Publications by authors named "Michela Cazzaniga"
Article Synopsis
- Traumatic pneumothorax is common in severe injuries, often requiring emergency treatments like thoracostomy, but recent studies suggest stable patients may benefit from less invasive options like observation or needle aspiration.
- A case study of a 52-year-old woman with a large (55 mm) traumatic PTX shows that after aspirating 1500 mL of air, her condition improved significantly, allowing for her quick discharge.
- The article reviews existing literature on the conservative management of traumatic PTX and emphasizes that even large pneumothoraxes can be resolved effectively with needle aspiration in hemodynamically stable patients, thus reducing the need for more invasive procedures.
Purpose: The capability of lung ultrasound (LUS) to distinguish the different pulmonary patterns of COVID-19 and quantify the disease burden compared to chest CT is still unclear.
Methods: PCR-confirmed COVID-19 patients who underwent both LUS and chest CT at the Emergency Department were retrospectively analysed. In both modalities, twelve peripheral lung zones were identified and given a Severity Score basing on main lesion pattern.
An ongoing outbreak of pneumonia associated with severe acute respiratory coronavirus 2 (SARS-CoV-2) occurred at the end of February 2020 in Lombardy, Italy. We analyzed data from a retrospective, single-center case series of 310 consecutive patients, with confirmed SARS-CoV-2 infection, admitted to the emergency room. We aimed to describe the clinical course, treatment and outcome of a cohort of patients with COVID-19 pneumonia, with special attention to oxygen delivery and ventilator support.
View Article and Find Full Text PDFIntroduction: Early goal-directed therapy (EGDT) in septic shock defined by Rivers et al was proven to reduce mortality and validated by observational studies. However, criticism is centered in particular on the early requirement of a central venous catheter (CVC) and on central venous pressure (CVP) as an indicator of volume responsiveness. The present study is a pivotal study to investigate the reliability of a less invasive approach, which uses inferior vena cava (IVC) and lung ultrasounds (US) to guide the infusion of fluids and lactate clearance to monitor tissue perfusion.
View Article and Find Full Text PDFBackground: There is very few information regarding pain after craniotomy in children.
Objectives: This multicentre observational study assessed the incidence of pain after major craniotomy in children.
Methods: After IRB approval, 213 infants and children who were <10 years old and undergoing major craniotomy were consecutively enrolled in nine Italian hospitals.