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3. Free Papers

Author

Gerrite, R. J. B. J., Bonsel, G. J., van Vught, A. J., Goldhill, D. R., Vedio, A., Warburton, F., Griffiths, M., Leach, R. M., Treacher, D. F., Corbanese, U., Marcon, R., Possamai, C., Casagrande, L., Balsarin, A., Avila, A., Moran, J. L., Finnis, M. E., Leppard, P., Herman, B., Grealy, B., Peisach, A. R., Ridley, S., Rogers, J., Chrispin, P., Scotton, H., Lloyd, D., Livingston, B. M., MacKirdy, F. N., Millar, B. W., Howie, J. C., Moreno, R., Morais, P., Niskanen, M., Ruokonen, E., Takala, J., Kari, A., Bakker, J., Rommes, J. H., Dobb, G., Weekes, J., Edlin, S., Towler, S., Donovan, K., Lee, K. -Y., Clarke, G., and Severity Scoring Systems Study Groups of the Portuguese Intensive Care Society and of the Portuguese Society of Internal Medicine

Published
1996
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5. Use of early corticosteroid therapy on ICU admission in patients affected by severe pandemic (H1N1)v influenza A infection

Author

Martin Loeches, I, Lisboa, T, Rhodes, A, Moreno, Rp, Silva, E, Sprung, C, Chiche, Jd, Barahona, D, Villabon, M, Balasini, C, Pearse, Rm, Matos, R, Rello, J, Rodriguez, A, Capuzzo, M, Reina, R, Marsh, B, Flaaten, H, Sigurdsson, G, Ivana, Z, Cerny, V, Quintel, M, Welte, T, Mayorga, M, Offenstadt, G, Guidet, B, Levin, P, Rothen, Hu, Gomersall, C, Hashemian, Sm, Katsanoulas, C, Mouloudi, H, Kapadia, F, Valentin, A, Hedenstierna, G, Perner, A, Bugedo, G, Ruokonen, E, Soriano Arandes, A, Montejo, Jc, Peñíscola, R, Hermosa, C, Gordo, F, Latour, J, Vidaur, L, Alvarez Gonzalez, M, Alvarez Rocha, L, De Pablo, A, Ferri, C, Lopez De Arbina Martinez, Cânones, C, Insausti, J, Cambronero, J, Galvan, B, Luna, J, Blancas, R, Garcia, C, Sierra, R, Fernández Dorado, F, Monedero, P, Llagunes, J, Cobo, P, Socias, A, Leon Lopez, R, Esteban, E, Lacueva, M, Magret, M, Del Nogal, F, Dinis, A, Bártolo, A, Ramos, A, Franca, C, Estevens, C, Granja, C, Fidalgo, C, Almeida, E, Lafuente, E, Rua, F, Esteves, F, Clemente, J, Nóbrega, Jj, Pereira, Jm, Moura, Jp, Silva LP, Trindade E., Telo, L, Santos, L, Pedrosa, Mj, Oliveira, M, Resende, M, Catorze, N, Coutinho, P, Ribeiro, R, Miranda, I, Cardoso, T, Branco, V, Bellani, G, Urbino, R, Peris, A, Amatu, A, Berlot, G, Marzani, Fc, Corbanese, U, David, Antonio, Chiarandini, P, Della Corte, F, Caspani, Ml, Conio, A, Mangani, V, Tetamo, R, Wolfler, A, Tappatà, G, Vivaldi, N, Bertolini, G, Pelagalli, L, Molin, A, Girardis, M, Gristin, G, Lam, A, Crabb, I, Cusack, R, Jackson, R, Veerappan, C, Whiteley, C, Ware, T, Krueper, S, Mckinstry, C, Ferguson, A, Rubulotta, F, Valencia, E, Gonzalez, S, Cevallos, V, Zazu, A, Chaparro Fresco JN, Galindez, G, Barrios, C, Lovesio, C, Villamagua, B, Cadena, M, Salgado, E, García, Mf, Paredes, G, Donnelly, M, O'Croinin, D, Bates, J, Kavanagh, N, O'Brien, B, Plant, R, Scully, M, Farragher, R, Oliveira, L, Mataloun, S, Dantas, Vs, Simvoulidis, L, Duarte, P, Grion, C, Germano, A, Laake, Jh, Helset, E, Klausen, D, Flaatten, H, Bruheim, K, Kristinsson, B, Sigurdsson, Se, Hrubý, J, Valkova, R, Janda, R, Zykova, I, Kernchen, A, Bloos, F, Rosseau, S, Krassler, J, Fischer, F, Arroyo Sanchez, A, Barrionuevo Poquet, A, Ramos Palomino, I, Rafael, F, Salasfoch, J, Dubar, G, Tonnelier, Jm, Barbar, S, Dobrzynski, M, Mignon, A, Jakobson, D, Klein, M, Segal, E, Barlavie, Y, Hersch, M, Salomón, Zs, Zender, H, Chan, K, Buckley, T, Batranovic, U, Schaffer, I, Sretkovic, J, Koulenti, D, Mouloudi, E, Clouva Molyvdas PM, Gurjar, M, Vijayan, D, Hinterholzer, G, Kulier, A, Verlaat, C, Ebel, D, Persson, J, Walther, S, Petersen, P, Swinnen, W, Collin, V, Olsen, H, Gutierrez, P, Thiery, G, Laine, H, Rumba, A, Maiyalagan, S, Bui, T., Martin-Loeches, I., Lisboa, T., Rhodes, A., Moreno, R. P., Silva, E., Sprung, C., Chiche, J. -D., Barahona, D., Villabon, M., Balasini, C., Pearse, R., Matos, R., Rello, J., Rodriguez, A., Capuzzo, M., Reina, R., Marsh, B., Flaaten, H., Sigurdsson, G., Ivana, Z., Cerny, V., Quintel, M., Welte, T., Mayorga, M., Offenstadt, G., Guidet, B., Levin, P., Rothen, H. -U., Gomersall, C., Hashemian, S. M., Katsanoulas, C., Mouloudi, H., Kapadia, F., Valentin, A., Hedenstierna, G., Perner, A., Bugedo, G., Ruokonen, E., Arandes, A. S., Montejo, J. C., Peniscola, R., Hermosa, C., Gordo, F., Latour, J., Vidaur, L., Alvarez-Gonzalez, M., Alvarez-Rocha, L., De Pablo, A., Ferri, C., De Arbina Martinez, L., Canones, C., Insausti, J., Cambronero, J., Galvan, B., Luna, J., Blancas, R., Garcia, C., Sierra, R., Dorado, F. F., Monedero, P., Llagunes, J., Cobo, P., Socias, A., Leon-Lopez, R., Esteban, E., Lacueva, M., Magret, M., Del Nogal, F., Dinis, A., Bartolo, A., Ramos, A., Franca, C., Estevens, C., Granja, C., Fidalgo, C., Almeida, E., Lafuente, E., Rua, F., Esteves, F., Clemente, J., Nobrega, J. J., Pereira, J. M., Moura, J. P., Trindade E Silva, L. P., Telo, L., Santos, L., Pedrosa, M. J., Oliveira, M., Resende, M., Catorze, N., Coutinho, P., Ribeiro, R., Moreno, R., Miranda, I., Cardoso, T., Branco, V., Bellani, G., Urbino, R., Peris, A., Amatu, A., Berlot, G., Marzani, F. C., Corbanese, U., David, A., Chiarandini, P., Corte, F. D., Caspani, M. L., Alessandra, C., Mangani, V., Tetamo, R., Wolfler, A., Tappata, G., Nicoletta, V., Bertolini, G., Pelagalli, L., Molin, A., Girardis, M., Gristin, G., Lam, A., Crabb, I., Cusack, R., Jackson, R., Veerappan, C., Whiteley, C., Ware, T., Krueper, S., Mckinstry, C., Ferguson, A., Rubulotta, F., Valencia, E., Gonzalez, S., Cevallos, V., Zazu, A., Fresco, J. N. C., Galindez, G., Barrios, C., Lovesio, C., Villamagua, B., Cadena, M., Salgado, E., Garcia, M. F., Paredes, G., Donnelly, M., O'Croinin, D., Bates, J., Kavanagh, N., O'Brien, B., Plant, R., Scully, M., Farragher, R., Oliveira, L., Mataloun, S., Dantas, V. S., Simvoulidis, L., Duarte, P., Grion, C., Germano, A., Laake, J. H., Helset, E., Klausen, D., Flaatten, H., Bruheim, K., Kristinsson, B., Sigurdsson, S. E., Hruby, J., Valkova, R., Janda, R., Zykova, I., Kernchen, A., Bloos, F., Rosseau, S., Krassler, J., Fischer, F., Arroyo-Sanchez, A., Poquet, A. B., Palomino, I. R., Rafael, F., Salasfoch, J., Dubar, G., Tonnelier, J. -M., Barbar, S., Dobrzynski, M., Mignon, A., Jakobson, D., Klein, M., Segal, E., Barlavie, Y., Hersch, M., Salomon, Z. S., Zender, H., Rothen, H. U., Chan, K., Buckley, T., Batranovic, U., Schaffer, I., Sretkovic, J., Koulenti, D., Mouloudi, E., Clouva-Molyvdas, P. -M., Gurjar, M., Vijayan, D., Hinterholzer, G., Kulier, A., Verlaat, C., Ebel, D., Persson, J., Walther, S., Petersen, P., Swinnen, W., Collin, V., Olsen, H., Gutierrez, P., Thiery, G., Laine, H., Rumba, A., Maiyalagan, S., Bui, T., Martin Loeches, I, Lisboa, T, Rhodes, A, Moreno, R, Silva, E, Sprung, C, Chiche, J, Barahona, D, Villabon, M, Balasini, C, Pearse, R, Matos, R, Rello, J, and Pesenti, A

Subjects
Registrie, Male, Original, H1N1 Influenza, Adrenal Cortex Hormone, Critical Care and Intensive Care Medicine, Severity of Illness Index, law.invention, Influenza A Virus, H1N1 Subtype, Community-acquired pneumonia, Adrenal Cortex Hormones, law, Prospective Studies, Registries, 610 Medicine & health, Prospective cohort study, H1N1 Subtype, Influenza, Acute Respiratory Distress Syndrome, Cross Infection, Likelihood Functions, COPD, Acinetobacter, Hazard ratio, Middle Aged, Likelihood Function, Intensive care unit, Europe, Intensive Care Units, Community acquired pneumonia, Corticosteroid therapy, Pandemic (H1N1)v influenza A infection, Female, Survival Analysi, Human, Adult, medicine.medical_specialty, Chronic Obstructive Pulmonary Disease, ARDS, Community acquired pneumonia, Corticosteroid therapy, Pandemic (H1N1)v influenza A infection, Intensive Care Unit, Internal medicine, Correspondence, Influenza, Human, Severity of illness, medicine, Humans, H1N1 Subtype, Intensive care medicine, Pandemics, Pandemic, business.industry, Pneumonia, Odds ratio, medicine.disease, Survival Analysis, Influenza, Asthma, Prospective Studie, business
Abstract

Introduction: Early use of corticosteroids in patients affected by pandemic (H1N1)v influenza A infection, although relatively common, remains controversial. Methods: Prospective, observational, multicenter study from 23 June 2009 through 11 February 2010, reported in the European Society of Intensive Care Medicine (ESICM) H1N1 registry. Results: Two hundred twenty patients admitted to an intensive care unit (ICU) with completed outcome data were analyzed. Invasive mechanical ventilation was used in 155 (70.5%). Sixty-seven (30.5%) of the patients died in ICU and 75 (34.1%) whilst in hospital. One hundred twenty-six (57.3%) patients received corticosteroid therapy on admission to ICU. Patients who received corticosteroids were significantly older and were more likely to have coexisting asthma, chronic obstructive pulmonary disease (COPD), and chronic steroid use. These patients receiving corticosteroids had increased likelihood of developing hospital-acquired pneumonia (HAP) [26.2% versus 13.8%, p < 0.05; odds ratio (OR) 2.2, confidence interval (CI) 1.1-4.5]. Patients who received corticosteroids had significantly higher ICU mortality than patients who did not (46.0% versus 18.1%, p < 0.01; OR 3.8, CI 2.1-7.2). Cox regression analysis adjusted for severity and potential confounding factors identified that early use of corticosteroids was not significantly associated with mortality [hazard ratio (HR) 1.3, 95% CI 0.7-2.4, p = 0.4] but was still associated with an increased rate of HAP (OR 2.2, 95% CI 1.0-4.8, p < 0.05). When only patients developing acute respiratory distress syndrome (ARDS) were analyzed, similar results were observed. Conclusions: Early use of corticosteroids in patients affected by pandemic (H1N1)v influenza A infection did not result in better outcomes and was associated with increased risk of superinfections. associated with mortality [hazard ratio (HR) 1.3, 95% CI 0.7-2.4, p = 0.4] but was still associated with an increased rate of HAP (OR 2.2, 95% CI 1.0-4.8, p < 0.05). When only patients developing acute respiratory distress syndrome (ARDS) were analyzed, similar results were observed. Conclusions: Early use of corticosteroids in patients affected by pandemic (H1N1)v influenza A infection did not result in better outcomes and was associated with increased risk of superinfections. © Copyright jointly held by Springer and ESICM 2010.

Published
2011
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6. Evaluation of trauma care: Validation of the TRISS method in an Italian ICU

Author

Possamai C, Corbanese U, Casagrande L, and P. Bordino

Subjects
Adult, medicine.medical_specialty, Youden's J statistic, Critical Care and Intensive Care Medicine, Sensitivity and Specificity, Likelihood ratios in diagnostic testing, law.invention, law, Intensive care, Outcome Assessment, Health Care, Severity of illness, medicine, Humans, Prospective Studies, Intensive care medicine, APACHE, Medical Audit, Receiver operating characteristic, Multiple Trauma, business.industry, Reproducibility of Results, Hospital Bed Capacity, 500 and over, Length of Stay, Middle Aged, Survival Analysis, Intensive care unit, Intensive Care Units, Italy, Traumatology, Predictive value of tests, business, Cohort study
Abstract

To validate the TRISS method as an audit system on a group of patients with severe trauma admitted to an Italian general intensive care unit (ICU).Prospective, cohort study of consecutive admissions to the ICU.A 6-bed general ICU in a 500-bed general hospital.190 patients with severe trauma admitted from January 1992 to December 1993 were considered eligible. Patients lacking the data necessary to calculate the TRISS probability of survival, or for whom the ultimate outcome was unknown, were excluded. 162 patients were included in the study.None.Vital status at discharge from the last hospital that admitted the patient for the trauma being considered.The Hosmer-Lemeshow goodness-of-fit tests were: H = 16.9, df = 10, p = 0.076; C = 5.8, df = 10, p = 0.831; H 3.5, df = 3, p = 0.31. The area under the receiver operating characteristic curve was 0.963 (SE +/- 0.019). Classification measures at a decision criterion of 0.5 were: sensitivity 0.857, specificity 0.964, positive predictive value 0.782, negative predictive value 0.978, total correct classification 0.950, and the Youden index 0.821. The positive likelihood ratio (LHR) was 24.17, whereas the negative LHR was 0.14.The results of the validation of the TRISS method showed adequate calibration and high discriminatory power in Italian ICU trauma patients also, allowing confidence in the use of this method as an audit tool in our ICU. Some caution is advisable in extending these results to patients with operable intracranial injuries, due to the relatively low number of such cases included in the study.

Published
1996
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7. Recommendations for airway control and difficult airway management in thoracic aneshtesia and lung separation procedures

Author

Merli, G, Guarino, A., Della Rocca, G, Frova, G, Petrini, F, Sorbello, M, Coccia, C, Accorsi, A, Adrario, E, Agro, F, Amicucci, G, Antonelli, M, Azzeri, F, Baroncini, S, Bettelli, G, Biolcati, F, Cafaggi, C, Cattano, D, Chinelli, E, Collavo, T, Corbanese, U, Corso, R, di Filippo, A, di Giacinto, I, Donato, P, Facco, E, Favaro, R, Ferraro, F, Finco, G, Galante, D, Gattinoni, L, Giunta, F, Giurati, G, Giusti, F, Guarino, A, Ian-Nuzzi, E, Ivani, G, Ledda, G, Marchi, A, Mattioli, V, Menarini, M, Miceli, L, Mondello, E, Morossi, M, Oligeri, M, Pala, F, Pesetti, B, Pigna, A, Pittoni, G, Ripamonti, D, Rosa, G, Rosi, R, Salvo, I, Santangelo, E, Sarti, A, Scoponi, M, Serafini, G, Tana, F, Tufano, R, Vesconi, S, Villani, A, and Zauli, M.

Published
2009

8. Recommendations for airway control and difficult airway management in thoracic anesthesia and lung separation procedures

Author

Accorsi, A, Adrario, E, Agrò, F, Amicucci, G, Antonelli, M, Azzeri, F, Baroncini, S, Bettelli, G, Biolcati, F, Cafaggi, C, Cattano, D, Chinelli, E, Collavo, T, Corbanese, U, Corso, Ruggero Massimo, Della Rocca, G, Di Filippo, Alessandro, Di Giacinto, I, Donato, P, Facco, E, Favaro, R, Ferraro, F, Finco, G, Frova, G, Galante, D, Gattinoni, L, Giunta, F, Giurati, G, Giusti, F, Guarino, A, Iannuzzi, E, Ivani, G, Ledda, G, Marchi, A, Mattioli, V, Menarini, M, Merli, G, Miceli, L, Mondello, E, Morossi, M, Oligeri, M, Pala, F, Pesetti, B, Petrini, F, Pigna, A, Pittoni, G, Ripamonti, D, Rosa, G, Rosi, R, Salvo, I, Santangelo, E, Sarti, A, Scoponi, M, Serafini, G, Sorbello, Massimiliano, Tana, F, Tufano, R, Vesconi, S, Villani, A, and Zauli, M.

Subjects
Anesthesia, General, Humans, Lung, Respiration, Artificial, Thoracic Surgical Procedures
Published
2009

9. Recommendations for airway control and difficult airway management

Author

Petrini, F., Accorsi, A., Adrario, E., Agro, F., Amicucci, G., Antonelli, M., Azzeri, F., Baroncini, S., Bettelli, G., Cafaggi, C., Cattano, D., Chinelli, E., Corbanese, U., Corso, R., Della Puppa, A., Di Filippo, A., Facco, E., Favaro, Roberto, Favero, R., Frova, G., Giunta, F., Giurati, G., Giusti, F., Guarino, A., Iannuzzi, E., Ivani, G., Mazzon, D., Menarini, M., Merli, G., Mondello, E., Muttini, S., Nardi, G., Pigna, A., Pittoni, G., Ripamonti, D., Rosa, Giovanni, Rosi, R., Salvo, I., Sarti, A., Serafini, G., Servadio, G., Sgandurra, A., Sorbello, M., Tana, F., Tufano, R., Vesconi, S., Villani, A., Zauli, M., vie Aeree Difficili Gruppo Di Studio Siaarti, Sarnepi Task Force, Irc E., F., Petrini, A., Accorsi, E., Adrario, F., Agrò, G., Amicucci, M., Antonelli, F., Azzeri, S., Baroncini, G., Bettelli, C., Cafaggi, D., Cattano, E., Chinelli, U., Corbanese, R., Corso, A., Della Puppa, A., Di Filippo, E., Facco, R., Favaro, R., Favero, G., Frova, F., Giunta, G., Giurati, F., Giusti, A., Guarino, E., Iannuzzi, G., Ivani, D., Mazzon, M., Menarini, G., Merli, E., Mondello, S., Muttini, G., Nardi, A., Pigna, G., Pittoni, D., Ripamonti, G., Rosa, R., Rosi, I., Salvo, A., Sarti, G., Serafini, G., Servadio, A., Sgandurra, M., Sorbello, F., Tana, Tufano, Rosalba, S., Vesconi, A., Villani, M., Zauli, Gruppo di, Studio, and I. R., C.

Subjects
pediatric patient, vie aeree, Laryngoscopy, Intubation, Intratracheal, Humans, Anesthesia, Inhalation, Intraoperative Complications, Algorithms
Published
2005

10. Recommendations for airway control and difficult airway management

Author

Petrini, F, Accorsi, A, Adrario, E, Agro, F, Amicucci, G, Antonelli, M, Azzeri, F, Baroncini, S, Bettelli, G, Cafaggi, C, Cattano, D, Chinelli, E, Corbanese, U, Corso, R, Della, P. A, Filippo, Di, A, Facco, Enrico, Favaro, E, Favero, R, Frova, R, Giunta, G, Giurati, F, Giusti, G, Guarino, F, Iannuzzi, A, Ivani, E, Mazzon, G, Menarini, D, Merli, M, Mondello, G, Muttini, E, Nardi, S, Pigna, G, Pittoni, A, Ripamonti, G, Rosa, D, Rosi, G, Salvo, R, Sarti, I, Serafini, A, Servadio, G, Sgandurra, G, Sorbello, A, Tana, M, Tufano, F, Vesconi, R, Villani, S, and Zauli, A

Published
2005

11. Recommendations for airway control and difficult airway management. Minerva Anestesiol. 2005 Nov;71(11):617-57

Author

Petrini, F, Accorsi, A, Adrario, E, Agro, F, Amicucci, G, Antonelli, M, Azzeri, F, Baroncini, S, Bettelli, G, Cafaggi, C, Cattano, D, Chinelli, E, Corbanese, U, Corso, R, DELLA PUPPA, A, DI FILIPPO, A, Facco, E, Favaro, Roberto, Favero, R, Frova, G, Giunta, F, Giurati, G, Giusti, F, Guarino, A, Iannuzzi, E, Ivani, G, Mazzon, D, Menarini, M, Merli, G, Mondello, E, Muttini, S, Nardi, G, Pigna, A, Pittoni, G, Ripamonti, D, Rosa, Giovanni, Rosi, R, Salvo, I, Sarti, A, Serafini, G, Servadio, G, Sgandurra, A, Sorbello, M, Tana, F, Tufano, R, Vesconi, S, Villani, A, Zauli, M, GRUPPO DI STUDIO SIAARTI VIE AEREE, Difficili, Sarnepi, IRC E., and Task, Force

Published
2005

14. Letter to the Editor

Author

Casagrande L, Corbanese U, and Possamai C

Subjects
medicine.medical_specialty, business.industry, Trauma Severity Indexes, MEDLINE, Human factors and ergonomics, Poison control, medicine.disease, Suicide prevention, Occupational safety and health, Emergency medicine, Injury prevention, medicine, Injury Severity Score, Medical emergency, business
Published
1996
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20. Recommendations for airway control and difficult airway management in thoracic anesthesia and lung separation procedures | Raccomandazioni per il controllo delle vie aeree e la gestione delle difficoltá in anestesia toracica e separazione polmonare

Author

Merli, G., Guarino, A., Della Rocca, G., Frova, G., Petrini, F., Sorbello, M., Coccia, C., Accorsi, A., Adrario, E., Agro, F., Amicucci, G., Antonelli, M., Azzeri, F., Baroncini, S., Bettelli, G., Biolcati, F., Cafaggi, C., Cattano, D., Chinelli, E., Collavo, T., Corbanese, U., Corso, R., Alessandro Di Filippo, Di Giacinto, I., Donato, P., Facco, E., Favaro, R., Ferraro, F., Finco, G., Galante, D., Gattinoni, L., Giunta, F., Giurati, G., Giusti, F., Ian-Nuzzi, E., Ivani, G., Ledda, G., Marchi, A., Mattioli, V., Menarini, M., Miceli, L., Mondello, E., Morossi, M., Oligeri, M., Pala, F., Pesetti, B., Pigna, A., Pittoni, G., Ripamonti, D., Rosa, G., Rosi, R., Salvo, I., Santangelo, E., Sarti, A., Scoponi, M., Serafini, G., Tana, F., Tufano, R., Vesconi, S., Villani, A., Zauli, M., Merli, G., Guarino, A., Della Rocca, G., Frova, G., Petrini, F., Sorbello, M., Coccia, C., Accorsi, A., Adrario, E., Agro, F., Amicucci, G., Antonelli, M., Azzeri, F., Baroncini, S., Bettelli, G., Biolcati, F., Cafaggi, C., Cattano, D., Chinelli, E., Collavo, T., Corbanese, U., Corso, R., di Filippo, A., di Giacinto, I., Donato, P., Facco, E., Favaro, R., Ferraro, F., Finco, G., Galante, D., Gattinoni, L., Giunta, F., Giurati, G., Giusti, F., Ian Nuzzi, E., Ivani, G., Ledda, G., Marchi, A., Mattioli, V., Menarini, M., Miceli, L., Mondello, E., Morossi, M., Oligeri, M., Pala, F., Pesetti, B., Pigna, A., Pittoni, G., Ripamonti, D., Rosa, G., Rosi, R., Salvo, I., Santangelo, E., Sarti, A., Scoponi, M., Serafini, G., Tana, F., Tufano, Rosalba, Vesconi, S., Villani, A., and Zauli, M.

22. Recommendations for airway control and difficult airway management | Raccomandazioni per il controllo delle vie aeree e la gestione delle difficoltà

Author

Petrini, F., Accorsi, A., Adrario, E., Agrò, F., Amicucci, G., Antonelli, M., Azzeri, F., Baroncini, S., Bettelli, G., Cafaggi, C., Cattano, D., Chinelli, E., Corbanese, U., Corso, R., Della Puppa, A., Alessandro Di Filippo, Facco, E., Favaro, R., Favero, R., Frova, G., Giunta, F., Giurati, G., Giusti, F., Guarino, A., Iannuzzi, E., Ivani, G., Mazzon, D., Menarini, M., Merli, G., Mondello, E., Muttini, S., Nardi, G., Pigna, A., Pittoni, G., Ripamonti, D., Rosa, G., Rosi, R., Salvo, I., Sarti, A., Serafini, G., Servadio, G., Sgandurra, A., Sorbello, M., Tana, F., Tufano, R., Vesconi, S., Villani, A., and Zauli, M.

23. Recommendations for airway control and difficult airway management,Raccomandazioni per il controllo delle vie aeree e la gestione delle difficoltà

Author

Petrini, F., Accorsi, A., Adrario, E., Agrò, F., Amicucci, G., Antonelli, M., Azzeri, F., Baroncini, S., Bettelli, G., Cafaggi, C., Cattano, D., Chinelli, E., Corbanese, U., Corso, R., Della Puppa, A., Di Filippo, A., Facco, E., Favaro, R., Favero, R., Frova, G., Giunta, F., Giurati, G., Giusti, F., Guarino, A., Iannuzzi, E., Ivani, G., Mazzon, D., Menarini, M., Merli, G., Mondello, E., Muttini, S., Nardi, G., Pigna, A., Pittoni, G., Ripamonti, D., Rosa, G., Rosi, R., Salvo, I., Sarti, A., Serafini, G., Servadio, G., Sgandurra, A., Massimiliano Sorbello, Tana, F., Tufano, R., Vesconi, S., Villani, A., and Zauli, M.

24. Recommendations for airway control and difficult airway management in paediatric patients,Raccomandazioni per il controllo delle vie aeree e la gestione delle difficoltà in età pediatrica

Author

Baroncini, S., FELICE EUGENIO AGRO', Frova, G., Giusti, F., Guarino, A., Ivani, G., Lombardo, G., Messeri, A., Merli, G., Mirabile, L., Petrini, F., Pigna, A., Ripamonti, D., Salvo, I., Sarti, A., Serafini, G., Sorbello, M., Villani, A., Accorsi, A., Adrario, E., Amicucci, G., Antonelli, M., Azzeri, F., Bettelli, G., Cafaggi, C., Cattano, D., Chinelli, E., Corbanese, U., Corso, R., Di Filippo, A., Facco, E., Favaro, R., Giunta, F., Giurati, G., Iannuzzi, E., Mazzon, D., Menarini, M., Mondello, E., Muttini, S., Nardi, G., Pittoni, G., Rosa, G., Rosi, R., Servadio, G., Sgandurra, A., Tana, F., Tufano, R., Vesconi, S., and Zauli, M.

25. Recommendations for airway control and difficult airway management in paediatric patients | Raccomandazioni per il controllo delle vie aeree e la gestione delle difficoltà in età pediatrica

Author

Baroncini, S., Agrò, F., Frova, G., Giusti, F., Guarino, A., Ivani, G., Lombardo, G., Messeri, A., Merli, G., Mirabile, L., Petrini, F., Pigna, A., Ripamonti, D., Salvo, I., Sarti, A., Serafini, G., Sorbello, M., Villani, A., Accorsi, A., Adrario, E., Amicucci, G., Antonelli, M., Azzeri, F., Bettelli, G., Cafaggi, C., Cattano, D., Chinelli, E., Corbanese, U., Corso, R., Alessandro Di Filippo, Facco, E., Favaro, R., Giunta, F., Giurati, G., Iannuzzi, E., Mazzon, D., Menarini, M., Mondello, E., Muttini, S., Nardi, G., Pittoni, G., Rosa, G., Rosi, R., Servadio, G., Sgandurra, A., Tana, F., Tufano, R., Vesconi, S., and Zauli, M.

26. Recommendations for airway control and difficult airway management in thoracic anesthesia and lung separation procedures,Raccomandazioni per il controllo delle vie aeree e la gestione delle difficoltá in anestesia toracica e separazione polmonare

Author

Merli, G., Guarino, A., Della Rocca, G., Frova, G., Petrini, F., Sorbello, M., Coccia, C., Accorsi, A., Adrario, E., Agro, F., Amicucci, G., Antonelli, M., Azzeri, F., Baroncini, S., Bettelli, G., Biolcati, F., Cafaggi, C., Cattano, D., Chinelli, E., Collavo, T., Corbanese, U., Corso, R., Di Filippo, A., Di Giacinto, I., Donato, P., Facco, E., Favaro, R., Ferraro, F., Finco, G., Galante, D., Gattinoni, L., Giunta, F., Giurati, G., Giusti, F., Ian-Nuzzi, E., Ivani, G., Ledda, G., Marchi, A., Mattioli, V., Menarini, M., Luca Miceli, Mondello, E., Morossi, M., Oligeri, M., Pala, F., Pesetti, B., Pigna, A., Pittoni, G., Ripamonti, D., Rosa, G., Rosi, R., Salvo, I., Santangelo, E., Sarti, A., Scoponi, M., Serafini, G., Tana, F., Tufano, R., Vesconi, S., Villani, A., and Zauli, M.

31. Improving the management of patients with chronic cardiac and respiratory diseases by extending pulse-oximeter uses: the dynamic pulse-oximetry.

Author

Nardini S, Corbanese U, Visconti A, Mule JD, Sanguinetti CM, and De Benedetto F

Abstract

Respiratory and cardio-vascular chronic diseases are among the most common noncommunicable diseases (NCDs) worldwide, accounting for a large portion of health-care costs in terms of mortality and disability. Their prevalence is expected to rise further in the coming years as the population ages. The current model of care for diagnosing and monitoring NCDs is out of date because it results in late medical interventions and/or an unfavourable cost-effectiveness balance based on reported symptoms and subsequent inpatient tests and treatments. Health projects and programs are being implemented in an attempt to move the time of an NCD's diagnosis, as well as its monitoring and follow up, out of hospital settings and as close to real life as possible, with the goal of benefiting both patients' quality of life and health system budgets. Following the SARS-CoV-2 pandemic, this implementation received additional impetus. Pulseoximeters (POs) are currently used in a variety of clinical settings, but they can also aid in the telemonitoring of certain patients. POs that can measure activities as well as pulse rate and oxygen saturation as proxies of cardio-vascular and respiratory function are now being introduced to the market. To obtain these data, the devices must be absolutely reliable, that is, accurate and precise, and capable of recording for a long enough period of time to allow for diagnosis. This paper is a review of current pulse-oximetry (POy) use, with the goal of investigating how its current use can be expanded to manage not only cardio-respiratory NCDs, but also acute emergencies with telemonitoring when hospitalization is not required but the patients' situation is debatable. Newly designed devices, both "consumer" and "professional," will be scrutinized, particularly those capable of continuously recording vital parameters on a 24-hour basis and coupling them with daily activities, a practice known as dynamic pulse-oximetry., (Copyright © 2023, the Author(s).)

Published
2023
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33. Massive venous air embolism in the semi-sitting position during surgery for a cervical spinal cord tumor: anatomic and surgical pitfalls.

Author

Basaldella L, Ortolani V, Corbanese U, Sorbara C, and Longatti P

Subjects
Humans, Magnetic Resonance Imaging, Male, Middle Aged, Radiography, Thoracic methods, Spinal Cord Neoplasms surgery, Embolism, Air etiology, Neurosurgical Procedures adverse effects, Postoperative Complications, Posture, Venae Cavae pathology
Abstract

Although venous air embolism (VAE) in neurological surgery is mainly associated with posterior fossa procedures, this complication may also occur, with comparable severity, in the posterior cervical spine approach in patients who are semi-sitting. We report a patient with a massive VAE that occurred in the semi-sitting position during a posterior approach to an extended cervical-thoracic level (C3-T2) intramedullary tumor, which interrupted the surgical procedure. We discuss the possible causes of air embolism, the anatomic and pathogenetic mechanisms, treatment and preventive measures.

Published
2009
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34. Recommendations for airway control and difficult airway management in paediatric patients.

Author

Frova G, Guarino A, Petrini F, Merli G, Sorbello M, Baroncini S, Agrò F, Giusti F, Ivani G, Lombardo G, Messeri A, Mirabile L, Pigna A, Ripamonti D, Salvo I, Sarti A, Serafini G, Villani A, Accorsi A, Adrario E, Amicucci G, Antonelli M, Azzeri F, Bettelli G, Cafaggi C, Cattano D, Chinelli E, Corbanese U, Corso R, Di Filippo A, Facco E, Favaro R, Giunta F, Giurati G, Iannuzzi E, Mazzon D, Menarini M, Mondello E, Muttini S, Nardi G, Pittoni G, Rosa G, Rosi R, Servadio G, Sgandurra A, Tana F, Tufano R, Vesconi S, and Zauli M

Subjects
Child, Humans, Italy, Patient Care Planning, Predictive Value of Tests, Societies, Medical, Terminology as Topic, Anesthesia, Anesthesiology instrumentation, Intubation, Intratracheal instrumentation, Respiration, Artificial instrumentation
Published
2006

35. Orbital head pain elicited by neuroendoscopy of the third ventricle performed under local anesthesia.

Author

Longatti P, Barzoi G, Fusco B, and Corbanese U

Subjects
Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Pain Measurement, Anesthesia, Local, Endoscopy adverse effects, Orbital Diseases etiology, Pain etiology, Third Ventricle
Abstract

Endoscopic third ventriculostomy (ETVS) is considered a minimally invasive procedure for blocked hydrocephalus. In 24 cases, this procedure was carried out in awake patients under local anesthesia. All patients reported abrupt orbital pain when the third ventricle floor was manipulated. Although recent advancements in knowledge of some forms of migraine and cluster headache could be regarded as a good basis for interpreting the pain triggered by ETVS, other hypotheses should also be taken into consideration.

Published
2006
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36. Recommendations for airway control and difficult airway management.

Author

Petrini F, Accorsi A, Adrario E, Agrò F, Amicucci G, Antonelli M, Azzeri F, Baroncini S, Bettelli G, Cafaggi C, Cattano D, Chinelli E, Corbanese U, Corso R, Della Puppa A, Di Filippo A, Facco E, Favaro R, Favero R, Frova G, Giunta F, Giurati G, Giusti F, Guarino A, Iannuzzi E, Ivani G, Mazzon D, Menarini M, Merli G, Mondello E, Muttini S, Nardi G, Pigna A, Pittoni G, Ripamonti D, Rosa G, Rosi R, Salvo I, Sarti A, Serafini G, Servadio G, Sgandurra A, Sorbello M, Tana F, Tufano R, Vesconi S, Villani A, and Zauli M

Subjects
Algorithms, Anesthesia, Inhalation methods, Humans, Intraoperative Complications prevention & control, Intubation, Intratracheal instrumentation, Intubation, Intratracheal methods, Laryngoscopy methods, Laryngoscopy standards, Anesthesia, Inhalation standards, Intubation, Intratracheal standards
Published
2005

37. Acute renal failure and severe neurotoxicity following valacyclovir.

Author

Carlon R, Possamai C, and Corbanese U

Subjects
Acyclovir adverse effects, Female, Humans, Middle Aged, Valacyclovir, Valine adverse effects, Acute Kidney Injury chemically induced, Acyclovir analogs & derivatives, Antiviral Agents adverse effects, Coma chemically induced, Confusion chemically induced, Valine analogs & derivatives
Published
2005
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39. A simplified endoscopic third ventriculostomy under local anesthesia.

Author

Longatti PL, Barzoi G, Paccagnella F, Corbanese U, Fiorindi A, and Carteri A

Subjects
Adult, Aged, Aged, 80 and over, Equipment Design, Female, Hematoma etiology, Humans, Male, Middle Aged, Treatment Outcome, Ventriculostomy instrumentation, Anesthesia, Local, Hydrocephalus surgery, Neuroendoscopy methods, Postoperative Complications, Third Ventricle pathology, Third Ventricle surgery, Ventriculostomy methods
Abstract

The aim of this study is the analysis of our experience with awake endoscopic third ventriculostomy (ETVS) in hydrocephalic patients. From September 1994 to December 2001, 24 neuroendoscopic procedures were performed under local anesthesia. Local infiltration was administered using a bupivacaine and lidocaine mixture. Analgesics were titrated to the effect. A free-hand technique with a flexible endoscope was adopted in 24 patients with primitive and secondary (neoplastic) hydrocephalus. ETVS was performed successfully in all cases. No procedure needed to be discontinued due to seizures, bleeding or agitation. Dural incision/coagulation and Fogarty dilatation proved to be the most painful maneuvers requiring, sometimes, supplemental analgesic administration. No intraoperative complications were observed; however, two asymptomatic trajectory hematomas were incidentally discovered two and three days after the operation, respectively. Awake ETVS is a valuable alternative procedure that can be adopted in adult cooperative patients, provided that the procedure is done in an essential and fast way with the free-hand technique, by means of a flexible endoscope, and with the assistance of an anesthesiologist.

Published
2004
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40. Posterior capsule opacification after phacoemulsification: silicone CeeOn Edge versus acrylate AcrySof intraocular lens.

Author

Prosdocimo G, Tassinari G, Sala M, Di Biase A, Toschi PG, Gismondi M, and Corbanese U

Subjects
Aged, Aged, 80 and over, Biocompatible Materials, Cataract epidemiology, Female, Humans, Incidence, Lens Implantation, Intraocular, Male, Middle Aged, Minimally Invasive Surgical Procedures, Postoperative Complications epidemiology, Postoperative Complications prevention & control, Prosthesis Design, Visual Acuity, Acrylic Resins, Cataract prevention & control, Lens Capsule, Crystalline, Lenses, Intraocular, Phacoemulsification, Silicone Elastomers
Abstract

Purpose: To compare the rates and morphologic features of posterior capsule opacification (PCO) after small-incision phacoemulsification and in-the-bag implantation of 2 foldable intraocular lenses (IOLs) over an 18-month follow-up., Setting: Departments of Ophthalmology, Hospital of Conegliano, Conegliano, and Maggiore Hospital of Bologna, Bologna, Italy., Methods: In an open clinical study, 78 cataract patients were randomly selected to have implantation of a silicone CeeOn Edge (Pharmacia) or acrylate AcrySof (Alcon) IOL after phacoemulsification cataract surgery. All the patients were operated on using a standard technique and in-the-bag IOL implantation. One eye in each patient was studied. Morphologic evaluation of PCO was performed using Evaluation of Posterior Capsule Opacification software., Results: At 18 months in the CeeOn Edge group, 36 eyes (90%) had a clear posterior capsule and 4 (10%) had PCO that did not affect visual acuity. In the AcrySof group, 26 eyes (68%) had a clear posterior capsule, 11 (29%) had PCO that did not affect visual acuity, and 1 (3%) had PCO with a decrease of 2 or more lines of visual acuity that required a neodymium:YAG laser capsulotomy. No eye developed Elschnig pearls or stretched folds in the bag. The postoperative best corrected visual acuity ranged from 0.8 to 1.0 in 96% in the CeeOn Edge group and in 92% in the AcrySof group. No IOL haze or discoloration was observed in the CeeOn Edge group. Mild IOL decentration and tilting occurred in 4 AcrySof eyes; however, no glistenings were found any AcrySof IOL., Conclusions: Both the CeeOn Edge and AcrySof groups had a low incidence of PCO after an 18-month follow-up. The CeeOn Edge group had significantly less PCO than the AcrySof group. These results confirm that IOLs with square truncated edges create a barrier effect at the optic edge, reducing the overall incidence of PCO.

Published
2003
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42. Pulmonary embolism.

Author

Corbanese U and Possamai C

Subjects
Humans, Pulmonary Embolism mortality, Pulmonary Embolism prevention & control, Vena Cava Filters, Venous Thrombosis therapy
Published
1998

43. Multiple organ failure due to Clostridium difficile sepsis. A case report.

Author

Possamai C, Corbanese U, Possamai G, Casagrande L, and Farinea C

Subjects
Female, Humans, Middle Aged, Clostridioides difficile, Respiratory Distress Syndrome microbiology, Shock, Septic microbiology
Abstract

A case of severe sepsis caused by Clostridium difficile infection in a 66-year-old cirrhotic female is described. Severe systemic symptoms evolved rapidly to septic shock and ARDS, with signs and symptoms suggesting an acute abdomen requiring exploration for exclusion of surgical treatable diseases. The delayed diagnosis of Clostridium difficile infection probably contributed to the severity of the clinical course.

Published
1997

46. [Respiratory obstruction caused by retropharyngeal hematoma secondary to cervical spinal injury. Report of a case].

Author

Corbanese U, Ruga P, Possamai C, and Casagrande L

Subjects
Adult, Hematoma etiology, Humans, Laryngeal Diseases etiology, Male, Airway Obstruction etiology, Cervical Vertebrae injuries, Hematoma complications, Laryngeal Diseases complications
Abstract

A case of severe airway obstruction secondary to retropharyngeal hematoma in a young multiple trauma patient with a stable occipitoatloid capsular-ligamentous injury is reported. The onset of mechanical obstruction occurred eight hours after the trauma requiring emergent oral intubation, and lasted seventeen days. The initial lateral cervical spine radiograph was negative, whereas the second one performed 7 hours after and initially underestimated, showed a large prevertebral soft tissue swelling. The initial difficult radiological diagnosis of trauma is described, and the therapeutic implications are discussed.

Published
1995

47. [Comparison of 2 modified Fick methods and thermodilution for determining the cardiac output in patients with mechanical ventilation].

Author

Corbanese U and Possamai C

Subjects
Adult, Aged, Aged, 80 and over, Blood Gas Analysis, Female, Humans, Male, Middle Aged, Thermodilution, Cardiac Output physiology, Heart Function Tests methods, Respiration, Artificial
Abstract

Objective: To evaluate the effectiveness of two cardiac output measurement methods based on a modified Fick equation, that calculate the O2 consumption (VO2) dividing the CO2 production (VCO2) by a fixed respiratory quotient (RQ)., Design: Comparative study., Setting: One 5 beds general intensive care unit in a 500 beds general hospital., Patients: Ten mechanically ventilated critically ill patients requiring the right heart catheterization. The mean age was 65.5 years and the mean APACHE II score at admission was 24., Measurements: The cardiac output was measured using two modified Fick methods. The VO2 was calculated dividing VCO2 by 0.9, while the arteriovenous O2 content difference was calculated using the mixed venous O2 content in the first method (COF), and the central venous O2 content in the second one (COFra). Moreover the cardiac output was measured with the thermodilution technique (COTD) as gold standard., Results: The mean difference between the COTD and COF determinations was 0.571 L +/- 1.81 L, with limits of agreement ranging from -3.057 to +4.200 L. The mean difference between the COTD and COFra determinations was -0.322 L +/- 2.05 L, with limits of agreement ranging from -4.430 to +3.785 L. Both differences were nonsignificant. The correlation coefficients with COTD were: COF determinations 0.72, COFra determinations 0.70. In the group of COFra determinations less than 7 L the mean difference between COTD and COFra was 0.495 L with limits of agreement ranging from +2.208 L to -1.218 L., Conclusions: The correlation coefficients of the two modified Fick methods with COTD are good, and the mean differences between their results and the gold standard are small, but the low precision of both tested methods demonstrated by the very large limits of agreement, severely reduce the clinical reliability of the measurements. Only for the less than 7 L cardiac outputs the COFra limits of agreement with COTD are narrow enough, and in this range the technique can be useful e.g. revealing a low cardiac output.

Published
1995

48. [Acute adrenal failure due to adrenal hemorrhagic necrosis secondary to heparin-induced thrombocytopenia].

Author

Santonastaso M, Bovo P, Colaceci R, Corbanese U, and Ruga P

Subjects
Acute Disease, Adrenal Insufficiency diagnosis, Aged, Female, Hemorrhage diagnosis, Humans, Knee Joint surgery, Necrosis, Osteotomy, Postoperative Complications diagnosis, Pulmonary Embolism complications, Pulmonary Embolism drug therapy, Pulmonary Embolism etiology, Thrombophlebitis complications, Thrombophlebitis drug therapy, Adrenal Glands pathology, Adrenal Insufficiency etiology, Hemorrhage etiology, Heparin adverse effects, Postoperative Complications etiology, Thrombocytopenia chemically induced, Thrombocytopenia complications
Abstract

The authors describe a clinical case with a peculiar sequence of unhealthy events. An operated by osteotomy woman presented a deep venous thrombosis of lever lower extremity with following pulmonary embolism. The patient was treated with heparin. After 5 days, the patient showed a thrombocytopenia, that was not determined by an immune mechanism. The heparin was stopped and the thrombocythemia returned to normal values. But the patient still presented somnolence, asthenia and hypotension. The tests of adrenocortical function showed below normal values. The abdominal CAT showed haemorrhagic necrosis of the suprarenal glands.

Published
1993

49. [Nasocardiac reflex evoking during rhinoseptoplasty. Description of a clinical case].

Author

Russo C, Corbanese U, and Della Mora E

Subjects
Adult, Bradycardia physiopathology, Heart innervation, Humans, Intraoperative Complications physiopathology, Male, Nose innervation, Bradycardia etiology, Heart physiology, Intraoperative Complications etiology, Nasal Septum surgery, Nose physiology, Reflex, Rhinoplasty adverse effects
Abstract

We report a case of nasocardiac reflex which occurred during a septorhinoplasty. Management and preventive treatment is briefly discussed.

Published
1992

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