Simple detecting of elevated ICP through liquor flow after lumbar puncture.

Elevated intracranial pressure (ICP) is defined as a cerebrospinal fluid (CSF) opening pressure (OP) greater than 25 cmH2O. When a diagnostic lumbar puncture is performed it is useful to estimate also intracranial pressure. To do this it is required a presence of pressure gauges, which are currently the gold standard, not available in most resource-constrained contexts.

The impact of a non-restrictive Antimicrobial Stewardship Program in the emergency department of a secondary-level Italian hospital.

Evidence supporting the effectiveness of Antimicrobial Stewardship (AMS) Programs in the emergency department (ED) setting is limited. We conducted a prospective cohort study to assess the efficacy of an AMS program in an ED and a short-stay observation unit. The intervention included periodic prospective audits (twice a week), conducted by four infectious disease consultants.

Lung ultrasound-guided PEEP titration in COVID-19 patients treated with CPAP.

Objectives: An increasing number of COVID-19 patients were treated with continuous positive airways pressure (CPAP). To evaluate the clinical effects of personalized positive end-expiratory pressure (PEEP) compared to standard fixed PEEP in COVID-19 patients requiring CPAP.

Methods: This is a single center, prospective, randomized clinical study.

Cardiomyopathies: An Overview.

Background: Cardiomyopathies are a heterogeneous group of pathologies characterized by structural and functional alterations of the heart.

Aims: The purpose of this narrative review is to focus on the most important cardiomyopathies and their epidemiology, diagnosis, and management.

Methods: Clinical trials were identified by Pubmed until 30 March 2021.

Oxygen Therapy in Headache Disorders: A Systematic Review.

Background: The global active prevalence of migraines is approximately 14.7%. Oxygen therapy may reduce the use of non-steroidal anti-inflammatory drugs (NSAIDs) which often have various negative side effects.

Diagnostic accuracy of computerized tomography (CT) angiography in detecting non-variceal gastrointestinal bleeding (NVGIB): a sistematic review.

Introduction: The American Society for Gastrointestinal Endoscopy (ASGE) has produced numerous algorithms for the management of gastrointestinal bleeding (GIB) in which endoscopy plays a major role. The aim of this Systematic Review was to evaluate the diagnostic accuracy of computerized tomography (CT) angiography in detecting non-variceal gastrointestinal bleeding (NVGIB).

Methods: Studies were identified on PubMed, Web of Science and Scopus databases from 2009 to 2019.

[A case of apparently trivial flank pain].

We describe the case of an 80-year-old man who came to our observation with pain in his left side and iliac region. Ultrasonography showed an incidentaloma with a largest diameter of 10 cm in the left suprarenal fossa. It extended downward and anteriorly from the apex of the left kidney; the picture was suggestive of a saccate hematoma.