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Anaesthesiology Intensive Therapy

Grzegorz Dubiel, Rafał Kraus, Joanna Stępień, Aleksander Deptuła
No abstract text is available yet for this article.
September 30, 2016: Anaesthesiology Intensive Therapy
Kevin Fu Hong Yee, Marcin Wasowicz
BACKGROUND: The aim of this paper is to describe clinical management in a situation where a patient has experienced anaphylaxis while undergoing surgical septal myectomy for hypertrophic obstructive cardiomyopathy (HOCM). CASE REPORT: A 40-yr-old female was scheduled to undergo surgical septal myectomy for the treatment of HOCM. After induction, the patient developed refractory hypotension that did not respond to escalating doses of vasopressors and volume therapy...
September 30, 2016: Anaesthesiology Intensive Therapy
Tomoki Nishiyama
BACKGROUND: The purpose of this study was to compare cardiac sympathetic and parasympathetic balance using heart rate variability (HRV) during induction of anaesthesia between sevoflurane and isoflurane in combination with nitrous oxide. METHODS: 40 individuals aged from 30 to 60 years, scheduled for general anaesthesia were equally divided into sevoflurane or isoflurane groups. After 100% oxygen inhalation for a few minutes, anaesthesia was induced with nitrous oxide 3 L min⁻¹, oxygen 3 L min-1 and sevoflurane or isoflurane...
September 30, 2016: Anaesthesiology Intensive Therapy
Aaron Heller, John Dollerschell, Joshua Burk, Hailey Haines, Jonathan Kozinn
BACKGROUND: In the past decade, the rate and utilization of veno-venous extracorporeal membrane oxygenation (VV-ECMO) has increased dramatically. A single catheter technique has recently come into favour for providing VV-ECMO. Although it has been shown that intensivists can safely place these catheters, the safety of decannulation by intensivists has not been reported. OBJECTIVE: We describe a technique for safely decannulating the Avalon Elite VV-ECMO catheter at the bedside and assess the safety of this technique, as compared with the standard technique of decannulation in the operating room by a surgeon...
September 30, 2016: Anaesthesiology Intensive Therapy
Mohan Gurjar, Arvind K Baronia
No abstract text is available yet for this article.
September 23, 2016: Anaesthesiology Intensive Therapy
Małgorzata Lipinska-Gediga
Shock, defined at a cellular level, is a condition in which oxygen delivery to the cells is not sufficient to sustain cellular activity and support organ function. The central role of microcirculation in providing oxygen to the cells makes it of prime importance in determining organ function. In sepsis and septic shock, macrocirculatory alterations and microcirculatory dysfunction participate concurrently in the pathophysiology of organ failure. Haemodynamic coherence in shock is a condition in which normalization of systemic haemodynamic variables results in simultaneous amelioration in the perfusion of the microcirculation and restoration of tissue oxygenation as a final result...
September 23, 2016: Anaesthesiology Intensive Therapy
Martina Bellini, Massimo Barbieri
Low back and leg pain may be due to many causes, one of which is scarring in the epidural space. Epidural scarring may provoke this pain for many reasons: nerves may be trapped by scars, while veins in the epidural space press down upon the nerves and become enlarged, putting pressure on the nerves. Endoscopic and percutaneous epidural adhesiolysis allows one to eliminate the deleterious effects of scar formation, which can both physically prevent the direct application of drugs to nerve and provide relief in patients who have not responded to epidurals, physical therapy or medication...
September 6, 2016: Anaesthesiology Intensive Therapy
Anna Rojek-Jarmuła, Rainer Hombach, Łukasz J Krzych
BACKGROUND: Little is known about the diagnostic accuracy of the APACHE II scoring system in prolonged mechanical ventilation. The aim of this study was to assess the utility of APACHE II in order to predict in-hospital mortality, length of stay (LOS) and discharge destination of patients in a weaning centre. METHODS: The study group included 130 consecutive patients (median age 71 years; IQR 62-77). APACHE II was assessed based on the worst values taken during the first 24 hours post admission...
September 6, 2016: Anaesthesiology Intensive Therapy
Katarzyna Matysiak-Luśnia
Vitamin D deficiency is a commonly observed global phenomenon, both in the general population and in hospitalized patients, including critically ill patients. Vitamin D deficiency is associated with multiple adverse health outcomes, including increased morbidity and mortality in the general population and in critically ill patients. Vitamin D is a fatsoluble vitamin that plays an important role in bone metabolism. However, Vitamin D is also a steroid hormone that exerts multiple pleiotropic effects. Vitamin D regulates immunity, inflammation, cell proliferation, differentiation, apoptosis, and angiogenesis...
2016: Anaesthesiology Intensive Therapy
Piotr Czempik, Daniel Cieśla, Piotr Knapik, Łukasz J Krzych
BACKGROUND: Acute kidney injury (AKI) is a common problem in critically ill patients treated in the intensive care unit (ICU) and is associated with high mortality, particularly when renal replacement therapy (RRT) is required. Our aim was to investigate the risk factors for AKI requiring RRT (AKI-RRT). METHODS: In our retrospective, multi-centre, observational study, we analysed 14,672 consecutive AKI-RRT patients hospitalized in ICUs in the Silesian Region (Poland) between October 2011 and December 2014...
2016: Anaesthesiology Intensive Therapy
Yusuf Tunali, Eren Fatma Akcil, Ozlem Korkmaz Dilmen
No abstract text is available yet for this article.
2016: Anaesthesiology Intensive Therapy
Kapil Dev Soni, Monica Jindal, Richa Aggarwal, Mangilal Deganwa, Jagdish Prasad
No abstract text is available yet for this article.
2016: Anaesthesiology Intensive Therapy
Urszula Zielinska-Borkowska, Adam Kiciak, Wiesław Tarnowski, Bartosz Horosz, Małgorzata Malec-Milewska
No abstract text is available yet for this article.
2016: Anaesthesiology Intensive Therapy
Alicja Bartkowska-Śniatkowska, Marzena Zielińska, Maciej Cettler, Krzysztof Kobylarz, Magdalena Mierzewska-Schmidt, Marcin Rawicz, Andrzej Piotrowski
No abstract text is available yet for this article.
2016: Anaesthesiology Intensive Therapy
Marzena Zielińska, Alicja Bartkowska-Śniatkowska, Magdalena Mierzewska-Szmidt, Maciej Cettler, Krzysztof Kobylarz, Marcin Rawicz, Andrzej Piotrowski
No abstract text is available yet for this article.
2016: Anaesthesiology Intensive Therapy
Richa Aggarwal, Kapil Dev Soni, Amit Gupta, Subodh Kumar
BACKGROUND: The outcome of chest trauma depends on many factors, one of which includes comorbidities. Nowadays, as the elderly population is on the rise, more and more trauma victims are being admitted with chronic obstructive pulmonary disease as a comorbidity in trauma centre intensive care units. However, there are hardly any studies describing the outcome of such patients with chest trauma and chronic obstructive pulmonary disease, both being respiratory problems. The aim was to study the outcomes and various complications in patients of chest trauma with COPD admitted to our ICU over a given time period...
2016: Anaesthesiology Intensive Therapy
Hiroo Kawarazaki, Shigehiko Uchino
The 1980s saw the use of continuous arteriovenous hemofiltration whose intensity hemofiltration rate was only 3 or 4 mL kg⁻¹ h⁻¹. With the installation of a blood pump, this dose went up to 8 or 10 mL kg⁻¹ h⁻1, and continued to increase, reaching about 20 mL kg⁻¹ h⁻¹ by the year 2000. Some studies found that a higher dose could be beneficial, and the world rapidly followed the trend, increasing the dose up to 35 mL kg⁻¹ h⁻¹. Then, two randomized control trials, namely the VA/NIH Acute Renal Failure Trial Network study and the RENAL study, came along in succession which changed the Kidney Disease: Improving Global Outcomes (KDIGO) recommendation to 20 to 25 mL kg⁻¹ h⁻¹...
2016: Anaesthesiology Intensive Therapy
Iwona Pietraszek-Grzywaczewska, Szymon Bernas, Piotr Łojko, Anna Piechota, Mariusz Piechota
BACKGROUND: Scoring systems in critical care patients are essential for predicting of the patient outcome and evaluating the therapy. In this study, we determined the value of the Acute Physiology and Chronic Health Evaluation II (APACHE II), Simplified Acute Physiology Score II (SAPS II), Sequential Organ Failure Assessment (SOFA) and Glasgow Coma Scale (GCS) scoring systems in the prediction of mortality in adult patients admitted to the intensive care unit (ICU) with severe purulent bacterial meningitis...
2016: Anaesthesiology Intensive Therapy
Kulnipa Kittisakmontri, Sanit Reungrongrat, Mongkol Lao-Araya
BACKGROUND: Hypoalbuminaemia at admission is a common finding in patients admitted to the Paediatric Intensive Care Unit (PICU) and it is thought that this may predict morbidity and mortality. METHODS: A retrospective study was conducted in the tertiary hospital. The medical records of critically ill children were reviewed. The data were analyzed for the prevalence of hypoalbuminaemia and outcomes. RESULTS: Two hundred and two patients were included in the analysis...
2016: Anaesthesiology Intensive Therapy
Sebastien Jochmans, Ly-Van Phach Vong, Nathalie Rolin, Oumar Sy, Jonathan Chelly, Olivier Ellrodt, Jean-Emmanuel Alphonsine, Jean Serbource-Goguel, Razach Idriss Abdallah, Claire-Marie Weyer, Mehran Monchi, Christophe Vinsonneau
BACKGROUND: Current clinical practice guidelines promote a goal-directed approach for oxygen delivery with respect to SpO₂ objectives. We evaluated the efficiency of a strategy based on goal-directed O₂ delivery in the ICU. METHODS: A group of 30 patients (Group 1) with a proven history of chronic obstructive pulmonary disease suffering from acute hypercarbic exacerbation was compared to 2 other groups of patients admitted for acute respiratory failure with no history of pulmonary disease: 30 patients requiring oxygen supply and/or non-invasive ventilation (Group 2) and 30 requiring invasive ventilation (Group 3)...
2016: Anaesthesiology Intensive Therapy
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