How is the actual training during residency in Italy? Have a look to the national survey comparing directors’ and residents’ perspectives. We are ok only for ultrasound-guided central line, it remains a lot to do for all the rest! Free full text here on BMC medical education Abstract Background: Point-of-care ultrasound (POCUS) has […]
A great collaboration with Pr. Corradi: how to use ultrasound to reliably detect central vein catheter tip and replace chest x-ray Full text here on Critical Care Abstract Background: To assess the usefulness of pre-operative contrast-enhanced transthoracic echocardiography (CE-TTE) and post-operative chest-x-ray (CXR) for evaluating central venous catheter (CVC) tip placements, with trans-esophageal echocardiography […]
A newly appeared dynamic linear-arborescent air bronchogram was 100% specific for ventilator-associated pneumonia in COVID-19 patients. A high ventilator-associated pneumonia lung ultrasound score (or an increase in the lung ultrasound score) strongly oriented to ventilator-associated pneumonia. Find the full text here on Journal of Clinical Medicine
Have a look to the results collected by Soleterre at Fondazione IRCCS Policlinico S. Matteo during the COVID-19 pandemic. Free full text here
In this multicenter Italian retrospective study leaded by Dr. Fanelli in Turin, we compared veno-venous ECMOs for ARDS in H1N1 influenza and COVID-19. Any cause mortality at 60 days after ECMO initiation was higher in COVID-19 (46% vs. 27%). This difference however was not significant after multivariable adjustment; older age and longer hospital length of stay […]
We are the Editor’s Pick! See how to use ventilator waveforms to reliably assess patient’s spontaneous activity and patient–ventilator interaction! Full text here on Critical Care Abstract Background Whether respiratory efforts and their timing can be reliably detected during pressure support ventilation using standard ventilator waveforms is unclear. This would give the opportunity to […]
How to use lung ultrasound score and its variation with PEEP titration to predict the impact of higher PEEP on ICP in brain injured patients. A collaboration with Dr Robba. Full text here on Critical Care Abstract Background: The effects of positive end-expiratory pressure (PEEP) on lung ultrasound (LUS) patterns, and their rela- tionship […]
“Acute stress disorder prevalence is high among ICU survivors after COVID-19; a systematic screening should be performed to reduce chronic effects of critical illness. Symptoms of asthenia and dyspnoea for moderate efforts persist for weeks after ICU and hospital discharge in a large majority of the patients.” Free full text here
This study confirmed the negative prognostic and clinical role of obesity in mechanically ventilated COVID-19 patients and suggested that early caloric deficit may independently contribute to worsen survival in this patients’ population. Therefore, any effort should be made to implement an adequate timely nutritional support in all COVID-19 patients during the ICU stay. Full text […]
All you need to know to systematically use lung ultrasound for the assessment and management of critically ill COVID-19 patients – an expert consensus from the Italian Society of Anaesthesia Analgesia and Intensive Care (SIAARTI). Free full text on Journal of Anesthesia, Analgesia and Critical Care , the new SIAARTI Open Access Journal