Publications by authors named "Ana-Maria 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.
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.
Metoprolol in Critically Ill Patients With COVID-19.
Agustín Clemente-Moragón Juan Martínez-Milla Eduardo Oliver Arnoldo Santos Javier Flandes Ana-María Ioan
J Am Coll Cardiol
September 2021
Background: Severe coronavirus disease-2019 (COVID-19) can progress to an acute respiratory distress syndrome (ARDS), which involves alveolar infiltration by activated neutrophils. The beta-blocker metoprolol has been shown to ameliorate exacerbated inflammation in the myocardial infarction setting.
Objectives: The purpose of this study was to evaluate the effects of metoprolol on alveolar inflammation and on respiratory function in patients with COVID-19-associated ARDS.