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European Society of Intensive Care Medicine guidelines on end of life and palliative care in the intensive care unit.
Intensive Care Med
November 2024
Médecine Intensive et Réanimation, APHP, Saint-Louis Hospital, Paris, France.
The European Society of Intensive Care Medicine (ESICM) has developed evidence-based recommendations and expert opinions about end-of-life (EoL) and palliative care for critically ill adults to optimize patient-centered care, improving outcomes of relatives, and supporting intensive care unit (ICU) staff in delivering compassionate and effective EoL and palliative care. An international multi-disciplinary panel of clinical experts, a methodologist, and representatives of patients and families examined key domains, including variability across countries, decision-making, palliative-care integration, communication, family-centered care, and conflict management. Eight evidence-based recommendations (6 of low level of evidence and 2 of high level of evidence) and 19 expert opinions were presented.
View Article and Find Full Text PDFAssociation Between Spontaneous Breathing Trial Methods and Reintubation in Adult Critically Ill Patients: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials.
Chest
November 2024
SIAARTI Systematic Review Group, Rome, Italy; Department of Anesthesia, Analgesia, Intensive Care and Emergency, University Hospital Policlinico Paolo Giaccone, Palermo, Italy; Department of Precision Medicine in Medical, Surgical and Critical Care. University of Palermo, Palermo, Italy. Electronic address:
Background: Reintubation is associated with higher risk of mortality. There is no clear evidence on the best spontaneous breathing trial (SBT) method to reduce the risk of reintubation.
Research Question: Are different methods of conducting SBTs in critically ill patients associated with different risk of reintubation compared with T-tube?
Study Design And Methods: We conducted a systematic review and Bayesian network meta-analysis of randomized controlled trials investigating the effects of different SBT methods on reintubation.
Procedural sedation and analgesia in pediatric diagnostic and interventional radiology: An expert DELPHI consensus document developed by the ITALIAN scientific society of anesthesia, analgesia, resuscitation and intensive care (SIAARTI).
Paediatr Anaesth
October 2024
Pediatric Intensive Care Unit, University Hospital of Padova, Padova, Italy.
Background: Children undergoing diagnostic and interventional radiology procedures often require sedation to achieve immobility and analgesia if the procedure is painful. In the past decades, leading scientific organizations have developed evidence-based guidelines for procedural sedation and analgesia in children outside of the operating room. Their recommendations are being applied to procedural sedation in radiology.
View Article and Find Full Text PDFContinuous vs intermittent Non-Invasive blood pressure MONitoring in preventing postoperative organ failure (niMON): study protocol for an open-label, multicenter randomized trial.
J Anesth Analg Crit Care
February 2024
Department of Surgical Oncological and Oral Science, University of Palermo, Palermo, Italy.
Background: Blood pressure has become one of the most important vital signs to monitor in the perioperative setting. Recently, the Italian Society of Anesthesia Analgesia Resuscitation and Intensive Care (SIAARTI) recommended, with low level of evidence, continuous monitoring of blood pressure during the intraoperative period. Continuous monitoring allows for early detection of hypotension, which may potentially lead to a timely treatment.
View Article and Find Full Text PDFNutritional support and prevention of post-intensive care syndrome: the Italian SIAARTI survey.
J Anesth Analg Crit Care
November 2023
Centre for Medical Sciences-CISMed, University of Trento, Trento, Italy.
Background: Malnutrition and muscle wasting are common in ICU patients and predict adverse patient-centered outcomes. The Italian Society of Anesthesia Analgesia Resuscitation and Intensive Care (SIAARTI) conducted a nationwide survey to identify the nutritional practices in the Italian ICUs and to plan future, training interventions to improve the national clinical practice.
Methods: Nationwide online survey, involving Italian ICUs, developed by experts affiliated with SIAARTI.
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