Comparison between surgical and percutaneous tracheostomy effects on procalcitonin kinetics in critically ill patients

Available evidence from randomized controlled trials including adult critically ill patients tends to show that percutaneous dilatational tracheostomy (PDT) techniques are performed faster and reduce stoma inflammation and infection but are associated with increased technical difficulties compared with surgical tracheostomy (ST). A recent meta-analysis found that PDT was superior to reduce risk of periprocedural stoma inflammation and infection compared with ST. WE found no differences in procalcitonin, C-reactive protein, SOFA, and SAPS II between critically ill patients with ST or PDT

A comparison of videolaryngoscopes for tracheal intubation in predicted difficult airway: a feasibility study

Videolaryngoscopy has become increasingly attractive for the routine management of the difficult airway. Glidescope® is well studied in the literature while imago V-Blade® is a recent videolaryngoscope. This is a feasibility study with 1:1 case-control sequential allocation comparing Imago V-Blade ® and Glidescope® in predicted difficult airway settings

Implementations and strategies of telehealth during COVID-19 outbreak: a systematic review

Telehealth is an effective option to fight the outbreak of COVID-19. This review aims to systematically characterize the utilization and applications of telehealth during the COVID-19 pandemic focusing mainly on technology implementations

A Gender Analysis of Hospital Workers during the COVID-19 Pandemic Using the Distress Questionnaire-5: A Cross-Sectional Study

At high risk of experiencing symptoms of stress, female healthcare workers also faced the psychosocial impacts of the COVID-19 pandemic. The aims of this study are to investigate whether women are associated with a high level of psychological distress in comparison to men and to explore the risk factors associated with a high level of psychological distress in women. For this purpose, a multivariable logistic regression model was tested with sex, age and professional role as predictors of psychological distress in women. We found that (1)women working in the four Italian hospitals analyzed during the COVID-19 pandemic experienced more psychological distress than men, (2) being between 26 and 35 years old and being a medical doctor were associated with the risk of women developing psychological distress, (3) being a female medical doctor presents a 23% risk of developing psychological distress, (4) female nurses working in COVID-19s ward had a 50% risk and female non-healthcare personnel working in COVID-19 wards had a 69% risk of developing psychological distress. In conclusion, our results suggest that interventions for supporting and promoting mental well-being among female healthcare workers are mandatory, especially for the professional categories of nurses and non-healthcare workers

Anesthetic management in a patient with Arnold‐Chiari malformation type 1,5: A case report

: A 42-year-old male patient with Arnold-Chiari malformation type 1,5 (ACM-1,5) came to implant a hip prosthesis. He underwent a previous general anesthesia, with difficult airway management and complication in awakening. In this second surgery, an extradural approach was preferred to keep intracranial pressure and hemodynamics stable

Outcomes after non-cardiac surgery: Mortality, complications, disability, and rehospitalization

In the last 25 years, the number of patients aged ≥75 years undergoing non-cardiac surgery has greatly increased. In elderly patients, frailty is significantly associated with an increased risk of adverse events, functional decline, procedural complications, prolonged hospitalization, and mortality. The relationship between frailty and increased mortality and morbidity requires an appropriate tool of assessment to accurately quantify the patient's clinical and perioperative conditions. The preoperative evaluation of elderly patients candidate for non-cardiac surgery should include assessment of frailty, sarcopenia and malnutrition, as these are related to high surgical risk. For colon-rectal surgery as also for gastric cancer surgery, especially early gastric cancer, the introduction of laparoscopy has yielded considerable benefits in terms of short-term postsurgical outcomes, e.g. lower rate of intraprocedural bleeding and reduced length of hospital stay. Despite the progress made in preoperative assessment, surgical procedures and postoperative management, the improvement of outcomes after non-cardiac surgery in elderly patients remains a challenge and calls for future, well-designed clinical studies.</p