A5040505408- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac Valve Diseases and Treatments
- Cardiac and Coronary Surgery Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Respiratory Support and Mechanisms
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Cardiac Ischemia and Reperfusion
- Mechanical Circulatory Support Devices
- Central Venous Catheters and Hemodialysis
- Vascular Procedures and Complications
- Cardiac Structural Anomalies and Repair
- Renal function and acid-base balance
- Airway Management and Intubation Techniques
- Nosocomial Infections in ICU
- Simulation-Based Education in Healthcare
- Venous Thromboembolism Diagnosis and Management
- Anesthesia and Neurotoxicity Research
- Infective Endocarditis Diagnosis and Management
- Coronary Interventions and Diagnostics
- Cardiac Health and Mental Health
- Acute Myocardial Infarction Research
- Anesthesia and Sedative Agents
University of Parma
2008-2023
Ospedale di Parma
2011-2022
National Institutes of Health
2018
Ospedale Maggiore
1986-2010
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
1986
To determine the usefulness of ultrasound to evaluate central venous catheter misplacements and detection pneumothorax, thus obviating postprocedural radiograph. After insertion a catheter, chest radiograph is usually obtained ensure correct positioning tip detect complications.Prospective observational study.Adult intensive care unit.111 consecutive patients undergoing positioning, using landmark technique contrast-enhanced ultrasonography.A was for all considered as reference technique. At...
Abstract Introduction The study was aimed at verifying whether the occurrence of hypernatremia during intensive care unit (ICU) stay increases risk death in patients with severe traumatic brain injury (TBI). We performed a retrospective on prospectively collected database including all consecutively admitted over 3-year period diagnosis TBI (post-resuscitation Glasgow Coma Score ≤ 8) to general/neurotrauma ICU university hospital, providing critical services catchment area about 1,200,000...
To investigate whether renal Doppler resistive index (RI) changes occur early during posttraumatic bleeding and may be predictive of occult hypoperfusion-and thus hemorrhagic shock-in patients with polytrauma.This study was approved by the institutional ethics committee, informed consent obtained from all patients. The RI measured in 52 hemodynamically stable adult admitted to emergency department (ED) because polytrauma. Renal RI, hemoglobin, standard base excess, lactate, systolic blood...
The main purpose of this study was to evaluate the impact gender on outcomes after isolated coronary artery bypass grafting, in terms 5-year rates overall death, cardiac-related myocardial infarction, re-hospitalization, repeat percutaneous or surgical revascularization, stroke, new pacemaker implantation, postoperative renal failure, heart failure and need for long-term care.Two propensity-score matched cohorts, each 1331 patients, undergoing revascularization at regional public private...
Chest X-ray is recommended for routine use in patients with suspected pneumonia, but its emergency settings limited. In this study, the diagnostic performance of a new method quantitative analysis lung ultrasonography was compared bedside chest and visual detection community-acquired using thoracic computed tomography as gold standard.Thirty-two spontaneously breathing undergoing examination, were consecutively enrolled. Each hemithorax evaluated presence or absence abnormalities by...
The relationships between cell metabolism and both hemodynamics oxygen transport/utilization (Vo2/Do2) pattern were evaluated intra postoperatively in eight patients undergoing major valvular heart surgery with the aid of moderately hypothermic cardiopulmonary bypass (CPB). Quadriceps femoris specimens obtained by needle biopsy technique for muscle ATP, ADP, AMP, phosphocreatine (PCr), creatine lactate determination at anesthesia induction, after CPB, as well ICU 18 h surgery. Moreover,...
The aim of this retrospective multicenter registry study was to investigate age-dependent trends in mortality, long-term survival, and comorbidity over time patients who underwent isolated CABG from 2003 2015. percentage < 60 years age 18.9%. Female sex, chronic pulmonary disease, extracardiac arteriopathy, neurologic dysfunction disease were significantly less frequent younger population. prevalence BMI ≥ 30, previous myocardial infarction, preoperative severe depressed left ventricular...
The objective of this study was to evaluate whether direct assessment splenic circulation by Doppler resistive index (Doppler RI) is a clinically useful noninvasive method for an early detection occult hemorrhagic shock after polytrauma in adult patients. Splenic RI measured 49 hemodynamically stable patients admitted the emergency department because polytrauma. Renal also determined 20 Spleen size, Injury Severity Score, systolic blood pressure, heart rate, lactate, standard base excess,...
Background and Objective . Renal Doppler resistive index (RDRI) is a noninvasive considered to reflect renal vascular perfusion. The aim of this study was identify the independent hemodynamic determinants RDRI in mechanically ventilated patients after cardiac surgery. Methods determined 61 by color pulse ultrasonography interlobar arteries. Intermittent thermodilution output measurements were obtained blood samples taken from tip pulmonary artery catheter measure hemodynamics mixed venous...
Objective . To test if splenic Doppler resistive index (SDRI) allows noninvasive monitoring of changes in stroke volume and regional splanchnic perfusion response to fluid challenge. Design Settin g. Prospective observational study cardiac intensive care unit. Patients Fifty-three patients requiring mechanical ventilation challenge for hemodynamic optimization after surgery. Interventions SDRI values were obtained before loading with 500 mL normal saline over 20 min compared systemic...
Percutaneous cannulation allows a prompt approach for establishing veno-arterial extracorporeal membrane oxygenation in acute cardiopulmonary failure. Access to an artery or vein can sometimes be difficult with severe complications also percutaneous approach. To reduce morbidity, we describe our technique of real-time ultrasound the femoral vessels. doi: 10.1111/jocs.12319 (J Card Surg 2014;29:427–429)
The aim of this study was to compare 5-year rates overall death, cardiac-related myocardial infarction, repeat revascularization, stroke and new occurrence postoperative renal failure in a large cohort patients with coronary disease, treated on- or off-pump artery bypass grafting (CABG).Two propensity score-matched cohorts, each 560 patients, undergoing isolated surgical revascularization at the regional public private centres Emilia-Romagna region (Italy) over period 1 January 2003 - 31...