Publications by authors named "Domenico Pietro Santonastaso"
Introduction: The need for a standardized core curriculum in regional anesthesia has become essential, particularly with the integration of ultrasound revolutionizing and exponentially increasing clinical practice and possibilities. In fact, numerous novel techniques, often overlapping, can confuse practitioners. This study aims to establish a core curriculum for upper limb, lower limb, paraspinal and fascial plane blocks for residency training, addressing potential educational gaps caused by the multitude of techniques, through a Delphi consensus process involving recognized Italian regional anesthesia experts.
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- Chest trauma often leads to emergency department admissions, and the serratus anterior plane (SAP) block is a potential pain management technique, but its effectiveness and safety in the ED are not well-studied.
- This study compared patients receiving the SAP block combined with standard therapy to those receiving standard therapy alone, looking at pain levels, opioid use, respiratory function, and adverse events over the first 24 hours.
- Results showed that patients receiving the SAP block had significantly reduced pain, required less opioid medication, and maintained better respiratory function, with no adverse events reported.
Erector spinae plane block for perioperative pain management in neurosurgical lower-thoracic and lumbar spinal fusion: a single-centre prospective randomised controlled trial.
BMC Anesthesiol
May 2023
Background: Erector spinae plane block is a locoregional anaesthetic technique widely used in several different surgeries due to its safety and efficacy. The aim of this study is to assess its utility in spinal degenerative and traumatic surgery in western countries and for patients of Caucasian ethnicity.
Methods: Patients undergoing elective lower-thoracic and lumbar spinal fusion were randomised into two groups: the case group (n = 15) who received erector spinae plane block (ropivacaine 0.
Management of postpartum hemorrhage in urgent cesarean delivery for placenta accreta by resuscitative endovascular balloon occlusion of the aorta (REBOA), a case report.
Eur J Obstet Gynecol Reprod Biol
July 2023
Background: Trauma is a leading cause of death and disability. Patients with trauma undergoing invasive mechanical ventilation (IMV) are at risk for ventilator-associated events (VAEs) potentially associated with a longer duration of IMV and increased stay in the intensive care unit (ICU).
Methods: We conducted a retrospective cohort study aimed to evaluate the incidence of infection-related ventilator-associated complications (IVACs), possible ventilator-associated pneumonia (PVAP), and their characteristics among patients experiencing severe trauma that required ICU admission and IMV for at least four days.
Background: This study aimed to describe an innovative and functional method to deal with the increased COVID-19 pandemic-related intensive care unit bed requirements.
Methods: We described the emergency creation of an integrated system of internistic ward, step-down unit, and intensive care unit, physically located in reciprocal vicinity on the same floor. The run was carried out under the control of single intensive care staff, through sharing clinical protocols and informatics systems, and following single director supervision.
Article Synopsis
- VV-ECMO is used for severe respiratory failure when traditional ventilation fails, with less focus on circulatory issues compared to VA-ECMO, which is better for circulatory support but worse for respiratory function.
- A case study describes the use of VV-ECMO on a 68-year-old man with acute respiratory failure from massive aspiration, who developed multiple organ failure and was transferred to an ECMO-capable facility.
- The patient showed improvement with VV-ECMO and was eventually discharged after full recovery, highlighting the importance of selecting the right ECMO type based on individual patient needs and conditions.
Background: This study was conceived to provide systematic data about lung mechanics during early phases of CoVID-19 pneumonia, as long as to explore its variations during prone positioning.
Methods: We enrolled four patients hospitalized in the Intensive Care Unit of "M. Bufalini" hospital, Cesena (Italy); after the positioning of an esophageal balloon, we measured mechanical power, respiratory system and transpulmonary parameters and arterial blood gases every 6 hours, just before decubitus change and 1 hour after prono-supination.
Objective: Erector spine plane block (ESPB) is a newly defined regional anesthesia technique performed by injection of local anesthetic beneath the erector spine muscle. We tested ESPB as a regional rescue analgesia bedside technique to be performed in the thoracic surgical ward, reporting a 7-patient case series.
Methods: We report our experience in rescue analgesia after thoracic surgery.
From the first description in 2016 till today, hundreds of studies have extensively presented Erector Spinae Plane block as an excellent perioperative analgesic technique especially in a multimodal pain management scenario. Only in few cases, this technique was used alone to provide surgical anesthesia.
View Article and Find Full Text PDFBackground: Major trauma patients experience a 20% mortality rate overall, and many survivors remain permanently disabled.In order to monitor the quality of trauma care in the Trauma System, outcomes assessment is essential. Quality indicators on outcome can be expressed as quality of life, functional outcome, and others.
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