Giuseppe La Spina

Learn More
OBJECTIVE We investigated the epidemiology of ventilator-associated pneumonia in elderly ICU patients. More precisely, we assessed prevalence, risk factors, signs and symptoms, causative bacterial pathogens, and associated outcomes. DESIGN Secondary analysis of a multicenter prospective cohort (EU-VAP project). SETTING Twenty-seven European ICUs. (More)
PURPOSE This study evaluated the marginal fit of experimental and custom-made fixed prosthetic restorations through a new 360-degree external examination. The minimum number of gap measurements required to produce relevant results for gap analysis was also investigated. MATERIALS AND METHODS The marginal fit of six experimental and eight custom-made(More)
BACKGROUND We implemented a program for continuous renal replacement therapies (CRRT) in intensive care units (ICU) based on the cooperative work of dialysis and ICU personnel. Our aim was to report the main details of this program and compare its cost with that of intermittent hemodiafiltration (IHDF). METHODS The study referred to 181 ICU patients with(More)
Blood stored in acid-citrate-dextrose (ACD) shows a progressive decrease in 2,3-diphosphoglycerate (DPG) content. Since the decrease in DPG increases hemoglobin oxygen affinity, which in turn may reduce tissue and venous PO2 and peripheral oxygen delivery, many efforts have been made to preserve or restore DPG levels in stored blood. An in vivo rejuvenating(More)
The authors report the results of a study in 43 patients anesthetized using Propofol + Ketamina. The results seem to stage that the two drugs have complementary effects. Propofol and Ketamina used together and infused inravenously have given better results, and less kinds of complementary effects than usual techniques.
The rate of application of preventive and diagnostic strategies in the management of patients with ventilator-associated pneumonia (VAP) may be significantly different from those reported in international guidelines. We are reporting in this correspondence the results of a regional Italian survey of preventive and diagnostic strategies for the management of(More)