Search

Your search keyword '"Schiraldi F"' showing total 94 results
Start Over Author "Schiraldi F"
94 results on '"Schiraldi F"'

1. End-tidal arterial CO2 partial pressure gradient in patients with severe hypercapnia undergoing noninvasive ventilation

Author

Defilippis V, D'Antini D, Cinnella G, Dambrosio M, Schiraldi F, and Procacci V

Subjects
Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Vito Defilippis,1 Davide D’Antini,2 Gilda Cinnella,2 Michele Dambrosio,2 Fernando Schiraldi,3 Vito Procacci1 1Emergency Department, Riuniti Hospital, 2Department of Anaesthesiology and Intensive Care, University of Foggia, Foggia, 3Emergency Department, San Paolo Hospital, Naples, Italy Background: Patients with severe hypercapnia represent a particularly serious condition in an emergency department (ED), requiring immediate attention. Noninvasive ventilation (NIV) is an integral part of the treatment for acute respiratory failure. The present study aimed to validate the measurement of end-tidal CO2 (EtCO2) as a noninvasive technique to evaluate the effectiveness of NIV in acute hypercapnic respiratory failure. Methods: Twenty consecutive patients admitted to the ED with severe dyspnea were enrolled in the study. NIV by means of bilevel positive airway pressure, was applied to the patients simultaneously with standard medical therapy and continued for 12 hours; the arterial blood gases and side-stream nasal/oral EtCO2 were measured at subsequent times: T0 (admission to the ED), T1h (after 1 hour), T6h (after 6 hours), and T12h (after 12 hours) during NIV treatment. Results: The arterial CO2 partial pressure (PaCO2)–EtCO2 gradient decreased progressively, reaching at T6h and T12h values lower than baseline (P < 0.001), while arterial pH increased during the observation period (P < 0.001). A positive correlation was found between EtCO2 and PaCO2 values (r = 0.89, P < 0.001) at the end of the observation period. Conclusion: In our hypercapnic patients, the effectiveness of the NIV was evidenced by the progressive reduction of the PaCO2–EtCO2 gradient. The measurement of the CO2 gradient could be a reliable method in monitoring the effectiveness of NIV in acute hypercapnic respiratory failure in the ED. Keywords: arterial end-tidal CO2 gradient, noninvasive ventilation, bilevel positive airway pressure, acute respiratory failure

Published
2013

14. Acute/Chronic respiratory failure

Author

De La Cruz, C., Criado, A., Diaz, L., Seiz, A., Vidaur, P. L., Fraile, J. R., Filos, K. S., Goudas, L. C., Dougenis, D., Tassoudis, V., Patroni, O., Winkler, W. -B., Karnik, R., Seelmann, O., Havlicek, J., Stany, J., Becker, H., Peter, J. H., Pitzer, W., Schneider, H., Wichert, P. V., De Blasi R. A., Conti G., Mattia C., Mega A. M., Ferrari M., Gasparetto A., Steltzer, H., Hiesmayr, M., Krafft, P., Petcold, R., Strasser, K., Hammerle, A. F., Capellier, G., Liauw, S., Wintoh, T., Marshall, J., Demajo, W., Barale, F., Walker, P. M., Dugernier, T., Laterre, P. F., Deby-Dupont, G., Lamy, M., Reynaert, M. S., Navarrete, P., Vázquez, G., Rivera, R., Fernandez, E., Mérida, A., Boch, J. N., Eibenberger, K., Herold, C., Schlick, W., van der Heijde, R. M. J. L., Grotjohan, H. P., Versprille, A., Wagenvoort, C. A., Raijmakers, P. G. H. M., Groeneveld, A. B. J., Schneider, A. J., Rauwerda, J. A., Teule, G. J. J., Thija, L. G., Singer, M., Vermaat, J., Hall, G., Latter, G., Patel, M., Jansen, J. R. C., Bordet, F., Mercatello, A., Coronel, B., Bret, M., Tlgaud, J. D., Archimbaud, E., Moskovtchenko, J. F., Gregorakos, L., Katsanos, Ch., Michalopoulos, A., Malessios, V., Mavropanou, D., Nicolopoulos, J., Karageorgiou, K., Tognet, E., Polo, P., Devaux, Y., Fière, D., Valta, P., Takala, J., De Blasio, F., Iannuzzi, E., De Sio, A., Ferraro, F., Schiraldi, F., Mostarda, G. F., Spannbrucker, N., Kiesow, U., Kleinschmidt, R., Reper, P., Marion, E., Van Hille, F., De Neef, H., Heymans, W., Ysebaert, D., Van Hoof, R., Vanderkelen, A., Elsen, M., Gregoretti, C., Beltrame, F., Conti, G., Burbi, L., Antonaglia, V., Lucangelo, U., Biolino, P., Giugiaro, P. M., Sasso, F., Schneider H., Becker H., Cassel W., Peter J. H., von Wichert P., Ludwigs, Ulf, Klingstedt, Christer, Baehrendtz, Svante, Hedenstierna, Göran, Gomez V., De la Casa R., Anon J. M., Pascual C., Jimenez M., Yus S., Angouridakis, P., Sofianos, B., Anastasaki, M., Frantzeskos, G., Askitopoelou, B., Priem, R., Schultheiss, R., Cedzich, C., Rabbat, A., Garrouste, M. T., Nahmias, G., Le Gall, J. R., Schlemmer, B., Wegenius, Göran, Matte, P., Jacquet, L., Ceriani, R., Goenen, M., Roeseler, J., Palavecino, L., Dougnac, A., Reynaert, H., Avila, A., Oliphant, L., Ward, C., Spitzer, Sh., Fink, G., Putensen, C., Leon, M., and Putensen-Himmer, G.

Published
1992
Full Text
View/download PDF

15. Italian Intersociety Recommendations on Pain Management in the Emergency Setting (SIAARTI, SIMEU, SIS 118, AISD, SIARED, SICUT, IRC)

Author

Savoia, G., Coluzzi, F., Di Maria, C., Ambrosio, F., Della Corte, F., Oggioni, R., Messina, A., Costantini, A., Launo, C., Mattia, C., Paoletti, F., Lo Presti, C., Bertini, L., Peduto, A. V., Iaco, F., Schiraldi, F., Bussani, F., Vito, L., Giagnorio, G., Marinangeli, F., Coaccioli, S., Aurilio, C., Valenti, F., Bonetti, C., Alba PIROLI, Paladini, A., Ciccozzi, A., Matarazzo, T., Marraro, G., Paolicchi, A., Martino, A., Blasio, E., Cerchiari, E., Radeschi, G., Savoia, G, Coluzzi, F, Di Maria, C, Ambrosio, F, Della Corte, F, Oggioni, R, Messina, A, Costantini, A, Launo, C, Mattia, C, Paoletti, F, Lo Presti, C, Bertini, L, Peduto, Av, De Iaco, F, Schiraldi, F, Bussani, F, De Vito, L, Giagnorio, G, Marinangeli, F, Coaccioli, S, Aurilio, Caterina, Valenti, F, Bonetti, C, Piroli, A, Paladini, A, Ciccozzi, A, Matarazzo, T, Marraro, G, Paolicchi, A, Martino, A, De Blasio, E, Cerchiari, E, and Radeschi, G.

Subjects
Adult, Emergency Medical Services, Italy, Wounds and injuries, Analgesia, Child, Emergency treatment, Pain, emergency treatment, Humans, Pain Management, wound-injures
Abstract

Pain is the primary reason for admission to the Emergency Department (ED). However, the management of pain in this setting is often inadequate because of opiophagia, fear of excessive sedation, and fear of compromising an adequate clinical assessment.An intersociety consensus conference was held in 2010 on the assessment and treatment of pain in the emergency setting. This report is the Italian Intersociety recommendations on pain management in the emergency department setting.The list of level A recommendations includes: 1) use of IV acetaminophen for opioid sparing properties and reduction of opioid related adverse events; 2) ketamine-midazolam combination preferred over fentanyl-midazolam fentanyl-propofol in pediatric patients; 3) boluses of ketamine IV (particularly in the population under the age of 2 years and over the age of 13) can lead to impairment of the upper airways, including the onset of laryngospasm, requiring specific expertise and skills for administration; 4) the use of ketamine increases the potential risk of psychomotor agitation, which can happen in up to 30% of adult patients (this peculiar side effect can be significantly reduced by concomitant systemic use of benzodiazepines); 5) for shoulder dislocations and fractures of the upper limbs, the performance of brachial plexus block reduces the time spent in ED compared to sedation; 6) pain relief and the use of opioids in patients with acute abdominal pain do not increase the risk of error in the diagnostic and therapeutic pathway in adults; 7) in newborns, the administration of sucrose reduces behavioural responses to blood sampling from a heel puncture; 8) in newborns, breastfeeding or formula feeding during the procedure reduces the measures of distress; 9) in pediatric patients, non-pharmacological techniques such as distraction, hypnosis and cognitive-behavioural interventions reduce procedural pain caused by the use of needles; 10) in pediatric patients, preventive application of eutectic mixtures of prilocaine and lidocaine allows arterial and venous samples to be taken in optimum conditions; 11) in pediatric patients, the combination of hypnotics (midazolam) and N2O is effective for procedural pain, but may be accompanied by loss of consciousness.The diagnostic-therapeutic pathway of pain management in emergency should be implemented, through further interdisciplinary trials, in order to improve the EBM level of specific guidelines.

Published
2015

16. Italian Intersociety Recommendations (SIAARTI, SIMEU, SIS 118, AISD, SIARED, SICUT, IRC) on Pain Management in the Emergency Setting

Author

Savoia, G, Coluzzi, Flaminia, Di Maria, C, Ambrosio, F, Della Corte, F, Oggioni, R, Messina, A, Costantini, A, Launo, C, Mattia, Consalvo, Paoletti, F, Lo Presti, C, Bertini, L, Peduto, A, De Iaco, F, Schiraldi, F, Bussani, F, De Vito, L, Giagnorio, G, Marinangeli, F, Coaccioli, S, Aurilio, C, Valenti, F, Bonetti, C, Piroli, A, Paladini, A, Ciccozzi, A, Matarazzo, T, Marraro, G, Paolicchi, A, Martino, A, De Blasio, E, Cerchiari, E, and Radeschi, G.

Published
2014

19. Low atrium blood as the right one for central venous gas analysis

Author

Iannuzzi E, De Blasio E, FERRARO, Fausto, De Sio A, Mocavero PE, D'Agostino A, Schiraldi F, Minichini A, Mignone A, Violante D., NJ Mutz, W Koller and H Benzer, Iannuzzi, E, De Blasio, E, Ferraro, Fausto, De Sio, A, Mocavero, Pe, D'Agostino, A, Schiraldi, F, Minichini, A, Mignone, A, and Violante, D.

Published
1994

27. D.C. shock or drugs: a question to be resolved quickly

Author

Schiraldi F, Paladino F, Iannuzzi E, De Blasio E, Violante D, De Sio A, Focone C, Velardi Colesanti F, Mostarda GF, FERRARO, Fausto, Schiraldi, F, Paladino, F, Iannuzzi, E, Ferraro, Fausto, De Blasio, E, Violante, D, De Sio, A, Focone, C, Velardi Colesanti, F, and Mostarda, Gf

Published
1993

30. Face mask ventilation: PSV or PCV

Author

De Blasio E, Iannuzzi E, De Sio A, Schiraldi F, Minichini A, Alaggio MC, Giurbino M, Mocavero PE, Mostarda GF, FERRARO, Fausto, De Blasio, E, Iannuzzi, E, De Sio, A, Ferraro, Fausto, Schiraldi, F, Minichini, A, Alaggio, Mc, Giurbino, M, Mocavero, Pe, and Mostarda, Gf

Published
1993

32. Pressure control ventilation: what the benefits?

Author

De Blasio E, Iannuzzi E, De Sio A, Schiraldi F, Mostarda GF, FERRARO, Fausto, De Blasio, E, Iannuzzi, E, De Sio, A, Ferraro, Fausto, Schiraldi, F, and Mostarda, Gf

Published
1992

34. Which blood for acid-base assessment in ICU?

Author

De Blasio E, FERRARO, Fausto, Schiraldi F, Iannuzzi E, Minichini A, Mostarda GF, G.A. Borrelli, N.G. De Santo, G. Capasso, De Blasio, E, Ferraro, Fausto, Schiraldi, F, Iannuzzi, E, Minichini, A, and Mostarda, Gf

Published
1991

42. Electrolyte emergencies, anion gap, osmolality.

Author

Gullo, Antonino, Schiraldi, F., Guiotto, G., and Morelli, L.

Abstract

In the critically ill we often observe some dysregulation of the fluid-electrolyte balance; far from being an innocent bystander, the intensive medicine specialist could sometime be responsible for this, by way of overzealous correction, drug interference, or a "cosmetic" approach to the problem. In this short review, we will try to recall some basic principles that could help to improve therapeutic strategies. [ABSTRACT FROM AUTHOR]

Published
2007
Full Text
View/download PDF

43. Metabolic alkalosis.

Author

Gullo, Antonino, Schiraldi, F., Mirante, E., and Paladino, F.

Abstract

It is beyond the objective of this short review to discuss in detail the many different causes of metabolic alkalosis. Nonetheless, a brief reminder of the pathogenesis and clinical effects of metabolic alkalosis is useful for the following reasons: (1) Metabolic alkalosis is the most common clinical acid-base abnormality observed in hospitalised patients (2) it is sometimes the most sensitive clue indicating a clinical or iatrogenic disorder, and (3) in intensive care unit (ICU) patients, an alkalaemic pH may have further detrimental effects, due to its influence on ventilatory drive and myocardial excitability. [ABSTRACT FROM AUTHOR]

Published
2006
Full Text
View/download PDF

50. Lactate determination in pleural and abdominal effusions: a quick diagnostic marker of exudate—a pilot study

Author

Valerio Rosato, Claudia Serra, Fernando Schiraldi, Mario Masarone, Antonio Pagano, Giorgio Bosso, Fiorella Paladino, M.C. Fascione, A. Amelia, Giovanni Porta, Luca Rinaldi, Fabio Giuliano Numis, Porta, G., Numis, F. G., Rosato, V., Pagano, A., Masarone, M., Bosso, G., Serra, C., Rinaldi, L., Fascione, M. C., Amelia, A., Paladino, F., and Schiraldi, F.

Subjects
Male, Pathology, Microbiological culture, Pleural effusion, medicine.medical_treatment, Thoracentesis, Pilot Projects, Lactate ratio, Predictive Value of Test, Gastroenterology, Transudate, Bacterial peritonitis, 0302 clinical medicine, Paracentesis, Ascitic Fluid, 030212 general & internal medicine, Diagnostic Techniques and Procedures, Aged, 80 and over, medicine.diagnostic_test, Exudates and Transudates, Middle Aged, Exudates and Transudate, Bacterial peritoniti, Delta lactate, Area Under Curve, Emergency Medicine, Female, Infection, Human, medicine.medical_specialty, Exudate, Sepsi, Sepsis, 03 medical and health sciences, Predictive Value of Tests, Internal medicine, Internal Medicine, medicine, Humans, Diagnostic marker, Abdominal effusion, Pilot Project, Lactic Acid, Thoracentesi, Paracentesi, Aged, business.industry, Lactate, Light’s criteria, Pneumonia, Gold standard (test), Biomarker, medicine.disease, Diagnostic Techniques and Procedure, 030228 respiratory system, ROC Curve, Differential diagnosis, business, Biomarkers
Abstract

Pleural or abdominal effusions are frequent findings in ICU and Internal Medicine patients. Diagnostic gold standard to distinguish between transudate and exudate is represented by “Light’s Criteria,” but, unfortunately, the chemical–physical examination for their calculation is not a rapid test. Pursuing an acid–base assessment of the fluid by a blood-gas analyzer, an increase of lactate beyond the normal serum range is reported in the exudative effusions. The advantages of this test are that it is a very fast bed-side test, executable directly by the physician. The aim of this study is to evaluate whether the increase in lactate in pleural and abdominal effusions might be used as a criterion for the differential diagnosis of the nature of the fluid. Sixty-nine patients with pleural or abdominal effusions and clinical indication for thoracentesis or paracentesis were enrolled. Acid–base assessment with lactate, total protein, and LDH dosage on the serum, and acid–base assessment with lactate, total protein, and LDH dosage, cytology, and bacterial culture on the fluid were performed to each patient. Fluid–blood lactate difference (ΔLacFB) and fluid–blood lactate ratio (LacFB ratio) were calculated. A statistical analysis was carried out for fluid lactate (LacF), ΔLacFB, and LacFB ratio, performing ROC curves to find the cut-off values with best sensitivity (Sn) and specificity (Sp) predicting an exudate diagnosis: LacF: cut-off value: 2.4mmol/L; AU-ROC 0.854 95% CI 0.756–0.952; Sn 0.77; Sp 0.84. ΔLacFB: cut-off value: 0.95mmol/L; Au-ROC 0.876 95% CI 0.785–0.966; Sn 0.80; Sp 0.92. LacFB ratio: cut-off value: 2mmol/L; Au-ROC 0.730 95% CI 0.609–0.851; Sn 0.74; Sp 0.65. Lactate dosage by blood-gas analyzer on pleural and abdominal effusions seems to be a promising tool to predict a diagnosis of exudate.

Published
2018

Catalog

Books, media, physical & digital resources
See catalog results