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Journal of Anesthesia, Analgesia and Critical Care
Scopus
ISSN 2731-3786 · BMC · 426 artikel di indeks
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Artikel Jurnal
Caffeine before cesarean delivery: a novel preventive strategy against spinal hypotension, a double blind placebo-controlled trial
Abstract Background Spinal anesthesia-induced hypotension is a common complication during cesarean delivery, often requiring vasopressor support, and is associated with maternal discomfort. Caffeine, a central nervous system stimulant with well-documented cardiovascular effects, may provide a…
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Artikel Jurnal
Artificial intelligence for early diagnosis in emergency department
Abstract In recent years, artificial intelligence (AI) has become an increasingly prominent player in emergency medicine, offering innovative tools to enhance the early diagnosis of acute conditions. This systematic review explores how AI, particularly through machine learning (ML) and deep…
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Artikel Jurnal
Association between the clinical status of patients admitted to Intensive Care and the emotional state of their next of kin: a cross-sectional study
Abstract Background Admission to an Intensive Care Unit (ICU) constitutes a sudden and emotionally impactful event for both the critically ill patient and their family. Prognostic uncertainty is frequently associated with elevated levels of anxiety, depression, and stress within the family. In the…
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Artikel Jurnal
Anesthesia for cesarean delivery in the era of artificial intelligence: a narrative review
Abstract The ongoing revolution in artificial intelligence (AI) is reshaping perioperative care, including obstetric anesthesia. This narrative review synthesizes major AI applications in cesarean delivery, the world’s most common inpatient surgery. Integrating history, obstetric factors…
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Artikel Jurnal
The SIS NET ICU study: characteristics of patients with severe community acquired pneumonia admitted to Italian ICUs—a multicenter prospective observational study
Abstract Background The SIS-NET ICU study aimed to describe the epidemiology of severe community-acquired pneumonia (CAP) among patients admitted to Italian intensive care units (ICUs). This study also aimed to describe the clinical and microbiological characteristics, outcomes, and treatments…
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Artikel Jurnal
Transesophageal echocardiography in cardiac arrest: why, how, when, and where in clinical practice
Abstract Transesophageal echocardiography (TEE) has emerged as a transformative tool in the management of cardiac arrest, offering significant advantages over traditional transthoracic echocardiography (TTE) by enabling continuous, high-resolution cardiac imaging during resuscitation. Initially…
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Artikel Jurnal
Idiopathic systemic capillary leak syndrome and related shock in PICU: an underdiagnosed disease?
Abstract Background Idiopathic systemic capillary leak syndrome (SCLS), or Clarkson syndrome, is a rare disorder characterized by increased capillary permeability causing fluid leakage into interstitial spaces. SCLS remains underdiagnosed in both adults and children due to its resemblance to septic…
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Artikel Jurnal
Refractory septic shock: our updated pragmatic approach
Abstract Despite the refinement in guidelines and improving outcomes, a subset of patients with septic shock fails to respond to treatment and progresses into refractory septic shock with an associated high morbidity and mortality. This population remains underrepresented in clinical trials due to…
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Artikel Jurnal
Healthcare professionals’ perspectives on the utility of chronic postsurgical pain prediction profiles in perioperative care: a qualitative study
Abstract Background Chronic postsurgical pain affects surgical patients with a mean incidence of approximately 20%, posing a major public health concern with substantial implications for patients and healthcare systems. Despite increasing knowledge of risk factors, the incidence of chronic…
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Artikel Jurnal
Continuous vs. intermittent infusion of corticosteroids in septic shock: a GRADE-based systematic review and meta-analysis
Abstract Background Septic shock is a fatal infection-induced syndrome causing severe organ dysfunction and high mortality. The study aimed to comprehensively evaluate the effects of continuous versus intermittent bolus hydrocortisone treatment in patients with septic shock, addressing all relevant…
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Artikel Jurnal
Dead space in critical care: a practical approach with clinical scenarios
Abstract Carbon dioxide (CO₂) is a byproduct of cellular metabolism, with the human body storing approximately 120 liters in various chemical forms across different compartments. Through gas exchange and tidal ventilation, arterial CO₂ and blood pH are tightly regulated within the narrow ranges…
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Artikel Jurnal
Relationship between high VExUS score and echocardiographic parameters: a systematic review and meta-analysis
Abstract Background The Venous Excess Ultrasound (VExUS) score integrates inferior vena cava diameter and venous Doppler findings to quantify congestion. Findings are conflicting regarding whether higher VExUS grades reflect worse cardiac function. We conducted a systematic review and meta-analysis…
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Artikel Jurnal
Analgesic efficacy of intraperitoneal local anaesthetic instillation (IPLA) in laparoscopic bariatric surgery: a systematic review and meta-analysis
Abstract Background Laparoscopic bariatric surgery is effective for weight loss but often requires opioids for postoperative pain management, possibly increasing complications. Intraperitoneal local anaesthetic (IPLA) instillation may help to reduce pain and opioid use, though its efficacy remains…
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Artikel Jurnal
Assessment of obstetric analgesia in the Czech Republic and Slovak Republic—international study 2022
Abstract Background An international observational study was conducted to describe the preferred techniques for obstetric analgesia and anesthesia in the Czech Republic (CZE) and Slovakia (SVK), as well as during the period after the COVID-19 pandemic. In this article, the authors present only…
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Artikel Jurnal
Perioperative fluid accumulation and clinical outcomes after cardiac surgery: a systematic review and Bayesian meta-analysis
Abstract Background Fluid accumulation is common in critically ill patients and has been associated with adverse outcomes. However, its impact on postoperative outcomes in cardiac surgery remains unclear. Purpose To assess the association between perioperative fluid accumulation and clinical…
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Artikel Jurnal
The effect of opioids on the light-off pupillary reflex
Abstract Objective We examined the relationship between modeled opioid concentration and quantitative pupillary measures during remifentanil infusion sequences with particular attention to the “light-off” (LO) reflex. Methods Ten volunteer subjects were recruited to undergo two 10-min remifentanil…
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Artikel Jurnal
Anaesthesiological and perioperative aspects of fully robotic versus open liver transplantation: a matched case–control study
Abstract Background Robotic liver transplantation (LT) is a recent advancement in minimally invasive surgery; however, perioperative and anaesthetic management have not yet been described in detail. This study aimed to characterise the anaesthetic course of fully robotic LT and compare the…
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Artikel Jurnal
Platelet count, fibrinogen and ROTEM® parameters predict deep vein thrombosis in elderly patients with femoral fracture
Abstract Background Deep vein thrombosis (DVT) is a frequent complication in elderly patients undergoing surgery for proximal femoral fractures. Identifying early coagulation and viscoelastic changes may help to personalize thromboprophylaxis strategies. This study evaluated the temporal evolution…