Research Topics
| Arturo ChieregatoSummaryAffiliation: Ospedale M. Bufalini Country: Italy Publications
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Detail Information
Publications
Classification of a traumatic brain injury: the Glasgow Coma scale is not enoughA Chieregato
UO Anestesia e Rianimazione, Rianimazione per la Traumatologia e le Neuroscienze, Ospedale Bufalini, Cesena, Italy
Acta Anaesthesiol Scand 54:696-702. 2010..Clinicians treating patients with acute TBI are well placed to suggest which variables, in addition to the GCS, should concur in a new classification of TBI...
Cerebral arterio-venous pCO2 difference, estimated respiratory quotient, and early posttraumatic outcome: comparison with arterio-venous lactate and oxygen differencesArturo Chieregato
Unità Operativa di Anestesia e Rianimazione, Azienda USL di Cesena, Cesena, Italy
J Neurosurg Anesthesiol 19:222-8. 2007..These findings suggest that the isolated measurement of widening AVDpCO2 is not specific for global cerebral ischemia, but its observation over time could be potentially more useful...
Cerebral blood flow in traumatic contusions is predominantly reduced after an induced acute elevation of cerebral perfusion pressureArturo Chieregato
Neurosurgical and Trauma Intensive Care Unit, Maurizio Bufalini Hospital, Cesena, Italy
Neurosurgery 60:115-2; discussion 123. 2007..To evaluate the response to an acute elevation of cerebral perfusion pressure (CPP) of the regional cerebral blood flow (rCBF) measured in the edematous area of traumatic contusions...
High cervical spinal cord complete transectionArturo Chieregato
Neuroscience and Trauma Intensive Care Unit, Maurizio Bufalini Hospital, AUSL-Cesena, Cesena, Italy
Arch Neurol 65:1126. 2008
Xenon-CT and transcranial Doppler in poor-grade or complicated aneurysmatic subarachnoid hemorrhage patients undergoing aggressive management of intracranial hypertensionArturo Chieregato
Ospedale M Bufalini, Unitá Operativa Anestesia e Rianimazione, Viale Ghirotti 286, 47023 Cesena, Italy
Intensive Care Med 32:1143-50. 2006....
Hyperemia beneath evacuated acute subdural hematoma is frequent and prolonged in patients with an unfavorable outcome: a xe-computed tomographic studyArturo Chieregato
Neurosurgical and Trauma Intensive Care Unit, Maurizio Bufalini Hospital, Cesena, Italy
Neurosurgery 64:705-17; discussion 717-8. 2009..To verify the values and the time course of regional cerebral blood flow (rCBF) in the cortex located beneath an evacuated acute subdural hematoma (SDH) and their relationship with neurological outcome...
Cerebral blood flow mapping in two different subtypes of intraparenchymal hemorrhagic traumatic lesionsA Chieregato
Neurorianimazione, Ospedale M Bufalini, Cesena, Italy
Acta Neurochir Suppl 95:159-64. 2005....
Cerebral blood flow in mean cerebral artery low density areas is not always ischemic in patients with aneurysmal subarachnoid hemorrhage--relationship with neurological outcomeA Chieregato
Neurorianimazione, Ospedale M Bufalini, Cesena, Italy
Acta Neurochir Suppl 95:153-8. 2005..7% of the lesions/Xe-CT studies we found hyperemic values. Patients with a better outcome had hyperemic lesions, suggesting brain tissue recovery in injured areas...
Estimated cerebral respiratory quotient and arteriovenous differences of CO2 in the ultra early detection of global ischemia in severe head injuryA Chieregato
Neurorianimazione, Ospedale M Bufalini, Cesena, Italy
Acta Neurochir Suppl 95:67-71. 2005..The area under the ROC curves for eRQ, but not that of AVDpCO2, was greater (P = 0.04) than that of SjO2. The eRQ, more than AVDpCO2, appears to be a potentially more informative index of global cerebral ischemia than SjO2...
A diagnostic flowchart, including TCD, Xe-CT and angiography, to improve the diagnosis of vasospasm critically affecting cerebral blood flow in patients with subarachnoid haemorrhage, sedated and ventilatedA Chieregato
Unitá Operativa Anestesia e Rianimazione, Ospedale M Bufalini, Viale Ghirotti 286, 47023 Cesena, Italy
Acta Neurochir Suppl 104:251-3. 2008..The protocol suggests that in sedated and ventilated patients, detection of a critical rCBF reduction due to vasospasm is possible to allow for more specific treatment and to reduce undue medical complications...
Cerebral blood flow thresholds predicting new hypoattenuation areas due to macrovascular ischemia during the acute phase of severe and complicated aneurysmal subarachnoid hemorrhage. A preliminary studyA Chieregato
UO Anestesia e Rianimazione, Dipartimento di Emergenza, AUSL Cesena, Ospedale M Bufalini, Viale Ghirotti, 286, 47023 Cesena, Italy
Acta Neurochir Suppl 102:311-6. 2008..The aim of the study was to assess the values of regional cortical cerebral blood flow (rCBF) thresholds predictive for ischemia during the acute phase of SAH...
Normal jugular bulb oxygen saturationA Chieregato
Department of Anesthesiology Intensive Care, Section of Neurocritical Care, Ospedale Civile M Bufalini, Cesena, Italy
J Neurol Neurosurg Psychiatry 74:784-6. 2003..Normal values of the jugular bulb oxygen saturation were obtained in 1942 and in 1963. Correct catheter positioning was not confirmed radiologically...
Mixed dishomogeneous hemorrhagic brain contusions. Mapping of cerebral blood flowA Chieregato
Neurorianimazione, Ospedale M Bufalini, Cesena, Italy
Acta Neurochir Suppl 86:333-7. 2003..184). Our study suggests that in the mixed density contusions with multiple hemorrhagic cores, the CBF is concentrically distributed, improving from the core to the periphery...
Induced acute arterial hypertension and regional cerebral flow in intracontusional low density areaA Chieregato
Neurorianimazione, Ospedale Bufalini Cesena, Italy
Acta Neurochir Suppl 86:361-5. 2003..61). An acute increase of CPP seems to marginally affect rCBF in the intracontusional low density area having critically reduced initial values, but may greatly reduce rCBF in subjects starting from non-critical baseline values...
Global cerebral blood flow and CPP after severe head injury: a xenon-CT studyArturo Chieregato
U O Anestesia e Rianimazione, Ospedale M Bufalini, Viale Ghirotti 286, 47023, Cesena, Italy
Intensive Care Med 33:856-62. 2007..To evaluate the association between global cerebral blood flow and different cerebral perfusion pressure ranges in severe head injury...
Factors associated with neurological outcome and lesion progression in traumatic subarachnoid hemorrhage patientsArturo Chieregato
Intensive Care Unit, Maurizio Bufalini Hospital, Cesena, Italy
Neurosurgery 56:671-80; discussion 671-80. 2005..The amount of subarachnoid blood and the presence of associated parenchymal damage are powerful independent factors associated with CT progression, thus linking poor outcomes and CT changes...
Centrifugal distribution of regional cerebral blood flow and its time course in traumatic intracerebral hematomasArturo Chieregato
Neurorianimazione, , Ospedale M. Bufalini, Cesena, Italy
J Neurotrauma 21:655-66. 2004..These results could encourage a surgical approach based on an early evacuation of the hemorrhagic core associated to a preservation of the surrounding edematous tissue...
Diagnostic impact of the spectrum of ischemic cerebral blood flow thresholds in sedated subarachnoid hemorrhage patientsC Compagnone
Neurorianimazione, Ospedale M. Bufalini, Cesena, Italy
Acta Neurochir Suppl 96:53-6. 2006..However, each clinician should choose the most useful threshold according to pre-test probability and the cost/effectiveness ratio of the applied therapies...
Unilateral oculomotor nerve palsy: unusual sign of hydrocephalusF Cultrera
Neurosurgery Unit, M Bufalini Hospital, Cesena, Italy
J Neurosurg Sci 53:67-70. 2009..In this ground, ICP monitoring is a safe and helpful diagnostic tool that can afford a more accurate evaluation and proper treatment. The supposed mechanism of 3(rd) nerve dysfunction was bending/stretching of the nerve...
Detection of early ischemia in severe head injury by means of arteriovenous lactate differences and jugular bulb oxygen saturation. Relationship with CPP, severity indexes and outcome. Preliminary analysisA Chieregato
Ospedale Civile M. Bufalini, Cesena, Italy
Acta Neurochir Suppl 81:289-93. 2002..Low CPP appeared to be the most likely measurable cause of early ischemia. Abnormalities of AVDL appeared to be more sensitive, than SjO2, with regard to detection of the most severe cases...
Regional brain injury epidemiology as the basis for planning brain injury treatment. The Romagna (Italy) experienceF Servadei
Department of Injury Prevention, WHO Neurotrauma Collaborating Center, Maurizio Bufalini Hospital, Cesena, Italy
J Neurosurg Sci 46:111-9. 2002..Our objective was to measure incidence and epidemiologic factors associated with TBI in the Romagna region of Northeastern Italy and correlate those parameters with neurosurgical imaging and related clinical features...
Evolving lesions in traumatic subarachnoid hemorrhage: prospective study of 110 patients with emphasis on the role of ICP monitoringF Servadei
Department of Neurosurgery, WHO Neurotrauma Collaborating Center, Ospedale M. Bufalini, Cesena, Italy
Acta Neurochir Suppl 81:81-2. 2002....
Reperfusion of low attenuation areas complicating subarachnoid hemorrhageF Tagliaferri
Neurorianimazione, Ospedale M. Bufalini, Cesena, Italy
Acta Neurochir Suppl 96:85-7. 2006..Conversely, in lesions not initially severely ischemic, residual CBF gradually improved and frequently became hyperemic. The functional recovery of these zones remains to be evaluated...
Randomized clinical trial of intracranial pressure monitoring after severe head injuryArturo Chieregato
Crit Care Med 35:673-4. 2007
Hyperventilation in head injury: a reviewNino Stocchetti
Neuroscience ICU, Ospedale Maggiore Policlinico, Milan University, IRCCS, Milan
Chest 127:1812-27. 2005..This review has specific reference to traumatic brain injury, and is based on an extensive evaluation of the literature and on expert opinion...
Can circadian rhythms influence onset and outcome of nontraumatic subarachnoid hemorrhage?Arturo Chieregato
Am J Emerg Med 25:728-30. 2007
The syndrome of the sunken skin flap: a neglected potentially reversible phenomenon affecting recovery after decompressive craniotomyArturo Chieregato
Intensive Care Med 32:1668-9. 2006
