Papers by massimiliano saltarini
MOESM1 of Persistent hypoxemia after an asthma attack
Additional file 1. Transthoracic echocardiographic videoclip while the patient performs Valsalvaâ... more Additional file 1. Transthoracic echocardiographic videoclip while the patient performs Valsalvaâ s manoeuvre shows a massive shunt.
Admission to Intensive Care Unit for HELLP Syndrome - 9 Years Review in a Low Risk Pregnant Population
Low Risk Pregnant Population Corticelli A1*, Grimaldi M1, Bosi S1, Rosato F1, D’Elia M1, Moioli M... more Low Risk Pregnant Population Corticelli A1*, Grimaldi M1, Bosi S1, Rosato F1, D’Elia M1, Moioli M1, Trifiletti V3, Manco E2, Cinque E2, Saltarini M4 1Department of Obstetrics and Gynaecology ASL4 Chiavarese, Lavagna, Genoa, Italy 2Department of Anesthesiology, ASL4 Chiavarese, Lavagna, Genoa, Italy 3MD University of Study, Genoa 4Department of Anesthesiology, A.O.S. Maria Della Misericordia, Udine, Italy *Corresponding author: Corticelli A, Department of Obstetrics and Gynaecology ASL4 Chiavarese, Lavagna, Genoa, Italy, Tel: 328 3165990; Email: [email protected] Received date: November 03, 2015; Accepted date: December 15, 2015; Published date: December 19, 2015 Type of Article: Review Copyright: ©2015 Corticelli A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The Ultrasound Journal, 2019
The presence of an unknown intracardiac shunt due to a patent foramen ovale may be an unusual cau... more The presence of an unknown intracardiac shunt due to a patent foramen ovale may be an unusual cause of hypoxemia. We report the case of a patient who presented persistent hypoxemia after an adequate treatment for a severe asthma attack requiring intensive care unit admission. The patient underwent a transthoracic microbubbles contrast echocardiography that showed a massive patent foramen ovale. The favorable clinical course and the absence of major signs and symptoms related to patent foramen ovale allowed a conservative approach with a follow-up program. Patent foramen ovale should be suspected in case of persistent hypoxemia after a severe asthma attack had resolved.
Signa Vitae, 2008
Low, minimal flow and closed circuit anesthesia has been pursued since the beginning of the histo... more Low, minimal flow and closed circuit anesthesia has been pursued since the beginning of the history of anesthesia. For many decades this form of anesthesia has been restricted to devoted enthusiasts and those very fond of gas kinetics. For most clinicians, selecting a fresh flow gas higher than 3-5 L/min was widely accepted as a routine anesthesia technique. The introduction onto the market of new volatile agents as well as advanced anesthesia machines accompanied by highly reliable monitoring systems, made minimal flow or closed system anesthesia feasible on a daily basis. Clinical, cultural, environmental, pharmacological, technological and economic reasons, force the modern anesthesiologist to reconsider the role of minimal flow and closed circuit volatile anesthesia, in clinical practice. This paper analyses the main advantages offered by these anesthesia techniques.
Signa Vitae, 2008
Resection of brain tumors may cause neurological sequelae, according to the site and size of the ... more Resection of brain tumors may cause neurological sequelae, according to the site and size of the brain tissue removed. Awake craniotomy has been proposed as a surgical approach to satisfy criteria of radical surgery while minimizing eloquent brain damage. The most critical aspect of awake craniotomy is to maintain adequate patient comfort, analgesia, immobility and cooperation during a long surgical operation, ensuring in the meanwhile the safety, control and maintenance of vital functions. Apart from pharmacological, surgical, technical knowledge and skillfulness, the ability to maintain close psycho-emotional contact and support with the patient throughout the operation is a fundamental task that the anesthesiologist has to pursue for the operation to be successfully managed. This review summarizes the current opinion on anesthetic management of patients undergoing awake craniotomy.
Gynecology & Obstetrics, 2015
The objective of this study was to retrospectively analyze the effect of DCI on menstrual cycle r... more The objective of this study was to retrospectively analyze the effect of DCI on menstrual cycle regularity in taekwondo young athletes practice. Data analysis and current status of literature are reported. Design Retrospective study Methods Enrolling in the study athletes aging 10-17 years, offering from two famous taekwondo society sited in Italy (Genoa and Carasco-Portofino).
Abdominal ultrasonography and chest radiography are of limited value in the emergency room diagnostic work-up of severe trauma patients with hypotension on the scene of accident
La Radiologia medica, 2004
To evaluate the reliability of chest radiograph (CR) and abdominal ultrasonography (US) performed... more To evaluate the reliability of chest radiograph (CR) and abdominal ultrasonography (US) performed in the Emergency Room (ER) in identifying life-threatening thoracic or abdominal lesions in a group of severely injured patients, who developed arterial hypotension immediately after a trauma. The results of all abdominal US and CX performed in the ER in severe blunt trauma patients, with on-the-scene systolic blood pressure 90 mmHg, from November 2000 to November 2002, were analysed. When these initial investigations failed to identify a possible cause of hypotension, a computed tomography (CT) of the chest and abdomen was obtained. Overall, 54 patients were studied; twenty-two patients (40.8%) were hypotensive both on accident scene and on the arrival at the ER and 32 (59.2%) were hypotensive on accident scene, but not in the ER. Forty-five patients had an US in the ER, in 3 patients it was inconclusive, whereas 2 other patients died before the confirmatory investigations could be per...
Experience of two consecutive pregnancies after Fontan connection: anesthesiology and obstetrical aspects
Case Reports in Perinatal Medicine, 2015
We report a case of two consecutive pregnancies in a patient where a Fontan connection, a cardiac... more We report a case of two consecutive pregnancies in a patient where a Fontan connection, a cardiac procedure used since 1971 to provide palliation for patients that cannot support a biventricular circulation was used. Here we analyze the anesthesiological and obstetrical aspects particularly regarding some cardiovascular problems that occurred during the pregnancy and delivery.
Current Anaesthesia & Critical Care, 2006
Paradoxical brain embolism may result from acute pulmonary thromboembolism, when a patent foramen... more Paradoxical brain embolism may result from acute pulmonary thromboembolism, when a patent foramen ovale (PFO) provides a potential right-to-left shunt (RLS). The gold standard for detection of a PFO is transoesophageal echocardiography but transcranial Doppler (TCD) has been suggested as a potential method to diagnose RLS. The Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology recommends TCD in the diagnosis of RLS as Type A, Class II of evidence.
Percutaneous versus surgical bedside tracheostomy in the intensive care unit: a cohort study
Minerva anestesiologica, 2008
To compare the outcomes, as well as the short and long term complications, of percutaneous dilati... more To compare the outcomes, as well as the short and long term complications, of percutaneous dilational tracheostomy (PDT) and surgical tracheostomy (ST) at the bedside. From 2003 to 2005, 367 consecutive patients underwent percutaneous tracheostomy in two general ICUs of a community hospital. Short and long term complications, procedural time, duration on mechanical ventilation, length of stay in the ICU and in the hospital, and mortality rates were compared to a historical cohort of 161 patients treated with surgical tracheostomy. Both groups were comparable in demographic characteristics and severity scores. As a whole, 528 mechanically ventilated patients underwent tracheostomy at the bedside. 161 patients received ST and 367 PDT by the single dilator technique. Only minor complications were observed in both groups of patients. PDT was performed more rapidly than ST (5.4+/-5.2 vs 19+/-10 min). STs were performed significantly later than PDT (12.4+/-6 days vs 8.7+/-5.8 days, P<0...
Uploads
Papers by massimiliano saltarini