Rita Bertuetti

A SIAARTI Neuroanesthesia and Neurointensive Care Section survey on elective neurosurgery and interventional neuroradiology

Marina Munari, Alberto Turcato, Federico Geraldini, Anselmo Caricato et autres

BACKGROUND: The data available at the national level in Italy regarding elective neurosurgical and neuroradiological procedures are limited. This survey aimed to explore clinical practices across Italian centers, focusing on anesthetic strategies, monitoring, and postoperative management. METHODS: A nationwide survey was conducted, …

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Golden hour management in the patient with intraparenchymal cerebral hemorrhage: an Italian intersociety document

Gianluigi Morello, Daniela Alampi, Raffaele Aspide, Alessandra Beretta et autres

BACKGROUND: Spontaneous intracerebral hemorrhage (ICH) accounts for 9-27% of all strokes worldwide and is associated with high mortality and disability. The main causes include vascular malformations, small- and large-vessel angiopathies, and coagulation disorders. Mortality rates reach approximately 40% at 1 month and …

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Transcranial Doppler Ultrasound: A Perioperative Monitoring Tool

Rita Bertuetti, Alberto Librizzi, Nicola Zugni, Elisabetta Roberti et autres

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Brain Ultrasonography

Paolo Gritti, Briolini Andrea, Chiara Robba, Rita Bertuetti et autres

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Evaluation and application of ultra-low-frequency pressure reactivity index in pediatric traumatic brain injury patients

Paolo Gritti, Marco Bonfanti, Rosalia Zangari, Ezio Bonanomi et autres

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Head to toe ultrasound: a narrative review of experts’ recommendations of methodological approaches

Antonio Messina, Chiara Robba, Rita Bertuetti, Daniele Guerino Biasucci et autres

Critical care ultrasonography (US) is widely used by intensivists managing critically ill patients to accurately and rapidly assess different clinical scenarios, which include pneumothorax, pleural effusion, pulmonary edema, hydronephrosis, hemoperitoneum, and deep vein thrombosis. Basic and advanced critical care ultrasonographic skills are …

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Evaluation and Application of Ultra-Low-Resolution Pressure Reactivity Index in Moderate or Severe Traumatic Brain Injury

Paolo Gritti, Marco Bonfanti, Rosalia Zangari, Alessia Farina et autres

BACKGROUND: The pressure reactivity index (PRx) has emerged as a surrogate method for the continuous bedside estimation of cerebral autoregulation and a predictor of unfavorable outcome after traumatic brain injury (TBI). However, calculation of PRx require continuous high-resolution monitoring currently limited to …

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Transcranial Doppler as a screening test to exclude intracranial hypertension in brain-injured patients: the IMPRESSIT-2 prospective multicenter international study

Frank Anthony Rasulo, Stefano Calza, Chiara Robba, Fabio Silvio Taccone et autres

BACKGROUND: Alternative noninvasive methods capable of excluding intracranial hypertension through use of transcranial Doppler (ICPtcd) in situations where invasive methods cannot be used or are not available would be useful during the management of acutely brain-injured patients. The objective of this study …

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Early management of patients with aneurysmal subarachnoid hemorrhage in a hospital without neurosurgical/neuroendovascular facilities: a consensus and clinical recommendations of the Italian Society of Anesthesia and Intensive Care (SIAARTI)

Edoardo Picetti, Maurizio Berardino, Alessandro Bertuccio, Rita Bertuetti et autres

BACKGROUND: The immediate management of subarachnoid hemorrhage (SAH) patients in hospitals without neurosurgical/neurointerventional facilities and their transfer to a specialized center is challenging and not well covered in existing guidelines. To address these issues, we created a consensus of experts endorsed by …

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Safety profile of enhanced thromboprophylaxis strategies for critically ill COVID-19 patients during the first wave of the pandemic: observational report from 28 European intensive care units

Andrea Lavinio, Ari Ercole, Denise Battaglini, Sandra Magnoni et autres

INTRODUCTION: Critical illness from SARS-CoV-2 infection (COVID-19) is associated with a high burden of pulmonary embolism (PE) and thromboembolic events despite standard thromboprophylaxis. Available guidance is discordant, ranging from standard care to the use of therapeutic anticoagulation for enhanced thromboprophylaxis (ET). Local …

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Trans-Cranial Doppler as a Screening Test to Exclude Intracranial Hypertension in Brain Injured Patients: The IMPRESSIT-2 Prospective Multicenter International Study

Frank Anthony Rasulo, Stefano Calza, Chiara Robba, Fabio Silvio Taccone et autres

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Case 3: Vasospasm Treated with Ballooning Angioplasty

Rita Bertuetti, Maurizio Saini, Davide Savo, Francesca Simonassi et autres

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