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M M Petrova, S V Prokopenko, O V Eremina, E Yu Mozheiko, D S Kaskaeva
AIM: To evaluate the efficacy of computer-based stimulation programs in the correction of postoperative cognitive dysfunction in patients with ischemic heart disease in remote period after coronary artery bypass surgery. MATERIAL AND METHODS: The study involved 74 patients. All patients underwent a drug therapy and the rehabilitation course using computer-based stimulation programs (1 time per day for 20 minutes during10 days). Coronary artery bypass surgery was performed for all patients...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Anna Rosiek, Tomasz Kornatowski, Aleksandra Rosiek-Kryszewska, Łukasz Leksowski, Krzysztof Leksowski
INTRODUCTION: The stress related to patient's stay in a hospital increases when it is necessary to perform a surgery. Therefore, the study of the phenomenon of stress intensity in hospitalized patients has become an important issue for public health. MATERIAL AND METHOD: The study was conducted in University Hospital No. 1 in the cardiosurgery clinic. The study involved 58 patients who were admitted as planned to the hospital. The study used a standardized questionnaire measuring intensity of the stress and also deepened interviews with patients about stress and anxiety felt before the surgery...
2016: BioMed Research International
T V Klipa, A A Eremenko, A N Shepelyuk, I O Antonov
This literature review is devoted to modern condition of pharmacological neuroprotection. Aeuroprotection as a complex method of brain protection and reduction of neurological complications is a relevant trend in practical anesthesia and intensive care. The following data represents frequency of neurological complications in different types of surgery and its main classifications. In the first part of the review potential neuroprotectional abilities of modern anesthesia medications are discussed Mechanisms of neuronal destruction and possible ways of impact on the pathophysiological processes via pharmacological agents are observed...
July 2015: Anesteziologiia i Reanimatologiia
N P Lyamina, E S Karpova, E V Kotel'nikova, E A Bizyaeva
The comprehensive analysis of efficiency of different variants of preconditioning is currently of special importance since the realization of the potential of endogenous protective effects extends possibilities for anti-ischemic protection of myocardium at different stages of CHD. Today, the main principles of preconditioning are purposefully applied to the development of therapeutic strategies for the treatment of CHD. The most widely used in the clinical practice are local and distant preconditioning modalities as well as preconditioning by physical exercises whose well-known protective effects are used in cardiosurgery and routine clinical practice...
2015: Klinicheskaia Meditsina
B G Iskenderov, O N Sisina, Z M Budagovskaia
AIM: to determine the frequency and risk factors of acute renal lesions (ARL) and their prognostic significance in patients with chronic renal disease (CRD) undergoing surgical intervention. MATERIALS AND METHODS: The study included 1122 patients (586 men and 536 women) aged 32-68 (mean 62.3 ± 5.2) years who underwent correction of valvular defects, aortocoronary bypass surgery or their combination). Initial glomerular filtration rate was higher than 90 ml/min/l...
2015: Klinicheskaia Meditsina
E V Fanaskova, O V Gruzdeva, M V Goncharenko, G V Moiseenkov, E V Grigor'ev
The index and structure of allosensibilization of patients according transfusion dangerous antigens of erythrocytes were identified. The purpose of action was to evaluate risk of development of post-transfusion hemolytic complications under application of hemotransfusions during operative interventions on heart and vessels. The immune anti-erythrocytes antibodies were detected in 81 cases (1.7%) and their main percentage formed antibodies of Rhesus system (67.7%). The antibodies to antigens of other systems like anti-K (10%), anti-S (2...
December 2014: Klinicheskaia Laboratornaia Diagnostika
S O Kuz'menko, K S Chasovs'kyĭ
Elaborated and introduced into the practice method of the blood preservation, while correction of complex inborn heart failures (IHF) in a newborn babies, was proposed. It assumes application of system for intraoperative reinfusion of own erythrocytes with processing of residual perfusate and their reinfusion in a postperfusion period. Impact of the blood preservation on volume of a donor's blood components, hematological indices and methods of application of washed erythrocytes while correction of complex IHF in a newborn babies were presented...
January 2015: Klinichna Khirurhiia
Piotr Surmiak, Małgorzata Baumert, Małgorzata Fiala, Zofia Walencka, Andrzej Więcek
Acute kidney injury (AKI) is a primarily described complication after unbalanced systemic perfusion in neonates with congenital heart defects, including hypoplastic left heart syndrome (HLHS). The aim of the study was to compare the umbilical NGAL concentrations between neonates born with HLHS and healthy infants, as well as to analyze whether the determination of NGAL level could predict AKI in neonates with prenatally diagnosed HLHS. Twenty-one neonates with prenatally diagnosed HLHS were enrolled as study group and 30 healthy neonates served as controls...
2015: BioMed Research International
Tian You, Xin-tao Zhang, Zhen-gang Zha, Wen-tao Zhang
Gluteal muscle contracture (GMC), presented with hip abduction and external rotation when crouching, is common in several ethnicities, particularly in Chinese. It remains unclear that the reasons why these children are weak and have no choice to accept repeated intramuscular injection. Here, we found some unique cases which may be useful to explain this question. We describe a series of special GMC patients, who are accompanied with congenital heart disease (CHD). These cases were first observed in preoperative examinations of a patient with atrial septal defect (ASD), which was proved by chest X-ray and cardiac ultrasound...
February 2015: Medicine (Baltimore)
Han Chen, Zhang-Bo Cheng, Rong-Guo Yu
INTRODUCTION: Procalcitonin (PCT) is activated during cardiopulmonary bypass (CPB) and may be a predictor of acute respiratory distress syndrome (ARDS). The objective of this study is to determine whether patients with different serum PCT concentrations exhibit different rates of developing moderate to severe ARDS. METHODS AND ANALYSIS: This is a prospective, single centre, observational cohort study. All patients admitted to the cardiosurgery department for cardiac surgery with CPB were screened for study eligibility...
October 29, 2014: BMJ Open
O V Petrova, S A Shashin, D G Tarasov
The evaluation was implemented concerning the values of automated parameter "immature granulocytes" in cardiosurgery patients. It is demonstrated that amount of immature granulocytes in peripheral blood exceeding 2% indicates development of infectious inflammatory process (sepsis). The monitoring of amount of immature granulocytes in cardiosurgery patients makes it possible to evaluate effectiveness of applied therapy, severity of patient condition, course of post-surgery period and outcome of disease.
May 2014: Klinicheskaia Laboratornaia Diagnostika
I A Mandel', I V Sukhodolo, R I Pleshko, A A Anishchuk, V O Kiselev, Iu K Podoksenov, V M Shipulin, L S Liapinova, A E Nevdakh
AIM: To estimate the prognostic value of the hypoxic test, intragastric pH-metry, and endothelial dysfunction in cardiosurgical patients at risk of gastrointestinal hemorrhage. MATERIALS AND METHODS: This prospective study approved by the ethical committee was performed based at the Department of Anesthesiology and Resuscitation, Research Institute of Cardiology, Tomsk, in 2012-2013. It included 30 patients who had previously undergone myocardial revascularization with artificial circulation...
2014: Klinicheskaia Meditsina
D A Popov, S T Ovseenko, T Yu Vostrikova
PURPOSE OF THE STUDY: To define diagnostics ability of procalcitonin (PCT) test for prediction of bacteremia of different etiology in cardio-surgical patients. MATERIALS AND METHODS: 10158 pairs of blood examples from cardio-surgical patients in early postoperative period were studied from 2007 to 2012. Results of PCT test were compared with blood cultures. The data is presented as absolute values and proportions. Furthermore a mean and standard error of the mean is presented...
March 2014: Anesteziologiia i Reanimatologiia
Janusz Kochman, Zenon Huczek, Piotr Scisło, Maciej Dabrowski, Zbigniew Chmielak, Piotr Szymański, Adam Witkowski, Radosław Parma, Andrzej Ochala, Piotr Chodór, Krzysztof Wilczek, Krzysztof W Reczuch, Piotr Kubler, Bartosz Rymuza, Lukasz Kołtowski, Anna Scibisz, Radosław Wilimski, Eberhard Grube, Grzegorz Opolski
The aim of the study was to evaluate the transcatheter aortic valve replacement (TAVR) in high-risk patients with severe bicuspid aortic valve (BAV) stenosis and to compare the outcomes with a matched group of patients with tricuspid aortic valve. TAVR became an alternative treatment method in high-risk patients with symptomatic aortic stenosis; however, BAV stenosis is regarded as a relative contraindication to TAVR. The study population comprised 28 patients with BAV who underwent TAVR. BAV was diagnosed based on a transesophageal echocardiography...
September 1, 2014: American Journal of Cardiology
E P Kokhan, A S Aleksandrov, I N Shandurenko, E V Kokhan
Presented in the article are the results of examination and treatment of 65 patients with infectious wound complications of the sternotomic injury after open heart surgery. The main risk factors for their development in our patients were as follows: obesity, chronic obstructive pulmonary disease, diabetes mellitus, severe heart failure, prolonged operation, sternal instability. The leading pathogenic microorganisms were Gram positive staphylococci. Treatment varied from prolonged antibiotic therapy with surgical debridement of the wound to subtotal resection of the sternum with various plastic reconstructive interventions...
2014: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
Federico Pacei, Luciano Bet
No abstract text is available yet for this article.
May 2014: Neurological Sciences
Mariusz Kuśmierczyk, Sebastian Woźniak, Tomasz Hryniewiecki, Olga Tronina, Magdalena Durlik, Jacek Różański
BACKGROUND: The development of increasingly accurate immunosuppression and surgical techniques has contributed to transplantology to such an extent that patients who have undergone abdominal organ transplantations account for an increasing group in whom other diseases, including those of the cardiovascular system, have to be treated, also surgically. CASE REPORT: A 61-year-old male patient after liver transplantation was admitted to the Institute of Cardiology to undergo surgical treatment of aortic stenosis...
2013: Annals of Transplantation: Quarterly of the Polish Transplantation Society
Kinga Spławska
UNLABELLED: Changes in society, technological progress and time pressure cause irreversible changes in all health care professionals. Taking care of patient in severe condition can cause burnout syndrome among nurses. The aim of the study was to show the problem of burnout syndrome among nurses working in cardiac surgery ward. Those affect three main areas: psychological burnout syndrome, depersonalization, and job-related dissatisfaction. MATERIAL AND METHODS: The study was conducted among 50 nurses working in The Intensive Cardiac Care Unit at the University Hospital of Lodz...
August 2013: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
B A Aksel'rod, I A Tolstova, D A Gus'kov
UNLABELLED: The aim of this study was to evaluate tissue oxymetry dynamics in patients with different initial tissue oxygenation levels and to analyze the relation of these data with the perioperative period flow peculiarities. PATIENTS AND METHODS: 92 patients undergoing on-pump myocardium revascularization or valve replacement were included in the study. Regional oxygenation in all patients was monitored with FORE-SIGHT Laser Tissue Oximeter. Sensors were located in the right hemisphere projection and on right forearm...
March 2013: Anesteziologiia i Reanimatologiia
Anna Polewczyk, Andrzej Kutarski, Andrzej Tomaszewski, Wojciech Brzozowski, Marek Czajkowski, Maciej Polewczyk, Marianna Janion
BACKGROUND: Lead-dependent tricuspid dysfunction (LDTD) is one of important complications in patients with cardiac implantable electronic devices. However, this phenomenon is probably underestimated because of an improper interpretation of its clinical symptoms. The aim of this study was to identify LDTD mechanisms and management in patients referred for transvenous lead extraction (TLE) due to lead-dependent complications. METHODS: Data of 940 patients undergoing TLE in a single center from 2009 to 2011 were assessed and 24 patients with LDTD were identifi ed...
2013: Cardiology Journal
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