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251 results on '"Innocenti, Francesca"'

6. Role of prognostic scores in predicting in-hospital mortality and failure of non-invasive ventilation in adults with COVID-19

Author

Innocenti, Francesca, Lazzari, Cristian, Paolucci, Elisa, De Paris, Anna, Lagomarsini, Alessia, Guerra, Federica, Alleonato, Patrizia, Casalini, Lisa, Buggea, Michele, Caldi, Francesca, Zanobetti, Maurizio, Pieralli, Filippo, Guazzini, Giulia, Lastraioli, Lisa, Luise, Fabio, Milia, Alessandro, Sammicheli, Lucia, Maddaluni, Lucia, Lavorini, Federico, and Pini, Riccardo

Published
2022
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22. Prognostic Value of Emergency Physician-performed Echocardiography in Patients with Acute Pulmonary Thromboembolism

Author

Zanobetti, Maurizio, Converti, Cristiano, Conti, Alberto, Viviani, Gabriele, Guerrini, Elisa, Boni, Vanessa, Vicidomini, Sonia, Poggioni, Claudio, Guzzo, Aurelia, Coppa, Alessandro, Bigiarini, Sofia, Innocenti, Francesca, and Pini, Riccardo

Subjects
Pulmonary Embolism, Echocardiography, Emergency Department, Right Ventricular Disfunction, Thrombolytic therapy, Emergency Medicine, Cardiology
Abstract

Introduction: Pulmonary embolism (PE) is a life-threatening illness with high morbidity and mortality. Echocardiography (ECG) plays an important role in the early identification of right ventricular (RV) dysfunction, making it a helpful tool in identifying hemodynamically stable patients affected by PE with a higher mortality risk. The purpose of this study was to evaluate if one or more ECG indexes could predict a short-term evolution towards RV dysfunction.Methods: We selected all patients consecutively admitted to the Careggi Hospital Emergency Department with the clinical suspicion of PE, confirmed by computed tomography angiography prior to enrollment. Subsequently, properly trained emergency physicians acquired a complete ECG to measure RV morphological and functional indices. For each patient, we recorded if he or she received a fibrinolytic treatment, a surgical embolectomy or heparin therapy during the emergency department (ED) stay. Then, every patient was re-evaluated with ECG, by the same physician, after 1 week in our intensive observation unit and 1 month as outpatient in our ED regional referral center for PE.Results: From 2002 to 2007, 120 consecutive patients affected by PE were evaluated by echocardiography at the Careggi Hospital ED. Nine patients (8%) were treated with thrombolytic therapy. Six died within 1 week and 4 abandoned the study, while the remaining 110 survived and were re-evaluated by ECG after 1 week and 1 month. The majority of the echocardiographic RV indexes improve mostly in the first 7 days: Acceleration Time (AT) from 78±14 ms to 117±14 ms (p

Published
2013

30. Diversity, Equity and Inclusion in Higher Music Education: An Invitation for Action

Author

Thomson, Katja, Dons, Karolien, Vejgaard, Monica, Guerra, Alfonso, Innocenti, Francesca, Hahn, Karine, Xiangning, Lin, McCurdy, Ronald C., Arockiam, Ankna, Faber, Steven, and Music in Context

Subjects
inclusie, muziek, conservatoria, diversiteit, diversity, weerstand, resistance, equity, inclusion, higher music education, gelijkheid, actie, conservatoires, action, music, hoger muziekonderwijs
Abstract

With this “invitation for action”, the Diversity, Inclusion & Gender Equality (DIGE) Working Group of the AEC - Empowering Artists as Makers in Society project (hereafter, ARTEMIS) welcomes all the AEC member institutions to explore, discuss and implement practices fostering Diversity, Equity and Inclusion (DEI) in Higher Music Education (HME). We invite our colleagues to collectively dream up possible futures for HME through DEI work, which responds to the need to accommodate the plurality of backgrounds, artistic paradigms, access capabilities, identities and aspirations amongst current as well as future students and staff. Through this publication we wish to encourage the AEC member institutions to grasp this simultaneously evident and complex task and to explore what diversity, equity and inclusion could mean if musicians are seen as “makers in, for and of society” (Gaunt et al. 2021). For us as a Working Group, this proactive view has been central to our work from the beginning, as we asked ourselves whether HME institutions find themselves predominantly adapting (or not) to inevitable local and global changes and pressures, and whether the HME institutions could see themselves as part of a network of change makers in society. Focusing on the latter, we see DEI work as being directly connected to the core artistic practices of the institutions. As reflections from many of our colleagues in various AEC member institutions illustrate, the commitment to DEI work nurtures artistic imagination, widens pedagogical approaches, and expands the scope of professional practice.

Published
2023

34. Integrated ultrasonographic approach to evaluate fluid responsiveness in critically ill patients.

Author

Innocenti, Francesca, Savinelli, Caterina, Coppa, Alessandro, Tassinari, Irene, and Pini, Riccardo

Subjects
*CRITICALLY ill, *VENA cava inferior, *LUNGS
Abstract

In patients with acute circulatory failure, we tested the feasibility of the evaluation of the fluid-responsiveness (FR) by a combined approach with echocardiography and lung ultrasound. We enrolled 113 consecutive patients admitted to the Emergency Department High-Dependency Unit of Careggi University-Hospital from January 2015 to June 2020. We assessed: (1) inferior vena cava collapsibility index (IVCCI); (2) the variation of aortic flow (VTIAo) during the passive leg raising test (PLR); (3) the presence of interstitial syndrome by lung ultrasound. FR was defined as an increase in the VTIAo > 10% during PLR or IVCCI ≥ 40%. FR patients were treated with fluid and those non-FR with diuretics or vasopressors. The therapeutic strategy was reassessed after 12 h. The goal was to maintain the initial strategy. Among 56 FR patients, at lung ultrasound, 15 patients showed basal interstitial syndrome and 4 all-lung involvement. One fluid bolus was given to 51 patients. Among 57 non-FR patients, 26 patients showed interstitial syndrome at lung ultrasound (basal fields in 14, all lungs in 12). We administered diuretics to 21 patients and vasopressors to 4 subjects. We had to change the initial treatment plan in 9% non-FR patients and in 12% FR patients (p = NS). In the first 12 h after the evaluation, non-FR patients received significantly less fluids compared to those FR (1119 ± 410 vs 2010 ± 1254 ml, p < 0.001). The evaluation of the FR based on echocardiography and lung ultrasound was associated with the reduction in fluid administration for non-FR patients compared with those FR. [ABSTRACT FROM AUTHOR]

Published
2023
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38. D-Dimer Tests in the Emergency Department: Current Insights

Author

Innocenti,Francesca, Lazzari,Cristian, Ricci,Francesca, Paolucci,Elisa, Agishev,Ilya, and Pini,Riccardo

Subjects
Open Access Emergency Medicine
Abstract

Francesca Innocenti, Cristian Lazzari, Francesca Ricci, Elisa Paolucci, Ilya Agishev, Riccardo Pini Emergency Department High-Dependency Unit, Department of Clinical and Experimental Medicine, Careggi University Hospital, Florence, ItalyCorrespondence: Francesca Innocenti Lg. Brambilla 4, Florence, 50144, ItalyTel +39 333 9117845Email innocenti.fra66@gmail.comAbstract: In the Emergency Medicine setting, D-dimer is currently employed in the diagnostic assessment of suspected venous thromboembolism and aortic syndrome. The nonspecific symptoms reported by patients, like chest pain, dyspnea or syncope, uncover a wide range of differential diagnosis, spanning from mild to life-threatening conditions. Therefore, we assumed the perspective of the Emergency Physician and, in this narrative review, we reported a brief presentation of the epidemiology of these symptoms and the characteristics of patients, in whom we could suspect the aforementioned pathologies. We also reported in which patients D-dimer gives useful information. In fact, when the probability of the disease is high, the D-dimer level is futile. On the contrary, given the low specificity of the test, when the probability of the disease is very low, a false-positive value of the D-dimer only increases the risk of overtesting. Patients with low to moderate probability really benefit from the D-dimer testing, in order to prevent the execution of expensive and potentially dangerous imaging tests. In the second part of the review, we focused on the prognostic value of the test in septic patients. The early prognostic stratification of septic patients remains a challenge for the Emergency Physician, in the absence of a definite biomarker or score to rely on. Therefore, we need several parameters for the early identification of patients at risk of an adverse prognosis and the D-dimer may play a role in this demanding task. SARS COVID-19 patients represent an emerging reality, where the role of the D-dimer for prognostic stratification could be relevant. In fact, in patients with severe forms of this disease, the D-dimer reaches very high values, which appear to parallel the course of respiratory failure. Whether the test may add useful information for the management of these patients remains to be determined.Keywords: venous thromboembolism, aortic syndromes, diagnostic assessment, sepsis, COVID-19, prognostic stratification

Published
2021

45. Incidence of deep vein thrombosis through an ultrasound surveillance protocol in patients with COVID-19 pneumonia in non-ICU setting: A multicenter prospective study

Author

Pieralli, Filippo, primary, Pomero, Fulvio, additional, Giampieri, Margherita, additional, Marcucci, Rossella, additional, Prisco, Domenico, additional, Luise, Fabio, additional, Mancini, Antonio, additional, Milia, Alessandro, additional, Sammicheli, Lucia, additional, Tassinari, Irene, additional, Caldi, Francesca, additional, Innocenti, Francesca, additional, Faraone, Antonio, additional, Beltrame, Chiara, additional, Pini, Riccardo, additional, Ungar, Andrea, additional, and Fortini, Alberto, additional

Published
2021
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