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137 results on '"Corbella, Davide"'

1. Clinical Evaluation: Neurological Examination and Standardized Scales

Author

Viscone, Andrea, Corbella, Davide, Vascello, Matteo Giuseppe Felice, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ansaloni, Luca, Editorial Board Member, Balogh, Zsolt, Editorial Board Member, Biffl, Walt, Editorial Board Member, Catena, Fausto, Editorial Board Member, Davis, Kimberly, Editorial Board Member, Ferrada, Paula, Editorial Board Member, Fraga, Gustavo, Editorial Board Member, Ivatury, Rao, Editorial Board Member, Kluger, Yoram, Editorial Board Member, Leppaniemi, Ari, Editorial Board Member, Maier, Ron, Editorial Board Member, Moore, Ernest E., Editorial Board Member, Napolitano, Lena, Editorial Board Member, Peitzman, Andrew, Editorial Board Member, Reilly, Patrick, Editorial Board Member, Rizoli, Sandro, Editorial Board Member, Sakakushev, Boris E., Editorial Board Member, Sartelli, Massimo, Editorial Board Member, Scalea, Thomas, Editorial Board Member, Spain, David, Editorial Board Member, Stahel, Philip, Editorial Board Member, Sugrue, Michael, Editorial Board Member, Velmahos, George, Editorial Board Member, Weber, Dieter, Editorial Board Member, Brogi, Etrusca, editor, Ley, Eric J., editor, and Valadka, Alex, editor

Published
2024
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3. Liver trauma: WSES 2020 guidelines.

Author

Coccolini, Federico, Coimbra, Raul, Ordonez, Carlos, Kluger, Yoram, Vega, Felipe, Moore, Ernest, Biffl, Walt, Peitzman, Andrew, Horer, Tal, Abu-Zidan, Fikri, Sartelli, Massimo, Fraga, Gustavo, Cicuttin, Enrico, Ansaloni, Luca, Parra, Michael, Millán, Mauricio, DeAngelis, Nicola, Inaba, Kenji, Velmahos, George, Maier, Ron, Khokha, Vladimir, Sakakushev, Boris, Augustin, Goran, di Saverio, Salomone, Pikoulis, Emanuil, Chirica, Mircea, Reva, Viktor, Leppaniemi, Ari, Manchev, Vassil, Chiarugi, Massimo, Damaskos, Dimitrios, Weber, Dieter, Parry, Neil, Demetrashvili, Zaza, Civil, Ian, Napolitano, Lena, Corbella, Davide, and Catena, Fausto

Subjects
Adult, Classification, Guidelines, Hemorrhage, Intensive care, Interventional, Liver trauma, Minor, Moderate, Non-operative management, Operative management, Pediatric, Radiology, Severe, Surgery, Abdominal Injuries, Evidence-Based Medicine, Hemodynamics, Humans, Injury Severity Score, Liver, Patient Care Management
Abstract

Liver injuries represent one of the most frequent life-threatening injuries in trauma patients. In determining the optimal management strategy, the anatomic injury, the hemodynamic status, and the associated injuries should be taken into consideration. Liver trauma approach may require non-operative or operative management with the intent to restore the homeostasis and the normal physiology. The management of liver trauma should be multidisciplinary including trauma surgeons, interventional radiologists, and emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) liver trauma management guidelines.

Published
2020

5. A pandemic recap: lessons we have learned

Author

Coccolini, Federico, Cicuttin, Enrico, Cremonini, Camilla, Tartaglia, Dario, Viaggi, Bruno, Kuriyama, Akira, Picetti, Edoardo, Ball, Chad, Abu-Zidan, Fikri, Ceresoli, Marco, Turri, Bruno, Jain, Sumita, Palombo, Carlo, Guirao, Xavier, Rodrigues, Gabriel, Gachabayov, Mahir, Machado, Fernando, Eftychios, Lostoridis, Kanj, Souha S., Di Carlo, Isidoro, Di Saverio, Salomone, Khokha, Vladimir, Kirkpatrick, Andrew, Massalou, Damien, Forfori, Francesco, Corradi, Francesco, Delibegovic, Samir, Machain Vega, Gustavo M., Fantoni, Massimo, Demetriades, Demetrios, Kapoor, Garima, Kluger, Yoram, Ansari, Shamshul, Maier, Ron, Leppaniemi, Ari, Hardcastle, Timothy, Vereczkei, Andras, Karamagioli, Evika, Pikoulis, Emmanouil, Pistello, Mauro, Sakakushev, Boris E., Navsaria, Pradeep H., Galeiras, Rita, Yahya, Ali I., Osipov, Aleksei V., Dimitrov, Evgeni, Doklestić, Krstina, Pisano, Michele, Malacarne, Paolo, Carcoforo, Paolo, Sibilla, Maria Grazia, Kryvoruchko, Igor A., Bonavina, Luigi, Kim, Jae Il, Shelat, Vishal G., Czepiel, Jacek, Maseda, Emilio, Marwah, Sanjay, Chirica, Mircea, Biancofiore, Giandomenico, Podda, Mauro, Cobianchi, Lorenzo, Ansaloni, Luca, Fugazzola, Paola, Seretis, Charalampos, Gomez, Carlos Augusto, Tumietto, Fabio, Malbrain, Manu, Reichert, Martin, Augustin, Goran, Amato, Bruno, Puzziello, Alessandro, Hecker, Andreas, Gemignani, Angelo, Isik, Arda, Cucchetti, Alessandro, Nacoti, Mirco, Kopelman, Doron, Mesina, Cristian, Ghannam, Wagih, Ben-Ishay, Offir, Dhingra, Sameer, Coimbra, Raul, Moore, Ernest E., Cui, Yunfeng, Quiodettis, Martha A., Bala, Miklosh, Testini, Mario, Diaz, Jose, Girardis, Massimo, Biffl, Walter L., Hecker, Matthias, Sall, Ibrahima, Boggi, Ugo, Materazzi, Gabriele, Ghiadoni, Lorenzo, Matsumoto, Junichi, Zuidema, Wietse P., Ivatury, Rao, Enani, Mushira A., Litvin, Andrey, Al-Hasan, Majdi N., Demetrashvili, Zaza, Baraket, Oussama, Ordoñez, Carlos A., Negoi, Ionut, Kiguba, Ronald, Memish, Ziad A., Elmangory, Mutasim M., Tolonen, Matti, Das, Korey, Ribeiro, Julival, O’Connor, Donal B., Tan, Boun Kim, Van Goor, Harry, Baral, Suman, De Simone, Belinda, Corbella, Davide, Brambillasca, Pietro, Scaglione, Michelangelo, Basolo, Fulvio, De’Angelis, Nicola, Bendinelli, Cino, Weber, Dieter, Pagani, Leonardo, Monti, Cinzia, Baiocchi, Gianluca, Chiarugi, Massimo, Catena, Fausto, and Sartelli, Massimo

Published
2021
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6. Correction to: Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines

Author

De Simone, Belinda, Sartelli, Massimo, Coccolini, Federico, Ball, Chad G., Brambillasca, Pietro, Chiarugi, Massimo, Campanile, Fabio Cesare, Nita, Gabriela, Corbella, Davide, Leppaniemi, Ari, Boschini, Elena, Moore, Ernest E., Biffl, Walter, Peitzmann, Andrew, Kluger, Yoram, Sugrue, Michael, Fraga, Gustavo, Di Saverio, Salomone, Weber, Dieter, Sakakushev, Boris, Chiara, Osvaldo, Abu-Zidan, Fikri M., ten Broek, Richard, Kirkpatrick, Andrew W., Wani, Imtiaz, Coimbra, Raul, Baiocchi, Gian Luca, Kelly, Micheal D., Ansaloni, Luca, and Catena, Fausto

Published
2021
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7. Thromboprophylaxis in Patients with Abdominal Sepsis

Author

Coccolini, Federico, Catena, Fausto, Montori, Giulia, Ceresoli, Marco, Fugazzola, Paola, Tomasoni, Matteo, Corbella, Davide, Massimo, Sartelli, Ansaloni, Luca, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W, Series Editor, Di Saverio, Salomone, Series Editor, Sartelli, Massimo, editor, Bassetti, Matteo, editor, and Martin-Loeches, Ignacio, editor

Published
2018
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8. The Open Abdomen in Infants and Children

Author

Corbella, Davide, Fochi, Oliviero, Nacoti, Mirco, Coccolini, Federico, Series Editor, Coimbra, Raul, Series Editor, Kirkpatrick, Andrew W., Series Editor, Di Saverio, Salomone, Series Editor, Ivatury, Rao, editor, Sugrue, Michael, editor, and Ansaloni, Luca, editor

Published
2018
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9. Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines

Author

De Simone, Belinda, Sartelli, Massimo, Coccolini, Federico, Ball, Chad G., Brambillasca, Pietro, Chiarugi, Massimo, Campanile, Fabio Cesare, Nita, Gabriela, Corbella, Davide, Leppaniemi, Ari, Boschini, Elena, Moore, Ernest E., Biffl, Walter, Peitzmann, Andrew, Kluger, Yoram, Sugrue, Michael, Fraga, Gustavo, Di Saverio, Salomone, Weber, Dieter, Sakakushev, Boris, Chiara, Osvaldo, Abu-Zidan, Fikri M., ten Broek, Richard, Kirkpatrick, Andrew W., Wani, Imtiaz, Coimbra, Raul, Baiocchi, Gian Luca, Kelly, Micheal D., Ansaloni, Luca, and Catena, Fausto

Published
2020
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10. Implications of ICU triage decisions on patient mortality: a cost-effectiveness analysis

Author

Edbrooke, David L, Minelli, Cosetta, Mills, Gary H, Iapichino, Gaetano, Pezzi, Angelo, Corbella, Davide, Jacobs, Philip, Lippert, Anne, Wiis, Joergen, Pesenti, Antonio, Patroniti, Nicolo, Pirracchio, Romain, Payen, Didier, Gurman, Gabriel, Bakker, Jan, Kesecioglu, Jozef, Hargreaves, Chris, Cohen, Simon L, Baras, Mario, Artigas, Antonio, and Sprung, Charles L

Subjects
Health Sciences, Comparative Effectiveness Research, Clinical Research, Health Services, Cost Effectiveness Research, Good Health and Well Being, Adult, Aged, Cost-Benefit Analysis, Europe, Female, Health Resources, Hospital Mortality, Humans, Intensive Care Units, Male, Middle Aged, Patient Admission, Patients' Rooms, Risk Assessment, Treatment Outcome, Triage, Medical and Health Sciences, Emergency & Critical Care Medicine, Biomedical and clinical sciences, Health sciences
Abstract

IntroductionIntensive care is generally regarded as expensive, and as a result beds are limited. This has raised serious questions about rationing when there are insufficient beds for all those referred. However, the evidence for the cost effectiveness of intensive care is weak and the work that does exist usually assumes that those who are not admitted do not survive, which is not always the case. Randomised studies of the effectiveness of intensive care are difficult to justify on ethical grounds; therefore, this observational study examined the cost effectiveness of ICU admission by comparing patients who were accepted into ICU after ICU triage to those who were not accepted, while attempting to adjust such comparison for confounding factors.MethodsThis multi-centre observational cohort study involved 11 hospitals in 7 EU countries and was designed to assess the cost effectiveness of admission to intensive care after ICU triage. A total of 7,659 consecutive patients referred to the intensive care unit (ICU) were divided into those accepted for admission and those not accepted. The two groups were compared in terms of cost and mortality using multilevel regression models to account for differences across centres, and after adjusting for age, Karnofsky score and indication for ICU admission. The analyses were also stratified by categories of Simplified Acute Physiology Score (SAPS) II predicted mortality (< 5%, 5% to 40% and >40%). Cost effectiveness was evaluated as cost per life saved and cost per life-year saved.ResultsAdmission to ICU produced a relative reduction in mortality risk, expressed as odds ratio, of 0.70 (0.52 to 0.94) at 28 days. When stratified by predicted mortality, the odds ratio was 1.49 (0.79 to 2.81), 0.7 (0.51 to 0.97) and 0.55 (0.37 to 0.83) for 40% predicted mortality, respectively. Average cost per life saved for all patients was $103,771 (€82,358) and cost per life-year saved was $7,065 (€5,607). These figures decreased substantially for patients with predicted mortality higher than 40%, $60,046 (€47,656) and $4,088 (€3,244), respectively. Results were very similar when considering three-month mortality. Sensitivity analyses performed to assess the robustness of the results provided findings similar to the main analyses.ConclusionsNot only does ICU appear to produce an improvement in survival, but the cost per life saved falls for patients with greater severity of illness. This suggests that intensive care is similarly cost effective to other therapies that are generally regarded as essential.

Published
2011

11. COVID-19 the showdown for mass casualty preparedness and management: the Cassandra Syndrome

Author

Coccolini, Federico, Sartelli, Massimo, Kluger, Yoram, Pikoulis, Emmanouil, Karamagioli, Evika, Moore, Ernest E., Biffl, Walter L., Peitzman, Andrew, Hecker, Andreas, Chirica, Mircea, Damaskos, Dimitrios, Ordonez, Carlos, Vega, Felipe, Fraga, Gustavo P., Chiarugi, Massimo, Di Saverio, Salomone, Kirkpatrick, Andrew W., Abu-Zidan, Fikri, Mefire, Alain Chicom, Leppaniemi, Ari, Khokha, Vladimir, Sakakushev, Boris, Catena, Rodolfo, Coimbra, Raul, Ansaloni, Luca, Corbella, Davide, and Catena, Fausto

Published
2020
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12. Surgery in COVID-19 patients: operational directives

Author

Coccolini, Federico, Perrone, Gennaro, Chiarugi, Massimo, Di Marzo, Francesco, Ansaloni, Luca, Scandroglio, Ildo, Marini, Pierluigi, Zago, Mauro, De Paolis, Paolo, Forfori, Francesco, Agresta, Ferdinando, Puzziello, Alessandro, D’Ugo, Domenico, Bignami, Elena, Bellini, Valentina, Vitali, Pietro, Petrini, Flavia, Pifferi, Barbara, Corradi, Francesco, Tarasconi, Antonio, Pattonieri, Vittoria, Bonati, Elena, Tritapepe, Luigi, Agnoletti, Vanni, Corbella, Davide, Sartelli, Massimo, and Catena, Fausto

Published
2020
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17. Thromboprophylaxis in Patients with Abdominal Sepsis

Author

Coccolini, Federico, primary, Catena, Fausto, additional, Montori, Giulia, additional, Ceresoli, Marco, additional, Fugazzola, Paola, additional, Tomasoni, Matteo, additional, Corbella, Davide, additional, Massimo, Sartelli, additional, and Ansaloni, Luca, additional

Published
2017
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18. Communication and visiting policies in Italian intensive care units during the first COVID-19 pandemic wave and lockdown: a nationwide survey

Author

Langer, Thomas, Depalo, Francesca Carmela, Forlini, Clarissa, Landini, Silvia, Mezzetti, Andrea, Previtali, Paola, Monti, Gianpaola, de Toma, Carolina, Biscardi, Davide, Giannini, Alberto, Fumagalli, Roberto, Mistraletti, Giovanni, Lissoni, Barbara, De Martini, Andrea, Mareto, Nadia, Rossitto, Concetta, Zummo, Ugo, Taverna, Martina, Machieraldo, Patrizia, Navarra, Mauro, Parlanti Garbero, Massimiliano, Scaletti, Chiara, Perno, Silvia, Amendolia, Luca, Montrucchio, Giuseppe, Veliaj, Deliana, Barbarello, Giuseppe, Alesci, Maria, Bolgiaghi, Luca, Vailati, Davide, Pezzi, Angelo, Boselli, Enrico, Piccoli, Francesca, Greco, Massimiliano, Gemma, Marco, Resta, Marco, Crotti, Stefania, Bottino, Nicola, Abruzzese, Chiara, Savioli, Monica, Migliorino, Giuseppina, Muttini, Stefano, Umbrello, Michele, Borghi, Beatrice, Greco, Stefano, Dizeo, Micaela, Bottiroli, Maurizio, Mondino, Michele Giovanni, Prosepri, Manlio, Casella, Giampaolo, Curto, Francesco, Zaniboni, Matteo, Giudici, Riccardo, Gentile, Carlo, Bombino, Michela, Rona, Roberto, Cortinovis, Barbara, Benini, Annalisa, Avalli, Leonello, Tavola, Mario, Ferrario, Matteo, Preda, Roberta, Primerano, Enzo, Russo, Gianluca, Porta, Virginia, Valdambrini, Federico, Fassini, Paola, Orando, Serena, Beck, Eduardo, Pedeferri, Matteo, Cogliati, Giacomina, Testini, Denise, Moroni, Benedetta, Codeluppi, Vito, Ruggeri, Patrizia, Milanesi, Elisa, Belliato, Mirko, Besozzi, Alessandra, Riccio, Mario, Zerbi, Silvia, Corbella, Davide, Ferri, Francesco, Grazioli, Lorenzo, Bonanomi, Ezio, Giacomini, Matteo, Sacchi, Noemi, Codognola, Cristian, Ambrosini, Alessandra, Guatteri, Luca, Subert, Matteo, Castelli, Gian Paolo, Borelli, Massimo, Venier, Erica, Dittura, Loredana, Buttera, Stefania, Bigai, Roberto, Magnoni, Sandra, Rauch, Simon, Colombo, Angelo, Fullin, Giorgio, Donolato, Caterina, Cattin, Silvia, State, Veronica, Redeghieri, Enrico, Russo, Alessandro, Pastorini, Simonetta, Allena, Sandra, Munari, Marina, Turchet, Federica, Peta, Mario, De Santis, Vincenzo, Scala, Cristina, Facondini, Francesca, Marangoni, Elisabetta, Tassinati, Tania, Zanzani, Chiara, Russo, Emanuele, Marchio, Annamaria, Barbagallo, Maria, Girardis, Massimo, Taffache, Paolo, Mordacci, Marco, Vincenzi, Matteo, Pennica, Michele, Bracciotti, Giovanna, Iori, Paola, Gambi, Davide, Cappellini, Iacopo, Vegnuti, Lara, De Luca, Alessandra, Romagnoli, Stefano, Mosti, Giamila, Carla, Rossella, Roticiani, Valeria, Pelagalli, Lorella, Fuselli, Ennio, D’Avino, Emilio, De Bellis, Massimo, Gianni, Giulia, Leonardis, Francesca, Rossi, Marzia, Lorusso, Rossana, Magnanimi, Eugenia, Martelli, Sabrina, Baisi, Floriana, Balsamo, Davide, Cotticelli, Virginia, Mattei, Alessia, Farinelli, Ivano, Riccini, Teresa, Cola, Luisanna, Jorio, Antonella, Iacobone, Emanuele, Domizi, Roberta, Pizzi, Simone, Nasso, Armando, Graziani, Romano, Monaco, Anna, Manno, Manuela, Ottelio, Carla Maria, Del Rio, Michela, Serra, Antonio, Enna, Barbara, Loddo, Francesco Marco, Galbiati, Rita, Mellea, Serena, Kimberly, Michelle Brozzi, Vissani, Matteo, Romito, Francesco Massimo, Baccari, Laura, Zarrillo, Nadia, Esposito, Clelia, Murino, Patrizia, Notaro, Salvatore, Ausiello, Carmine, Marra, Annachiara, Policastro, Carmela, Cafora, Chiara, De Benedectis, Giuseppe, Di Falco, Vincenzo, Sciddurlo, Maria, Negro, Giancarlo, Vetuschi, Paolo, Recchia, Andrea, Pasquariello, Rita, Squillace, Rosalba, Ciambrone, Antonio, Bencivenga, Carmela, Camiolo, Melania, Agozzino, Cristina, Oliveri, Francesco, Notarrigo, Tiziana, Castiglione, Giacomo, Mo, Antonella, Condorelli, Laura, Favarato, Martina, Langer, T, Depalo, F, Forlini, C, Landini, S, Mezzetti, A, Previtali, P, Monti, G, de Toma, C, Biscardi, D, Giannini, A, Fumagalli, R, Mistraletti, G, Lissoni, B, De Martini, A, Mareto, N, Rossitto, C, Zummo, U, Taverna, M, Machieraldo, P, Navarra, M, Parlanti Garbero, M, Scaletti, C, Perno, S, Amendolia, L, Montrucchio, G, Veliaj, D, Barbarello, G, Alesci, M, Bolgiaghi, L, Vailati, D, Pezzi, A, Boselli, E, Piccoli, F, Greco, M, Gemma, M, Resta, M, Crotti, S, Bottino, N, Abruzzese, C, Savioli, M, Migliorino, G, Muttini, S, Umbrello, M, Borghi, B, Greco, S, Dizeo, M, Bottiroli, M, Mondino, M, Prosepri, M, Casella, G, Curto, F, Zaniboni, M, Giudici, R, Gentile, C, Bombino, M, Rona, R, Cortinovis, B, Benini, A, Avalli, L, Tavola, M, Ferrario, M, Preda, R, Primerano, E, Russo, G, Porta, V, Valdambrini, F, Fassini, P, Orando, S, Beck, E, Pedeferri, M, Cogliati, G, Testini, D, Moroni, B, Codeluppi, V, Ruggeri, P, Milanesi, E, Belliato, M, Besozzi, A, Riccio, M, Zerbi, S, Corbella, D, Ferri, F, Grazioli, L, Bonanomi, E, Giacomini, M, Sacchi, N, Codognola, C, Ambrosini, A, Guatteri, L, Subert, M, Castelli, G, Borelli, M, Venier, E, Dittura, L, Buttera, S, Bigai, R, Magnoni, S, Rauch, S, Colombo, A, Fullin, G, Donolato, C, Cattin, S, State, V, Redeghieri, E, Russo, A, Pastorini, S, Allena, S, Munari, M, Turchet, F, Peta, M, De Santis, V, Scala, C, Facondini, F, Marangoni, E, Tassinati, T, Zanzani, C, Russo, E, Marchio, A, Barbagallo, M, Girardis, M, Taffache, P, Mordacci, M, Vincenzi, M, Pennica, M, Bracciotti, G, Iori, P, Gambi, D, Cappellini, I, Vegnuti, L, De Luca, A, Romagnoli, S, Mosti, G, Carla, R, Roticiani, V, Pelagalli, L, Fuselli, E, D’Avino, E, De Bellis, M, Gianni, G, Leonardis, F, Rossi, M, Lorusso, R, Magnanimi, E, Martelli, S, Baisi, F, Balsamo, D, Cotticelli, V, Mattei, A, Farinelli, I, Riccini, T, Cola, L, Jorio, A, Iacobone, E, Domizi, R, Pizzi, S, Nasso, A, Graziani, R, Monaco, A, Manno, M, Ottelio, C, Del Rio, M, Serra, A, Enna, B, Loddo, F, Galbiati, R, Mellea, S, Kimberly, M, Vissani, M, Romito, F, Baccari, L, Zarrillo, N, Esposito, C, Murino, P, Notaro, S, Ausiello, C, Marra, A, Policastro, C, Cafora, C, De Benedectis, G, Di Falco, V, Sciddurlo, M, Negro, G, Vetuschi, P, Recchia, A, Pasquariello, R, Squillace, R, Ciambrone, A, Bencivenga, C, Camiolo, M, Agozzino, C, Oliveri, F, Notarrigo, T, Castiglione, G, Mo, A, Condorelli, L, and Favarato, M

Subjects
Adult, Pandemic, Patient-centered care, Communication, COVID-19, Professional-family relations, Intensive Care Units, Policy, Anesthesiology and Pain Medicine, Health communication, Professional-family relation, Surveys and Questionnaires, Communicable Disease Control, Intensive care units, Pandemics, Humans, Intensive care unit, Child
Abstract

Background During the first coronavirus disease 2019 (COVID-19) pandemic wave, an unprecedented number of patients with respiratory failure due to a new, highly contagious virus needed hospitalization and intensive care unit (ICU) admission. The aim of the present study was to describe the communication and visiting policies of Italian intensive care units (ICUs) during the first COVID-19 pandemic wave and national lockdown and compare these data with prepandemic conditions. Methods A national web-based survey was conducted among 290 Italian hospitals. Each ICU (active between February 24 and May 31, 2020) was encouraged to complete an individual questionnaire inquiring the hospital/ICU structure/organization, communication/visiting habits and the role of clinical psychology prior to, and during the first COVID-19 pandemic wave. Results Two hundred and nine ICUs from 154 hospitals (53% of the contacted hospitals) completed the survey (202 adult and 7 pediatric ICUs). Among adult ICUs, 60% were dedicated to COVID-19 patients, 21% were dedicated to patients without COVID-19 and 19% were dedicated to both categories (Mixed). A total of 11,102 adult patients were admitted to the participating ICUs during the study period and only approximately 6% of patients received at least one visit. Communication with family members was guaranteed daily through an increased use of electronic devices and was preferentially addressed to the same family member. Compared to the prepandemic period, clinical psychologists supported physicians more often regarding communication with family members. Fewer patients received at least one visit from family members in COVID and mixed-ICUs than in non-COVID ICUs, l (0 [0–6]%, 0 [0–4]% and 11 [2–25]%, respectively, p Conclusions Visiting policies of Italian ICUs dedicated to adult patients were markedly altered during the first COVID-19 wave. Remote communication was widely adopted as a surrogate for family meetings. New strategies to favor a family-centered approach during the current and future pandemics are warranted.

Published
2022

19. Communication and visiting policies in Italian intensive care units during the first COVID-19 pandemic wave and lockdown: a nationwide survey

Author

Langer, T, Depalo, F, Forlini, C, Landini, S, Mezzetti, A, Previtali, P, Monti, G, de Toma, C, Biscardi, D, Giannini, A, Fumagalli, R, Mistraletti, G, Lissoni, B, De Martini, A, Mareto, N, Rossitto, C, Zummo, U, Taverna, M, Machieraldo, P, Navarra, M, Parlanti Garbero, M, Scaletti, C, Perno, S, Amendolia, L, Montrucchio, G, Veliaj, D, Barbarello, G, Alesci, M, Bolgiaghi, L, Vailati, D, Pezzi, A, Boselli, E, Piccoli, F, Greco, M, Gemma, M, Resta, M, Crotti, S, Bottino, N, Abruzzese, C, Savioli, M, Migliorino, G, Muttini, S, Umbrello, M, Borghi, B, Greco, S, Dizeo, M, Bottiroli, M, Mondino, M, Prosepri, M, Casella, G, Curto, F, Zaniboni, M, Giudici, R, Gentile, C, Bombino, M, Rona, R, Cortinovis, B, Benini, A, Avalli, L, Tavola, M, Ferrario, M, Preda, R, Primerano, E, Russo, G, Porta, V, Valdambrini, F, Fassini, P, Orando, S, Beck, E, Pedeferri, M, Cogliati, G, Testini, D, Moroni, B, Codeluppi, V, Ruggeri, P, Milanesi, E, Belliato, M, Besozzi, A, Riccio, M, Zerbi, S, Corbella, D, Ferri, F, Grazioli, L, Bonanomi, E, Giacomini, M, Sacchi, N, Codognola, C, Ambrosini, A, Guatteri, L, Subert, M, Castelli, G, Borelli, M, Venier, E, Dittura, L, Buttera, S, Bigai, R, Magnoni, S, Rauch, S, Colombo, A, Fullin, G, Donolato, C, Cattin, S, State, V, Redeghieri, E, Russo, A, Pastorini, S, Allena, S, Munari, M, Turchet, F, Peta, M, De Santis, V, Scala, C, Facondini, F, Marangoni, E, Tassinati, T, Zanzani, C, Russo, E, Marchio, A, Barbagallo, M, Girardis, M, Taffache, P, Mordacci, M, Vincenzi, M, Pennica, M, Bracciotti, G, Iori, P, Gambi, D, Cappellini, I, Vegnuti, L, De Luca, A, Romagnoli, S, Mosti, G, Carla, R, Roticiani, V, Pelagalli, L, Fuselli, E, D’Avino, E, De Bellis, M, Gianni, G, Leonardis, F, Rossi, M, Lorusso, R, Magnanimi, E, Martelli, S, Baisi, F, Balsamo, D, Cotticelli, V, Mattei, A, Farinelli, I, Riccini, T, Cola, L, Jorio, A, Iacobone, E, Domizi, R, Pizzi, S, Nasso, A, Graziani, R, Monaco, A, Manno, M, Ottelio, C, Del Rio, M, Serra, A, Enna, B, Loddo, F, Galbiati, R, Mellea, S, Kimberly, M, Vissani, M, Romito, F, Baccari, L, Zarrillo, N, Esposito, C, Murino, P, Notaro, S, Ausiello, C, Marra, A, Policastro, C, Cafora, C, De Benedectis, G, Di Falco, V, Sciddurlo, M, Negro, G, Vetuschi, P, Recchia, A, Pasquariello, R, Squillace, R, Ciambrone, A, Bencivenga, C, Camiolo, M, Agozzino, C, Oliveri, F, Notarrigo, T, Castiglione, G, Mo, A, Condorelli, L, Favarato, M, Langer, Thomas, Depalo, Francesca Carmela, Forlini, Clarissa, Landini, Silvia, Mezzetti, Andrea, Previtali, Paola, Monti, Gianpaola, de Toma, Carolina, Biscardi, Davide, Giannini, Alberto, Fumagalli, Roberto, Mistraletti, Giovanni, Lissoni, Barbara, De Martini, Andrea, Mareto, Nadia, Rossitto, Concetta, Zummo, Ugo, Taverna, Martina, Machieraldo, Patrizia, Navarra, Mauro, Parlanti Garbero, Massimiliano, Scaletti, Chiara, Perno, Silvia, Amendolia, Luca, Montrucchio, Giuseppe, Veliaj, Deliana, Barbarello, Giuseppe, Alesci, Maria, Bolgiaghi, Luca, Vailati, Davide, Pezzi, Angelo, Boselli, Enrico, Piccoli, Francesca, Greco, Massimiliano, Gemma, Marco, Resta, Marco, Crotti, Stefania, Bottino, Nicola, Abruzzese, Chiara, Savioli, Monica, Migliorino, Giuseppina, Muttini, Stefano, Umbrello, Michele, Borghi, Beatrice, Greco, Stefano, Dizeo, Micaela, Bottiroli, Maurizio, Mondino, Michele Giovanni, Prosepri, Manlio, Casella, Giampaolo, Curto, Francesco, Zaniboni, Matteo, Giudici, Riccardo, Gentile, Carlo, Bombino, Michela, Rona, Roberto, Cortinovis, Barbara, Benini, Annalisa, Avalli, Leonello, Tavola, Mario, Ferrario, Matteo, Preda, Roberta, Primerano, Enzo, Russo, Gianluca, Porta, Virginia, Valdambrini, Federico, Fassini, Paola, Orando, Serena, Beck, Eduardo, Pedeferri, Matteo, Cogliati, Giacomina, Testini, Denise, Moroni, Benedetta, Codeluppi, Vito, Ruggeri, Patrizia, Milanesi, Elisa, Belliato, Mirko, Besozzi, Alessandra, Riccio, Mario, Zerbi, Silvia, Corbella, Davide, Ferri, Francesco, Grazioli, Lorenzo, Bonanomi, Ezio, Giacomini, Matteo, Sacchi, Noemi, Codognola, Cristian, Ambrosini, Alessandra, Guatteri, Luca, Subert, Matteo, Castelli, Gian Paolo, Borelli, Massimo, Venier, Erica, Dittura, Loredana, Buttera, Stefania, Bigai, Roberto, Magnoni, Sandra, Rauch, Simon, Colombo, Angelo, Fullin, Giorgio, Donolato, Caterina, Cattin, Silvia, State, Veronica, Redeghieri, Enrico, Russo, Alessandro, Pastorini, Simonetta, Allena, Sandra, Munari, Marina, Turchet, Federica, Peta, Mario, De Santis, Vincenzo, Scala, Cristina, Facondini, Francesca, Marangoni, Elisabetta, Tassinati, Tania, Zanzani, Chiara, Russo, Emanuele, Marchio, Annamaria, Barbagallo, Maria, Girardis, Massimo, Taffache, Paolo, Mordacci, Marco, Vincenzi, Matteo, Pennica, Michele, Bracciotti, Giovanna, Iori, Paola, Gambi, Davide, Cappellini, Iacopo, Vegnuti, Lara, De Luca, Alessandra, Romagnoli, Stefano, Mosti, Giamila, Carla, Rossella, Roticiani, Valeria, Pelagalli, Lorella, Fuselli, Ennio, D’Avino, Emilio, De Bellis, Massimo, Gianni, Giulia, Leonardis, Francesca, Rossi, Marzia, Lorusso, Rossana, Magnanimi, Eugenia, Martelli, Sabrina, Baisi, Floriana, Balsamo, Davide, Cotticelli, Virginia, Mattei, Alessia, Farinelli, Ivano, Riccini, Teresa, Cola, Luisanna, Jorio, Antonella, Iacobone, Emanuele, Domizi, Roberta, Pizzi, Simone, Nasso, Armando, Graziani, Romano, Monaco, Anna, Manno, Manuela, Ottelio, Carla Maria, Del Rio, Michela, Serra, Antonio, Enna, Barbara, Loddo, Francesco Marco, Galbiati, Rita, Mellea, Serena, Kimberly, Michelle Brozzi, Vissani, Matteo, Romito, Francesco Massimo, Baccari, Laura, Zarrillo, Nadia, Esposito, Clelia, Murino, Patrizia, Notaro, Salvatore, Ausiello, Carmine, Marra, Annachiara, Policastro, Carmela, Cafora, Chiara, De Benedectis, Giuseppe, Di Falco, Vincenzo, Sciddurlo, Maria, Negro, Giancarlo, Vetuschi, Paolo, Recchia, Andrea, Pasquariello, Rita, Squillace, Rosalba, Ciambrone, Antonio, Bencivenga, Carmela, Camiolo, Melania, Agozzino, Cristina, Oliveri, Francesco, Notarrigo, Tiziana, Castiglione, Giacomo, Mo, Antonella, Condorelli, Laura, Favarato, Martina, Langer, T, Depalo, F, Forlini, C, Landini, S, Mezzetti, A, Previtali, P, Monti, G, de Toma, C, Biscardi, D, Giannini, A, Fumagalli, R, Mistraletti, G, Lissoni, B, De Martini, A, Mareto, N, Rossitto, C, Zummo, U, Taverna, M, Machieraldo, P, Navarra, M, Parlanti Garbero, M, Scaletti, C, Perno, S, Amendolia, L, Montrucchio, G, Veliaj, D, Barbarello, G, Alesci, M, Bolgiaghi, L, Vailati, D, Pezzi, A, Boselli, E, Piccoli, F, Greco, M, Gemma, M, Resta, M, Crotti, S, Bottino, N, Abruzzese, C, Savioli, M, Migliorino, G, Muttini, S, Umbrello, M, Borghi, B, Greco, S, Dizeo, M, Bottiroli, M, Mondino, M, Prosepri, M, Casella, G, Curto, F, Zaniboni, M, Giudici, R, Gentile, C, Bombino, M, Rona, R, Cortinovis, B, Benini, A, Avalli, L, Tavola, M, Ferrario, M, Preda, R, Primerano, E, Russo, G, Porta, V, Valdambrini, F, Fassini, P, Orando, S, Beck, E, Pedeferri, M, Cogliati, G, Testini, D, Moroni, B, Codeluppi, V, Ruggeri, P, Milanesi, E, Belliato, M, Besozzi, A, Riccio, M, Zerbi, S, Corbella, D, Ferri, F, Grazioli, L, Bonanomi, E, Giacomini, M, Sacchi, N, Codognola, C, Ambrosini, A, Guatteri, L, Subert, M, Castelli, G, Borelli, M, Venier, E, Dittura, L, Buttera, S, Bigai, R, Magnoni, S, Rauch, S, Colombo, A, Fullin, G, Donolato, C, Cattin, S, State, V, Redeghieri, E, Russo, A, Pastorini, S, Allena, S, Munari, M, Turchet, F, Peta, M, De Santis, V, Scala, C, Facondini, F, Marangoni, E, Tassinati, T, Zanzani, C, Russo, E, Marchio, A, Barbagallo, M, Girardis, M, Taffache, P, Mordacci, M, Vincenzi, M, Pennica, M, Bracciotti, G, Iori, P, Gambi, D, Cappellini, I, Vegnuti, L, De Luca, A, Romagnoli, S, Mosti, G, Carla, R, Roticiani, V, Pelagalli, L, Fuselli, E, D’Avino, E, De Bellis, M, Gianni, G, Leonardis, F, Rossi, M, Lorusso, R, Magnanimi, E, Martelli, S, Baisi, F, Balsamo, D, Cotticelli, V, Mattei, A, Farinelli, I, Riccini, T, Cola, L, Jorio, A, Iacobone, E, Domizi, R, Pizzi, S, Nasso, A, Graziani, R, Monaco, A, Manno, M, Ottelio, C, Del Rio, M, Serra, A, Enna, B, Loddo, F, Galbiati, R, Mellea, S, Kimberly, M, Vissani, M, Romito, F, Baccari, L, Zarrillo, N, Esposito, C, Murino, P, Notaro, S, Ausiello, C, Marra, A, Policastro, C, Cafora, C, De Benedectis, G, Di Falco, V, Sciddurlo, M, Negro, G, Vetuschi, P, Recchia, A, Pasquariello, R, Squillace, R, Ciambrone, A, Bencivenga, C, Camiolo, M, Agozzino, C, Oliveri, F, Notarrigo, T, Castiglione, G, Mo, A, Condorelli, L, Favarato, M, Langer, Thomas, Depalo, Francesca Carmela, Forlini, Clarissa, Landini, Silvia, Mezzetti, Andrea, Previtali, Paola, Monti, Gianpaola, de Toma, Carolina, Biscardi, Davide, Giannini, Alberto, Fumagalli, Roberto, Mistraletti, Giovanni, Lissoni, Barbara, De Martini, Andrea, Mareto, Nadia, Rossitto, Concetta, Zummo, Ugo, Taverna, Martina, Machieraldo, Patrizia, Navarra, Mauro, Parlanti Garbero, Massimiliano, Scaletti, Chiara, Perno, Silvia, Amendolia, Luca, Montrucchio, Giuseppe, Veliaj, Deliana, Barbarello, Giuseppe, Alesci, Maria, Bolgiaghi, Luca, Vailati, Davide, Pezzi, Angelo, Boselli, Enrico, Piccoli, Francesca, Greco, Massimiliano, Gemma, Marco, Resta, Marco, Crotti, Stefania, Bottino, Nicola, Abruzzese, Chiara, Savioli, Monica, Migliorino, Giuseppina, Muttini, Stefano, Umbrello, Michele, Borghi, Beatrice, Greco, Stefano, Dizeo, Micaela, Bottiroli, Maurizio, Mondino, Michele Giovanni, Prosepri, Manlio, Casella, Giampaolo, Curto, Francesco, Zaniboni, Matteo, Giudici, Riccardo, Gentile, Carlo, Bombino, Michela, Rona, Roberto, Cortinovis, Barbara, Benini, Annalisa, Avalli, Leonello, Tavola, Mario, Ferrario, Matteo, Preda, Roberta, Primerano, Enzo, Russo, Gianluca, Porta, Virginia, Valdambrini, Federico, Fassini, Paola, Orando, Serena, Beck, Eduardo, Pedeferri, Matteo, Cogliati, Giacomina, Testini, Denise, Moroni, Benedetta, Codeluppi, Vito, Ruggeri, Patrizia, Milanesi, Elisa, Belliato, Mirko, Besozzi, Alessandra, Riccio, Mario, Zerbi, Silvia, Corbella, Davide, Ferri, Francesco, Grazioli, Lorenzo, Bonanomi, Ezio, Giacomini, Matteo, Sacchi, Noemi, Codognola, Cristian, Ambrosini, Alessandra, Guatteri, Luca, Subert, Matteo, Castelli, Gian Paolo, Borelli, Massimo, Venier, Erica, Dittura, Loredana, Buttera, Stefania, Bigai, Roberto, Magnoni, Sandra, Rauch, Simon, Colombo, Angelo, Fullin, Giorgio, Donolato, Caterina, Cattin, Silvia, State, Veronica, Redeghieri, Enrico, Russo, Alessandro, Pastorini, Simonetta, Allena, Sandra, Munari, Marina, Turchet, Federica, Peta, Mario, De Santis, Vincenzo, Scala, Cristina, Facondini, Francesca, Marangoni, Elisabetta, Tassinati, Tania, Zanzani, Chiara, Russo, Emanuele, Marchio, Annamaria, Barbagallo, Maria, Girardis, Massimo, Taffache, Paolo, Mordacci, Marco, Vincenzi, Matteo, Pennica, Michele, Bracciotti, Giovanna, Iori, Paola, Gambi, Davide, Cappellini, Iacopo, Vegnuti, Lara, De Luca, Alessandra, Romagnoli, Stefano, Mosti, Giamila, Carla, Rossella, Roticiani, Valeria, Pelagalli, Lorella, Fuselli, Ennio, D’Avino, Emilio, De Bellis, Massimo, Gianni, Giulia, Leonardis, Francesca, Rossi, Marzia, Lorusso, Rossana, Magnanimi, Eugenia, Martelli, Sabrina, Baisi, Floriana, Balsamo, Davide, Cotticelli, Virginia, Mattei, Alessia, Farinelli, Ivano, Riccini, Teresa, Cola, Luisanna, Jorio, Antonella, Iacobone, Emanuele, Domizi, Roberta, Pizzi, Simone, Nasso, Armando, Graziani, Romano, Monaco, Anna, Manno, Manuela, Ottelio, Carla Maria, Del Rio, Michela, Serra, Antonio, Enna, Barbara, Loddo, Francesco Marco, Galbiati, Rita, Mellea, Serena, Kimberly, Michelle Brozzi, Vissani, Matteo, Romito, Francesco Massimo, Baccari, Laura, Zarrillo, Nadia, Esposito, Clelia, Murino, Patrizia, Notaro, Salvatore, Ausiello, Carmine, Marra, Annachiara, Policastro, Carmela, Cafora, Chiara, De Benedectis, Giuseppe, Di Falco, Vincenzo, Sciddurlo, Maria, Negro, Giancarlo, Vetuschi, Paolo, Recchia, Andrea, Pasquariello, Rita, Squillace, Rosalba, Ciambrone, Antonio, Bencivenga, Carmela, Camiolo, Melania, Agozzino, Cristina, Oliveri, Francesco, Notarrigo, Tiziana, Castiglione, Giacomo, Mo, Antonella, Condorelli, Laura, and Favarato, Martina

Abstract

Background: During the first coronavirus disease 2019 (COVID-19) pandemic wave, an unprecedented number of patients with respiratory failure due to a new, highly contagious virus needed hospitalization and intensive care unit (ICU) admission. The aim of the present study was to describe the communication and visiting policies of Italian intensive care units (ICUs) during the first COVID-19 pandemic wave and national lockdown and compare these data with prepandemic conditions. Methods: A national web-based survey was conducted among 290 Italian hospitals. Each ICU (active between February 24 and May 31, 2020) was encouraged to complete an individual questionnaire inquiring the hospital/ICU structure/organization, communication/visiting habits and the role of clinical psychology prior to, and during the first COVID-19 pandemic wave. Results: Two hundred and nine ICUs from 154 hospitals (53% of the contacted hospitals) completed the survey (202 adult and 7 pediatric ICUs). Among adult ICUs, 60% were dedicated to COVID-19 patients, 21% were dedicated to patients without COVID-19 and 19% were dedicated to both categories (Mixed). A total of 11,102 adult patients were admitted to the participating ICUs during the study period and only approximately 6% of patients received at least one visit. Communication with family members was guaranteed daily through an increased use of electronic devices and was preferentially addressed to the same family member. Compared to the prepandemic period, clinical psychologists supported physicians more often regarding communication with family members. Fewer patients received at least one visit from family members in COVID and mixed-ICUs than in non-COVID ICUs, l (0 [0-6]%, 0 [0-4]% and 11 [2-25]%, respectively, p < 0.001). Habits of pediatric ICUs were less affected by the pandemic. Conclusions: Visiting policies of Italian ICUs dedicated to adult patients were markedly altered during the first COVID-19 wave. Remote communication was wi

Published
2022

21. A pandemic recap: lessons we have learned

Author

Coccolini, Federico Cicuttin, Enrico Cremonini, Camilla and Tartaglia, Dario Viaggi, Bruno Kuriyama, Akira Picetti, Edoardo Ball, Chad Abu-Zidan, Fikri Ceresoli, Marco and Turri, Bruno Jain, Sumita Palombo, Carlo Guirao, Xavier and Rodrigues, Gabriel Gachabayov, Mahir Machado, Fernando and Eftychios, Lostoridis Kanj, Souha S. Di Carlo, Isidoro Di Saverio, Salomone Khokha, Vladimir Kirkpatrick, Andrew and Massalou, Damien Forfori, Francesco Corradi, Francesco and Delibegovic, Samir Machain Vega, Gustavo M. Fantoni, Massimo and Demetriades, Demetrios Kapoor, Garima Kluger, Yoram Ansari, Shamshul Maier, Ron Leppaniemi, Ari Hardcastle, Timothy and Vereczkei, Andras Karamagioli, Evika Pikoulis, Emmanouil and Pistello, Mauro Sakakushev, Boris E. Navsaria, Pradeep H. and Galeiras, Rita Yahya, Ali I. Osipov, Aleksei V. Dimitrov, Evgeni Doklestic, Krstina Pisano, Michele Malacarne, Paolo and Carcoforo, Paolo Sibilla, Maria Grazia Kryvoruchko, Igor A. and Bonavina, Luigi Kim, Jae Il Shelat, Vishal G. Czepiel, Jacek Maseda, Emilio Marwah, Sanjay Chirica, Mircea and Biancofiore, Giandomenico Podda, Mauro Cobianchi, Lorenzo and Ansaloni, Luca Fugazzola, Paola Seretis, Charalampos Gomez, Carlos Augusto Tumietto, Fabio Malbrain, Manu Reichert, Martin Augustin, Goran Amato, Bruno Puzziello, Alessandro and Hecker, Andreas Gemignani, Angelo Isik, Arda Cucchetti, Alessandro Nacoti, Mirco Kopelman, Doron Mesina, Cristian and Ghannam, Wagih Ben-Ishay, Offir Dhingra, Sameer Coimbra, Raul Moore, Ernest E. Cui, Yunfeng Quiodettis, Martha A. and Bala, Miklosh Testini, Mario Diaz, Jose Girardis, Massimo and Biffl, Walter L. Hecker, Matthias Sall, Ibrahima Boggi, Ugo Materazzi, Gabriele Ghiadoni, Lorenzo Matsumoto, Junichi and Zuidema, Wietse P. Ivatury, Rao Enani, Mushira A. and Litvin, Andrey Al-Hasan, Majdi N. Demetrashvili, Zaza and Baraket, Oussama Ordonez, Carlos A. Negoi, Ionut Kiguba, Ronald Memish, Ziad A. Elmangory, Mutasim M. Tolonen, Matti and Das, Korey Ribeiro, Julival O'Connor, Donal B. Tan, Boun Kim Van Goor, Harry Baral, Suman De Simone, Belinda and Corbella, Davide Brambillasca, Pietro Scaglione, Michelangelo and Basolo, Fulvio De'Angelis, Nicola Bendinelli, Cino and Weber, Dieter Pagani, Leonardo Monti, Cinzia Baiocchi, Gianluca Chiarugi, Massimo Catena, Fausto Sartelli, Massimo

Abstract

On January 2020, the WHO Director General declared that the outbreak constitutes a Public Health Emergency of International Concern. The world has faced a worldwide spread crisis and is still dealing with it. The present paper represents a white paper concerning the tough lessons we have learned from the COVID-19 pandemic. Thus, an international and heterogenous multidisciplinary panel of very differentiated people would like to share global experiences and lessons with all interested and especially those responsible for future healthcare decision making. With the present paper, international and heterogenous multidisciplinary panel of very differentiated people would like to share global experiences and lessons with all interested and especially those responsible for future healthcare decision making.

Published
2021

24. Liver trauma: WSES 2020 guidelines

Author

Coccolini, Federico Coimbra, Raul Ordonez, Carlos Kluger, Yoram Vega, Felipe Moore, Ernest E. Biffl, Walt and Peitzman, Andrew Horer, Tal Abu-Zidan, Fikri M. Sartelli, Massimo Fraga, Gustavo P. Cicuttin, Enrico Ansaloni, Luca and Parra, Michael W. Millan, Mauricio DeAngelis, Nicola and Inaba, Kenji Velmahos, George Maier, Ron Khokha, Vladimir and Sakakushev, Boris Augustin, Goran di Saverio, Salomone and Pikoulis, Emanuil Chirica, Mircea Reva, Viktor Leppaniemi, Ari Manchev, Vassil Chiarugi, Massimo Damaskos, Dimitrios and Weber, Dieter Parry, Neil Demetrashvili, Zaza Civil, Ian and Napolitano, Lena Corbella, Davide Catena, Fausto and Bahouth, Hany Bahouth, Hany Tolonen, Matti Fugazzola, Paola and Serna, Jose Julian Rodriguez, Fernando Garcia, Alberto F. and Gonzalez, Adolfo Pino, Luis Fernando Guzman-Rodriguez, Monica Pereira, Bruno M. Kirkpatrick, Andrew Mefire, Alain Chichom Tarasconi, Antonio Chiara, Osvaldo Gomes, Carlos Augusto Galante, Joseph Bala, Miklosh Perfetti, Paola and Machado, Fernando Romeo, Oreste Salvetti, Francesco and Ghiadoni, Lorenzo Forfori, Francesco Malacarne, Paolo Pini, Silvia Pucciarelli, Marsia Ceresoli, Marco Arvieux, Catherine Khokha, Denis Spain, David A. Isik, Arda WSES Expert Panel

Abstract

Liver injuries represent one of the most frequent life-threatening injuries in trauma patients. In determining the optimal management strategy, the anatomic injury, the hemodynamic status, and the associated injuries should be taken into consideration. Liver trauma approach may require non-operative or operative management with the intent to restore the homeostasis and the normal physiology. The management of liver trauma should be multidisciplinary including trauma surgeons, interventional radiologists, and emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) liver trauma management guidelines.

Published
2020

26. Development and Validation of a New Risk Score for Infection with Coronavirus (Ri.S.I.Co) Obtained from Treating Coronavirus Disease (COVID-19) Patients on the Field

Author

Fugazzola, Paola, primary, Favi, Francesco, additional, Tomasoni, Matteo, additional, Zaghi, Claudia, additional, Casadei, Chiara, additional, Prosperi, Enrico, additional, Sermonesi, Giacomo, additional, Corbella, Davide, additional, Coccolini, Federico, additional, Pratico', Beniamino, additional, Agnoletti, Vanni, additional, and Ansaloni, Luca, additional

Published
2020
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27. Development and Validation of a New Risk Score for Infection From Coronavirus (SARS-COV-2) [Ri.S.I.Co], That We Learned on the Field Treating Coronavirus Disease (COVID-19) Patients

Author

Fugazzola, Paola, primary, Favi, Francesco, additional, Tomasoni, Matteo, additional, Zaghi, Claudia, additional, Casadei, Chiara, additional, Prosperi, Enrico, additional, Sermonesi, Giacomo, additional, Corbella, Davide, additional, Coccolini, Federico, additional, Praticò, Beniamino, additional, Agnoletti, Vanni, additional, and Ansaloni, Luca, additional

Published
2020
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29. Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study

Author

Sartelli Massimo, Catena Fausto, Ansaloni Luca, Leppaniemi Ari, Taviloglu Korhan, van Goor Harry, Viale Pierluigi, Lazzareschi Daniel, Coccolini Federico, Corbella Davide, de Werra Carlo, Marrelli Daniele, Colizza Sergio, Scibè Rodolfo, Alis Halil, Torer Nurkan, Navarro Salvador, Sakakushev Boris, Massalou Damien, Augustin Goran, Catani Marco, Kauhanen Saila, Pletinckx Pieter, Kenig Jakub, Di Saverio Salomone, Jovine Elio, Guercioni Gianluca, Skrovina Matej, Diaz-Nieto Rafael, Ferrero Alessandro, Rausei Stefano, Laine Samipetteri, Major Piotr, Angst Eliane, Pittet Olivier, Herych Ihor, Agresta Ferdinando, Vettoretto Nereo, Poiasina Elia, Tepp Jaan, Weiss Gunter, Vasquez Giorgio, Vladov Nikola, Tranà Cristian, Delibegovic Samir, Dziki Adam, Giraudo Giorgio, Pereira Jorge, Tzerbinis Helen, van Dellen David, Hutan Martin, Vereczkei Andras, Krasniqi Avdyl, Seretis Charalampos, Mesina Cristian, Rems Miran, Campanile Fabio, Coletta Pietro, Uotila-Nieminen Mirjami, Dente Mario, Bouliaris Konstantinos, Lasithiotakis Konstantinos, Khokha Vladimir, Zivanovic Dragoljub, Smirnov Dmitry, Marinis Athanasios, Negoi Ionut, Ney Ludwig, Bini Roberto, Leon Miguel, Aloia Sergio, Huchon Cyrille, Moldovanu Radu, de Melo Renato, Giakoustidis Dimitrios, Ioannidis Orestis, Cucchi Michele, Pintar Tadeja, Krivokapic Zoran, and Petrovic Jelena

Subjects
Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract The CIAO Study (“Complicated Intra-Abdominal infection Observational” Study) is a multicenter investigation performed in 68 medical institutions throughout Europe over the course of a 6-month observational period (January-June 2012). Patients with either community-acquired or healthcare-associated complicated intra-abdominal infections (IAIs) were included in the study. 2,152 patients with a mean age of 53.8 years (range: 4–98 years) were enrolled in the study. 46.3% of the patients were women and 53.7% were men. Intraperitoneal specimens were collected from 62.2% of the enrolled patients, and from these samples, a variety of microorganisms were collectively identified. The overall mortality rate was 7.5% (163/2.152). According to multivariate analysis of the compiled data, several criteria were found to be independent variables predictive of patient mortality, including patient age, the presence of an intestinal non-appendicular source of infection (colonic non-diverticular perforation, complicated diverticulitis, small bowel perforation), a delayed initial intervention (a delay exceeding 24 hours), sepsis and septic shock in the immediate post-operative period, and ICU admission. Given the sweeping geographical distribution of the participating medical centers, the CIAO Study gives an accurate description of the epidemiological, clinical, microbiological, and treatment profiles of complicated intra-abdominal infections (IAIs) throughout Europe.

Published
2012
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30. Validation of peritoneal adhesion index as a standardized classification to universalize peritoneal adhesions definition

Author

Fugazzola, Paola, primary, Coccolini, Federico, additional, Nita, Gabriela E., additional, Montori, Giulia, additional, Corbella, Davide, additional, Adesunkanmi, Abdulrasheed R.K., additional, Aluffi, Alessandro, additional, Baiocchi, Gianluca, additional, Biffl, Walter, additional, Catena, Fausto, additional, Celotti, Andrea, additional, Cheynel, Nicolas, additional, Colledan, Michele, additional, Cui, Yunfeng, additional, Di Saverio, Salomone, additional, Faro, Mario Paulo Jr., additional, Faruk, Karateke, additional, Fraga, Gustavo Pereira, additional, Gerych, Igor, additional, Gomes, Carlos Augusto, additional, Guercioni, Gianluca, additional, Isik, Arda, additional, Khokha, Vladimir, additional, Kluger, Yoram, additional, Kong, Victor, additional, Leppaniemi, Ari, additional, Manfredi, Roberto, additional, Massalou, Damien, additional, Moore, Eugeene, additional, Naidoo, Noel, additional, Pereira, Bruno Monteiro Tavares, additional, Piazzalunga, Dario, additional, Pisano, Michele, additional, Poiasina, Elia, additional, Poletti de Chaurand, Eugenio, additional, Rat, Patrick, additional, Sakakushev, Boris, additional, Sartelli, Massimo, additional, Siribumrungwong, Boonying, additional, Solaini, Leonardo, additional, Tomasoni, Matteo, additional, Vettoretto, Nereo, additional, Yuan, Kuo-Ching, additional, and Ansaloni, Luca, additional

Published
2017
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31. Anesthetics considerations in peritonitis

Author

Brambillasca, Pietro, primary, Benigni, Alberto, additional, Maffioletti, Micol, additional, Sonzogni, Valter, additional, Lorini, Luca Ferdinando, additional, and Corbella, Davide, additional

Published
2017
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32. Erratum to: IROA: International Register of Open Abdomen, preliminary results

Author

Coccolini, Federico, primary, Montori, Giulia, additional, Ceresoli, Marco, additional, Catena, Fausto, additional, Ivatury, Rao, additional, Sugrue, Michael, additional, Sartelli, Massimo, additional, Fugazzola, Paola, additional, Corbella, Davide, additional, Salvetti, Francesco, additional, Negoi, Ionut, additional, Zese, Monica, additional, Occhionorelli, Savino, additional, Maccatrozzo, Stefano, additional, Shlyapnikov, Sergei, additional, Galatioto, Christian, additional, Chiarugi, Massimo, additional, Demetrashvili, Zaza, additional, Dondossola, Daniele, additional, Yovtchev, Yovcho, additional, Ioannidis, Orestis, additional, Novelli, Giuseppe, additional, Nacoti, Mirco, additional, Khor, Desmond, additional, Inaba, Kenji, additional, Demetriades, Demetrios, additional, Kaussen, Torsten, additional, Jusoh, Asri Che, additional, Ghannam, Wagih, additional, Sakakushev, Boris, additional, Guetta, Ohad, additional, Dogjani, Agron, additional, Costa, Stefano, additional, Singh, Sandeep, additional, Damaskos, Dimitrios, additional, Isik, Arda, additional, Yuan, Kuo-Ching, additional, Trotta, Francesco, additional, Rausei, Stefano, additional, Martinez-Perez, Aleix, additional, Bellanova, Giovanni, additional, Fonseca, Vinicius Cordeiro, additional, Hernández, Fernando, additional, Marinis, Athanasios, additional, Fernandes, Wellington, additional, Quiodettis, Martha, additional, Bala, Miklosh, additional, Vereczkei, Andras, additional, Curado, Rafael L., additional, Fraga, Gustavo Pereira, additional, Pereira, Bruno M., additional, Gachabayov, Mahir, additional, Chagerben, Guillermo Perez, additional, Arellano, Miguel Leon, additional, Ozyazici, Sefa, additional, Costa, Gianluca, additional, Tezcaner, Tugan, additional, and Ansaloni, Luca, additional

Published
2017
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33. IROA: International Register of Open Abdomen, preliminary results

Author

Coccolini, Federico, primary, Montori, Giulia, additional, Ceresoli, Marco, additional, Catena, Fausto, additional, Ivatury, Rao, additional, Sugrue, Michael, additional, Sartelli, Massimo, additional, Fugazzola, Paola, additional, Corbella, Davide, additional, Salvetti, Francesco, additional, Negoi, Ionut, additional, Zese, Monica, additional, Occhionorelli, Savino, additional, Maccatrozzo, Stefano, additional, Shlyapnikov, Sergei, additional, Galatioto, Christian, additional, Chiarugi, Massimo, additional, Demetrashvili, Zaza, additional, Dondossola, Daniele, additional, Yovtchev, Yovcho, additional, Ioannidis, Orestis, additional, Novelli, Giuseppe, additional, Nacoti, Mirco, additional, Khor, Desmond, additional, Inaba, Kenji, additional, Demetriades, Demetrios, additional, Kaussen, Torsten, additional, Jusoh, Asri Che, additional, Ghannam, Wagih, additional, Sakakushev, Boris, additional, Guetta, Ohad, additional, Dogjani, Agron, additional, Costa, Stefano, additional, Singh, Sandeep, additional, Damaskos, Dimitrios, additional, Isik, Arda, additional, Yuan, Kuo-Ching, additional, Trotta, Francesco, additional, Rausei, Stefano, additional, Martinez-Perez, Aleix, additional, Bellanova, Giovanni, additional, Fonseca, Vinicius Cordeiro, additional, Hernández, Fernando, additional, Marinis, Athanasios, additional, Fernandes, Wellington, additional, Quiodettis, Martha, additional, Bala, Miklosh, additional, Vereczkei, Andras, additional, Curado, Rafael L., additional, Fraga, Gustavo Pereira, additional, Pereira, Bruno M., additional, Gachabayov, Mahir, additional, Chagerben, Guillermo Perez, additional, Arellano, Miguel Leon, additional, Ozyazici, Sefa, additional, Costa, Gianluca, additional, Tezcaner, Tugan, additional, and Ansaloni, Luca, additional

Published
2017
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34. World Society of Emergency Surgery (WSES) guidelines for management of skin and soft tissue infections

Author

Sartelli, Massimo, Malangoni, Mark A., May, Addison K., Viale, Pierluigi, Kao, Lillian S., Catena, Fausto, Ansaloni, Luca, Moore, Ernest E., Moore, Fred A., Peitzman, Andrew B., Coimbra, Raul, Leppaniemi, Ari, Kluger, Yoram, Biffl, Walter, Koike, Kaoru, Girardis, Massimo, Ordonez, Carlos A., Tavola, Mario, Cainzos, Miguel, Di Saverio, Salomone, Fraga, Gustavo P., Gerych, Igor, Kelly, Michael D., Taviloglu, Korhan, Wani, Imtiaz, Marwah, Sanjay, Bala, Miklosh, Ghnnam, Wagih, Shaikh, Nissar, Chiara, Osvaldo, Faro, Mario Paulo, Pereira, Gerson Alves, Gomes, Carlos Augusto, Coccolini, Federico, Trana, Cristian, Corbella, Davide, Brambillasca, Pietro, Cui, Yunfeng, Lohse, Helmut A. Segovia, Khokha, Vladimir, Kok, Kenneth Y. Y., Hong, Suk-Kyung, Yuan, Kuo-Ching, and II kirurgian klinikka

Subjects
NECROTIZING FASCIITIS, SEVERE SEPSIS, FOURNIERS GANGRENE, education, RESISTANT STAPHYLOCOCCUS-AUREUS, CLINICAL-PRACTICE GUIDELINES, 3126 Surgery, anesthesiology, intensive care, radiology, INJECTION-DRUG USERS, PYROGENIC EXOTOXIN-A, SERUM LACTATE, TOXIC-SHOCK-SYNDROME, HYPERBARIC-OXYGEN THERAPY
Published
2014

35. Complicated intra-abdominal infections worldwide : the definitive data of the CIAOW Study

Author

Sartelli, Massimo, Catena, Fausto, Ansaloni, Luca, Coccolini, Frederico, Corbella, Davide, Moore, Ernest, Malangoni, Mark, Velmahos, George, Coimbra, Raul, Koike, Kaoru, Leppaniemi, Ari, Biffl, Walter, Balogh, Zsolt, Bendinelli, Cino, Gupta, Sanjay, Kluger, Yoram, Agresta, Ferdinando, Di Saverio, Salmone, Tugnoli, Gregorio, Jovine, Elio, Ordonez, Carlos, Whelan, James, Fraga, Gustavo, Carlos, Gomes, Augusto, Pereira, Gerson, Yuan, Kuo-Ching, Bala, Miklosh, Peev, Miroslav, Ben-Ishay, Offir, Cui, Yunfeng, Marwah, Sanjay, Zachariah, Sanoop, Wani Imtiaz, Rangarajan, Muthukumaran, Sakakushev, Boris, Kong, Victor, Ahmed, Adamu, Abbas, Ashraf, Gonsaga, Ricardo, Guercioni, Gianluca, Vettoretto, Nereo, Poiasina, Elia, Díaz-Nieto, Rafael, Massalou, Damien, Skrovina, Matej, Gerych, Ihor, Augustin, Goran, Kenig, Jakub, Khokha, Vladimir, Tranà, Cristian, Kok, Kenneth, Mefire, Alain, Lee, Jae, Hong, Suk-Kyung, Lohse, Helmut, Ghnnam, Wagih, Verni, Alfredo, Lohsiriwat, Varut, Siribumrungwong, Boonying, El Zalabany, Tamer, Tavares, Alberto, Baiocchi, Gianluca, Das, Koray, Jarry, Julien, Zida, Maurice, Sato, Norio, Murata, Kiyoshi, Shoko, Tomohisa, Irahara, Takayuki, Hamedelneel, Ahmed, Naidoo, Noel, Adesunkanmi, Abdul, Kobe, Yoshiro, Ishii, Wataru, Oka, Kazuyuki, Izawa, Yoshimitsu, Hamid, Hytham, Khan, Iqbal, Attri, AK, Sharma, Rajeev, Sanjuan, Juan, Badiel, Marisol, Barnabé, Rita, II kirurgian klinikka, [Sartelli, M] Department of Surgery, Macerata Hospital, Macerata, Italy. [Catena, F] Emergency Surgery, Maggiore Parma Hospital, Parma, Italy. [Ansaloni, L, Coccolini, F, Poiasina, E] Department of General Surgery, Ospedali Riuniti, Bergamo, Italy. [Corbella, D] Department of Anestesiology, Ospedali Riuniti, Bergamo, Italy. [Moore, EE, Biffl, W] Department of Surgery, Denver Health Medical Center, Denver, USA. [Malangoni, M] American Board of Surgery, Philadelphia, USA. [Velmahos, G, Peev, MP] Division of Trauma, Emergency Surgery and Surgical Critical Care, Harvard Medical School, Massachusetts General Hospital, Massachusetts, USA. [Coimbra, R] Department of Surgery, UC San Diego Health System, San Diego, USA. [Koike, K] Department of Primary Care & Emergency Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan. [Leppaniemi, A] Department of Abdominal Surgery, University Hospital Meilahti, Helsinki, Finland. [Balogh, Z, Bendinelli, C] Department of Surgery, University of Newcastle, Newcastle, NSW, Australia. [Gupta, S] Department of Surgery, Govt Medical College and Hospital, Chandigarh, India. [Kluger, Y, Ben-Ishay, O, Attri, A, Sharma, R] Department of General Surgery, Rambam Health Care Campus, Haifa, Israel. [Agresta, F] Department of Surgery, Adria Hospital Adria, Adria, Italy. [Di Saverio, S, Tugnoli, G] Trauma Surgery Unit, Maggiore Hospital, Bologna, Italy. [Jovine, E, Bananbé, R] Department of Surgery, Maggiore Hospital, Bologna, Italy. [Ordoñez, CA, Sanjuán, J, Badiel, M] Department of Surgery, Fundación Valle del Lilí, Cali, Colombia. [Whelan, JF] Division of Trauma/Critical Care Department of Surgery Virginia Commonwealth University, Richmond, VA, USA. [Fraga, GP] Division of Trauma Surgery, Campinas University, Campinas, Brazil. [Gomes, CA] Department of Surgery, Monte Sinai Hospital, Juiz de Fora, Brazil. [Pereira, CA] Department of Surgery, Emergency Unit, Ribeirão Preto, Brazil. [Yuan, KC]Department of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan. [Bala, M] Department of General Surgery, Hadassah Medical Center, Jerusalem, Israel. [Cui, Y] Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin, China. [Marwah, S] Department of Surgery, Pt BDS Post-graduate Institute of Medical Sciences, Rohtak, India. [Zachariah, S] Department of Surgery, MOSC Medical College, Cochin, India. [Wani, I] Department of Surgery, SKIMS, Srinagar, India. [Rangarajan, M] Department of Surgery, Kovai Medical Center, Coimbatore, India. [Shakakusev, B] First Clinic of General Surgery, University Hospital/UMBAL/St George Plovdiv, Plovdiv, Bulgaria. [Kong, V] Department of Surgery, Edendale Surgery, Pietermaritzburg, Republic of South Africa. [Ahmed, A] Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Kaduna, Nigeria. [Abbas, A, Ghnnam, W] Department of Surgery, Mansoura University Hospital, Mansoura, Egypt. [Gonsaga, RA] Department of Surgery, Faculdades Integradas Padre Albino, Catanduva, Brazil. [Guercioni, G] Department of Surgery, Mazzoni Hospital, Ascoli Piceno, Italy. [Vettoretto, N] Department of Surgery, Mellini Hospital, Chiari, BS, Italy. [Díaz-Nieto, R] Department of General and Digestive Surgery, Virgen de la Victoria, University Hospital, Málaga, Spain. [Massalou, D] Department of General Surgery and Surgical Oncology, Université de Nice Sophia-Antipolis, Universitary Hospital of Nice, Nice, France. [Skrovina, M] Department of Surgery, Hospital and Oncological Centre, Novy Jicin, Czech Republic. [Gerych, I] Department of General Surgery, Lviv Emergency Hospital, Lviv, Ukraine. [Augustin, G] Department of Surgery, University Hospital Center Zagreb, Zagreb, Croatia. [Kenig, J] 3rd Department of General Surger Jagiellonian Univeristy, Narutowicz Hospital, Krakow, Poland. [Khokha, V] Department of Surgery, Mozyr City Hospital, Mozyr, Belarus. [Tranà, C] Department of Surgery, Ancona University, Ancona, Italy. [Kok, KY] Department of Surgery, Ripas Hospital, Bandar Seri Begawan, Brunei. [Mefire, AC] Clinical Sciences, Regional Hospitals Limbe and Buea, Limbe, Cameroon. [Lee, JG] Department of Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea. [Hong, SK] Division of Trauma and Surgical Critical Care, Department of Surgery, University of Ulsan, Seoul, Republic of Korea. [Lohse, HA] II Cátedra de Clínica Quirúrgica, Hospital de Clínicas, Asuncion, Paraguay. [Verni, A] Department of Surgery, Cutral Có Clinic, Cutral Có, Argentina. [Lohsiriwat, V] Department of Surgery, Faculty of Medicine Siriraj Hospital, Bangkok, Thailand. [Siribumrungwong, B] Department of Surgery, Thammasat University Hospital, Pathumthani, Thailand. [El Zalabany, T] Department of Surgery, Bahrain Defence Force Hospital, Manama, Bahrain. [Tavares, A] Department of Surgery, Hospital Regional de Alta Especialidad del Bajio, Leon, Mexico. [Baiocchi, G] Clinical and Experimental Sciences, Brescia Ospedali Civili, Brescia, Italy. [Das, K] General Surgery, Adana Numune Training and Research Hospital, Adana, Turkey. [Jarry, J] Visceral Surgery, Military Hospital Desgenettes, Lyon, France. [Zida, M] Visceral Surgery, Teaching Hospital Yalgado Ouedraogo, Ouedraogo, Burkina Faso. [Murata, K] Department of Acute and Critical care medicine, Tokyo Medical and Dental University, Tokyo, Japan. [Shoko, T] he Shock Trauma and Emergency Medical Center, Matsudo City Hospital, Chiba, Japan. [Irahara, T] Emergency and Critical Care Center of Nippon Medical School, Tama-Nagayama Hospital, Tokyo, Japan. [Hamedelneel, AO] Department of Surgery, Our Lady of Lourdes Hospital, Drogheda, Ireland. [Naidoo, N] Department of Surgery, Port Shepstone Hospital, Port Shepstone, South Africa. [Adesunkanmi, AR] Department of Surgery, Obafemi Awolowo UNiversity Hospital, Ile-Ife, Nigeria. [Kobe, Y] Department of Emergency and Critical Care Medicine, Chiba University Hospital, Chiba, Japan. [Ishii, W] Department of Emergency and Critical Care Medicine, Chiba University Hospital, Chiba, Japan, and Depatment of Emergency Medicine, Kyoto Second Red Cross Hospital, Kyoto, Japan. [Oka, K] Tajima emergency & Critical Care Medical Center, Toyooka Public Hospital, Toyooka, Hyogo, Japan. [Izawa, Y] Emergency and Critical Care Medicine, Jichi Medical University, Shimotsuke, Japan. [Hamid, H] Department of Surgery, Mayo General Hospital Castlebar Co. Mayo, Castlebar, Ireland.

Subjects
Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Digestive System Surgical Procedures [Medical Subject Headings], APPENDICEAL ABSCESS, medicine.medical_treatment, Diseases::Bacterial Infections and Mycoses::Infection::Cross Infection [Medical Subject Headings], Phenomena and Processes::Microbiological Phenomena::Drug Resistance, Microbial [Medical Subject Headings], Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Drainage [Medical Subject Headings], Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings], Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Reoperation [Medical Subject Headings], Study Protocol, Infección hospitalaria, Procedimientos quirúrgicos del sistema digestivo, Diseases::Bacterial Infections and Mycoses::Infection::Sepsis [Medical Subject Headings], Publication Characteristics::Study Characteristics::Multicenter Study [Medical Subject Headings], Enfermedad crítica, Adulto, Mortality rate, Farmacoresistencia microbiana, Immunosuppression, Diverticulitis, Humanos, 3. Good health, Emergency Medicine, Diseases::Digestive System Diseases::Peritoneal Diseases::Peritonitis [Medical Subject Headings], KLEBSIELLA-PNEUMONIAE, Reoperación, Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Disease Attributes::Critical Illness [Medical Subject Headings], medicine.medical_specialty, CHOLECYSTECTOMY, education, Peritonitis, RELAPAROTOMY, Diseases::Bacterial Infections and Mycoses::Infection::Suppuration::Abscess::Abdominal Abscess [Medical Subject Headings], SECONDARY PERITONITIS, Internal medicine, complicated intra-abdomina infections, appendicitis, cholecystitis, postoperative, colonic perforation, gastroduodenal perforation, diverticulitis, small bowel perforation, Named Groups::Persons::Age Groups::Adult [Medical Subject Headings], medicine, MANAGEMENT, METAANALYSIS, Estudio multicéntrico, Diseases::Bacterial Infections and Mycoses::Infection::Intraabdominal Infections [Medical Subject Headings], SEPSIS, business.industry, Abdominal Infection, Absceso abdominal, ACUTE CHOLECYSTITIS, medicine.disease, 3126 Surgery, anesthesiology, intensive care, radiology, Infecciones intraabdominales, Appendicitis, Surgery, Cholecystitis, Drenaje, Cholecystectomy, business, DIVERTICULITIS
Abstract

Journal Article; The CIAOW study (Complicated intra-abdominal infections worldwide observational study) is a multicenter observational study underwent in 68 medical institutions worldwide during a six-month study period (October 2012-March 2013). The study included patients older than 18 years undergoing surgery or interventional drainage to address complicated intra-abdominal infections (IAIs). 1898 patients with a mean age of 51.6 years (range 18-99) were enrolled in the study. 777 patients (41%) were women and 1,121 (59%) were men. Among these patients, 1,645 (86.7%) were affected by community-acquired IAIs while the remaining 253 (13.3%) suffered from healthcare-associated infections. Intraperitoneal specimens were collected from 1,190 (62.7%) of the enrolled patients. 827 patients (43.6%) were affected by generalized peritonitis while 1071 (56.4%) suffered from localized peritonitis or abscesses. The overall mortality rate was 10.5% (199/1898). According to stepwise multivariate analysis (PR = 0.005 and PE = 0.001), several criteria were found to be independent variables predictive of mortality, including patient age (OR = 1.1; 95%CI = 1.0-1.1; p

Published
2014

36. Corrigendum to “Open versus laparoscopic cholecystectomy in acute cholecystitis. Systematic review and meta-analysis” [Int. J. Surg. 18 (2015) 196–204]

Author

Coccolini, Federico, primary, Catena, Fausto, additional, Pisano, Michele, additional, Gheza, Federico, additional, Fagiuoli, Stefano, additional, Di Saverio, Salomone, additional, Leandro, Gioacchino, additional, Montori, Giulia, additional, Ceresoli, Marco, additional, Corbella, Davide, additional, Sartelli, Massimo, additional, Sugrue, Michael, additional, and Ansaloni, Luca, additional

Published
2015
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37. Gestion optimisée des liquides basée sur le débit cardiaque chez les transplantés rénaux : un essai de preuve de concept.

Author

Corbella, Davide, Toppin, Patrick Jason, Ghanekar, Anand, Ayach, Nour, Schiff, Jeffery, Van Rensburg, Adrian, and McCluskey, Stuart A.

Abstract

Purpose: Intravenous fluid management for deceased donor kidney transplantation is an important, modifiable risk factor for delayed graft function (DGF). The primary objective of this study was to determine if goal-directed fluid therapy using esophageal Doppler monitoring (EDM) to optimize stroke volume (SV) would alter the amount of fluid given.Methods: This randomized, proof-of-concept trial enrolled 50 deceased donor renal transplant recipients. Data collected included patient characteristics, fluid administration, hemodynamics, and complications. The EDM was used to optimize SV in the EDM group. In the control group, fluid management followed the current standard of practice. The groups were compared for the primary outcome of total intraoperative fluid administered.Results: There was no difference in the mean (standard deviation) volume of intraoperative fluid administered to the 24 control and 26 EDM patients [2,307 (750) mL vs 2,675 (842) mL, respectively; mean difference, 368 mL; 95% confidence interval (CI), - 87 to + 823; P = 0.11]. The incidence of complications in the control and EDM groups was similar (15/24 vs 17/26, respectively; P = 0.99), as was the incidence of delayed graft failure (8/24 vs 11/26, respectively; P = 0.36).Conclusions: Goal-directed fluid therapy did not alter the volume of fluid administered or the incidence of complications. This proof-of-concept trial provides needed data for conducting a larger trial to determine the influence of fluid therapy on the incidence in DGF in deceased donor kidney transplantation.Trial Registration: www.clinicaltrials.gov (NCT02512731). Registered 31 July 2015. [ABSTRACT FROM AUTHOR]

Published
2018
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38. Peritoneal carcinomatosis from advanced ovarian cancer:To treat or not to treat ethical issues suggested by a case study

Author

Nicoti, Mirco, Colombetti, Elena, Spada, Maria Simonetta, Ceresoli, Marco, Ansaloni, Luca, Marchesi, Gianmariano, Lorini, Luca, Corbella, Davide, Coccolini, Federico, Colombetti, Elena (ORCID:0000-0002-7776-7272), Nicoti, Mirco, Colombetti, Elena, Spada, Maria Simonetta, Ceresoli, Marco, Ansaloni, Luca, Marchesi, Gianmariano, Lorini, Luca, Corbella, Davide, Coccolini, Federico, and Colombetti, Elena (ORCID:0000-0002-7776-7272)

Abstract

This article provides a brief description of an Epithelial Ovarian Cancer (EOC) case (stage IV) treated with the association of complete CytoReductive Surgery and Hypertermic IntraPEritoneal Chemotherapy (HIPEC). The use of HIPEC in EOC makes theoretic sense in view of the high rates of recurrence following standard treatment, but there are no randomized clinical trial to date and HIPEC for these patients still represents a radical treatment where the choice of no treatment may be acceptable since definitive cure is unlikely. We reviewed the entire decision making process considering the risk/benefit of the procedure in term of mortality/morbidity, the quality of life and the psychological profile of the patient 1 year after surgery. The platform World Health Organization- International Classification of Functioning, Disability and Health that permits evaluation of the person in relation to the psycho-social context is presented. A person-centred approach and assessment of health-related quality-of-life and disability in EOC survivors are of central importance for decision making.

Published
2014

39. World Society of Emergency Surgery (WSES) guidelines for management of skin and soft tissue infections

Author

Sartelli, Massimo, primary, Malangoni, Mark A, additional, May, Addison K, additional, Viale, Pierluigi, additional, Kao, Lillian S, additional, Catena, Fausto, additional, Ansaloni, Luca, additional, Moore, Ernest E, additional, Moore, Fred A, additional, Peitzman, Andrew B, additional, Coimbra, Raul, additional, Leppaniemi, Ari, additional, Kluger, Yoram, additional, Biffl, Walter, additional, Koike, Kaoru, additional, Girardis, Massimo, additional, Ordonez, Carlos A, additional, Tavola, Mario, additional, Cainzos, Miguel, additional, Di Saverio, Salomone, additional, Fraga, Gustavo P, additional, Gerych, Igor, additional, Kelly, Michael D, additional, Taviloglu, Korhan, additional, Wani, Imtiaz, additional, Marwah, Sanjay, additional, Bala, Miklosh, additional, Ghnnam, Wagih, additional, Shaikh, Nissar, additional, Chiara, Osvaldo, additional, Faro Jr, Mario Paulo, additional, Pereira Jr, Gerson Alves, additional, Gomes, Carlos Augusto, additional, Coccolini, Federico, additional, Tranà, Cristian, additional, Corbella, Davide, additional, Brambillasca, Pietro, additional, Cui, Yunfeng, additional, Segovia Lohse, Helmut A, additional, Khokha, Vladimir, additional, Kok, Kenneth YY, additional, Hong, Suk-Kyung, additional, and Yuan, Kuo-Ching, additional

Published
2014
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40. Complicated intra-abdominal infections worldwide: the definitive data of the CIAOW Study

Author

Sartelli, Massimo, primary, Catena, Fausto, additional, Ansaloni, Luca, additional, Coccolini, Federico, additional, Corbella, Davide, additional, Moore, Ernest E, additional, Malangoni, Mark, additional, Velmahos, George, additional, Coimbra, Raul, additional, Koike, Kaoru, additional, Leppaniemi, Ari, additional, Biffl, Walter, additional, Balogh, Zsolt, additional, Bendinelli, Cino, additional, Gupta, Sanjay, additional, Kluger, Yoram, additional, Agresta, Ferdinando, additional, Saverio, Salomone Di, additional, Tugnoli, Gregorio, additional, Jovine, Elio, additional, Ordonez, Carlos A, additional, Whelan, James F, additional, Fraga, Gustavo P, additional, Gomes, Carlos Augusto, additional, Pereira, Gerson Alves, additional, Yuan, Kuo-Ching, additional, Bala, Miklosh, additional, Peev, Miroslav P, additional, Ben-Ishay, Offir, additional, Cui, Yunfeng, additional, Marwah, Sanjay, additional, Zachariah, Sanoop, additional, Wani, Imtiaz, additional, Rangarajan, Muthukumaran, additional, Sakakushev, Boris, additional, Kong, Victor, additional, Ahmed, Adamu, additional, Abbas, Ashraf, additional, Gonsaga, Ricardo Alessandro Teixeira, additional, Guercioni, Gianluca, additional, Vettoretto, Nereo, additional, Poiasina, Elia, additional, Díaz-Nieto, Rafael, additional, Massalou, Damien, additional, Skrovina, Matej, additional, Gerych, Ihor, additional, Augustin, Goran, additional, Kenig, Jakub, additional, Khokha, Vladimir, additional, Tranà, Cristian, additional, Kok, Kenneth Yuh Yen, additional, Mefire, Alain Chichom, additional, Lee, Jae Gil, additional, Hong, Suk-Kyung, additional, Lohse, Helmut Alfredo Segovia, additional, Ghnnam, Wagih, additional, Verni, Alfredo, additional, Lohsiriwat, Varut, additional, Siribumrungwong, Boonying, additional, El Zalabany, Tamer, additional, Tavares, Alberto, additional, Baiocchi, Gianluca, additional, Das, Koray, additional, Jarry, Julien, additional, Zida, Maurice, additional, Sato, Norio, additional, Murata, Kiyoshi, additional, Shoko, Tomohisa, additional, Irahara, Takayuki, additional, Hamedelneel, Ahmed O, additional, Naidoo, Noel, additional, Adesunkanmi, Abdul Rashid Kayode, additional, Kobe, Yoshiro, additional, Ishii, Wataru, additional, Oka, Kazuyuki, additional, Izawa, Yoshimitsu, additional, Hamid, Hytham, additional, Khan, Iqbal, additional, Attri, AK, additional, Sharma, Rajeev, additional, Sanjuan, Juan, additional, Badiel, Marisol, additional, and Barnabé, Rita, additional

Published
2014
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42. Complicated intra-abdominal infections in Europe: a comprehensive review of the CIAO study

Author

University of Helsinki, II kirurgian klinikka, Sartelli, Massimo, Catena, Fausto, Ansaloni, Luca, Leppäniemi, Ari, Taviloglu, Korhan, van Goor, Harry, Viale, Pierluigi, Lazzareschi, Daniel Vasco, Coccolini, Federico, Corbella, Davide, de Werra, Carlo, Marrelli, Daniele, Colizza, Sergio, Scibe, Rodolfo, Alis, Halil, Torer, Nurkan, Navarro, Salvador, Sakakushev, Boris, Massalou, Damien, Augustin, Goran, Catani, Marco, Kauhanen, Saila, Pletinckx, Pieter, Kenig, Jakub, Di Saverio, Salomone, Jovine, Elio, Guercioni, Gianluca, Skrovina, Matej, Diaz-Nieto, Rafael, Ferrero, Alessandro, Rausei, Stefano, Laine, Samipetteri, Major, Piotr, Angst, Eliane, Pittet, Olivier, Herych, Ihor, Agresta, Ferdinando, Vettoretto, Nereo, Poiasina, Elia, Tepp, Jaan, Weiss, Gunter, Vasquez, Giorgio, Vladov, Nikola, Trana, Cristian, Delibegovic, Samir, Dziki, Adam, Giraudo, Giorgio, Pereira, Jorge, Tzerbinis, Helen, van Dellen, David, Hutan, Martin, Vereczkei, Andras, Krasniqi, Avdyl, Seretis, Charalampos, Mesina, Cristian, Rems, Miran, Campanile, Fabio Cesare, Coletta, Pietro, Uotila-Nieminen, Mirjami, Dente, Mario, Bouliaris, Konstantinos, Lasithiotakis, Konstantinos, Khokha, Vladimir, Zivanovic, Dragoljub, Smirnov, Dmitry, Marinis, Athanasios, Negoi, Ionut, Ney, Ludwig, Bini, Roberto, Leon, Miguel, Aloia, Sergio, Huchon, Cyrille, Moldovanu, Radu, de Melo, Renato Bessa, Giakoustidis, Dimitrios, Ioannidis, Orestis, Cucchi, Michele, Pintar, Tadeja, Krivokapic, Zoran, Petrovic, Jelena, University of Helsinki, II kirurgian klinikka, Sartelli, Massimo, Catena, Fausto, Ansaloni, Luca, Leppäniemi, Ari, Taviloglu, Korhan, van Goor, Harry, Viale, Pierluigi, Lazzareschi, Daniel Vasco, Coccolini, Federico, Corbella, Davide, de Werra, Carlo, Marrelli, Daniele, Colizza, Sergio, Scibe, Rodolfo, Alis, Halil, Torer, Nurkan, Navarro, Salvador, Sakakushev, Boris, Massalou, Damien, Augustin, Goran, Catani, Marco, Kauhanen, Saila, Pletinckx, Pieter, Kenig, Jakub, Di Saverio, Salomone, Jovine, Elio, Guercioni, Gianluca, Skrovina, Matej, Diaz-Nieto, Rafael, Ferrero, Alessandro, Rausei, Stefano, Laine, Samipetteri, Major, Piotr, Angst, Eliane, Pittet, Olivier, Herych, Ihor, Agresta, Ferdinando, Vettoretto, Nereo, Poiasina, Elia, Tepp, Jaan, Weiss, Gunter, Vasquez, Giorgio, Vladov, Nikola, Trana, Cristian, Delibegovic, Samir, Dziki, Adam, Giraudo, Giorgio, Pereira, Jorge, Tzerbinis, Helen, van Dellen, David, Hutan, Martin, Vereczkei, Andras, Krasniqi, Avdyl, Seretis, Charalampos, Mesina, Cristian, Rems, Miran, Campanile, Fabio Cesare, Coletta, Pietro, Uotila-Nieminen, Mirjami, Dente, Mario, Bouliaris, Konstantinos, Lasithiotakis, Konstantinos, Khokha, Vladimir, Zivanovic, Dragoljub, Smirnov, Dmitry, Marinis, Athanasios, Negoi, Ionut, Ney, Ludwig, Bini, Roberto, Leon, Miguel, Aloia, Sergio, Huchon, Cyrille, Moldovanu, Radu, de Melo, Renato Bessa, Giakoustidis, Dimitrios, Ioannidis, Orestis, Cucchi, Michele, Pintar, Tadeja, Krivokapic, Zoran, and Petrovic, Jelena

Published
2012

43. The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II: Intensive care benefit for the elderly

Author

Sprung, Charles L, Artigas, Antonio, Kesecioglu, Jozef, Pezzi, Angelo, Wiis, Joergen, Pirracchio, Romain, Baras, Mario, Edbrooke, David L, Pesenti, Antonio, Bakker, Jan, Hargreaves, Chris, Gurman, Gabriel, Cohen, Simon L, Lippert, Anne, Payen, Didier, Corbella, Davide, Iapichino, Gaetano, Sprung, Charles L, Artigas, Antonio, Kesecioglu, Jozef, Pezzi, Angelo, Wiis, Joergen, Pirracchio, Romain, Baras, Mario, Edbrooke, David L, Pesenti, Antonio, Bakker, Jan, Hargreaves, Chris, Gurman, Gabriel, Cohen, Simon L, Lippert, Anne, Payen, Didier, Corbella, Davide, and Iapichino, Gaetano

Abstract

RATIONALE:: Life and death triage decisions are made daily by intensive care unit physicians. Admission to an intensive care unit is denied when intensive care unit resources are constrained, especially for the elderly. OBJECTIVE:: To determine the effect of intensive care unit triage decisions on mortality and intensive care unit benefit, specifically for elderly patients. DESIGN:: Prospective, observational study of triage decisions from September 2003 until March 2005. SETTING:: Eleven intensive care units in seven European countries. PATIENTS:: All patients >18 yrs with an explicit request for intensive care unit admission. INTERVENTIONS:: Admission or rejection to intensive care unit. MEASUREMENTS AND MAIN RESULTS:: Demographic, clinical, hospital, physiologic variables, and 28-day mortality were obtained on consecutive patients. There were 8,472 triages in 6,796 patients, 5,602 (82%) were accepted to the intensive care unit, 1,194 (18%) rejected; 3,795 (49%) were =65 yrs. Refusal rate increased with increasing patient age (18-44: 11%; 45-64: 15%; 65-74: 18%; 75-84: 23%; >84: 36%). Mortality was higher for older patients (18-44: 11%; 45-64: 21%; 65-74: 29%; 75-84: 37%; >84: 48%). Differences between mortalities of accepted vs. rejected patients, however, were greatest for older patients (18-44: 10.2% vs. 12.5%; 45-64: 21.2% vs. 22.3%; 65-74: 27.9% vs. 34.6%; 75-84: 35.5% vs. 40.4%; >84: 41.5% vs. 58.5%). Logistic regression showed a greater mortality reduction for accepted vs. rejected patients corrected for disease severity for elderly patients (age >65 [odds ratio 0.65, 95% confidence interval: 0.55-0.78, p <.0001]) than younger patients (age =65 [odds ratio 0.74, 95% confidence interval: 0.57-0.97, p = .01]). CONCLUSIONS:: Despite the fact that elderly patients have more intensive care unit rejections than younger patients and have a higher mortality when admitted, the mortality benefit appears greater for the elderly. Physicians should con

Published
2012

45. The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II

Author

Sprung, Charles L., primary, Artigas, Antonio, additional, Kesecioglu, Jozef, additional, Pezzi, Angelo, additional, Wiis, Joergen, additional, Pirracchio, Romain, additional, Baras, Mario, additional, Edbrooke, David L., additional, Pesenti, Antonio, additional, Bakker, Jan, additional, Hargreaves, Chris, additional, Gurman, Gabriel, additional, Cohen, Simon L., additional, Lippert, Anne, additional, Payen, Didier, additional, Corbella, Davide, additional, and Iapichino, Gaetano, additional

Published
2012
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47. Enteral vs. intravenous ICU sedation management: study protocol for a randomized controlled trial.

Author

Mistraletti1, Giovanni, Mantovani, Elena S., Cadringher, Paolo, Cerri, Barbara, Corbella, Davide, Umbrello, Michele, Anania, Stefania, Andrighi, Elisa, Barello, Serena, Di Carlo, Alessandra, Martinetti, Federica, Formenti, Paolo, Spanu, Paolo, and Iapichino, Gaetano

Subjects
INTENSIVE care units, GASTROINTESTINAL system, SEDATIVES, LORAZEPAM, HYDROXYZINE (Drug), CLINICAL trials, CLINICAL medicine
Abstract

Background: A relevant innovation about sedation of long-term Intensive Care Unit (ICU) patients is the 'conscious target': patients should be awake even during the critical phases of illness. Enteral sedative administration is nowadays unusual, even though the gastrointestinal tract works soon after ICU admission. The enteral approach cannot produce deep sedation; however, it is as adequate as the intravenous one, if the target is to keep patients awake and adapted to the environment, and has fewer side effects and lower costs. Methods/Design: A randomized, controlled, multicenter, single-blind trial comparing enteral and intravenous sedative treatments has been done in 12 Italian ICUs. The main objective was to achieve and maintain the desired sedation level: observed RASS = target RASS ± 1. Three hundred high-risk patients were planned to be randomly assigned to receive either intravenous propofol/midazolam or enteral melatonin/hydroxyzine/lorazepam. Group assignment occurred through online minimization process, in order to balance variables potentially influencing the outcomes (age, sex, SAPS II, type of admission, kidney failure, chronic obstructive pulmonary disease, sepsis) between groups. Once per shift, the staff recorded neurological monitoring using validated tools. Three flowcharts for pain, sedation, and delirium have been proposed; they have been designed to treat potentially correctable factors first, and, only once excluded, to administer neuroactive drugs. The study lasted from January 24 to December 31, 2012. A total of 348 patients have been randomized, through a centralized website, using a specific software expressly designed for this study. The created network of ICUs included a mix of both university and nonuniversity hospitals, with different experience in managing enteral sedation. A dedicated free-access website was also created, in both Italian and English, for continuous education of ICU staff through CME courses. Discussion: This 'educational research' project aims both to compare two sedative strategies and to highlight the need for a profound cultural change, improving outcomes by keeping critically-ill patients awake. [ABSTRACT FROM AUTHOR]

Published
2013
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48. Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines

Author

De Simone, Belinda, Sartelli, Massimo, Coccolini, Federico, Ball, Chad G., Brambillasca, Pietro, Chiarugi, Massimo, Campanile, Fabio Cesare, Nita, Gabriela, Corbella, Davide, Leppaniemi, Ari, Boschini, Elena, Moore, Ernest E., Biffl, Walter, Peitzmann, Andrew, Kluger, Yoram, Sugrue, Michael, Fraga, Gustavo, Di Saverio, Salomone, Weber, Dieter, Sakakushev, Boris, Chiara, Osvaldo, Abu-Zidan, Fikri M., Ten Broek, Richard, Kirkpatrick, Andrew W., Wani, Imtiaz, Coimbra, Raul, Baiocchi, Gian Luca, Kelly, Micheal D., Ansaloni, Luca, and Catena, Fausto

Subjects
Intra-abdominal infection, Prevention, Emergency, Review, Operating room, Surgical site infection, 3. Good health
Abstract

Background: Surgical site infections (SSI) represent a considerable burden for healthcare systems. They are largely preventable and multiple interventions have been proposed over past years in an attempt to prevent SSI. We aim to provide a position paper on Operative Room (OR) prevention of SSI in patients presenting with intra-abdominal infection to be considered a future addendum to the well-known World Society of Emergency Surgery (WSES) Guidelines on the management of intra-abdominal infections. Methods: The literature was searched for focused publications on SSI until March 2019. Critical analysis and grading of the literature has been performed by a working group of experts; the literature review and the statements were evaluated by a Steering Committee of the WSES. Results: Wound protectors and antibacterial sutures seem to have effective roles to prevent SSI in intra-abdominal infections. The application of negative-pressure wound therapy in preventing SSI can be useful in reducing postoperative wound complications. It is important to pursue normothermia with the available resources in the intraoperative period to decrease SSI rate. The optimal knowledge of the pharmacokinetic/pharmacodynamic characteristics of antibiotics helps to decide when additional intraoperative antibiotic doses should be administered in patients with intra-abdominal infections undergoing emergency surgery to prevent SSI. Conclusions: The current position paper offers an extensive overview of the available evidence regarding surgical site infection control and prevention in patients having intra-abdominal infections.

49. Liver trauma: WSES 2020 guidelines

Author

Coccolini, Federico, Coimbra, Raul, Ordonez, Carlos, Kluger, Yoram, Vega, Felipe, Moore, Ernest E, Biffl, Walt, Peitzman, Andrew, Horer, Tal, Abu-Zidan, Fikri M, Sartelli, Massimo, Fraga, Gustavo P, Cicuttin, Enrico, Ansaloni, Luca, Parra, Michael W, Millán, Mauricio, DeAngelis, Nicola, Inaba, Kenji, Velmahos, George, Maier, Ron, Khokha, Vladimir, Sakakushev, Boris, Augustin, Goran, Di Saverio, Salomone, Pikoulis, Emanuil, Chirica, Mircea, Reva, Viktor, Leppaniemi, Ari, Manchev, Vassil, Chiarugi, Massimo, Damaskos, Dimitrios, Weber, Dieter, Parry, Neil, Demetrashvili, Zaza, Civil, Ian, Napolitano, Lena, Corbella, Davide, Catena, Fausto, and WSES Expert Panel

Subjects
Adult, Pediatric, Severe, Evidence-Based Medicine, Interventional, Liver trauma, Moderate, Non-operative management, Hemodynamics, Hemorrhage, Operative management, Abdominal Injuries, Guidelines, Classification, 3. Good health, Patient Care Management, Minor, Injury Severity Score, Liver, Intensive care, Humans, Surgery, Radiology
Abstract

Liver injuries represent one of the most frequent life-threatening injuries in trauma patients. In determining the optimal management strategy, the anatomic injury, the hemodynamic status, and the associated injuries should be taken into consideration. Liver trauma approach may require non-operative or operative management with the intent to restore the homeostasis and the normal physiology. The management of liver trauma should be multidisciplinary including trauma surgeons, interventional radiologists, and emergency and ICU physicians. The aim of this paper is to present the World Society of Emergency Surgery (WSES) liver trauma management guidelines.

50. Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines

Author

De Simone, Belinda, Sartelli, Massimo, Coccolini, Federico, Ball, Chad G., Brambillasca, Pietro, Chiarugi, Massimo, Campanile, Fabio Cesare, Nita, Gabriela, Corbella, Davide, Leppaniemi, Ari, Boschini, Elena, Moore, Ernest E., Biffl, Walter, Peitzmann, Andrew, Kluger, Yoram, Sugrue, Michael, Fraga, Gustavo, Di Saverio, Salomone, Weber, Dieter, Sakakushev, Boris, Chiara, Osvaldo, Abu-Zidan, Fikri M., Ten Broek, Richard, Kirkpatrick, Andrew W., Wani, Imtiaz, Coimbra, Raul, Baiocchi, Gian Luca, Kelly, Micheal D., Ansaloni, Luca, and Catena, Fausto

Subjects
Intra-abdominal infection, Prevention, Emergency, Review, Operating room, Surgical site infection, 3. Good health
Abstract

Background: Surgical site infections (SSI) represent a considerable burden for healthcare systems. They are largely preventable and multiple interventions have been proposed over past years in an attempt to prevent SSI. We aim to provide a position paper on Operative Room (OR) prevention of SSI in patients presenting with intra-abdominal infection to be considered a future addendum to the well-known World Society of Emergency Surgery (WSES) Guidelines on the management of intra-abdominal infections. Methods: The literature was searched for focused publications on SSI until March 2019. Critical analysis and grading of the literature has been performed by a working group of experts; the literature review and the statements were evaluated by a Steering Committee of the WSES. Results: Wound protectors and antibacterial sutures seem to have effective roles to prevent SSI in intra-abdominal infections. The application of negative-pressure wound therapy in preventing SSI can be useful in reducing postoperative wound complications. It is important to pursue normothermia with the available resources in the intraoperative period to decrease SSI rate. The optimal knowledge of the pharmacokinetic/pharmacodynamic characteristics of antibiotics helps to decide when additional intraoperative antibiotic doses should be administered in patients with intra-abdominal infections undergoing emergency surgery to prevent SSI. Conclusions: The current position paper offers an extensive overview of the available evidence regarding surgical site infection control and prevention in patients having intra-abdominal infections.

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