Search results for "Neste"

Successful treatment of KPC-3 Klebsiella Pneumoniae ST258 clone with a combination of high-dose tigecycline and colistin in ICU: a case series report.

2011

INFECTIONS CAUSED BY KLEBSIELLA PNEUMONIAE SEQUENCE TYPE 258 PRODUCING K. PNEUMONIAE CARBAPENEMASE 3 (KPC-Kp)HAVE WIDELY EMERGED AND BOTH INDIVIDUAL CASES AND OUTBREAKS OF COLONIZATION OR INFECTION HAVE BEEN REPORTED IN PALERMO, ITALY.OBIETTIVO: THIS IS A RETROSPECTIVE CASE SERIES THAT DESCRIBES THE CLINICAL AND MICROBIOLOGIC OUTCOMES OF 16 PATIENTS WHO RECEIVED A COMBINATION OF HIGH-DOSE TIGECYCLINE AND COLISTIN FOR TREATMENT OF VAP (4 CASES) AND SEVERE BACTERAEMIA (12 CASES) DURING THE YEARS 2009-2011. 11 OUT OF THE 16 CASES WERE POST SURGICAL PATIENTS WITH INTRABDOMINAL ABSCESSES DUE TO KPC-Kp. IN 5 CASES COMBINED KPC-Kp AND CARBAPENEM-RESISTANT ACINETOBACTER BAUMANNII INFECTION WAS ALSO…

Intraoperative cholangiography during laparoscopic cholecystectomy: What role?

2012

Aim: Laparoscopic cholecystectomy has increased the number of iatrogenic lesion of the biliary tree. In this study, we evaluate the role of intra-operative cholangiography in prevention of biliary tree iatrogenic lesions and early identification of choledocolithiasis, during laparoscopic cholecystectomy. Material of study: 169 patients who underwent laparoscopic cholecystectomy, were evaluated by means of intra-operative cholangiography. Patients were divided into two groups basing on the risk to develop biliary tree lithiasis. Discussion: Patients with a higher risk of postoperative complications effectively showed cholangiographic anomalies, including duct stones, dilations, anatomical va…

KPC-3 Klebsiella pneumoniae ST258 clone infection in postoperative abdominal surgery patients in an intensive care setting: analysis of a case series…

2013

Objective: We studied the clinical course, Intensive Care Unit (ICU) and hospital outcomes of 30 postoperative abdominal surgery patients who showed severe infections caused by Klebsiella pneumoniae Sequence Type 258 producing K. pneumoniae carbapenemase 3 (KPC-Kp). Methods: Patients with at least two positive blood cultures for KPC-Kp after admission to the ICU were recruited for a 12-month period and treated with a combination regimen of colistin plus tigecycline. They were started on a high-dose (initial dose of 200 mg then 100 q12) of tigecycline combined with colistin, taking into account intra-abdominal abscess severity and MCIs for tigecycline. Results: The average age of the patient…

Fentanyl and sufentanyl in fast track anaesthesia for major intra-abdominal surgery

2012

Background and aim: Major intra-abdominal surgery is estimated to have high costs annually in Italy. In an attempt to decrease surgery costs and improve outcome for patients, fast-track programs have become popular. This is especially due both to the improvement of surgery and to the new anesthetic agents (regarding pharmacokinetic and pharmacodynamic) resulting in better care for patients. The aim of this study was to evaluate two different anesthetic protocols in patients undergoing scheduled anesthesia including the combination of two different opioids (fentanyl or sufentanil) with the same hypnotic and muscle relaxant. Material and Methods: 40 patients, with an American Society of Anest…

Simple and fast orotracheal intubation procedure in rat

2016

Introduction: Endotracheal intubation in the rat is difficult because of extremely small size of anatomical structures (oral cavity, epiglottis and vocal cords), small inlet for an endotracheal tube and the lack of proper techniacal instruments. Matherial and Methods: In this study we used seventy rats weighthing 400-500 g. The equipment needed for intubation was an operating table, a longish of cotton, a cotton tip, orotracheal tube, neonatal laryngoscope KTR4, small animal ventilator, and isoflurane for inhalation anaesthesia. Premedication was carried out by medetomidine hydrochloride 1 mg/mL; then, thanks to a closed glass chamber, a mixture of oxygen and isoflurane was administered. By…

Hyperbaric oxygen therapy in the prevention of complications of opens fractures (nonunions, osteomyelitis)

2013

Intra-hospital Transsport of Crititically Ill Patients: Incidence of Adverse Events in One University Hospital

2010

Intracranial Venous Thrombosis in Peripartum: Case Report.

2009

RUOLO DEI LATTATI E DELLA SATURAZIONE VENOSA CENTRALE NEL PAZIENTE CON SEPSI SEVERA E SHOCK SETTICO

2013

Obiettivo. Nel paziente settico viene suggerito di monitorare la ScvO2 e di iniziare i resuscitation bundles quando i lattati hanno una concentrazione di 4 mmol/l. Sia la presenza di iperlattatemia al ricovero sia il successivo sviluppo di iperlat- tacidemia si associano ad una maggiore mortalità in UTI, mentre la rapida velocità di clearance dei lattati ad un aumen- to della sopravvivenza. Non esistono ad oggi studi che dimo- strino se l’inserimento della riduzione dei lattati come goal terapeutico, si associ ad una riduzione della mortalità. Pertan- to abbiamo condotto uno studio per verificare se, il raggiun- gimento di una concentrazione di lattati sierici al di sotto di 4 mmol/l come g…

L’OSSIGENOTERAPIA IPERBARICA NELLE SEPSI SEVERA DA INFEZIONE DEI TESSUTI MOLLI

2013

Obiettivo. La fascite necrotizzante (FN) è una rara infezione dei tessuti molli. È caratterizzata da una diffusa necrosi fascia- le principalmente causata da Streptococcus hemolyticus. Può essere fatale se non gestita correttamente, per cui diviene mandatoria una diagnosi precoce ed un trattamento multidi- sciplinare che includa l’ossigenoterapia iperbarica (HBOT), che viene utilizzata sia come trattamento primario o adiuvan- te nel trattamento di infezioni come la gangrena gassosa, la fascite necrotizzante. Materiali e metodi. Descriviamo tre casi clinici di FN. Il primo è un donna di 49 anni con diabete mellito di tipo II, che presentava una FN a livello della mammella sinistra. È stato a…