15, eg, occlusion) were identified as requirements for a minimum dataset to track and evaluate vascular access device use and outcomes. Conclusion We developed and internally validated a minimum dataset for vascular access device research. This study generated new knowledge to enable healthcare systems to collect relevant, useful and meaningful vascular access data. Use of this standardised approach can help benchmark clinical practice and target improvements worldwide. [ABSTRACT FROM AUTHOR]

Published
2021
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35. Recommendations for the use of vascular access in the COVID-19 patients: an Italian perspective.

Author

Pittiruti, Mauro, Pinelli, Fulvio, on behalf of the GAVeCeLT Working Group for Vascular Access in COVID-19, Annetta, Maria Giuseppina, Bertoglio, Sergio, Biasucci, Daniele G., Biffi, Roberto, Biondi, Simona, Brescia, Fabrizio, Buononato, Massimo, Capozzoli, Giuseppe, Cotogni, Paolo, Deganello, Elisa, Dolcetti, Laura, Elisei, Daniele, Elli, Stefano, Giustivi, Davide, Iacobone, Emanuele, La Greca, Antonio, and Lamperti, Massimo

Published
2020
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36. A GAVeCeLT consensus on the indication, insertion, and management of central venous access devices in the critically ill

Author

Pinelli, Fulvio, Pittiruti, Mauro, Annetta, Maria Giuseppina, Barbani, Francesco, Bertoglio, Sergio, Biasucci, Daniele G, Bolis, Denise, Brescia, Fabrizio, Capozzoli, Giuseppe, D’Arrigo, Sonia, Deganello, Elisa, Elli, Stefano, Fabiani, Adam, Fabiani, Fabio, Gidaro, Antonio, Giustivi, Davide, Iacobone, Emanuele, La Greca, Antonio, Longo, Ferdinando, Lucchini, Alberto, Marche, Bruno, Romagnoli, Stefano, Scoppettuolo, Giancarlo, Selmi, Valentina, Vailati, Davide, Villa, Gianluca, and Pepe, Gilda

Abstract

Central venous access devices are essential for the management of critically ill patients, but they are potentially associated with many complications, which may occur during or after insertion. Many evidence-based documents—consensus and guidelines—suggest practical recommendations for reducing catheter-related complications, but they have some limitations. Some documents are not focused on critically ill patients; other documents address only some special strategies, such as the use of ultrasound; other documents are biased by obsolete concepts, inappropriate terminology, and lack of considerations for new technologies and new methods. Thus, the Italian Group of Venous Access Devices (GAVeCeLT) has decided to offer an updated compendium of the main strategies—old and new—that should be adopted for minimizing catheter-related complications in the adult critically ill patient. The project has been planned as a consensus, rather than a guideline, since many issues in this field are relatively recent, and few high-quality randomized clinical studies are currently available, particularly in the area of indications and choice of the device. Panelists were chosen between the Italian vascular access experts who had published papers on peer-reviewed journals about this topic in the last few years. The consensus process was carried out according to the RAND/University of California at Los Angeles (UCLA) Appropriateness Methodology, a modification of the Delphi method, that is, a structured process for collecting knowledge from groups of experts through a series of questionnaires. The final document has been structured as statements which answer to four major sets of questions regarding central venous access in the critically ill: (1) before insertion (seven questions), (2) during insertion (eight questions), (3) after insertion (three questions), and (4) at removal (three questions).

Published
2024
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37. Evidence-Based Criteria for the Choice and the Clinical use of the Most Appropriate Lock Solutions for Central Venous Catheters (Excluding Dialysis Catheters): A GAVeCeLT Consensus

Author

Pittiruti, Mauro, primary, Bertoglio, Sergio, additional, Scoppettuolo, Giancarlo, additional, Biffi, Roberto, additional, Lamperti, Massimo, additional, Dal Molin, Alberto, additional, Panocchia, Nicola, additional, Petrosillo, Nicola, additional, Venditti, Mario, additional, Rigo, Carla, additional, and DeLutio, Enrico, additional

Published
2016
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43. The Postoperative Analgesic Efficacy of Preperitoneal Continuous Wound Infusion Compared to Epidural Continuous Infusion with Local Anesthetics After Colorectal Cancer Surgery

Author

Bertoglio, Sergio, primary, Fabiani, Fabio, additional, Negri, Pasquale De, additional, Corcione, Antonio, additional, Merlo, Domenico Franco, additional, Cafiero, Ferdinando, additional, Esposito, Clelia, additional, Belluco, Claudio, additional, Pertile, Davide, additional, Amodio, Riccardo, additional, Mannucci, Matilde, additional, Fontana, Valeria, additional, Cicco, Marcello De, additional, and Zappi, Lucia, additional

Published
2012
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