Publications by authors named "L Vetrugno"
Objectives: Following cardiac surgery, patients often require ventilatory support during transport to the intensive care unit (ICU). Manual ventilation using a bag valve mask (BVM) is commonly employed; however, mechanical ventilation may sometimes be preferred due to concerns regarding oxygenation, ventilation, and hemodynamic stability. The decision between manual and mechanical ventilation is typically based on clinical experience and surgical factors, as there is no established consensus or robust clinical evidence to guide this choice.
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- The guidelines from the European Society of Anaesthesiology and Intensive Care Medicine (ESAIC) focus on improving patient assessments before surgery to evaluate risks and enhance the surgical experience.
- A rigorous literature review was conducted, with 17,668 titles initially found, which were narrowed down to 204 relevant studies for a comprehensive analysis using the GRADE methodology.
- Feedback from ESAIC members was gathered on a draft version of the guidelines, which was then refined and officially approved by the Guidelines Committee and ESAIC Board.
Incidence of unplanned extubation in French intensive care units: are we ready for a SAFE-ICU plan!
Anaesth Crit Care Pain Med
December 2024
Article Synopsis
- Researchers believe that lung ultrasound scores (LUS) can better predict cardiac risks in elderly patients undergoing hip fracture surgery, compared to existing methods like the Revised Cardiac Risk Index and ASA Physical Status.
- The study involved 877 patients across 11 Italian hospitals, finding a significant correlation between higher LUS scores and complications, with a notable incidence of major adverse cardiovascular events (MACE).
- Results showed that a preoperative LUS score of 8 or higher was more effective at predicting MACE than traditional scoring methods, indicating its potential as a valuable tool for risk assessment in this patient population.