Metoclopramide and propofol to prevent nausea and vomiting during cesarean section under spinal anesthesia : A randomized, placebo-controlled, double-blind trial

Funding This research received no external funding. Acknowledgment Elisa Fabbri, Ivan Dell’Atti, Fabio Palombo, Massimo di Marzio, Rosalia Di Martino, Daniela Albanese, Nadia D’Urso, Vera Hendrix for their contribution to the present work. Publisher Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland.Peer reviewedPublisher PD

Análisis de las herramientas comunicacionales de una campaña electoral transnacional: elecciones italiana en la Argentina de 2013

Esta investigación parte del interés por incrementar el conocimiento sobre un fenómeno contemporáneo como es el denominado “sufragio transnacional”, a partir del estudio de un objeto específico como la campaña electoral italiana desde la Argentina que se llevó a cabo en febrero de 2013. En tal sentido, el objetivo principal fue explorar las herramientas y las estrategias comunicacionales que utilizaron los principales candidatos en esa contienda, e identificar en ellos los rasgos “transnacionales”. Para tal fin se combinaron técnicas cualitativas de investigación como el análisis cualitativo de contenido y las entrevistas en profundidad. El presente trabajo es una versión adaptada y resumida de la tesis para optar por el grado de Licenciatura en Comunicación Social, Departamento de Humanidades y Ciencias Sociales, de la Universidad Nacional de La Matanza.Facultad de Periodismo y Comunicación Socia

Análisis de las herramientas comunicacionales de una campaña electoral transnacional: elecciones italianas en la Argentina de 2013

Esta investigación parte del interés por incrementar el conocimiento sobre un fenómeno contemporáneo como es el denominado “sufragio transnacional”, a partir del estudio de un objeto específico como la campaña electoral italiana desde la Argentina que se llevó a cabo en febrero de 2013.En tal sentido, el objetivo principal fue explorar las herramientas y las estrategias comunicacionales que utilizaron los principales candidatos en esa contienda, e identificar en ellos los rasgos “transnacionales”. Para tal fin se combinaron técnicas cualitativas de investigación como el análisis cualitativo de contenido y las entrevistas en profundidad. El presente trabajo es una versión adaptada y resumida de la tesis para optar por el grado de Licenciatura en Comunicación Social, Departamento de Humanidades y Ciencias Sociales, de la Universidad Nacional de La Matanza (UNLaM)

Experienced Use of Dexmedetomidine in the Intensive Care Unit: A Report of a Structured Consensus

OBJECTIVE: Management of pain, agitation and delirium (PAD) remains to be a true challenge in critically ill patients. The pharmacological proprieties of dexmedetomidine (DEX) make it an ideal candidate drug for light and cooperative sedation, but many practical questions remain unanswered. This structured consensus from 17 intensivists well experienced on PAD management and DEX use provides indications for the appropriate use of DEX in clinical practice. METHODS: A modified RAND/UCLA appropriateness method was used. In four predefined patient populations, the clinical scenarios do not properly cope by the current recommended pharmacological strategies (except DEX), and the possible advantages of DEX use were identified and voted for agreement, after reviewing literature data. RESULTS: Three scenarios in medical patients, five scenarios in patients with acute respiratory failure undergoing non-invasive ventilation, three scenarios in patients with cardiac surgery in the early postoperative period and three scenarios in patients with overt delirium were identified as challenging with the current PAD strategies. In these scenarios, the use of DEX was voted as potentially useful by most of the panellists owing to its specific pharmacological characteristics, such as conservation of cognitive function, lack of effects on the respiratory drive, low induction of delirium and analgesia effects. CONCLUSION: DEX might be considered as a first-line sedative in different scenarios even though conclusive data on its benefits are still lacking

Italian Society of Anesthesia, Analgesia, Resuscitation, and Intensive Care expert consensus statement on the use of lung ultrasound in critically ill patients with coronavirus disease 2019 (ITACO)

Background To produce statements based on the available evidence and an expert consensus (as members of the Lung Ultrasound Working Group of the Italian Society of Analgesia, Anesthesia, Resuscitation, and Intensive Care, SIAARTI) on the use of lung ultrasound for the management of patients with COVID-19 admitted to the intensive care unit. Methods A modified Delphi method was applied by a panel of anesthesiologists and intensive care physicians expert in the use of lung ultrasound in COVID-19 intensive critically ill patients to reach a consensus on ten clinical questions concerning the role of lung ultrasound in the following: COVID-19 diagnosis and monitoring (with and without invasive mechanical ventilation), positive end expiratory pressure titration, the use of prone position, the early diagnosis of pneumothorax- or ventilator-associated pneumonia, the process of weaning from invasive mechanical ventilation, and the need for radiologic chest imaging. Results A total of 20 statements were produced by the panel. Agreement was reached on 18 out of 20 statements (scoring 7–9; “appropriate”) in the first round of voting, while 2 statements required a second round for agreement to be reached. At the end of the two Delphi rounds, the median score for the 20 statements was 8.5 [IQR 8.9], and the agreement percentage was 100%. Conclusion The Lung Ultrasound Working Group of the Italian Society of Analgesia, Anesthesia, Resuscitation, and Intensive Care produced 20 consensus statements on the use of lung ultrasound in COVID-19 patients admitted to the ICU. This expert consensus strongly suggests integrating lung ultrasound findings in the clinical management of critically ill COVID-19 patients