Alberto Lucchini

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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)
Dear Editor, We read with interest the paper by Hartog and Benbenishty published in the October issue of Intensive Care Medicine [1]. We wish to make some points about the conflicts between nurses and physicians during their work-shifts in intensive care units. The issue described by the authors recalls the concept of ‘‘moral distress’’: a challenge that(More)
OBJECTIVE To retrospectively analyse the application of the Nursing Activities Score (NAS) in an intensive care department from January 2006 to December 2011. METHOD The sample consists of 5856 patients in three intensive care units (GICU: General Intensive Care Unit, NeuroICU: Neurosurgical Intensive Care Unit, CICU: Cardiothoracic Intensive Care Unit)(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)
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)
UNLABELLED Number of nurses and adverse events: the results of a study. Introduction. Adverse events may be related to an higher workload and a lower nurse staffing level compared to patients needs. OBJECTIVE To assess the association between adverse events and lower nurse staffing level compared to patients workload, measured with the Nursing Activity(More)
INTRODUCTION Non invasive ventilation (NIV) is increasingly used in intensive and non intensive wards. OBJECTIVE To detect the impact of ventilation modes on nursing workload. METHODS Retrospective observational study of 200 patients admitted to a general Intensive Care Unit (ICU). Nursing Activities Score (NAS) was used to measure the nursing workload.(More)
The scanty availability of intensive care beds in our hospital, compared with the needings of the area, led us to employ surgical department beds as post-intensive beds. The possibility of delivering non invasive ventilation by head helmet allowed, also in such settings, the ventilation of patients. This paper analyses the main capacities and problems that(More)