Introduction: Emergency upper gastrointestinal (GI) endoscopy is often prolonged and complex, performed during high-risk conditions. These procedures can be affected by an increased risk for airway compromise. Scarce literature can be found providing guidance on anesthesiological conduct during upper GI endoscopy in Emergency. Methods: This was a monocentric retrospective study conducted on 96 patients treated in the Emergency Gastroenterology Unit at AORN Cardarelli, between June and October 2023. Key features of moderate and deep sedation procedures were investigated. Results: There was no statistically significant difference in the incidence of complications and respiratory depression between the patients receiving moderate sedation versus those treated with deep sedation. Discussion: Adverse outcomes of sedation and analgesia during endoscopic procedures are rare, even during a deep state of sedation.
A 55-year-old woman with Multiple Scleroris (MS) was referred to undergo a course of conventional physical therapy and cognitive robotic rehabilitation. The neurological examination revealed ataxic gait, dysmetria, nystagmus, cognitive impairment of attention and memory, weakness in the four limbs. To improve balance and walking skills, 20 gait and balance rehabilitation sessions was prescribed, based on conventional physiotherapy and virtual reality. The results were evaluated with balance and walking tests and with objective test C-GAIT. This case report shows improvements in gait and balance in a MS patient obtained with a rehabilitation program that associated C-MILL with traditional physical therapy.
Aims: Thrombocytopenia (TCP) following aortic valve replacement (AVR) is a significant concern, with varying degrees of platelet count reduction observed postoperatively. This phenomenon occurs more frequently in patients undergoing surgical biological AVR compared to those receiving mechanical AVR or transcatheter aortic valve implantation (TAVI). This study aimed to investigate the incidence of TCP following surgical AVR with the Inspiris Resilia bioprosthesis compared with Carpentier Magna Ease valve. Methods: The study retrospectively collected data from 144 patients who underwent isolated AVR between January and December 2023. Patients received either the Inspiris Resilia or the Carpentier Magna Ease valve. Platelet counts were evaluated from admission to discharge, and statistical analyses were performed to identify significant variables correlated to post-operative TCP. Results: Patients receiving the Inspiris Resilia valve had higher platelet counts from postoperative day 1e3 compared to those with the Carpentier Magna Ease valve. The incidence of moderate-to-severe TCP was significantly lower in the Inspiris Resilia group. However, no significant differences in clinical outcomes, such as bleeding events and blood transfusion rates, were observed between the two groups. Conclusions: The study showed that the Inspiris Resilia valve is associated with a lower incidence of moderate-to- severe TCP compared to the Carpentier Magna Ease valve. These fi ndings underscore the potential benefits of utilizing the Inspiris Resilia valve to mitigate the risk of TCP post-AVR. Further research with larger cohorts is warranted to validate these results and explore the underlying mechanisms.
Background: The integration of artificial intelligence (AI) in healthcare has the potential to revolutionize clinical practice, particularly in the management of complex conditions such as fi bromyalgia (FM). Despite its promise, the adoption of this technology in practice faces several challenges, including limited knowledge and preparedness among healthcare professionals. Aim: To evaluate the level of knowledge before and after a workshop on AI in FM among clinicians of different disciplines. Methods: A survey was conducted at the end of the lab. An anonymous 21-item questionnaire was administered to participants. Results: This survey (n 1 / 4 26) revealed that while most had extensive clinical experience and some prior exposure to AI, the majority lacked sufficient knowledge and felt unprepared to integrate AI into FM management. Post-congress, perceptions of AI improved for many, but significant barriers remained, including lack of training, resistance to change, and cost concerns. Key benefits identified were symptom monitoring and decision support. Targeted training and technical support were highlighted as essential for effective AI adoption in clinical practice. Conclusion: Despite a generally positive shift in perception following the congress, many doctors still feel unprepared and lack the necessary knowledge to effectively utilize AI tools. These results underscore the importance of targeted training and support to implement research and facilitate the integration of AI tools in FM and other clinical settings.
