Search PubMed⌕ Search

Biomedical subjects

G Gritti

Publications and source records attributed to G Gritti.

77 records · Page 5Linked to original sources
PubMedDate not supplied

[Intraoperative fluid administration and severity of the clinical condition].

Fluid overload has been recently suggested to influence morbidity. The aim of this study was to investigate the relationship between the amount of fluid given in the operative room and the severity of illness, which is known to be different in scheduled and emergency surgery. We prospectively studied 78 surgical patients consecutively admitted to our Intensive Care Unit (ICU). We collected the following information: age and weight of the patient, amount of crystalloids, colloids and blood given in the operative room, length of the surgical procedure, SAPS, APACHE II, serum albumin, IUC length of stay, ICU and hospital mortality rate. The anaesthetist, who was responsible for the clinical decision in the operative room, was unaware of the study. The patients were divided in two groups: ELE, 59 patients admitted to ICU after scheduled surgery, and URG, 19 patients admitted after emergency surgery. Age, weight, number of patients operated on abdomen, length of surgical procedure were similar in both groups, but also the amount of fluid given in the operative room were the same (crystalloids 10.1 +/- 4.3 ml/kg/h in ELE vs 10.7 +/- 3.9 ml/kg/h in URG and total amount of fluid 12.1 +/- 5.5 ml/kg/h in ELE vs 14.5 +/- 5.7 ml/kg/h in URG).(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMedDate not supplied

[Memory for postoperative pain six months after discharge from the hospital].

OBJECTIVE: To investigate memory for postoperative pain in Intensive Care Unit (ICU) admitted patients after hospital discharge. DESIGN: Prospective study by direct interviews. METHODS: Six months after hospital discharge, we interviewed adult, postoperative, co-operative patients consecutively admitted to ICU for more than 24 hrs, resident near the hospital, who gave informed consent. We investigated intensity of postoperative pain and recollections of critical care reported by patients. The following data were collected from medical records: type and duration of surgical intervention, type of anaesthesia and fentanyl dose, severity of illness at ICU admission, ICU and hospital (after ICU) length of stay and postoperative administration of morphine. RESULTS: Of 130 patients interviewed, 82 (63%) reported no pain, 27 (21%) low and 21 (16%) more than low pain. Among these 3 groups of patients, there was no statistically significant difference in all the variables collected from medical records. Patients who remembered more than low pain recorded emotional distress more frequently (p < 0.001) and physical discomfort less frequently (p < 0.01) than patients whose pain was absent or low. CONCLUSIONS: Most patients report that postoperative pain, during their ICU stay, was absent or low. Emotional distress seems to be related to memory for postoperative pain.

Adult↗