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Domenico Paparella

Researcher at University of Bari

Publications -  143
Citations -  4724

Domenico Paparella is an academic researcher from University of Bari. The author has contributed to research in topics: Cardiopulmonary bypass & Medicine. The author has an hindex of 28, co-authored 124 publications receiving 3878 citations. Previous affiliations of Domenico Paparella include University Hospital of Basel & University of Toronto.

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Cardiopulmonary bypass induced inflammation: pathophysiology and treatment. An update

TL;DR: Emphasis is given to the central role of transcription factor NF-kappa B in the complex mechanism of the inflammatory reaction and to the effects of compounds such as heparin and glycosaminoglycans, phosphodiesterase inhibitors and protease inhibitors whose role as anti-inflammatory agent has only recently been recognized.
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Association between driving pressure and development of postoperative pulmonary complications in patients undergoing mechanical ventilation for general anaesthesia: a meta-analysis of individual patient data.

TL;DR: In patients having surgery, intraoperative high driving pressure and changes in the level of PEEP that result in an increase of driving pressure are associated with more postoperative pulmonary complications, and a randomised controlled trial comparing ventilation based on driving pressure with usual care is needed to confirm these findings.
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Coagulation disorders of cardiopulmonary bypass: a review.

TL;DR: A better comprehension of the multifactorial mechanisms of activation of coagulation, inflammation, and fibrinolytic pathways during CPB may enable a more effective use of the technical and pharmaceutical options which are currently available.
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Protective versus Conventional Ventilation for Surgery: A Systematic Review and Individual Patient Data Meta-analysis

TL;DR: These data support the beneficial effects of ventilation with use of low VT in patients undergoing surgery and the role of intraoperative higher PEEP to prevent PPC during nonopen abdominal surgery.