A. Lucchini

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Ventilator associated pneumonia (VAP) is a nosocomial lower respiratory tract infection that ensues in critically ill patients undergoing mechanical ventilation. The reported incidence of VAP varies between 9% and 68% with a mortality ranging between 33% and 71%. Two key factors are implicated in the pathogenesis of VAP: bacterial colonization of the upper(More)
OBJECTIVES Adult mesenchymal stem cells (MSC) have been proven to be of benefit to the kidney in different experimental models of renal injuries. All studies have been performed in valuable rodent models, but the relevance of these results to large mammals and ultimately, to humans remains unknown. Therefore, the aim of this study was to investigate the(More)
Sclerosing peritonitis (abdominal cocoon syndrome) is a rare chronic affection of the peritoneum; its etiology is multifactorial and it affects all ages. Capsulating membranes seem to grow from a poorly cellular connective deposition in many layers on the intestinal peritoneum and are casually detected by surgery or autopsy. The placement of the(More)
INTRODUCTION Interventions aimed at increasing comfort of patients treated with Helmet Continuous Positive Airway Pressure (H-CPAP) increase its endurance and the duration of treatment. AIM To assess the effect of nursing interventions on factors of discomfort for H-CPAP patients. METHODS The fixing method of the helmet (5 subjects), the noise generated(More)
BACKGROUND Standard indications for endotracheal suctioning are often based on clinical judgment on the deterioration of the patient's condition, and/or routine suctioning. TBA Care is a secretion detector that analyses airway sounds and indicates the need for suctioning. OBJECTIVE To determine the efficacy of TBA Care in detecting retained secretions,(More)
BACKGROUND Biofilm accumulates within the endotracheal tube (ETT) early after intubation. Contaminated secretions in the ETT are associated with increased risk for microbial dissemination in the distal airways and increased resistance to airflow. We evaluated the effectiveness of micro computed tomography (MicroCT) for the quantification of ETT inner volume(More)
INTRODUCTION Transport of patients undergoing extracorporeal membrane oxygenation is currently available in 5 referral centers in our country. METHODS Retrospective case series of patients managed by our mobile extracorporeal membrane oxygenation team and transferred to San Gerardo University Hospital from December 2004 to December 2012. RESULTS 42(More)
AIM The aims of this study were to describe the current status of intensive care unit (ICU) visiting hours policies internationally and to explore the influence of ICUs' open visiting policies on patients', visitors', and staff perceptions, as well as on patients' outcomes. METHODS A review of the literature was done through MEDLINE, EMBASE, and(More)
UNLABELLED NEMS and NAS scoring systems allow to calculate the number of nurses needed in an intensive care unit. Aim of the study is the assessment of nursing workload in a polyvalent intensive care unit, the evaluation of easiness of routine use of the systems and the assessment of the number of nurses needed. METHOD The NEMS and NAS scores of 752(More)