5 results match your criteria: "University Hospital Agostino Gemelli IRCCS[Affiliation]"

Laser technology in urologic oncology.

Urologia

August 2022

Unit of Urology, Department of Surgical and Medical Sciences, University Hospital Agostino Gemelli-IRCCS, Rome, Italy.

Laser technology has been used in Urology since the 80s with a lot of different applications in endoscopic and open surgery. With the developments of the technology and the introduction of new active medium and source of laser energy, this technology have become the gold standard not only in stone surgery but even in benign prostate enlargement (BPE) surgical treatment. Regarding urologic oncology, laser energy has now reached an important role in focal therapy and in conservative treatment.

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Flexible fiberoptic bronchoscopy (FOB) is an invasive procedure with diagnostic and/or therapeutic purposes commonly used in critically ill patients. FOB may be complicated by desaturation, onset or worsening of the respiratory failure, and hemodynamic instability due to cardio-respiratory alterations occurring during the procedure. Increasing evidences suggest the use of high-flow through nasal cannula (HFNC) over conventional oxygen therapy (COT) in critically ill patients with acute respiratory failure (ARF).

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Article Synopsis
  • Children with neuromuscular diseases (NMDs) are at a high risk for postoperative pulmonary complications (PPCs) after general anesthesia due to respiratory muscle weakness, but using non-invasive ventilation (NIV) and mechanical insufflation-exsufflation (MI-E) may improve outcomes.
  • A study involving 167 pediatric patients with NMDs across 13 Italian hospitals found that 89% were at risk for PPCs, yet only 8% actually developed complications, with a majority having a relatively short hospital stay.
  • The results suggest that the severity of the disease has a greater impact on patient outcomes than the invasiveness of the surgical procedures, highlighting the effectiveness of the combined NIV and MI-E approach in minimizing PPCs
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