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Anaesthesiology Intensive Therapy

Jakub Fronczek, Kamil Jurand Polok, Ilona Nowak-Kózka, Anna Włudarczyk, Jacek Górka, Mirosław Czuczwar, Paweł Krawczyk, Mirosław Ziętkiewicz, Łukasz R Nowak, Maciej Żukowski, Katarzyna Kotfis, Katarzyna Cwyl, Ryszard Gajdosz, Romuald Bohatyrewicz, Jowita Biernawska, Paweł Grudzień, Paweł Nasiłowski, Natalia Popek, Waldemar Cyrankiewicz, Katarzyna Wawrzyniak, Marek Wnuk, Dariusz Maciejewski, Dorota Studzińska, Szymon Bernas, Mariusz Piechota, Waldemar Machała, Marta Serwa, Maria Wujtewicz, Jan Stefaniak, Małgorzata Szymkowiak, Ryszard Gawda, Barbara Adamik, Natalia Kozera, Waldemar Goździk, Hans Flaatten, Wojciech Szczeklik
BACKGROUND: The increasing population of very old intensive care patients (VIPs) is a major challenge currently faced by clinicians and policymakers. Reliable indicators of VIPs' prognosis and purposefulness of their admission to the intensive care unit (ICU) are urgently needed. METHODS: This is a report from the Polish sample of the VIP1 multicentre cohort study (NCT03134807). Patients ≥ 80 years of age admitted to the ICU were included in the study. Information on the type and reason for admission, demographics, utilisation of ICU procedures, ICU length of stay, organ dysfunction and the decision to apply end-of-life care was collected...
September 22, 2018: Anaesthesiology Intensive Therapy
Tomasz Jasiński, Radosław Owczuk, Magdalena Wujtewicz
BACKGROUND: Salbutamol is a short acting beta-2 mimetic commonly used among intensive care unit patients. There are data suggesting that his mechanism of action can be a potential factor triggering arrhythmias. The aim of this study was to assess whether nebulized salbutamol causes systemic effects resulting in electrocardiographic alterations associated with atrial fibrillation occurrence in mechanically ventilated patients. METHODS: 50 individuals were randomly allocated to receive either 2...
September 22, 2018: Anaesthesiology Intensive Therapy
Radosław Chutkowski, Bartłomiej Wódarski, Paweł Krzęczko, Małgorzata Malec-Milewska
No abstract text is available yet for this article.
September 17, 2018: Anaesthesiology Intensive Therapy
Wojciech Gola, Michał Domagała, Adam Cugowski
The risk of aspiration of gastric contents in the perioperative period constitutes a serious clinical problem and it is connected with increased mortality. At present, the risk of aspiration is assessed only on the basis of an interview and information obtained from the patient. Such assessment is not always reliable while the concomitance of some additional factors influencing the delay of gastric emptying significantly decreases its sensitivity. Using bedside ultrasound imaging in an assessment of gastric contents is a method which supports an objective, simple and quick assessment of the risk of aspiration, helps one to optimise perioperative anaesthetic management, and should constitute a routine element of the perioperative patient assessment...
September 17, 2018: Anaesthesiology Intensive Therapy
Michał Jan Stasiowski, Ewa Chabierska, Radosław Marciniak, Michał Kolny, Marek Zuber, Przemysław Jałowiecki, Aleksandra Pluta, Izabela Szumera
BACKGROUND: Adequate pain management after arthroscopic procedures improves patients' satisfaction with the performed procedure, as well as facilitating early rehabilitation. The aim of the current randomised, prospective clinical study was to assess the influence of anthropometric parameters and the interscalene brachial plexus block (IBPB) technique on the quality of post-operational analgesia. METHODS: 109 randomly selected patients of ASA I-III status were scheduled for elective shoulder arthroscopy...
September 17, 2018: Anaesthesiology Intensive Therapy
Kemal Tolga Saracoglu, Ali Demir, Gokhan Pehlivan, Ayten Saracoglu, Zeynep Eti
BACKGROUND: Ease and speed of insertion, reduced trauma incidence, integral bite block, gastric access, non-inflatable cuff and superior seal pressure are the advantages of I-gel. The primary goal of this study was to compare airway leak pressures and fiberoptic view in supine and lateral positions. Our secondary aim was to analyze the effects of I-gel insertion on hemodynamic parameters. METHODS: One hundred patients undergoing saturation biopsy due to prostatic hyperplasia were recruited in this prospective randomized study...
September 17, 2018: Anaesthesiology Intensive Therapy
Jan Pluta, Barbara Nicińska, Michał Ciurzyński, Janusz Trzebicki
BACKGROUND: Platelets are responsible for primary haemostasis. Patients with suspected platelet dysfunction require prompt clinical assessment when qualifying for emergency surgical procedures. The purpose of this article is to present our experience in platelet function assessment using whole-blood multiple electrode aggregometry (MEA) in various clinical conditions. CASE REPORTS: Retrospective analysis of three patients with thrombocytopathy associated with normal platelet counts was performed using standard laboratory tests complemented by MEA...
2018: Anaesthesiology Intensive Therapy
Jan Pluta, Barbara Nicińska, Janusz Trzebicki
Platelets play an essential role in haemostasis. Assessment of their function is vital for anaesthesiologists evaluating haemostatic potential, especially during emergency operations. The monitoring of platelets function had been implemented into the European recommendations for management of perioperative and posttraumatic bleeding. One of the diagnostic methods described in the recommendations is multiple electrode aggregometry. As antiplatelet therapy becomes more widely used in modern medicine, this method, in contrast to standard laboratory tests, can significantly help to identify patients with drug-induced thrombocytopaty...
2018: Anaesthesiology Intensive Therapy
Ewa Woźnica, Lidia Łysenko
Serum procalcitonin (PCT) is a sensitive biomarker used for the diagnosis of infection and sepsis. PCT has also some toxic effects. It is not a proinflammatory stimulus, but may augment the inflammatory processes. High levels of PCT in sepsis may lead to hepatocyte necrosis and, as a result, to liver failure. The pathomechanism of the toxic effect of PCT is still unknown. The influence of liver function on PCT levels has not been studied yet. It is not sure whether the liver dysfunction affects the diagnostic and prognostic value of serum PCT levels...
2018: Anaesthesiology Intensive Therapy
Suci Hanifah, Ross Kennedy, Patrick Ball
BACKGROUND: There are no published studies that report on fentanyl and ketamine compatibility in dextrose 5% solution as commonly practiced in hospital settings. METHODS: This study assessed the compatibility of fentanyl and ketamine after their reconstitution in dextrose 5% under ambient temperature and humidity conditions in a hospital setting. Each sample of fentanyl and ketamine was prepared in triplicate by adding dextrose 5% to a prefilled syringe until final concentrations of 9...
2018: Anaesthesiology Intensive Therapy
Piotr Filip Czempik, Łukasz J Krzych
AHA is an extremely rare disorder, with annual incidence of 1.5 cases per million population. This clinical entity is caused by autoantibodies directed against coagulation factor VIII, what leads to decreased serum activity of thereof, and is characterized by spontaneous or induced by trauma, or invasive procedure bleeding. Approximately 50% of cases are idiopathic in origin, affecting both sexes, with median age at diagnosis of 74 years. We present a case report of a patient diagnosed with acquired haemophilia A (AHA) in the perioperative period...
2018: Anaesthesiology Intensive Therapy
Marco Cascella
2018: Anaesthesiology Intensive Therapy
Kati Järvelä, Markku Rantanen, Tiit Kööbi, Heini Huhtala, Tero Sisto
BACKGROUND: Significant fluid retention is common after cardiac surgery with the use of cardiopulmonary bypass (CPB). The aim of the study was to evaluate the effects of hypertonic saline-hydroxyethyl starch (HS-HES) solution on fluid accumulation in patients undergoing coronary artery bypass grafting surgery (CABG). METHODS: Fifty adult male patients undergoing coronary bypass surgery were enrolled in this interventional, randomized, double-blinded study to compare HS-HES with saline solution...
2018: Anaesthesiology Intensive Therapy
Vitaliy Ivanovich Kolomachenko
BACKGROUND: Serum C-reactive protein (CRP) detects the inflammatory response to surgical trauma in hip surgery. It corresponds to the type of surgery, with a higher level of CRP being found in surgery techniques with greater tissue damage. The aim of our study was to analyze the CRP level in serum and drainage blood after hip surgery in patients with coxarthrosis depending on the method of anaesthesia and post-operative analgesia. METHODS: 65 patients, 58 ± 12 years old, were included in the study...
2018: Anaesthesiology Intensive Therapy
Cristina Petrisor, Robert Szabo, Catalin Constantinescu, Adrian Prie, Natalia Hagau
BACKGROUND: Ultrasonography-assessed hyomental distance (HMD) ratio has been found to discriminate between obese patients with Cormack-Lehane grades 1 or 2 vs. those with grades 3 or 4. The aim of our study is to evaluate the performance of the HMD evaluated ultrasonographically in neutral, ramped, and maximum hyperextended positions, as well as for the ratios obtained by dividing the HMD in the ramped position to that in the neutral position (HMDR1) and by dividing the HMD in maximum hyperextension to that in the neutral position (HMDR2), in order to predict the occurrence of Cormack-Lehane grades 3 or 4 during direct laryngoscopy...
2018: Anaesthesiology Intensive Therapy
Jolanta Wierzchowska, Przemysław Kowiański, Seweryn Niewiadomski, Zbigniew Karwacki
BACKGROUND: In nearly all cases of general anaesthesia with a volatile agent, the anaesthetic concentration has to be increased. Since the anaesthetic affects both the factors determining intracranial homeostasis and the systemic circulation, it is crucial that cerebral perfusion pressure (CPP) is protected. The aim of the present study was to assess the influence of gradually increased concentrations of desflurane on the cerebral and systemic circulations based on CPP, mean arterial pressure (MAP), intracranial pressure (ICP) and their correlations...
2018: Anaesthesiology Intensive Therapy
Gali Katznelson, Gali Katznelson, Hance Clarke
As organ transplantation science continues to mature, both physicians and the public face challenges defining death and, subsequently, caring for an individual when they are deemed eligible for organ procurement. This paper revisits the anaesthesiologist's role with respect to the provision of analgesic medication at the time of organ procurement. It provides a historical overview of the ethics of organ procurement, explaining how the definition of brain death and the ethical principle of the 'dead donor rule' have shaped the practice of organ procurement...
2018: Anaesthesiology Intensive Therapy
Bjoern Zante, Eva Margarete Hammel, Arno Lauber, Joerg Christian Schefold
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
Michał Stasiowski, Marek Zuber, Radosław Marciniak, Michał Kolny, Ewa Chabierska, Przemysław Jałowiecki, Aleksandra Pluta, Anna Missir
BACKGROUND: Horner's syndrome is comprised of a set of symptoms caused by a permanent or transient ipsilateral sympathetic trunk lesion or paralysis. It may occur after numerous pathologies in the cervical region, epidural, spinal anaesthesia, and interscalene, transscalene, supraclavicular, or infraclavicular brachial plexus block. The aim of this randomised, prospective clinical study was to evaluate the effect of the interscalene brachial plexus block (IBPB) technique on the occurrence rate of Horner's syndrome and identify contributing risk factors...
2018: Anaesthesiology Intensive Therapy
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