Publications by authors named "Luca Pisapia"

Article Synopsis
  • After a brain injury, many patients experience increased blood flow to the brain, which can cause swelling and high pressure inside the skull.
  • Researchers studied patients to see if using a special device called Transcranial EcoDoppler (TCD) could help identify when this high pressure, known as intracranial hypertension, is happening.
  • They found that increased blood flow (hyperemia) often happened before the patients showed signs of high pressure, suggesting that regular monitoring with TCD could help doctors treat the problem more effectively.
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Background: Delayed cerebral ischemia (DCI) occurs in around 30% of patients suffering from nontraumatic subarachnoid hemorrhage (SAH) and is associated with poor neurological outcome. Whether the Neurological Pupil index (NPi) derived from the automated pupillometry could help to diagnose the occurrence of DCI remains unknown. The aim of this study was to investigate the association of NPi with the occurrence of DCI in patients with SAH.

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Article Synopsis
  • Lung ultrasound (LUS) helps doctors see how well the lungs are working in people with breathing problems, like neonates and adults with severe respiratory issues.
  • The study looked at 40 adults and 56 neonates and found that LUS scores were lower in healthy patients compared to those with respiratory distress.
  • There’s a strong link between LUS and how well the lungs can expand (compliance), meaning the worse the lung aeration, the harder it is for the lungs to work properly in both adults and babies.
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Background. To evaluate relationships between lung aeration assessed by lung ultrasound (LUS) with viscoelastic profiles obtained by thromboelastography (TEG) in COVID-19 respiratory failure. Methods.

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Introduction: Early intervention of bystanders (the first links of the chain of survival) have been shown to improve survival and good neurological outcomes of patients suffering out-of-hospital cardiac arrest (OHCA). Many initiatives have been implemented to increase the engagement of communities in early basic life support (BLS) and cardiopulmonary resuscitation (CPR), especially of lay people with no duty to respond. A better knowledge of the most effective initiatives might help improve survival and health system organization.

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For this 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations, the Education, Implementation, and Teams Task Force applied the population, intervention, comparator, outcome, study design, time frame format and performed 15 systematic reviews, applying the Grading of Recommendations, Assessment, Development, and Evaluation guidance. Furthermore, 4 scoping reviews and 7 evidence updates assessed any new evidence to determine if a change in any existing treatment recommendation was required. The topics covered included training for the treatment of opioid overdose; basic life support, including automated external defibrillator training; measuring implementation and performance in communities, and cardiac arrest centers; advanced life support training, including team and leadership training and rapid response teams; measuring cardiopulmonary resuscitation performance, feedback devices, and debriefing; and the use of social media to improve cardiopulmonary resuscitation application.

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