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Anaesthesiology Intensive Therapy

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https://www.readbyqxmd.com/read/28417447/air-leak-without-subcutaneous-emphysema-in-an-adult-patient-due-to-thyroidectomy
#1
Levent Dalar, Ayten Saracoglu, Kemal Tolga Saracoglu, Celalettin Kocatürk
No abstract text is available yet for this article.
April 18, 2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28417446/missing-atrioventricular-echogenic-mass-during-pediatric-heartware%C3%A2-implantation
#2
Kemal Tolga Saracoglu, Ayten Saracoglu, Ayhan Cevik, Ibrahim Haluk Kafali
No abstract text is available yet for this article.
April 18, 2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28215043/is-the-change-of-percutaneous-oxygen-pressure-available-to-judge-the-effects-of-brachial-plexus-block
#3
Tomoki Nishiyama
BACKGROUND: To know the objective methods of the effects of the brachial plexus block, we studied the changes in percutaneous oxygen pressure (tcPO₂) with the hypothesis that tcPO₂ increases significantly on the blocked arm in comparison with the non-blocked arm, a phenomenon which is connected with vasodilation following the brachial plexus block. METHODS: Fifteen patients scheduled for upper extremity surgery, aged 20 to 70 years, with ASA physical status I or II were included...
February 19, 2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28194747/local-anaesthesia-with-analgosedation-in-patients-qualified-for-transcatheter-aortic-valve-implantation-tavi-first-institute-s-results-and-experiments
#4
Robert Musiał, Magdalena Lipińska-Strasik, Agnieszka Piątkiewicz, Jarosław Stoliński, Rafał Drwiła
BACKGROUND: The authors present their own experience of the treatment of patients qualified for transcatheter aortic valve implantation (TAVI) carried out in a modern hybrid operating room. The objective of the present study was to demonstrate the initial results of conducting anaesthesia in high-risk patients qualified for the TAVI procedure (transcatheter aortic valve implantation). In addition, the authors' aim was also to point out to the special challenges of an anaesthesiologist conducting local anaesthesia in such a type of procedures and to evaluate the safety and efficacy of the TAVI procedure conducted under remifentanil analgosedation...
February 14, 2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362039/in-response-to-anaphylaxis-during-cardiac-surgery-for-hypetrophic-cardiomyopathy-pathophysiologic-and-therapeutic-considerations
#5
Marcin Wąsowicz, Kevin Fu Hong Yee
No abstract text is available yet for this article.
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362038/anaphylaxis-during-cardiac-surgery-for-hypertrophic-cardiomyopathy-patholophysiologic-and-therapeutic-considerations
#6
Nicholas G Kounis, Grigorios Tsigkas, George Tzanis, Ioanna Koniari, George Soufras, George Hahalis
No abstract text is available yet for this article.
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362037/silicone-stents-save-lives-without-surgery-in-postintubation-subglottic-stenosis
#7
Levent Dalar, Ayten Saracoglu, Kemal T Saracoglu
No abstract text is available yet for this article.
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362036/hypermobile-laryngeal-granulomas-a-potential-cause-of-false-negative-cuff-leak-test
#8
Ankur Khandelwal, Bhagya Ranjan Jena, Niraj Kumar, Ashutosh Kaushal
No abstract text is available yet for this article.
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362035/commentary-to-the-article-neuromuscular-blockade-in-the-elderly
#9
Paweł Twardowski, Michał Domżalski
No abstract text is available yet for this article.
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362034/silesian-registry-of-intensive-care-units
#10
Łukasz J Krzych, Piotr F Czempik, Ewa Kucewicz-Czech, Piotr Knapik
No abstract text is available yet for this article.
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362033/methods-of-pain-assessment-in-adult-intensive-care-unit-patients-polish-version-of-the-cpot-critical-care-pain-observation-tool-and-bps-behavioral-pain-scale
#11
Katarzyna Kotfis, Małgorzata Zegan-Barańska, Łukasz Szydłowski, Maciej Żukowski, Wes E Ely
Many patients treated in the intensive care unit (ICU) experience pain that is a source of suffering and leaves a longterm imprint (chronic pain, post-traumatic stress disorder). Nearly 30% of patients experience pain at rest, while the percentage increases to 50% during nursing procedures. Pain in ICU patients can be divided into four categories: continuous ICU treatment-related pain/discomfort, acute illness-related pain, intermittent procedural pain and pre-existing chronic pain present before ICU admission...
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362032/randomized-comparative-study-of-the-effectiveness-of-three-different-techniques-of-interscalene-brachial-plexus-block-using-0-5-ropivacaine-for-shoulder-arthroscopy
#12
Michał Kolny, Michał J Stasiowski, Marek Zuber, Radosław Marciniak, Ewa Chabierska, Aleksandra Pluta, Przemysław Jałowiecki, Tomasz Byrczek
BACKGROUND: Interscalene brachial plexus block is an effective regional anesthesia technique for shoulder surgeries. The superiority of the popular ultrasound-guided blocks over peripheral nerve stimulator-confirmed blocks remains unclear. In this study the efficacy of these different block techniques was compared. METHODS: This prospective, randomized, clinical study included 109 patients (ASA grades I-III) who receive 20 mL 0.5% ropivacaine with ultrasound-guided blocks (U group), peripheral nerve stimulator-confirmed blocks (N group), or ultrasound-guided and peripheral nerve stimulator-confirmed blocks (dual guidance; NU group) for elective shoulder arthroscopy...
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362031/comparison-of-anaesthetic-gas-consumption-and-stability-of-anaesthesia-using-automatic-and-manual-control-over-the-course-of-anaesthesia
#13
Tomasz Skalec, Agnieszka Górecka-Dolny, Stanisław Zieliński, Mirosław Gibek, Łukasz Stróżecki, Andrzej Kübler
BACKGROUND: The automatic control module of end-tidal volatile agents (EtC) was designed to reduce the consumption of anaesthetic gases, increase the stability of general anaesthesia and reduce the need for adjustments in the settings of the anaesthesia machine. The aim of this study was to verify these hypotheses. METHODS: The course of general anaesthesia with the use of the EtC module was analysed for haemodynamic stability, depth of anaesthesia, end-expiratory concentration of anaesthetic, number of ventilator key presses, fentanyl supply, consumption of volatile agents and anaesthesia and operation times...
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362030/effect-of-universal-chlorhexidine-decolonisation-on-the-infection-rate-in-intensive-care-patients
#14
Wiesława Duszyńska, Barbara Adamik, Karolina Lentka-Bera, Katarzyna Kulpa, Agata Nieckula-Schwarz, Agnieszka Litwin, Łukasz Stróżecki, Andrzej Kübler
BACKGROUND: Healthcare-associated infections (HAIs), particularly intensive care unit-acquired infections (HAI-ICU), are an important cause of morbidity and mortality in hospitals. Most of these infections are caused by multidrugresistant organisms. The results of recent studies have suggested that daily bathing with chlorhexidine (CHX)-universal decolonisation can prevent ICU infections. The purpose of the study was to determine the influence of CHX bathing on the rate and type of HAI-ICU in critically ill patients...
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28362029/perioperative-haemodynamic-optimisation-in-patients-undergoing-non-cardiac-surgery-a-position-statement-from-the-cardiac-and-thoracic-anaesthesia-section-of-the-polish-society-of-anaesthesiology-and-intensive-therapy-part-2
#15
https://www.readbyqxmd.com/read/28362028/perioperative-haemodynamic-optimisation-in-patients-undergoing-non-cardiac-surgery-a-position-statement-from-the-cardiac-and-thoracic-anaesthesia-section-of-the-polish-society-of-anaesthesiology-and-intensive-therapy-part-1
#16
https://www.readbyqxmd.com/read/28362027/ludwik-bierkowski-and-the-early-days-of-general-anaesthesia-in-the-polish-soil-in-february-1847
#17
Ryszard W Gryglewski
Ludwik Bierkowski belonged to the elite of surgeons of the first half of the 19th century. Educated in an excellent German university, Bierkowski had in-depth and comprehensive knowledge, a wide range of practical skills and was continuously eager to search for new solutions. He introduced cotton wool for wound dressings, experimentally determined the conditions of blood transfusions and published two outstanding anatomo-surgical atlases, which ranks him among the leading physicians of those days. Moreover, he was the first to use ether for effective general anaesthesia in the Polish lands, the procedure that changed the course of the history of medicine...
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28084614/nasogastric-tube-insertion-in-anaesthetized-patients-a-comprehensive-review
#18
Sarvin Sanaie, Ata Mahmoodpoor, Mahdi Najafi
Nasogastric tubes (NGT) still remain the easiest and the best way for gastrointestinal tract access. There are various indications for the insertion of a nasogastric tube in anaesthetized and critically ill patients. Although many techniques have been introduced to facilitate nasogastric tube insertion using anatomic landmarks and a group of devices, there is no consensus on a standard method. Moreover, there are different methods for the assessment of the correct placement of a nasogastric tube. In addition to these challenges in insertion and assessment methods, there are varieties of major life-threatening and minor complications to be addressed...
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28000205/early-severe-acute-respiratory-distress-syndrome-what-s-going-on-part-ii-controlled-vs-spontaneous-ventilation
#19
REVIEW
Fabrice Petitjeans, Cyrille Pichot, Marco Ghignone, Luc Quintin
The second part of this overview on early severe ARDS delineates the pros and cons of the following: a) controlled mechanical ventilation (CMV: lowered oxygen consumption and perfect patient-to-ventilator synchrony), to be used during acute cardio-ventilatory distress in order to "buy time" and correct circulatory insufficiency and metabolic defects (acidosis, etc.); b) spontaneous ventilation (SV: improved venous return, lowered intrathoracic pressure, absence of muscle atrophy). Given a stabilized early severe ARDS, as soon as the overall clinical situation improves, spontaneous ventilation will be used with the following stringent conditionalities: upfront circulatory optimization, upright positioning, lowered VO2, lowered acidotic and hypercapnic drives, sedation without ventilatory depression and without lowered muscular tone, as well as high PEEP (titrated on transpulmonary pressure, or as a second best: "trial"-PEEP) with spontaneous ventilation + pressure support (or newer modes of ventilation)...
2016: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28000204/early-severe-acute-respiratory-distress-syndrome-what-s-going-on-part-i-pathophysiology
#20
REVIEW
Fabrice Petitjeans, Cyrille Pichot, Marco Ghignone, Luc Quintin
Severe acute respiratory distress syndrome (ARDS, PaO₂/FiO₂ < 100 on PEEP ≥ 5 cm H₂O) is treated using controlled mechanical ventilation (CMV), recently combined with muscle relaxation for 48 h and prone positioning. While the amplitude of tidal volume appears set < 6 mL kg⁻¹, the level of positive end-expiratory pressure (PEEP) remains controversial. This overview summarizes several salient points, namely: a) ARDS is an oxygenation defect: consolidation/ difuse alveolar damage is reversed by PEEP and/or prone positioning, at least during the early phase of ARDS b) ARDS is a dynamic disease and partially iatrogenic...
2016: Anaesthesiology Intensive Therapy
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