Publications by authors named "Andrea Boffi"

Article Synopsis
  • - The study focuses on the effects of proning (turning patients onto their stomachs) in intubated COVID-19 patients suffering from acute respiratory distress syndrome (ARDS), specifically examining how it influences oxygenation and other respiratory parameters.
  • - A total of 42 patients were analyzed over 191 proning sessions, revealing significant improvements in oxygen levels (PaO/FiO) and reductions in the Aa-gradient (a measure of lung efficiency) during the sessions, highlighting proning's positive effects on respiratory function.
  • - The findings suggest that while immediate benefits in oxygenation metrics were noted, other measures like compliance and ventilatory ratio showed only slight improvements, indicating that monitoring for treatment failure in these cases is still critical
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Aims Of The Study: Awake prone positioning (aPP) in non-intubated patients with severe SARS-CoV-2-related pneumonia improves oxygenation and reduces the intubation rate, but no early predictors for success or failure of the strategy have been described. The main objective of this study was to assess whether response to the first aPP in terms of PaO2/FiO2, alveolar-arterial gradient (Aa-O2), respiratory rate and PaCO2 could predict the need for intubation. As secondary objective, we assessed the effects of aPP on the same parameters for all the sessions considered together.

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Background: Cardiac time intervals are used as indices of systolic and diastolic function. Echocardiographic assessment of these intervals is based on either pulsed wave Doppler (PWD) or tissue Doppler imaging (TDI). We investigated the agreement between the two techniques in the evaluation of right ventricular (RV) time intervals in healthy adults.

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Background: There is lack of noninvasive indices to detail the right side cardiovascular physiology. Total isovolumic time (tIVT) is a sensitive marker of left ventricular electromechanical efficiency and systolic-diastolic interaction. The aim of the study was to evaluate normal reference value of the right ventricular tIVT with increasing age.

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