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  1. Article ; Online: Verbal Glasgow Coma Scale as predictor of persistent disorder of consciousness: Insights for improving accuracy and reliability in clinical practice.

    Pisano, Francesca / Bilotta, Federico

    Clinical neurology and neurosurgery

    2024  Volume 240, Page(s) 108274

    Abstract: This brief report discusses the relationship between verbal function, disorders of consciousness, and neurological follow-up after acute brain injury. It provides valuable insights for improving the accuracy and reliability of Verbal Glasgow Coma Scale ... ...

    Abstract This brief report discusses the relationship between verbal function, disorders of consciousness, and neurological follow-up after acute brain injury. It provides valuable insights for improving the accuracy and reliability of Verbal Glasgow Coma Scale scoring in clinical practice. The report addresses the need for standardized training and underlines the importance of physiological stabilization before assessment. Clarity in communication, recognition of non-verbal cues, and serial assessments are emphasized as critical factors to reduce the Verbal Glasgow Coma Scale inconsistencies. It also promotes interdisciplinary collaboration and cultural sensitivity to refine the Verbal Glasgow Coma Scale evaluation, improving the prediction of long-term neurological outcomes after acute brain injury and optimizing effective rehabilitation programs. Possible strategies to implement in the routine clinical practice the provided tips are discussed.
    MeSH term(s) Humans ; Glasgow Coma Scale ; Consciousness Disorders/diagnosis ; Consciousness Disorders/physiopathology ; Reproducibility of Results ; Brain Injuries/complications ; Predictive Value of Tests
    Language English
    Publishing date 2024-04-02
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 193107-6
    ISSN 1872-6968 ; 0303-8467
    ISSN (online) 1872-6968
    ISSN 0303-8467
    DOI 10.1016/j.clineuro.2024.108274
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The Predictive Value of the Verbal Glasgow Coma Scale in Traumatic Brain Injury: A Systematic Review.

    Pisano, Francesca / Bilotta, Federico

    The Journal of head trauma rehabilitation

    2024  

    Abstract: Background: Traumatic brain injury (TBI) is a major global health concern, imposing significant burdens on individuals and healthcare systems. The Glasgow Coma Scale (GCS), a widely utilized instrument for evaluating neurological status, includes 3 ... ...

    Abstract Background: Traumatic brain injury (TBI) is a major global health concern, imposing significant burdens on individuals and healthcare systems. The Glasgow Coma Scale (GCS), a widely utilized instrument for evaluating neurological status, includes 3 variables: motor, verbal, and eye opening. The GCS plays a crucial role in TBI severity stratification. While extensive research has explored the predictive capabilities of the overall GCS score and its motor component, the Verbal Glasgow Coma Scale (V-GCS) has garnered less attention.
    Objective: To examine the predictive accuracy of the V-GCS in assessing outcomes in patients with TBI, with a particular focus on functional outcome and mortality. In addition, we intend to compare its predictive performance with other components of the GCS.
    Methods: A systematic review, based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, was conducted utilizing the PubMed, Scopus, and Web of Science databases. Inclusion criteria encompassed 10 clinical studies involving patients with TBI, wherein the level of consciousness was assessed using the verbal GCS score. Predominant statistical measures employed were odds ratios (ORs) and area under the curve (AUC).
    Results: Recorded findings consistently underscore that lower V-GCS scores are associated with adverse functional outcomes and mortality in patients with TBI. Despite the predictive accuracy of the V-GCS, the Motor Glasgow Coma Scale (M-GCS) emerges as a superior predictor.
    Conclusion: In the context of TBI outcome prediction, the V-GCS demonstrates its efficacy as a prognostic tool. However, the M-GCS exhibits superior performance compared with the V-GCS. These insights underscore the multifaceted nature of TBI assessment and emphasize the necessity of considering distinct components of the Glasgow Coma Scale for comprehensive evaluation. Further research is warranted to refine and improve the application of these predictive measures in clinical practice.
    Language English
    Publishing date 2024-02-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639221-0
    ISSN 1550-509X ; 0885-9701
    ISSN (online) 1550-509X
    ISSN 0885-9701
    DOI 10.1097/HTR.0000000000000938
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  3. Article ; Online: Fatigue in anesthesia workers.

    Redfern, Nancy / Bilotta, Federico

    Brazilian journal of anesthesiology (Elsevier)

    2023  Volume 74, Issue 1, Page(s) 744462

    MeSH term(s) Humans ; Fatigue/etiology ; Anesthesia/adverse effects ; Surveys and Questionnaires
    Language English
    Publishing date 2023-09-09
    Publishing country Brazil
    Document type Editorial
    ISSN 2352-2291
    ISSN (online) 2352-2291
    DOI 10.1016/j.bjane.2023.09.001
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  4. Article ; Online: Hydroxyethyl starch for perioperative fluid management: a critical appraisal.

    Schmidt, André P / Bilotta, Federico

    Brazilian journal of anesthesiology (Elsevier)

    2023  Volume 73, Issue 5, Page(s) 529–531

    MeSH term(s) Humans ; Hydroxyethyl Starch Derivatives/therapeutic use ; Plasma Substitutes/therapeutic use ; Fluid Therapy
    Chemical Substances Hydroxyethyl Starch Derivatives ; Plasma Substitutes
    Language English
    Publishing date 2023-07-11
    Publishing country Brazil
    Document type Editorial
    ISSN 2352-2291
    ISSN (online) 2352-2291
    DOI 10.1016/j.bjane.2023.07.004
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  5. Article: Time and Type of Administered Fluids during Cesarean Section Might Not Matter for Hemodynamic Outcomes, but There Are Significant Patient Safety Concerns Regarding Colloid Use in Parturients. Comment on Theodoraki et al. Colloid Preload versus Crystalloid Co-Load in the Setting of Norepinephrine Infusion during Cesarean Section: Time and Type of Administered Fluids Do Not Matter.

    Akça, Başak / Bilotta, Federico

    Journal of clinical medicine

    2023  Volume 12, Issue 14

    Abstract: We read the article by Theodoraki K and colleagues entitled 'Colloid Preload versus Crystalloid Co-Load in the Setting of Norepinephrine Infusion during Cesarean Section: Time and Type of Administered Fluids Do Not Matter' with interest [ ... ]. ...

    Abstract We read the article by Theodoraki K and colleagues entitled 'Colloid Preload versus Crystalloid Co-Load in the Setting of Norepinephrine Infusion during Cesarean Section: Time and Type of Administered Fluids Do Not Matter' with interest [...].
    Language English
    Publishing date 2023-07-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12144753
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  6. Article ; Online: In Response.

    Kulikov, Alexander / Bilotta, Federico

    Anesthesia and analgesia

    2022  Volume 135, Issue 6, Page(s) e45–e46

    Language English
    Publishing date 2022-11-16
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000006025
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    Zs.MO 149: Show issues

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  7. Article ; Online: How much does it cost to be fit for operation? The economics of prehabilitation.

    Crişan, Iulia / Slankamenac, Ksenija / Bilotta, Federico

    Current opinion in anaesthesiology

    2024  Volume 37, Issue 2, Page(s) 171–176

    Abstract: Purpose of review: Prehabilitation before elective surgery can include physical, nutritional, and psychological interventions or a combination of these to allow patients to return postoperatively to baseline status as soon as possible. The purpose of ... ...

    Abstract Purpose of review: Prehabilitation before elective surgery can include physical, nutritional, and psychological interventions or a combination of these to allow patients to return postoperatively to baseline status as soon as possible. The purpose of this review is to analyse the current date related to the cost-effectiveness of such programs.
    Recent findings: The current literature regarding the economics of prehabilitation is limited. However, such programs have been mainly associated with either a reduction in total healthcare related costs or no increase.
    Summary: Prehabilitation before elective surgery has been shown to minimize the periprocedural complications and optimization of short term follow up after surgical procedures. Recent studies included cost analysis, either based on hospital accounting data or on estimates costs. The healthcare cost was mainly reduced by shortening the number of hospitalization day. Other factors included length of ICU stay, place of the prehabilitation program (in-hospital vs. home-based) and compliance to the program.
    MeSH term(s) Humans ; Preoperative Care/methods ; Preoperative Exercise ; Elective Surgical Procedures/adverse effects ; Hospitalization ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control
    Language English
    Publishing date 2024-02-07
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 645203-6
    ISSN 1473-6500 ; 0952-7907
    ISSN (online) 1473-6500
    ISSN 0952-7907
    DOI 10.1097/ACO.0000000000001359
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  8. Article ; Online: Statins in Subarachnoid Hemorrhage to Prevent Delayed Cerebral Ischemia: Old Drugs for New Strategies?

    Aspide, Raffaele / Berselli, Bruno / Piazza, Ornella / Recchia, Andreaserena / Bilotta, Federico

    Neurocritical care

    2024  

    Language English
    Publishing date 2024-04-29
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2381896-7
    ISSN 1556-0961 ; 1541-6933
    ISSN (online) 1556-0961
    ISSN 1541-6933
    DOI 10.1007/s12028-024-01989-1
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  9. Article ; Online: Neuraxial Labor Analgesia.

    Biava, Anna Maria / Cipriani, Gianni / Bilotta, Federico

    Anesthesia and analgesia

    2023  Volume 137, Issue 3, Page(s) e22–e23

    MeSH term(s) Humans ; Female ; Pregnancy ; Analgesia, Obstetrical
    Language English
    Publishing date 2023-08-17
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000006569
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  10. Article: Aspirin interruption before neurosurgical interventions: A controversial problem.

    Kulikov, Alexander / Konovalov, Anton / Pugnaloni, Pier Paolo / Bilotta, Federico

    World journal of cardiology

    2024  Volume 16, Issue 4, Page(s) 191–198

    Abstract: Aspirin is widely used for primary or secondary prevention of ischemic events. At the same time, chronic aspirin consumption can affect blood clot formation during surgical intervention and increase intraoperative blood ... ...

    Abstract Aspirin is widely used for primary or secondary prevention of ischemic events. At the same time, chronic aspirin consumption can affect blood clot formation during surgical intervention and increase intraoperative blood loss
    Language English
    Publishing date 2024-04-01
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2573665-6
    ISSN 1949-8462
    ISSN 1949-8462
    DOI 10.4330/wjc.v16.i4.191
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