4 results match your criteria: "University of Basilicata San Carlo Hospital[Affiliation]"
Establishing an Extracorporeal Cardiopulmonary Resuscitation Program.
Medicina (Kaunas)
December 2024
Department of Health Science, Anesthesia and ICU, School of Medicine, University of Basilicata San Carlo Hospital, 85100 Potenza, Italy.
Extracorporeal cardiopulmonary resuscitation (ECPR) is a complex, life-saving procedure that uses mechanical support for patients with refractory cardiac arrest, representing the pinnacle of extracorporeal membrane oxygenation (ECMO) applications. Effective ECPR requires precise patient selection, rapid mobilization of a multidisciplinary team, and skilled cannulation techniques. Establishing a program necessitates a cohesive ECMO system that promotes interdisciplinary collaboration, which is essential for managing acute cardiogenic shock and severe pulmonary failure.
View Article and Find Full Text PDFThe effect of intra-aortic balloon pump on survival and neurological outcome in patients treated with extracorporeal cardiopulmonary resuscitation: A meta-analysis and systematic review.
Int J Cardiol
January 2025
Intensive Care Unit and Regional ECMO Referral Centre, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Article Synopsis
- Extracorporeal cardiopulmonary resuscitation (ECPR) can improve survival rates in patients with refractory cardiac arrest, but results on neurological outcomes are inconsistent.
- A study analyzing 9 cohort studies with nearly 5,000 patients found that combining ECPR with an intra-aortic balloon pump (IABP) significantly improved survival rates (32.9% vs. 20.2%).
- While there was a trend toward better neurological outcomes with ECPR+IABP, the results weren't statistically significant, emphasizing the need for further research in this area.
Insights Into Perioperative Hypertension Management in Europe: Results From a Survey Endorsed by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC).
J Cardiothorac Vasc Anesth
December 2024
Department of Anesthesia and Critical Care Medicine, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Article Synopsis
- The study aimed to understand how perioperative hypertension is managed in Europe, given the lack of agreement on blood pressure targets.
- An online survey involving 339 participants (mostly anesthesiologists) revealed most aim for systolic blood pressure (SBP) between 120-140 mmHg during surgeries.
- Common medications used include α-adrenoreceptor antagonists, nitrates, and calcium channel blockers, with a preference for those that allow titratable control; less than 20% of procedures experienced treatment failures.
Extracorporeal membrane oxygenation for prevention of barotrauma in patients with respiratory failure: A scoping review.
Artif Organs
February 2025
Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Article Synopsis
- Barotrauma is a common issue in patients with severe respiratory failure, often leading to bad outcomes, but ECMO (Extracorporeal Membrane Oxygenation) may help reduce this risk through lung-protective ventilation.
- A review of studies found that ECMO was used in 45 patients, with 46.7% receiving it before invasive ventilation; it allowed for safer ventilation strategies in many cases.
- The incidence of barotrauma was under 10% among these patients, and overall mortality was 17.8%, suggesting that ECMO can be a viable option to prevent barotrauma in respiratory failure.