Coagulation Profile of Septic Patients Under Real Time Monitoring by Thromboelastography (TEG)

ESRA19-0239 Surgical treatment of femoral and knee injuries under peripheral regional anaesthesia: a case series

Background and aims Neuroaxial anaesthesia is gold standard for lower extremity surgeries. Nowadays the introduction of ultrasound guided peripheral nerves blocks (PBN) changed the approach to orthopaedic surgery. Methods This case series evaluates postoperative pain in 17 patients with femoral or knee fractures who received PNB because of contraindications to subarachnoid anaesthesia (eg. anticoagulation therapies, refusal). We performed femoral nerve block (levobupivacaine 0,5% 15 ml), obturators nerve block (levobupivacaine 0,5% 7 ml), lateral cutaneous nerve block (levobupivacaine 0.5% 3 ml) and sciatic nerve block (levobupivacaine 0,5% 20 ml) focusing on a lateral approach according to…

Comparision Between the Expression of Innate Immunity and Coagulative Response in Patients with septic and No Septic Acute Lung Injury

ESRA19-0275 The efficacy and safety of ultrasound-guided superficial cervical plexus block (SCPB) in patient undergoing thyroid surgery: a case report

Background and aims The SCPB provides effective anesthesia and analgesia for the head and neck region. CPBs can be performed more safely and accurately under ultrasound guidance, which is used to easily identify various important landmarks. This case report was carried out to assess the efficacy of SCPB in reducing the intra and postoperative use of opioids/analgesics to control pain due to thyroidectomy. Methods Case report: 45-year-old woman, ASA II, underwent left hemithyroidectomy under general anesthesia (sevoflorane 2% and remifentanil TCI 0.7–1 ng/ml). Ultrasound-guided left superficial cervical plexus block (SCPB) was performed using levobupivacaine 10 ml 0.25%. Pain score was measu…

Antithrombin III and Activated Protein C for the treatment of severe sepsis with coagulopathy

Minnesota Sedation Assessment Tool (MSAT) vs Narcotrend (NT) to monitorize analgo-sedation in ICU

Intracranial Venous Thrombosis in Peripartum: Case Report.

Fondaparinux vs Low Molecular Weight Heparin as a Thromboprophylaxis in Critically Ill Patients. Coagulation Status Monitored by Thromboelastography (TEG)

ESRA19-0278 Sufentanil sublingual tablet system (SSTS) in post-operative pain: a case series

Background and aims SSTS is a preprogrammed, non invasive, patient-activated bed-side system that enables patients to manage moderate-severe acute pain in a hospital setting. Our aim is to evaluate efficacy, ease of use of SSTS, patients and nurses’ satisfaction. Methods We evaluate pain control and general satisfaction in patients treated with SSTS after general or orthopedic prosthetic surgery. Enrollment started on April the 1st at Policlinico Paolo Giaccone in Palermo and is still ongoing. SSTS allows patients to self-administer a 15-μg sufentanil tablet sublingually with a 20-minute lockout, up to 72 hours. We visit patients three times per day, recording pain control (NRS scale), arte…

LyghtCycler Septifast in early diagnosis of sepsis: our experience.

LightCycler SeptiFast in early diagnosis of sepsis: our experience.

The conventional sepsis diagnosis, using the cultivation technique, needs 24 hours for bacterial identification and 36 hours for fungal. The use of empiric therapy makes the growth of bacteria and fungi slower or may yield negative findings in many cases of septic shock. The molecular technique can contribute to a more rapid and specific diagnosis in septic patients. SeptiFast detects 26 bacterial and fungal species DNAs, using the PCR in real time and giving results after 6 hours. This is important for de-escalation therapy and beginning of appropriate antibiotic treatment. The aim of this study is to evaluate the sensibility and the specificity of the SeptiFast test versus traditional dia…