1
|
Munari M, DE Cassai A, Casartelli Liviero M, Zanatta P, Martin MA, Soragni A, Maiorelli G, Benetton C, Dall'acqua G, Chioffi F, Navalesi P. SARS-CoV-2 pandemic impact on traumatic brain injury epidemiology: an overview of the Veneto region. Minerva Anestesiol 2020; 87:489-490. [PMID: 33274903 DOI: 10.23736/s0375-9393.20.15148-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Marina Munari
- Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy
| | - Alessandro DE Cassai
- Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy -
| | | | - Paolo Zanatta
- Unit of Anesthesia and Intensive Care, University City Hospital of Verona, Verona, Italy
| | - Marina A Martin
- Department of Anesthesia and Intensive Care, San Bortolo Hospital, Vicenza, Italy
| | | | - Giorgio Maiorelli
- Anesthesia and Intensive Care Unit, L'Angelo Hospital, Mestre, Italy
| | - Claudio Benetton
- Anesthesia and Intensive Care, Ca' Foncello Hospital, Treviso, Italy
| | - Guido Dall'acqua
- Anesthesia and Intensive Care, Ca' Foncello Hospital, Treviso, Italy
| | - Franco Chioffi
- Department of Neurosurgery, University Hospital of Padua, Padua, Italy
| | - Paolo Navalesi
- Anesthesia and Intensive Care Unit, University Hospital of Padua, Padua, Italy.,Department of Medicine (DIMED), University of Padua, Padua, Italy
| |
Collapse
|
2
|
Castioni CA, Amadori A, Bilotta F, Bolzon M, Barboni E, Caricato A, Dall'acqua G, DI Paola F, Forastieri Molinari A, Gritti P, LA Rosa I, Longo M, Maglione C, Martorano P, Munari M, Perotti V, Rasulo F, Ruggiero M, Santoro A, Scudeller L, Tumolo M, Mazzeo AT. Italian COnsensus in Neuroradiological Anesthesia (ICONA). Minerva Anestesiol 2017; 83:956-971. [PMID: 28492296 DOI: 10.23736/s0375-9393.17.11753-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Anesthetic management of patients undergoing endovascular procedures for treating intracranial aneurysms or cerebrovascular malformations must consider a number of specific challenges, in addition to those associated with anesthesia for other specialties. In addition to maintenance of physiological stability, manipulation of systemic and cerebral hemodynamic parameters may be required to treat any sudden unexpected catastrophic neurological events. A multidisciplinary group including neuro- and pediatric anesthesiologists, interventional neuroradiologists, neurosurgeons, and a clinical methodologist contributed to this document. This consensus working group from 21 Italian institutions identified open questions regarding the best practices for management of anesthesia during endovascular neuroradiological procedures for intracranial aneurysms and cerebrovascular malformations, and addressed these by formulating practical consensus statements. At the first meeting in November 2015, nine key areas were identified regarding choice of anesthetic, patient monitoring, hemodynamic targets, postoperative care, and the management of neuromuscular blockade, anticoagulant and/or antiplatelet therapy, and special considerations for pediatric patients. Nine subgroups were established and a medical librarian performed literature searches in the Cochrane and MEDLINE/PubMed databases for each group. Groups drafted literature summaries and provisional responses in the form of candidate consensus statements based on evidence, when possible, and clinical experience, when this was lacking. Final wording was agreed at a meeting in April 2016 and where possible evidence was graded using United States Preventive Services Task Force criteria. Consensus (defined as >90% agreement) was based on evidence, clinical experience, clinician preference, feasibility in the Italian healthcare system, and cost/benefit considerations.
Collapse
Affiliation(s)
- Carlo A Castioni
- Anesthesia and Critical Care Medicine 2, San Giovanni Bosco Hospital, Turin, Italy -
| | - Andrea Amadori
- Neuro-Anesthesiology and Intensive Care Unit, CTO Careggi University Hospital, Florence, Italy
| | - Federico Bilotta
- Department of Anesthesiology, Critical Care and Pain Medicine, "Sapienza" University of Rome, Rome, Italy
| | - Moreno Bolzon
- Neuro-Intensive and Neuro-Anesthesiology Care Unit, Department of Neuroscience, Niguarda Hospital, Milan, Italy
| | - Edoardo Barboni
- Department of Neuroscience, Anesthesia and Intensive Care Unit, University of Marche, Ancona, Italy
| | - Anselmo Caricato
- Intensive Care Unit, Department of Anesthesiology and Intensive Care Medicine, "A. Gemelli" Teaching Hospital, Sacro Cuore Catholic University, Rome, Italy
| | - Guido Dall'acqua
- Unit of Neuroradiology, Department of Clinical Radiology, Azienda ULSS 9 Treviso, Treviso, Italy
| | - Francesco DI Paola
- Unit of Neuroradiology, Department of Clinical Radiology, Azienda ULSS 9 Treviso, Treviso, Italy
| | - Andrea Forastieri Molinari
- Emergency Department, Anesthesiology and Intensive Care Medicine, Intensive Care Unit, A. Manzoni Hospital, Lecco, Italy
| | - Paolo Gritti
- Department of Anesthesia and Intensive Care, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy
| | - Italia LA Rosa
- Department of Anesthesiology, Critical Care and Pain Medicine, "Sapienza" University of Rome, Rome, Italy
| | - Marcello Longo
- Unit of Neuroradiology, "G. Martino" University Hospital, Messina, Italy
| | - Carla Maglione
- Postoperative Intensive Care Unit, Department of Anesthesia, Burn Center and Hyperbaric Center, Antonio Cardarelli Hospital, Naples, Italy
| | - Pietro Martorano
- Unit of Neuro-Anesthesia, Emergency Department, "Ospedali Riuniti" Marche University Hospital, Ancona, Italy
| | - Marina Munari
- Unit of Neuro-Intensive and Neuro-Anesthesiology Care, Department of Anesthesia and Intensive Care Medicine, Padua University Hospital, University of Padua, Padua, Italy
| | - Valerio Perotti
- Section of Anesthesia in Speciality Surgeries, Department of Emergency and Internal Medicine, Policlinico Universitario Agostino Gemelli, Sacro Cuore Catholic University, Rome, Italy
| | - Frank Rasulo
- Department of Anesthesia, Critical Care and Emergency Medicine, Spedali Civili University Hospital, Brescia, Italy
| | - Maria Ruggiero
- Department of Neuroradiology, AUSL Romagna, Cesena, Italy
| | - Antonio Santoro
- Department of Anesthesiology, Critical Care and Pain Medicine, "Sapienza" University of Rome, Rome, Italy
| | - Luigia Scudeller
- Clinical Epidemiology Unit, IRCCS Policlinico San Matteo Foundation, Pavia, Italy
| | - Miriam Tumolo
- Department of Anaesthesia and Intensive Care, Giannina Gaslini Children's Hospital, Genoa, Italy
| | - Anna T Mazzeo
- Unit of Anesthesia and Intensive Care, Department of Surgical Sciences, University of Turin, Turin, Italy
| | | |
Collapse
|