Il mercato antiquariale nella Venezia di Ruskin. L'arte medievale in Germania

I primi viaggi di Ruskin a Venezia cadono durante la dominazione austriaca, una lunga fase che vede una dispersione di materiali medievali veneziani che sono divenuti oggetto d’interesse per un mercato che risponde a sollecitazioni diverse: privati collezionisti, amatori e turisti stranieri che cercano “souvenir” ma anche committenze elevate finalizzate alla costituzione di musei e luoghi evocativi. È questo il caso dell’imponente acquisto negli anni Quaranta ( committente Federico Guglielmo di Prussia) di sculture antiche e medievali in Italia che andranno a costituire un importante nucleo per il museo di arte medievale e bizantina dei musei di stato in corso di costruzione. Tra queste si trova un gruppo interessante di opere veneziane acquistate tutte presso un unico commerciante veneziano (Pajaro). Anche il fratello di Federico Gugliemo, Carlo, acquista arte veneziana per ricreare nel castello di Glienicke un chiostro veneziano. Ancora: la Friedenkirche a Potsdam viene ornata da un mosaico acquistato a Murano dalla demolita chiesa di san Cipriano. Frammenti e opere intere vanno quindi a costituire raccolte destinate al pubblico e alla sua educazione, oppure a impreziosire edifici neomedievali o evocativi. Una spoliazione che va in direzione opposta all’attenzione di Ruskin. L’occhio e la mano di Ruskin ci hanno consegnato documentazione grafica e visiva di un patrimonio in contesto. I suoi scritti sono animati dalla attenzione ad ogni frammento, come testimonianza di un fare che è anche storia. Delle esportazioni delle opere medievali resta traccia anche nella reazione di veneziani (Seguso in primis) e si può cogliere non solo negli scritti ma nelle azioni successive la crescita di una attenzione e una sensibilità per un patrimonio che verrà sentito come identitario. Dopo l’annessione all’Italia pur non cessando l’azione del mercato e le vendite possiamo riscontrare una dinamica non solo di attenzione e forte impegno nel restauro di monumenti significativi, ma anche la costituzione di musei dove trovano posto i frammenti emersi da restauri e le sculture decontestualizzate in nome di un nuovo spirito e di una attenzione di cui Ruskin è stato attivo promotore e protagonista

Tension pneumopericardium and pneumoperitoneum: a rare complication of pericardiocentesis

Jansen G, Irmscher L, Borgstedt R, Rehberg S. Tension pneumopericardium and pneumoperitoneum: a rare complication of pericardiocentesis. Canadian Journal of Anesthesia/Journal canadien d'anesthésie . 2021;68(10):1564–1565

Point-of-Care Lung Ultrasound Pattern in Healthy Parturients: Prevalence of Pulmonary Interstitial Syndrome Following Vaginal Delivery, Elective and Unplanned Intrapartum Cesarean Delivery

Jansen G, Borgstedt R, Irmscher L, et al. Point-of-Care Lung Ultrasound Pattern in Healthy Parturients: Prevalence of Pulmonary Interstitial Syndrome Following Vaginal Delivery, Elective and Unplanned Intrapartum Cesarean Delivery. Anesthesia & Analgesia. 2021;133(3):747-754.BACKGROUND: Pregnancy-related cardiovascular physiologic changes increase the likelihood of pulmonary edema, with the risk of fluid extravasating into the pulmonary interstitium being potentially at a maximum during the early postpartum period. Data on the impact of labor and peripartum hemodynamic strain on lung ultrasound (LUS) are limited, and the prevalence of subclinical pulmonary interstitial syndrome in peripartum women is poorly described. The primary aim of this exploratory study was to estimate the prevalence of pulmonary interstitial syndrome in healthy term parturients undergoing vaginal (VD), elective (eCD), and unplanned intrapartum cesarean deliveries (uCD). Secondary aims were to estimate the prevalence of positive lung regions (>= 3 B-lines on LUS per region) and to assess the associations between positive lung regions and possible contributing factors. METHODS: In this prospective observational cohort study, healthy women at term undergoing VD, eCD, or uCD were enrolled. Following international consensus recommendations, a LUS examination was performed within 4 hours after delivery applying an 8-region technique. Pulmonary interstitial syndrome was defined by the presence of 2 or more positive lung regions per hemithorax. Ultrasound studies were reviewed by 2 blinded reviewers and assessed for interobserver reliability. RESULTS: Seventy-five women were assessed (n = 25 per group). No pulmonary interstitial syndrome was found in the VD and eCD groups (each 0 of 25; 0%, 95% confidence interval [CI], 0-13.7). Pulmonary interstitial syndrome was found in 2 of 25 (8%, 95% CI, 1-26) women undergoing an uCD (P = .490 for VD versus uCD and P = .490 for eCD versus uCD). In 1 woman, this correlated clinically with the development of pulmonary edema. One or more positive lung regions were present in 5 of 25 (20%), 6 of 25 (24%), and 11 of 25 (44%) parturients following VD, eCD, and uCD, respectively (P = .136). Positive lung regions were predominantly found in lateral lung regions. The number of positive lung regions showed a weak correlation with patient age (r = 0.25, 95% CI, 0.05-0.47; P = .033). No significant association was found between LUS pattern and parity, duration of labor, labor augmentation, labor induction, estimated total intravenous fluid intake, or net intravenous fluid intake. CONCLUSIONS: Although many focal areas of increased extravascular lung water (20%-44% prevalence) can be identified on LUS, the overall prevalence of pulmonary interstitial syndrome was 2.7% (2 of 75; 95% CI, 0.3-9.3) among healthy term parturients soon after delivery. Focal areas of positive lung water regions were weakly correlated with maternal age

Incidence, characteristics and risk factors for perioperative cardiac arrest and 30-day-mortality in preterm infants requiring non-cardiac surgery

Jansen G, Irmscher L, May TW, et al. Incidence, characteristics and risk factors for perioperative cardiac arrest and 30-day-mortality in preterm infants requiring non-cardiac surgery. Journal of clinical anesthesia. 2021;73: 110366.STUDY OBJECTIVE: To determine 30-day-mortality, incidence and characteristics of perioperative cardiac arrest as well as the respective independent risk factors in preterm infants undergoing non-cardiac surgery.; DESIGN: Retrospective observational Follow-up-study.; SETTING: Bielefeld University Hospital, a German tertiary care hospital.; PATIENTS: Population of 229 preterm infants (age2000g), and time of surgery (OR,5.9;95%CI,1.6 to 21.3) for 22:01-7:00 compared to 7:01-15:00) were the major independent risk factors of mortality. Incidence of perioperative cardiac arrests was 3.9% (9 of 229;95%CI,1.8 to 7.3). Univariate risk factors were congenital anomalies of the airways (OR,4.7;95%CI,1.2 to 20.3), lungs (OR,4.7;95%CI,1.2 to 20.3) and heart (OR,8.0;95%CI,2 to 32.2), pre-existing catecholamine therapy (OR,59.5;95%CI,3.4 to 1039), specifically, continuous infusions of epinephrine (OR,432;95%CI,43.2 to 4318).; CONCLUSIONS: 30-day-mortality and the incidence of perioperative cardiac arrest of preterms undergoing non-cardiac surgery were higher than previously reported. The identified independent risk factors may improve interdisciplinary perioperative risk assessment, optimal preoperative stabilization and scheduling of optimal surgical timing. Copyright © 2021 Elsevier Inc. All rights reserved