Publications by authors named "Alessandra Di Palma"

Article Synopsis
  • - A child with maxillary Ewing sarcoma underwent surgery to remove the tumor and had reconstruction using a free fibula flap.
  • - The surgical team maintained effective blood thinning with lower doses of heparin, closely monitored using multiple ACT (Activated Clotting Time) tests.
  • - To prevent inadequate blood flow and manage pain post-surgery, NIRS (Near-Infrared Spectroscopy) monitoring and a continuous infusion of local anesthetic were used.
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Intranasal dexmedetomidine, although still off-label, recently boasted an increasing consensus for different uses, namely, in diagnostic non-painful procedures, in painful procedures and in surgical premedication. However, at present, there is no consensus regarding indications, dosage and timing for administration. This article aims to provide a comprehensive literature analysis and summarize the more recent evidence of research on pediatric intranasal dexmedetomidine, in the effort to better delineate usefulness and limits for each specific indication.

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Objective: To compare the outcomes and the short- and long-term complications of percutaneous translaryngeal tracheostomy (TLT) and surgical tracheostomy (ST).

Design: Prospective, randomized clinical trial with 1-yr double-blind follow-up.

Setting: A general intensive care unit of a university hospital.

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