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Emergency - module of Anesthesiology




Academic year 2023/2024

Course ID
Pietro Caironi (Lecturer)
Vincenzo Russotto (Lecturer)
6th year
Teaching period
First semester
Course disciplinary sector (SSD)
MED/41 - anaesthesiology
Formal authority
Type of learning unit
Modular course
Emergency (SCB0230)

Sommario del corso



  • Acute Respiratory Distress Syndrome (ARDS) and severe acute respiratory failure
  • Acid-base and fluid-electrolyte balance according to Stewart
  • Physiology and Pathophysiology of infusion fluids
  • Basic Life Support Defibrillation (BLSD)
  • Advanced Trauma Life Support (ATLS).

Suggested readings and bibliography


  • Ashbaugh DG, Bigelow DB, Petty TL, Levine BE. Acute respiratory distress in adults. Lancet. 1967 Aug 12;2(7511):319-23. DOI: 10.1016/S0140-6736(67)90168-7
  • Rubenfeld GD, Caldwell E, Peabody E, Weaver J, Martin DP, Neff M, Stern EJ, Hudson LD. Incidence and outcomes of acute lung injury. N Engl J Med. 2005 Oct 20;353(16):1685-93. DOI: 2010.1056/nejmoa050333
  • Slutsky AS, Ranieri VM. Ventilator-induced lung injury. N Engl J Med. 2014 Mar 6;370(10):980. DOI: 10.1056/nejmc1400293
  • Gattinoni L, Caironi P, Cressoni M, Chiumello D, Ranieri VM, Quintel M, Russo S, Patroniti N, Cornejo R, Bugedo G. Lung recruitment in patients with the acute  respiratory distress syndrome. N Engl J Med. 2006 Apr 27;354(17):1775-86. DOI: 10.1056/nejmoa052052
  • ARDS Definition Task Force, Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L, Slutsky AS. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012 Jun 20;307(23):2526-33. DOI: 10.1001/jama.2012.5669
  • Gattinoni L, Caironi P, Pelosi P, Goodman LR. What has computed tomography taught us about the acute respiratory distress syndrome? Am J RespirCrit Care Med. 2001 Nov 1;164(9):1701-11. Review. DOI: 10.1164/ajrccm.164.9.2103121
  • Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. 2000 May 4;342(18):1301-8. DOI: 10.1056/nejm200005043421801
  • Brower RG, Lanken PN, MacIntyre N, Matthay MA, Morris A, Ancukiewicz M, Schoenfeld D, Thompson BT; National Heart, Lung, and Blood Institute ARDS Clinical Trials Network.. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med. 2004 Jul 22;351(4):327-36. DOI: 10.1056/nejmoa032193
  • Guérin C, Reignier J, Richard JC, Beuret P, Gacouin A, Boulain T, Mercier E, Badet M, Mercat A, Baudin O, Clavel M, Chatellier D, Jaber S, Rosselli S, Mancebo J, Sirodot M, Hilbert G, Bengler C, Richecoeur J, Gainnier M, Bayle F, Bourdin G, Leray V, Girard R, Baboi L, Ayzac L; PROSEVA Study Group.. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013 Jun 6;368(23):2159-68. DOI: 10.1056/nejmoa1214103
  • Fencl V, Leith DE. Stewart's quantitative acid-base chemistry: applications in biology and medicine. Respir Physiol. 1993 Jan;91(1):1-16. Review. DOI: 10.1016/0034-5687(93)90085-o
  • Langer T, Ferrari M, Zazzeron L, Gattinoni L, Caironi P. Effects of intravenous solutions on acid-base equilibrium: from crystalloids to colloids and blood components. Anaesthesiol Intensive Ther. 2014 Nov-Dec;46(5):350-60. doi:10.5603/AIT.2014.0059. Review. DOI: 10.5603/ait.2014.0059
  • Myburgh JA, Mythen MG. Resuscitation fluids. N Engl J Med. 2013 Dec 19;369(25):2462-3. DOI: 10.1056/nejmra1208627
  • John A Myburgh, Simon Finfer, Rinaldo Bellomo, Laurent Billot, Alan Cass, David Gattas, Parisa Glass, Jeffrey Lipman, Bette Liu, Colin McArthur, Shay McGuinness, Dorrilyn Rajbhandari, Colman B Taylor, Steven A R Webb, CHEST Investigators; Australian and New Zealand Intensive Care Society Clinical Trials Group, Hydroxyethyl starch or saline for fluid resuscitation in intensive care. N Engl J Med. 2012 Nov 15;367(20):1901-11. DOI: 10.1056/nejmoa1209759
  • Caironi P, Tognoni G, Masson S, Fumagalli R, Pesenti A, Romero M, Fanizza C, Caspani L, Faenza S, Grasselli G, Iapichino G, Antonelli M, Parrini V, Fiore G, Latini R, Gattinoni L; ALBIOS StudyInvestigators. Albumin replacement in patients with severe sepsis or septic shock. N Engl J Med. 2014 Apr 10;370(15):1412-21. DOI: 10.1056/nejmoa1305727
  • Linee guida di Basic Life Support Defibrillation (BLSD); American Heart Association; Italian Resuscitation Council.
  • Linee guida di Advanced Trauma Life Support (ATLS); Americal College of Surgeons.
  • Diapositive utilizzate durante le lezioni.



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Last update: 29/11/2023 14:15
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