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Anaesthesiology Intensive Therapy

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https://www.readbyqxmd.com/read/30378094/broadening-the-operative-field-the-extent-of-surgery-beyond-the-patient-s-informed-consent-the-so-called-therapeutic-exception
#1
Rafał Kubiak
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30378093/inter-arm-differences-in-blood-pressure-among-subjects-with-disseminated-atherosclerosis-scheduled-for-vascular-surgery
#2
Dariusz Gajniak, Konrad Mendrala, Danuta Gierek, Łukasz J Krzych
BACKGROUND: The measurement of blood pressure (BP) is routinely performed in perioperative care. The reliability of results is essential for the implementation of treatment ensuring haemodynamic stability. The aim of the present study was to assess the prevalence and basic determinants of inter-arm BP differences among patients with advanced peripheral atherosclerosis undergoing vascular surgical procedures of the lower limbs. METHODS: The prospective study was carried out in patients scheduled for elective lower limb vascular surgery...
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30317537/diagnostic-accuracy-of-red-blood-cell-distribution-width-in-predicting-in-hospital-mortality-in-patients-undergoing-high-risk-gastrointestinal-surgery
#3
Michał Pluta, Tomasz Klocek, Łukasz J Krzych
BACKGROUND: The red blood cell distribution width index (RDW) is one of several parameters routinely analysed in peripheral blood counts. The aim of the study was to assess the usefulness of RDW in the prediction of in-hospital mortality in patients undergoing high-risk gastroenterological surgery. METHODS: Prospective observation covered 229 patients who underwent surgery, for whom the risk of cardiovascular complications was high due to the type of procedure. The patient’s individual risk was assessed using the criteria of the American Society of Anesthesiologists (ASA-PS)...
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30317536/use-of-noninvasive-mechanical-ventilation-with-pressure-support-guaranteed-with-average-volume-in-de-novo-hypoxaemic-respiratory-failure-a-pilot-study
#4
Killen Harold Briones-Claudett, Antonio Esquinas Rodriguez, Mónica H Briones-Claudett, Miguel Puga-Tejada, Mariuxi Del Pilar Cabrera Baños, Christian Roberto Pazmiño Dueñas, Carlos Israel Torres Herrera, Michelle Grunauer
BACKGROUND: This study was designed to determine the results associated with the use of noninvasive mechanical ventilation (NIV) using the BiPAP S/T-AVAPS ventilation strategy in subjects with mild to moderate de novohypoxaemicrespiratory failure. METHODS: This is a prospective study that includes subjects with de novohypoxaemic respiratory failure (not produced by acute exacerbations of COPD, chronic lung disease, or congestive heart failure) with mild to moderate PaO₂/FiO₂, who were admitted to the Intensive Care Unit (ICU) of Santa Maria Clinic in Guayaquil, Ecuador...
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30284716/a-case-report-of-inadvertent-intranasal-submucosal-injection-of-concentrated-epinephrine-with-no-long-term-sequelae
#5
https://www.readbyqxmd.com/read/30284715/postoperative-pain-after-spinal-surgery-in-the-paediatric-population
#6
Barbara Kościelniak-Merak, Ilona Batko, Krzysztof Kobylarz, Przemysław Tomasik
INTRODUCTION: Postoperative pain is a major aftereffect of surgery. Especially severe occurs after extensive operations within the spine. The goal of the study was to investigate the laboratory predictive factors of intensive postoperative pain in children undergoing extensive surgery Patients and methods: We recruited 41 children, age median 13 years (IQR:10-15 years) undergoing extensive spine surgery. The subjects were divided into two groups based on the intensity of postoperative pain measured using the 10-point numerical rating scale (NRS), visual analog scale (VAS) or faces pain scale-revised (FPS-R)...
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30284714/peri-anaesthetic-cardiac-arrest-with-administration-of-enalapril-spironolactone-and-%C3%AE-blocker
#7
Cedric Basquin Md, Catherine Simeon, Marc Edouard Gentili
none.
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30242826/frailty-increases-mortality-among-patients-%C3%A2-80-years-old-treated-in-polish-icus
#8
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...
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30242825/the-effect-of-nebulized-salbutamol-on-atrial-electrical-properties-in-mechanically-ventilated-critically-ill-patients-a-randomized-double-blind-study
#9
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...
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30221340/continuous-quadratus-lumborum-block-qlb-for-postoperative-recurrent-and-chronic-pain-series-of-case-reports
#10
Radosław Chutkowski, Bartłomiej Wódarski, Paweł Krzęczko, Małgorzata Malec-Milewska
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30221339/ultrasound-assessment-of-gastric-emptying-and-the-risk-of-aspiration-of-gastric-contents-in-the-perioperative-period
#11
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...
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30221338/risk-factors-for-occurrence-of-failed-interscalene-brachial-plexus-blocks-for-shoulder-arthroscopy-using-20-ml-0-5-ropivacaine-a-randomised-trial
#12
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...
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30221337/analysing-the-efficacy-of-the-i-gel-supraglottic-airway-device-in-the-supine-and-lateral-decubitus-positions
#13
Kemal Tolga Saracoglu, Ali Demir, Gokhan Pehlivan, Ayten Saracoglu, Zeynep Eti
BACKGROUND: The advantages of the I-gel supraglottic airway device include ease and speed of insertion, reduced trauma incidence, an integral bite block, gastric access, a non-inflatable cuff and superior seal pressure. The primary goal of this study was to compare airway leak pressures and the fibreoptic view in the supine and lateral positions. Our secondary aim was to analyse the effects of I-gel insertion on haemodynamic parameters. METHODS: One hundred patients undergoing saturation biopsy due to prostatic hyperplasia were recruited to this prospective randomised study...
2018: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/30124229/postoperative-pain-management-2018-consensus-statement-of-the-section-of-regional-anaesthesia-and-pain-therapy-of-the-polish-society-of-anaesthesiology-and-intensive-therapy-the-polish-society-of-regional-anaesthesia-and-pain-therapy-the-polish-association
#14
https://www.readbyqxmd.com/read/30011057/the-assessment-of-platelet-function-using-multiple-electrode-aggregometry-in-practical-procedures-in-anaesthesia
#15
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
https://www.readbyqxmd.com/read/30001456/multiple-electrode-aggregometry-as-a-method-for-platelet-function-assessment-according-to-the-european-guidelines
#16
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
https://www.readbyqxmd.com/read/29995971/procalcitonin-in-liver-dysfunction-dr-jekyll-or-mr-hyde
#17
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
https://www.readbyqxmd.com/read/29982991/extended-compatibility-of-fentanyl-and-ketamine-in-dextrose-5
#18
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
https://www.readbyqxmd.com/read/29953577/acquired-haemophilia-a-imitating-uterine-tumour-in-a-patient-with-de-novo-diagnosis-of-hepatitis-c
#19
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
https://www.readbyqxmd.com/read/29953576/emergence-from-anesthesia-a-winding-way-back
#20
Marco Cascella
none.
2018: Anaesthesiology Intensive Therapy
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