Artificial Intelligence for Mechanical Ventilation: A Transformative Shift in Critical Care.

With the large volume of data coming from implemented technologies and monitoring systems, intensive care units (ICUs) represent a key area for artificial intelligence (AI) application. Despite the last decade has been marked by studies focused on the use of AI in medicine, its application in mechanical ventilation management is still limited. Optimizing mechanical ventilation is a complex and high-stake intervention, which requires a deep understanding of respiratory pathophysiology.

Perioperative intravenous lidocaine infusion for postsurgical pain management in bariatric surgery patients.

Introduction: Obesity is one of the biggest modern health issues worldwide. Owing to the failure of both behavioral and pharmacological measures, the surgical approach has been established as the main conduct to follow, with bariatric surgery being one of the most effective and safe procedures. One of the bases for the optimal analgesic strategy is the use of adjuvants during the perioperative period.

Fenoldopam for Renal Protection in Cardiac Surgery: Pharmacology, Clinical Applications, and Evolving Perspectives.

This comprehensive review examines the role of Fenoldopam, a selective dopamine-1 receptor agonist, in preventing and treating acute kidney injury (AKI) during cardiac surgery. AKI remains a significant complication in cardiac surgery, associated with increased morbidity, mortality, and healthcare costs. The review explores Fenoldopam's pharmacological properties, mechanism of action, and clinical applications, synthesizing evidence from randomized controlled trials, meta-analyses, and observational studies.

Anesthesiological management of Brugada syndrome patients: A systematic review.

Brugada syndrome (BrS) is a major risk factor for sudden cardiac death and ventricular tachyarrhythmias. Several drugs are contraindicated in patients with BrS, including some commonly administered drugs during anesthesia or in the perioperative period; however, there is still a paucity of evidence regarding BrS and common anesthetic pharmaceuticals. We conducted a systematic literature search (PubMed, updated October 10, 2022), including all studies reporting pharmacological management of BrS patients during anesthesia or intensive care, with a specific focus on proarrhythmic effects and possible pharmacological interactions in the context of BrS.

Use of ketamine in patients with refractory severe asthma exacerbations: systematic review of prospective studies.

Purpose: Asthma is a heterogeneous disease with a wide range of symptoms. Severe asthma exacerbations (SAEs) are characterized by worsening symptoms and bronchospasm requiring emergency department visits. In addition to conventional strategies for SAEs (inhaled β-agonists, anticholinergics, and systemic corticosteroids), another pharmacological option is represented by ketamine.

Hemoperfusion and blood purification strategies in patients with COVID-19: A systematic review.

Background: Coronavirus disease-19 (COVID-19) ranges from asymptomatic infection to severe cases requiring admission to the intensive care unit. Together with supportive therapies (ventilation in particular), the suppression of the pro-inflammatory state has been a hypothesized target. Pharmacological therapies with corticosteroids and interleukin-6 (IL-6) receptor antagonists have reduced mortality.

Occurrence of toxic metals (Hg, Cd and Pb) in fresh and canned tuna: public health implications.

Hg, Pb and Cd levels in fresh and canned tuna were determined and assessed by comparing element levels in these samples with maximum permissible limits set by European legislation. The estimated weekly intakes by human consuming both fresh and canned tuna were also evaluated for possible consumer health risks. Among tested metals, Hg had the highest concentrations, followed by Pb and Cd either in fresh tuna or canned tuna.

Distribution of trace elements in the tissues of smooth hound Mustelus mustelus (Linnaeus, 1758) from the southern-eastern waters of Mediterranean Sea (Italy).

Trace element concentrations (Hg, Cd, Pb, Cr, Ni, Cu, Zn) were determined in the muscle, gonads, skin, and brain of smooth hound Mustelus mustelus in order to define the metal distribution patterns. The data indicated that metal accumulation depended on the tissues probably as a consequence of metabolic needs, physiochemical properties, and detoxification processes specific for each element. Metal concentrations were higher in gonads (Hg 0.