Publications by authors named "A M Ioan"

Article Synopsis
  • - This study compared the effectiveness of two anesthesia techniques, superficial parasternal intercostal plane block (SPIPB) and erector spinae plane block (ESPB), for reducing opioid use during elective open-heart surgery.
  • - The results showed that SPIPB was not inferior to ESPB in reducing intraoperative fentanyl consumption, but patients receiving SPIPB needed significantly more morphine post-surgery and experienced higher pain scores during recovery.
  • - Overall, while SPIPB did not meet the goal of lowering intraoperative opioid use, it was associated with worse postoperative pain management outcomes compared to ESPB, indicating a need for further investigation into optimal pain control strategies.
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Article Synopsis
  • The ESICM Green Paper addresses the importance of environmental sustainability in intensive care units (ICUs) and proposes actionable strategies to reduce their ecological impact.
  • A task force of experts assessed key areas for improvement and refined their strategies through a series of meetings and drafts.
  • The paper emphasizes the need for energy efficiency, waste reduction, and education among healthcare professionals to ensure that high-quality patient care and sustainability go hand in hand.
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Upper gastrointestinal bleeding (UGIB) is a significant concern in children, contributing to 6-20% of cases in pediatric intensive care units. This study evaluates the roles of () infection and non-steroidal anti-inflammatory drug (NSAID) usage in the etiology of UGIB in children, with a particular focus on trends observed during the COVID-19 pandemic. We conducted a retrospective analysis of 103 pediatric patients who underwent esophagogastroduodenoscopy (EGD) for UGIB between January 2015 and December 2023.

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Objectives: To describe a Romanian cohort of patients with juvenile dermatomyositis (JDM) and to identify factors associated with disease severity, complete clinical response, and sustained remission.

Methods: We retrospectively reviewed data from 30 JDM patients from 2013 to 2022. The inactive disease state was defined as no active skin rash, muscle weakness, or elevated muscle enzymes.

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