6 results on '"Polidori, Lorenzo"'
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2. Airway Closure during Surgical Pneumoperitoneum in Obese Patients
- Author
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Grieco, Domenico Luca, Anzellotti, Gian Marco, Russo, Andrea, Bongiovanni, Filippo, Costantini, Barbara, D'Indinosante, Marco, Varone, Francesco, Cavallaro, Fabio, Tortorella, Lucia, Polidori, Lorenzo, Lamborghini, Bruno Romano, Gallotta, Valerio, Dell'Anna, Antonio Maria, Sollazzi, Liliana, Scambia, Giovanni, Conti, Giorgio, Antonelli, Massimo, Romanò, Bruno, Sollazzi, Liliana (ORCID:0000-0002-2973-6236), Scambia, Giovanni (ORCID:0000-0003-2758-1063), Conti, Giorgio (ORCID:0000-0002-8566-9365), Antonelli, Massimo (ORCID:0000-0003-3007-1670), Grieco, Domenico Luca, Anzellotti, Gian Marco, Russo, Andrea, Bongiovanni, Filippo, Costantini, Barbara, D'Indinosante, Marco, Varone, Francesco, Cavallaro, Fabio, Tortorella, Lucia, Polidori, Lorenzo, Lamborghini, Bruno Romano, Gallotta, Valerio, Dell'Anna, Antonio Maria, Sollazzi, Liliana, Scambia, Giovanni, Conti, Giorgio, Antonelli, Massimo, Romanò, Bruno, Sollazzi, Liliana (ORCID:0000-0002-2973-6236), Scambia, Giovanni (ORCID:0000-0003-2758-1063), Conti, Giorgio (ORCID:0000-0002-8566-9365), and Antonelli, Massimo (ORCID:0000-0003-3007-1670)
- Abstract
WHAT WE ALREADY KNOW ABOUT THIS TOPIC: Airway closure has been described in chronic obstructive pulmonary disease, acute respiratory distress syndrome, and cardiac arrest patientsThis phenomenon makes tidal inflation start only after a critical airway opening pressure is overcomeAlthough previously reported during general anesthesia, airway closure was partially misinterpreted WHAT THIS ARTICLE TELLS US THAT IS NEW: Airway closure affects a relevant proportion of obese patients undergoing general anesthesia in supine position, with a variable degree of airway opening pressureWith Trendelenburg pneumoperitoneum, airway opening pressure increases consistently with esophageal pressure and pneumoperitoneum insufflation pressure: consequently, transalveolar pressure, lung volumes, and alveolar recruitment do not varyAirway closure yields bedside misinterpretation of respiratory mechanics and underestimation of actual alveolar pressure in the intraoperative settingIt is an occult phenomenon that generates an airway pressure threshold, whereby inspiratory gas does not inflate the lung unless the airway opening pressure is exceeded BACKGROUND:: Airway closure causes lack of communication between proximal airways and alveoli, making tidal inflation start only after a critical airway opening pressure is overcome. The authors conducted a matched cohort study to report the existence of this phenomenon among obese patients undergoing general anesthesia. METHODS: Within the procedures of a clinical trial during gynecological surgery, obese patients underwent respiratory/lung mechanics and lung volume assessment both before and after pneumoperitoneum, in the supine and Trendelenburg positions, respectively. Among patients included in this study, those exhibiting airway closure were compared to a control group of subjects enrolled in the same trial and matched in 1:1 ratio according to body mass index. RESULTS: Eleven of 50 patients (22%) showed airway closure after intubation, wit
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- 2019
3. Correction to: The Italian Dystonia Registry: rationale, design and preliminary findings (Neurological Sciences, (2017), 38, 5, (819-825), 10.1007/s10072-017-2839-3)
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Defazio, Giovanni, Esposito, M., Abbruzzese, G., Scaglione, C. L., Fabbrini, G., Ferrazzano, G., Peluso, S., Pellicciari, R., Gigante, A. F., Cossu, G., Arca, R., Avanzino, Laura, Bono, F., Mazza, M. R., Bertolasi, L., Bacchin, R., Eleopra, R., Lettieri, C., Morgante, F., Altavista, M. C., Polidori, Lorenzo, Liguori, R., Misceo, S., Squintani, G., Tinazzi, M., Ceravolo, R., Unti, E., Magistrelli, L., Coletti Moja, M., Modugno, N., Petracca, Martina, Tambasco, N., Cotelli, M. S., Aguggia, M., Pisani, A., Romano, M., Zibetti, M., Bentivoglio, Anna Rita, Albanese, Alberto, Girlanda, P., Berardelli, A., Polidori, L., Petracca, M., Bentivoglio, A. R. (ORCID:0000-0002-9663-095X), Albanese, A. (ORCID:0000-0002-5864-0006), Defazio, Giovanni, Esposito, M., Abbruzzese, G., Scaglione, C. L., Fabbrini, G., Ferrazzano, G., Peluso, S., Pellicciari, R., Gigante, A. F., Cossu, G., Arca, R., Avanzino, Laura, Bono, F., Mazza, M. R., Bertolasi, L., Bacchin, R., Eleopra, R., Lettieri, C., Morgante, F., Altavista, M. C., Polidori, Lorenzo, Liguori, R., Misceo, S., Squintani, G., Tinazzi, M., Ceravolo, R., Unti, E., Magistrelli, L., Coletti Moja, M., Modugno, N., Petracca, Martina, Tambasco, N., Cotelli, M. S., Aguggia, M., Pisani, A., Romano, M., Zibetti, M., Bentivoglio, Anna Rita, Albanese, Alberto, Girlanda, P., Berardelli, A., Polidori, L., Petracca, M., Bentivoglio, A. R. (ORCID:0000-0002-9663-095X), and Albanese, A. (ORCID:0000-0002-5864-0006)
- Abstract
N/A
- Published
- 2018
4. Robotic Surgery in Elderly and Very Elderly Gynecologic Cancer Patients
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Gallotta, Valerio, Conte, Carmine, D'Indinosante, Marco, Federico, Alex, Biscione, Antonella, Vizzielli, Giuseppe, Bottoni, Carolina, Carbone, Maria Vittoria, Legge, Francesco, Uccella, Stefano, Ciocchetti, Pierpaolo, Russo, Andrea, Polidori, Lorenzo, Scambia, Giovanni, Ferrandina, Maria Gabriella, Scambia, Giovanni (ORCID:0000-0003-2758-1063), Ferrandina, Gabriella (ORCID:0000-0003-4672-4197), Gallotta, Valerio, Conte, Carmine, D'Indinosante, Marco, Federico, Alex, Biscione, Antonella, Vizzielli, Giuseppe, Bottoni, Carolina, Carbone, Maria Vittoria, Legge, Francesco, Uccella, Stefano, Ciocchetti, Pierpaolo, Russo, Andrea, Polidori, Lorenzo, Scambia, Giovanni, Ferrandina, Maria Gabriella, Scambia, Giovanni (ORCID:0000-0003-2758-1063), and Ferrandina, Gabriella (ORCID:0000-0003-4672-4197)
- Abstract
Study Objective: To investigate the feasibility, safety, and short-term outcomes of robotic surgery (RS) for gynecologic oncologic indications (cervical, endometrial, and ovarian cancer) in elderly patients, especially women age 65 to 74 years (elderly group [EG]) compared with women age â¥75 years (very elderly group [VEG]). Design: Retrospective cohort study (Canadian Task Force classification II-2). Setting: Catholic University of the Sacred Heart, Rome, Italy. Patients: Between May 2013 and April 2017, 204 elderly and very elderly patients underwent RS procedures for gynecologic malignancies. Results: The median age was 71 years (range, 65-74 years) in the EG and 77 years (range, 75-87 years) in the VEG. The incidence of cardiovascular disease was higher in the VEG (p = .038). The EG and VEG were comparable in terms of operative time, blood loss, and need for blood transfusion. Almost all (98.5%) of the patients underwent total/radical hysterectomy, 109 patients (55.6% of the EG vs 48.3% of the VEG) underwent pelvic lymphadenectomy, and 19 patients (10.5% of the EG vs 6.7% of the VEG) underwent aortic lymphadenectomy. A total of 7 (3.4%) conversions to open surgery were registered. Only 3 patients required postoperative intensive care unit admission. The median length of hospital stay was 2 days in each group. A total of 11 patients (5.6%) had early postoperative complications. Four patients (2.8%) in the EG and 2 patients (3.3%) in the VEG experienced grade â¥2 complications. At the time of analysis, median follow-up was 18 months (range, 6-55 months). Eleven patients (5.6%) experienced disease relapse, 2 (1%) died of disease, and 3 (1.5%) died of cardiovascular disease. Conclusions: This study demonstrates the feasibility, safety, and good short-term outcomes of RS in elderly and very elderly gynecologic cancer patients. No patient can be considered too old for a minimally invasive robotic approach, but a multidisciplinary approach is the best management p
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- 2018
5. Desflurane versus sevoflurane: a comparison on stress response
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Marana, Elisabetta, Russo, Andrea, Colicci, Stefania, Polidori, Lorenzo, Bevilacqua, F, Viviani, Daniela, Di Stasio, Enrico, Marana, Elisabetta (ORCID:0000-0002-8685-145X), Di Stasio, Enrico (ORCID:0000-0003-1047-4261), Marana, Elisabetta, Russo, Andrea, Colicci, Stefania, Polidori, Lorenzo, Bevilacqua, F, Viviani, Daniela, Di Stasio, Enrico, Marana, Elisabetta (ORCID:0000-0002-8685-145X), and Di Stasio, Enrico (ORCID:0000-0003-1047-4261)
- Abstract
Neurohumoral, immunologic and metabolic alteration characterize surgical procedures in relation with the intensity of injury, the total operating time and the anesthetic technique. We, therefore, compared the effects of desflurane versus sevoflurane anesthesia on intra and postoperative release of the stress hormones and inflammatory cytokines.
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- 2013
6. Diastolic Function: the influence of pneumoperitoneum and trendelenburg positioning during laparoscopic hysterectomy
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Russo, Andrea, Marana, Elisabetta, Viviani, Domenico, Colicci, Stefania, Polidori, Lorenzo, Mettimano, Marco, Proietti, Rodolfo, Di Stasio, Enrico, Marana, Elisabetta (ORCID:0000-0002-8685-145X), Proietti, Rodolfo (ORCID:0000-0003-1137-9928), Di Stasio, Enrico (ORCID:0000-0003-1047-4261), Russo, Andrea, Marana, Elisabetta, Viviani, Domenico, Colicci, Stefania, Polidori, Lorenzo, Mettimano, Marco, Proietti, Rodolfo, Di Stasio, Enrico, Marana, Elisabetta (ORCID:0000-0002-8685-145X), Proietti, Rodolfo (ORCID:0000-0003-1137-9928), and Di Stasio, Enrico (ORCID:0000-0003-1047-4261)
- Abstract
N/A
- Published
- 2009
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