Journal of Anesthesia, Analgesia and Critical Care is affiliated with the Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care.
Articles
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Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:26
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Contra Procrustes’ medicine: ars medica in the era of tags and labels
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:25 -
Emergency team competencies: scoping review for the development of a tool to support the briefing and debriefing activities of emergency healthcare providers
Globally, at least one adverse event occurs in 10% of patients using emergency, inpatient, outpatient, surgical and primary care services. Particularly in emergency health care, this problem is exacerbated by ...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:24 -
Once again... breakthrough cancer pain: an updated overview
Breakthrough cancer pain (BTcP) is a complex and variegate phenomenon that may change its presentation during the course of patients’ disease in the same individual. An appropriate assessment is fundamental fo...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:23 -
Effective prevention of post-dural puncture headache with insertion of an intrathecal catheter in parturients: a retrospective study and meta-analysis
Accidental dural puncture is a common complication of labour analgesia. It can trigger post-dural puncture headache, with associated morbidity and increased costs. Intrathecal catheter placement is a prophylac...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:22 -
Medical and obstetric comorbidities and delivery outcomes in overweight and obese parturients: a retrospective analysis
Research on obesity in women of reproductive age is heterogeneous in gestational age and body mass index (BMI) classification and focused mostly on pregnancy-related rather than medical comorbidities. We studi...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:21 -
Bilateral transversus abdominis plane (TAP) block reduces pain and the need for additional analgesics after elective cesarean section under opioid-free spinal anesthesia: findings from a randomized clinical trial
Cesarean section (CS) is the most frequently performed obstetric procedure globally, and postoperative pain remains a prominent concern. This study aimed to evaluate the effectiveness of the bilateral transver...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:20 -
Utilizing an artificial intelligence framework (conditional generative adversarial network) to enhance telemedicine strategies for cancer pain management
The utilization of artificial intelligence (AI) in healthcare has significant potential to revolutionize the delivery of medical services, particularly in the field of telemedicine. In this article, we investi...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:19 -
Obituary—Professor Paolo Pelosi, President Elect of SIAARTI
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:18 -
Modified subcostal approach to anterior quadratus lumborum block for managing postoperative pain in patients undergoing open nephrectomy
Quadratus lumborum block is a relatively new truncal block and different approaches to this block have been described. With a recent modification to the subcostal approach to the anterior quadratus lumborum bl...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:17 -
New technologies in anesthesia and intensive care: take your ticket for the future
The modern world runs all around hi-tech, which surrounds us in our everyday life. The medical field is no less; the introduction of the novel disruptive technologies are transforming every healthcare system. ...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:16 -
Risks and benefits of animal-assisted interventions for critically ill patients admitted to intensive care units
Pets offer significant health benefits, from decreased cardiovascular risks to anxiety and post-traumatic stress improvements. Animal-assisted interventions (AAI) are not frequently practiced in the intensive ...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:15 -
Does COVID-19 vaccination protect against pulmonary embolism?
The prevalence of venous thromboembolism (VTE) in COVID-19 patients is highly variable, depending on methodological and clinical factors, among which vaccination (1). The hypothesis of a possible protective ro...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:14 -
Airway opening pressure in an obese ARDS patient: just the start of airway recruitment
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:13 -
Hyperoxia in critically ill patients with sepsis and septic shock: a systematic review
In septic patients, hyperoxia may help with its bactericidal effects, but it may cause systemic impairments. The role of hyperoxia and the appropriate oxygen target in these patients is unknown. The aim of thi...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:12 -
Rationale and clinical application of antimicrobial stewardship principles in the intensive care unit: a multidisciplinary statement
Antimicrobial resistance represents a major critical issue for the management of the critically ill patients hospitalized in the intensive care unit (ICU), since infections by multidrug-resistant bacteria are ...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:11 -
Fluid balance in critically ill children with lower respiratory tract viral infection: a cohort study
Increasing evidence has associated positive fluid balance of critically ill patients with poor outcomes. The aim of this study was to explore the pattern of daily fluid balances and their association with outc...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:10 -
How to recognize a trustworthy clinical practice guideline
Trustworthy clinical practice guidelines represent a fundamental tool to summarize relevant evidence regarding a set of clinical choices and provide guidance for making optimal clinical decisions. Clinicians m...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:9 -
The SARS-CoV-2 pandemic as a source of unprecedented bioethical and biolaw issues: lessons for intensivists
The following article presents the relevant and unprecedented bioethical and biolaw issues posed by the SARS-COV-2 pandemic and summarizes the initiatives adopted by the Italian Society of Anesthesia and Resus...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:8 -
Regional citrate anticoagulation (RCA) in critically ill patients undergoing renal replacement therapy (RRT): expert opinion from the SIAARTI-SIN joint commission
Renal replacement therapies (RRT) are essential to support critically ill patients with severe acute kidney injury (AKI), providing control of solutes, fluid balance and acid–base status. To maintain the paten...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:7 -
Kinetics of CD169, HLA-DR, and CD64 expression as predictive biomarkers of SARS-CoV2 outcome
Discriminating between virus-induced fever from superimposed bacterial infections is a common challenge in intensive care units. Superimposed bacterial infections can be detected in severe SARS-CoV2-infected p...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:6 -
BIS-guided sedation prevents the cough reaction of patients under general anaesthesia caused by extubation: a randomized controlled trial
The multiple modes of SARS-CoV-2 transmission including airborne, droplet, contact and faecal–oral transmissions that cause coronavirus disease 2019 (COVID-19) contribute to a public threat to the lives of peo...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:5 -
Cost-effectiveness of polymyxin B hemoperfusion for septic shock: an observational study using a Japanese nationwide administrative database
Polymyxin B hemoperfusion (PMX) removes endotoxin from septic shock patients. Although the treatment has been clinically used for more than 20 years, its cost-effectiveness has not been evaluated in detail.
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:4 -
Association between histamine 2 receptor antagonists and sepsis outcomes in ICU patients: a retrospective analysis using the MIMI-IV database
Sepsis is marked by elevated histamine, which is a vasodilator that increases vascular permeability. Although human studies are lacking, murine models of sepsis have indicated potential protective effects of h...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:3 -
Effects of depth of neuromuscular block on surgical operating conditions in women undergoing gynecologic laparoscopic surgery: a randomized clinical trial
In recent years, the relationship between the advantages and disadvantages of a deep neuromuscular block (DNMB), compared to a moderate block (MNMB) in laparoscopic surgery, has been increasingly studied.
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:2 -
The adult and pediatric palliative care: differences and shared issues
Adult and pediatric palliative care (PC) share common aims and ethical principles but differ in many organizational and practical aspects. The aim of this narrative review is to analyze these differences and f...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2023 3:1 -
Consensus on the Southeast Asian management of hypotension using vasopressors and adjunct modalities during cesarean section under spinal anesthesia
This consensus statement presents a comprehensive and evidence-based set of guidelines that modify the general European or US guidelines for hypotension management with vasopressors during cesarean delivery. I...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:56 -
POCUS, how can we include the brain? An overview
Point-of-care ultrasound (POCUS) is an essential tool to assess and manage different pathologies in the intensive care unit, and many protocols have been proposed for its application in critical care literatur...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:55 -
Non invasive hemodynamic monitoring for fluids and blood resuscitation during placenta praevia accreta cesarean delivery: a retrospective observational study
We carry out a retrospective observational analysis of clinical records of patients with major placenta praevia who underwent cesarean section surgery over a period of 20 months in our hospital. Out of a total...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:54 -
Investigation of proarrhythmic effect of high sugammadex doses: an experimental animal study
Studies on higher doses of sugammadex effect on QT interval and leading arrhythmia have been limited. In this study, we aimed to investigate possible proarrhythmic effect of higher doses of sugammadex in condi...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:53 -
Intellectually disabled patients’ intensive care admission characteristics, weaning from mechanical ventilation, and sedative drug use: a single-center retrospective case-control study
Intellectually disabled (ID) patients present unique therapeutic challenges. We aimed to describe the characteristics of ID patients admitted to a general intensive care unit (ICU).
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:52 -
Anemia before in-hospital cardiac arrest and survival from cardio-pulmonary resuscitation—a retrospective cohort study
Multiple patient-related variables have been associated with reduced rates of survival to hospital discharge (SHD) after in-hospital cardiac arrest (IHCA). As opposed to most of these, anemia may be reversible...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:51 -
Scar tissue: after the pandemic
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:50 -
Opioid sparing effect of intravenous dexmedetomidine in orthopaedic surgery: a retrospective analysis
Dexmedetomidine is a highly selective alpha-2 receptor agonist without any effect on the GABA receptor. It provides an excellent sedative and analgesic profile with few side effects. We report our experience w...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:49 -
The efficacy and safety of dexmedetomidine in preventing emergence delirium in paediatric patients following ophthalmic surgery: a systematic review and meta-analysis of randomised controlled trials
The leading cause of emergence delirium (ED) in children postoperatively is the exposure to inhalational anaesthetics. ED can occur immediately after waking from anaesthesia, making patients generally uncooper...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:48 -
Parent and medical team disagreements in the UK: universal lessons in the origins and resolution in conflict
In recent decades, there has been an increase in life expectancy in children with life-limiting conditions. Ideally, parents and clinicians would work together to ensure the best care for these children. Sever...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:47 -
Abstracts of the ICARE 2022 76th SIAARTI National Congress
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2(Suppl 1):46 -
The effect of post-reperfusion levosimendan in an experimental intestinal ischemia–reperfusion model
Levosimendan has been reported to have a positive effect on ischemia–reperfusion injury. Herein, we aimed to evaluate the effects of levosimendan applied after reperfusion in an experimental intestinal injury-...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:45 -
Head to toe ultrasound: a narrative review of experts’ recommendations of methodological approaches
Critical care ultrasonography (US) is widely used by intensivists managing critically ill patients to accurately and rapidly assess different clinical scenarios, which include pneumothorax, pleural effusion, p...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:44 -
Analgesic efficacy of the bilateral erector spinae plane block for colorectal surgery: a randomized controlled trial
Colorectal cancer is quite common, and surgery is the most effective treatment for most patients. However, postoperative pain management is generally inadequate in most patients. This study aimed to determine ...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:43 -
Machine learning and predictive models: 2 years of Sars-CoV-2 pandemic in a single-center retrospective analysis
Since January 2020, coronavirus disease 19 (COVID-19) has rapidly spread all over the world. An early assessment of illness severity is crucial for the stratification of patients in order to address them to th...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:42 -
Immunological effects of glutamine supplementation in polytrauma patients in intensive care unit
In polytrauma intensive care unit (ICU) patients, glutamine (GLN) becomes a “conditionally essential” amino acid; its role has been extensively studied in numerous clinical trials but their results are inconcl...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:41 -
The need for clinical ethics consultation: a monocentric observational survey study in the intensive care unit (Consul.E.T.I. study)
The current organizational structure of the Italian healthcare system does not include the institutionalization of clinical ethics services.
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:40 -
A new perspective during laryngo-tracheal surgery: the use of an ultra-thin endotracheal tube (Tritube®) and flow-controlled ventilation—a retrospective case series and a review of the literature
Upper airway surgery often poses a challenge to both anesthesiologists and surgeons, as airway access, mechanical ventilation, and surgical difficulties may occur in a tricky combination. To fulfill the need f...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:39 -
Implementation of video-calls between patients admitted to intensive care unit during the COVID-19 pandemic and their families: a pilot study of psychological effects
The coronavirus disease 2019 (COVID-19) pandemic has caused over 530 million infections to date (June 2022), with a high percentage of intensive care unit (ICU) admissions. In this context, relatives have been...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:38 -
Krebs von den Lungen 6 (KL-6) levels in COVID-19 ICU patients are associated with mortality
Krebs von den Lungen 6 (KL-6) is a high-molecular-weight mucin-like glycoprotein, which is also known as MUC1. KL-6 is mainly produced by type 2 pneumocytes and bronchial epithelial cells, and, therefore, elev...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:37 -
Epidemiology of ventilator-associated pneumonia in ICU COVID-19 patients: an alarming high rate of multidrug-resistant bacteria
COVID‑19 is a novel cause of acute respiratory distress syndrome (ARDS) that leads patients to intensive care unit (ICU) admission requiring invasive ventilation, who consequently are at risk of developing of ...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:36 -
Nutrition support for critically ill patients during the COVID-19 pandemic: the Italian SIAARTI survey
Critically ill, COVID-19 patients are characterized by a hypermetabolic state and a reduced food intake and are at high risk of malnutrition and lean body mass loss. An appropriate metabolic-nutritional interv...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:35 -
Empiric treatment of patients with sepsis and septic shock and place in therapy of cefiderocol: a systematic review and expert opinion statement
Carbapenem-resistant Gram-negative bacteria are frequent causes of sepsis and septic shock in intensive care unit (ICU) and thus considered a public health threat. Until now, the best available therapies consi...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:34 -
Anesthesia and cancer recurrence: an overview
Several perioperative factors are responsible for the dysregulation or suppression of the immune system with a possible impact on cancer cell growth and the development of new metastasis. These factors have th...
Citation: Journal of Anesthesia, Analgesia and Critical Care 2022 2:33
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