Publications by authors named "Manuela di Biase"
Article Synopsis
- Pre-operative screening is crucial for elective surgeries and can be optimized by the PACMAN procedure, designed to evaluate patient suitability for telephone consultations instead of in-person visits.
- In a study conducted at a medical center in the Netherlands, PACMAN triaged 965 patients, with 73.1% deemed suitable for phone consultations, significantly reducing the number of in-person consultations needed.
- The PACMAN method not only improved efficiency by 20% but also maintained a low rate of unanticipated adverse events, confirming its effectiveness in enhancing pre-operative processes while ensuring patient safety.
Background: Pneumoperitoneum (PP), as used for laparoscopic procedures, impairs stroke volume, renal blood flow, glomerular filtration rate and urine output. This study investigated whether perioperative fluid management can abolish these negative effects of PP on hemodynamics.
Methods: Twenty-one patients undergoing laparoscopic donor nephrectomy (LDN) were randomized into three groups: group 1 received overnight infusion and received a bolus of colloid before induction of anesthesia, followed by a bolus just before PP; group 2 received overnight infusion and a colloid bolus before anesthesia; group 3 served as controls and received only infusion during operation.