628 results match your criteria Anaesthesiology intensive therapy[Journal]


Poster presentations, invited abstracts and learning objectives.

Anaesthesiol Intensive Ther 2019 ;51(I):1-100

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January 2019

Supraclavicular block vs. intravenous regional anesthesia for forearm surgery.

Authors:
Tomoki Nishiyama

Anaesthesiol Intensive Ther 2019 Mar 4. Epub 2019 Mar 4.

Kamakura Hospital, 3-1-8, Hase, 248-0016 Kamakura, Japan.

Background: The purpose of this study was to compare the analgesic effect between intravenous regional anesthesia (IVRA) and supraclavicular block in forearm surgery.

Methods: Eighty patients aged 30 to 70 years for forearm surgery were divided into Supraclavicular group and IVRA group. Supraclavicular block was performed with 1% lidocaine 20 mL. Read More

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http://dx.doi.org/10.5603/AIT.a2019.0005DOI Listing

Introducing a new sedation policy in a large district general hospital: before and after cohort analysis.

Anaesthesiol Intensive Ther 2019 Feb 12. Epub 2019 Feb 12.

Department of Anaesthesia, Intensive Care and Pain Medicine, Cardiff University, Cardiff, Wales, United Kingdom.

Background: The management of pain, agitation and sedation for ventilated patients who are admitted to intensive care is an essential part of their care. The introduction of sedation protocols is associated with improved patient outcomes.

Methods: We conducted an observational cohort study among mechanically ventilated patients in a 16-bed ICU over a two-year period. Read More

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http://dx.doi.org/10.5603/AIT.a2019.0004DOI Listing
February 2019
2 Reads

Complications associated with nasotracheal intubation and proposal of simple countermeasure.

Anaesthesiol Intensive Ther 2019 Feb 6. Epub 2019 Feb 6.

Department of Paediatric Anaesthesiology and Critical Care Medicine, Asklepios Kinderklinik Sankt Augustin, German Paediatric Heart Centre, Arnold-Janssen Street 29, 53757 Sankt Augustin, Germany.

To the Editor, Nasotracheal intubation is a widely used technique in anaesthesia management for procedures including oropharyngeal, dental, and maxillofacial surgeries[1-3]. It provides an uninhibited access to the mouth and plays an important role when dealing with difficult airways[4-6]. It is also used in patients with cervical spine instability owing to injury[7] or in patients with a cervical spine fixation owing to a disease or previous operation[8]. Read More

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http://dx.doi.org/10.5603/AIT.a2019.0002DOI Listing
February 2019
3 Reads

Epileptiform EEG patterns during different techniques of induction of general anaesthesia with sevoflurane and propofol: a randomised trial.

Anaesthesiol Intensive Ther 2019 Feb 6. Epub 2019 Feb 6.

Department of Anaesthesiology and Intensive Therapy, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland, Plac Medyków 1,, 41-200 Sosnowiec, Poland.

Background: The aim of the study was to assess the influence of volatile induction of general anaesthesia with sevoflurane using two different techniques and intravenous anaesthesia with propofol on the possible presence of epileptiform electroencephalograph patterns during the induction of general anaesthesia.

Methods: Sixty patients (age 18-70 years) were recruited. Exclusion criteria included history of epilepsy, neurological or neurosurgical diseases, pre-existing EPs in initial EEG recordings, medication interfering with EEG patterns. Read More

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http://dx.doi.org/10.5603/AIT.a2019.0003DOI Listing
February 2019
2 Reads

Emergency caesarean section delivery and puerperium in a patient with severe idiopathic pulmonary arterial hypertension - a case report.

Anaesthesiol Intensive Ther 2019 Jan 22. Epub 2019 Jan 22.

Department of Cardiac Anaesthesia and Intensive Therapy, Medical University of Silesia, Ziołowa 45/47, 40-635 Katowice, Poland.

Background: The aim of this paper is to describe the third pregnancy trimester, delivery and puerperium in patient with idiopathic pulmonary hypertension.

Case Report: a 30-year-old primigravida with idiopathic pulmonary hypertension was qualified for emergency Caesarean section. In the post partum period no improvement in managing pulmonary arterial hypertension was achieved. Read More

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http://dx.doi.org/10.5603/AIT.a2019.0001DOI Listing
January 2019
2 Reads

Hemodynamic monitoring for fetal surgery: open versus fetoscopic repair of myelomeningocele.

Anaesthesiol Intensive Ther 2018 ;50(5):385-386

Department of Anesthesiology and Intensive Therapy, Health Sciences University Medical School, Turkey.

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https://journals.viamedica.pl/anaesthesiology_intensivethera
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http://dx.doi.org/10.5603/AIT.a2018.0041DOI Listing
January 2018
10 Reads

Be weary when removing pacing wires and drains! Complications can and do happen.

Anaesthesiol Intensive Ther 2018 ;50(5):384

Harvard Medical School, Department of Anesthesiology, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

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http://dx.doi.org/10.5603/AIT.a2018.0040DOI Listing
January 2018

Toxicological pitfalls in ICU practice.

Anaesthesiol Intensive Ther 2018 ;50(5):378-383

Department of Nephrology Transplantology and Internal Medicine, Szczecin, Poland.

Either analgosedation or central nervous system dysfunction may be a side effect of implemented pharmacological treatment, as well as a consequence of intentional or unintentional poisoning. In traumatic lesions or anoxia of the central nervous system, a question arises after a recommended follow-up period about the effects of xenobiotics on nervous system function. Although therapeutic drug monitoring is the gold standard in such cases, usually a single toxicological estimation of "a neurodepressive compound" is performed after treatment discontinuation in order to determine the type and amount of exogenous substances, or their metabolites, in a patient's bodily fluids, which allows for an assessment of its actual effects on central nervous system functions. Read More

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http://dx.doi.org/10.5603/AIT.2018.0042DOI Listing
January 2018

Regional anaesthesia induced peripheral nerve injury.

Anaesthesiol Intensive Ther 2018 ;50(5):367-377

Department of Anaesthesiology and Intensive Care, Karol Marcinkowski University Hospital in Zielona Góra, Poland, Poland.

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http://dx.doi.org/10.5603/AIT.2018.0049DOI Listing
January 2018

Effect of dexmedetomidine or propofol sedation on haemodynamic stability of patients after thoracic surgery.

Anaesthesiol Intensive Ther 2018 ;50(5):359-366

Department of Anaesthesiology and Intensive Therapy, School of Medicine with Division of Dentistry in Zabrze, Medical University of Silesia, Katowice.

Background: Dexmedetomidine and propofol are commonly used sedative agents in non-invasive ventilation as they allow for easy arousal and are relatively well controllable. Moreover dexmedetomidine is associated with low risk of respiratory depression. However, both agents are associated with significant hemodynamic side effects. Read More

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https://journals.viamedica.pl/anaesthesiology_intensivethera
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http://dx.doi.org/10.5603/AIT.a2018.0046DOI Listing
January 2018
8 Reads

The influence of propofol on middle cerebral artery flow velocity (VMCA) in patients with unruptured intracranial aneurysms during induction of general anaesthesia.

Anaesthesiol Intensive Ther 2018 ;50(5):349-358

Department of Neuroanaesthesiology, Medical University of Gdansk, Poland.

Background: The estimated prevalence of unruptured intracranial aneurysms is 3%. Standard monitoring does not enable one to assess the influence of anaesthetics on the factors determining intracranial homeostasis. Thanks to transcranial Doppler ultrasonography, middle cerebral artery flow velocity (VMCA), reflecting cerebral blood flow, can be measured. Read More

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http://dx.doi.org/10.5603/AIT.2018.0047DOI Listing
January 2018

What does surgery owe to anaesthesia?

Anaesthesiol Intensive Ther 2018 ;50(5):344-348

Solec Hospital, Warsaw, Poland.

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http://dx.doi.org/10.5603/AIT.2018.0050DOI Listing
January 2018

My own experience in performing ether anaesthesia.

Authors:
Tadeusz Szreter

Anaesthesiol Intensive Ther 2018 ;50(5):339-343

Department of Anaesthesiology and Intensive Care, The Children's Memorial Health Institute Warsaw, Poland.

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http://dx.doi.org/10.5603/AIT.2018.0048DOI Listing
January 2018

Polish pioneers of local anaesthesia.

Anaesthesiol Intensive Ther 2018 ;50(5):333-338

The Department of Interdisciplinary Intensive Care, Jagiellonian University, Collegium Medicum in Cracow, Poland.

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http://dx.doi.org/10.5603/AIT.2018.0045DOI Listing
January 2018

The genesis of anaesthesia in prehistory.

Anaesthesiol Intensive Ther 2018 ;50(5):330-332

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http://dx.doi.org/10.5603/AIT.2018.0044DOI Listing
January 2018
1 Read

The role of anaesthesiology and intensive care for patient safety in the perioperative period: past, present and future.

Authors:
Janusz Andres

Anaesthesiol Intensive Ther 2018 ;50(5):325-329

Department of Anaesthesiology and Intensive Care of the Jagiellonian University, Collegium Medicum in Cracow, Poland.

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http://dx.doi.org/10.5603/AIT.2018.0043DOI Listing
January 2018

Broadening the operative field: the extent of surgery beyond the patient`s informed consent (the so-called therapeutic exception).

Authors:
Rafał Kubiak

Anaesthesiol Intensive Ther 2018 ;50(4):311-318

Department of Criminal Law, University of Łódź, Poland.

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http://dx.doi.org/10.5603/AIT.2018.0038DOI Listing
January 2018

Inter-arm differences in blood pressure among subjects with disseminated atherosclerosis scheduled for vascular surgery.

Anaesthesiol Intensive Ther 2018 ;50(4):291-296

Department of Anaesthesiology and Intensive Care, Upper Silesian Medical Centre, Medical University of Silesia in Katowice, Poland.

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. Read More

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http://dx.doi.org/10.5603/AIT.2018.0039DOI Listing
January 2018
2 Reads

Diagnostic accuracy of red blood cell distribution width in predicting in-hospital mortality in patients undergoing high-risk gastrointestinal surgery

Anaesthesiol Intensive Ther 2018 14;50(4):277-282. Epub 2018 Oct 14.

Chair and Department of Anaesthesiology and Intensive Care, Medical University of Silesia in Katowice, Poland.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0037DOI Listing
October 2018

Use of noninvasive mechanical ventilation with pressure support guaranteed with average volume in de novo hypoxaemic respiratory failure. A pilot study.

Anaesthesiol Intensive Ther 2018 14;50(4):283-290. Epub 2018 Oct 14.

Universidad de Guayaquil. Facultad de Ciencias Médicas. Guayaquil, Ecuador, Ecuador; Intensive Care Unit, Ecuadorian Institute of Social Security (IESS), Babahoyo, Ecuador; Centro Fisiológico-Respiratorio Briones-Claudett, Guayaquil, Ecuador.

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. Subjects were divided into two groups and compared according to their PaO₂/FiO₂: higher than 100 and up to 200 mm Hg (moderate ARDS) or between 200 and 300 mm Hg (mild ARDS) (both groups were ventilated with the BiPAP S/T-AVAPS strategy). Read More

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http://dx.doi.org/10.5603/AIT.a2018.0036DOI Listing
October 2018
2 Reads

A case report of inadvertent intranasal submucosal injection of concentrated epinephrine with no long-term sequelae.

Authors:
Karlyn Powell

Anaesthesiol Intensive Ther 2018 4;50(4):321-322. Epub 2018 Oct 4.

Department of Anesthesiology, Baylor College of Medicine Baylor St. Luke's Medical Center, Houston, Texas, USA.

< p > < /p >. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0033DOI Listing
October 2018

Postoperative pain after spinal surgery in the paediatric population.

Anaesthesiol Intensive Ther 2018 4;50(4):252-258. Epub 2018 Oct 4.

Department of Clinical Biochemistry, University Children's Hospital, Faculty of Medicine, Jagiellonian University, Cracow, Poland.

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. Read More

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https://journals.viamedica.pl/anaesthesiology_intensivethera
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http://dx.doi.org/10.5603/AIT.a2018.0034DOI Listing
October 2018
3 Reads

Peri-anaesthetic cardiac arrest with administration of enalapril, spironolactone and β-blocker.

Anaesthesiol Intensive Ther 2018 4;50(4):323. Epub 2018 Oct 4.

Centre Hospitalier Privé Saint-Grégoire, France.

none. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0035DOI Listing
October 2018
2 Reads

Frailty is associated with an increased mortality among patients ≥ 80 years old treated in Polish ICUs

Anaesthesiol Intensive Ther 2018 22;50(4):245-251. Epub 2018 Sep 22.

Department of Intensive Care and Perioperative Medicine, Jagiellonian University Medical College, Cracow, Poland.

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). Read More

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http://dx.doi.org/10.5603/AIT.a2018.0032DOI Listing
September 2018
22 Reads

The effect of nebulized salbutamol on atrial electrical properties in mechanically ventilated critically ill patients - a randomized, double-blind study.

Anaesthesiol Intensive Ther 2018 22;50(4):270-276. Epub 2018 Sep 22.

Department of Anaesthesiology and Intensive Therapy, University Clinical Centre in Gdańsk, Poland.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0031DOI Listing
September 2018
1 Read

Continuous Quadratus Lumborum Block (QLB) for postoperative recurrent and chronic pain. Series of case reports.

Anaesthesiol Intensive Ther 2018 17;50(4):319-320. Epub 2018 Sep 17.

Department of Anaesthesiology and Intensive Care, Centre of Postgraduate Medical Education, Warsaw, Poland.

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http://dx.doi.org/10.5603/AIT.a2018.0027DOI Listing
September 2018
2 Reads

Ultrasound assessment of gastric emptying and the risk of aspiration of gastric contents in the perioperative period.

Anaesthesiol Intensive Ther 2018 17;50(4):297-302. Epub 2018 Sep 17.

Department of Anaesthesiology and Intensive Therapy, Saint Lucas Hospital, Końskie, Poland.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0029DOI Listing
September 2018

Risk factors for occurrence of failed interscalene brachial plexus blocks for shoulder arthroscopy using 20 mL 0.5% ropivacaine: a randomised trial.

Anaesthesiol Intensive Ther 2018 17;50(4):263-269. Epub 2018 Sep 17.

Department of Anaesthesiology and Intensive Care, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland, St. Barbara's Memorial Hospital WSS no. 5 Trauma Centre, Sosnowiec, Poland.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0030DOI Listing
September 2018
3 Reads

Analysing the efficacy of the I-gel supraglottic airway device in the supine and lateral decubitus positions.

Anaesthesiol Intensive Ther 2018 17;50(4):259-262. Epub 2018 Sep 17.

Department of Anesthesiology and Intensive Therapy in Istanbul Bilim University Medical School, Turkey.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0028DOI Listing
September 2018
6 Reads

The assessment of platelet function using multiple electrode aggregometry in practical procedures in anaesthesia.

Anaesthesiol Intensive Ther 2018 16;50(3):210-214. Epub 2018 Jul 16.

I Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, Poland.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0025DOI Listing
July 2018
5 Reads

Multiple electrode aggregometry as a method for platelet function assessment according to the European guidelines.

Anaesthesiol Intensive Ther 2018 12;50(3):230-233. Epub 2018 Jul 12.

I Department of Anaesthesiology and Intensive Care, Medical University of Warsaw.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0024DOI Listing
July 2018
1 Read

Procalcitonin in liver dysfunction - Dr Jekyll or Mr Hyde?

Anaesthesiol Intensive Ther 2018 11;50(3):226-229. Epub 2018 Jul 11.

Chair and Department of Anaesthesiology and Intensive Care, Wrocław Medical University, Wrocław, Poland.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0023DOI Listing
July 2018
1 Read

Extended compatibility of fentanyl and ketamine in dextrose 5.

Anaesthesiol Intensive Ther 2018 8;50(3):221-225. Epub 2018 Jul 8.

Department of Pharmacy, Faculty of Science, Universitas Islam Indonesia, Yogyakarta, Indonesia.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0022DOI Listing
July 2018
9 Reads

Acquired haemophilia A imitating uterine tumour in a patient with de novo diagnosis of hepatitis C.

Anaesthesiol Intensive Ther 2018 ;50(2):170-172

Department of Anaesthesiology and Intensive Care, School of Medicine in Katowice, Medical University of Silesia, Medyków 14, 40-752 Katowice, Poland.

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. Read More

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http://dx.doi.org/10.5603/AIT.2018.0021DOI Listing
January 2018
1 Read

Emergence from anesthesia: a winding way back.

Authors:
Marco Cascella

Anaesthesiol Intensive Ther 2018 ;50(2):168-169

Division of Anesthesia and Pain Medicine, Istituto Nazionale Tumori, IRCCS Fondazione G. Pascale, Naples, Italy., Italy.

none. Read More

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http://dx.doi.org/10.5603/AIT.2018.0020DOI Listing
January 2018

Hypertonic saline-hydroxyethyl starch solution attenuates fluid accumulation in cardiac surgery patients: a randomized controlled double-blind trial.

Anaesthesiol Intensive Ther 2018 ;50(2):122-127

Heart Center Co., Tampere University Hospital, PO Box 2000, 33521 Tampere, Finland.

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. Read More

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http://dx.doi.org/10.5603/AIT.2018.0019DOI Listing
January 2018
22 Reads

C-reactive protein level in plasma and drainage blood depends on the method of anaesthesia and post-operative analgesia after hip surgery.

Anaesthesiol Intensive Ther 2018 ;50(2):117-121

Department of Traumatology, Anaesthesiology and Military Surgery of the Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine.

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. Read More

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http://dx.doi.org/10.5603/AIT.2018.0018DOI Listing
January 2018

Ultrasound-based assessment of hyomental distances in neutral, ramped, and maximum hyperextended positions, and derived ratios, for the prediction of difficult airway in the obese population: a pilot diagnostic accuracy study.

Anaesthesiol Intensive Ther 2018 ;50(2):110-116

"Iuliu Hațieganu" University of Medicine and Pharmacy Cluj-Napoca, Romania; The Clinical Emergency County Hospital Cluj, Romania.

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. Read More

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http://dx.doi.org/10.5603/AIT.2018.0017DOI Listing
January 2018

The influence of gradually increasing the concentration of desflurane on cerebral perfusion pressure in rabbit.

Anaesthesiol Intensive Ther 2018 ;50(2):95-102

Zakład Neuroanestezjologii, 2Zakład Anatomii i Neurobiologii Gdańskiego Uniwersytetu Medycznego.

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. Read More

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http://dx.doi.org/10.5603/AIT.2018.0016DOI Listing
January 2018

Revisiting the anaesthesiologist's role during organ procurement.

Anaesthesiol Intensive Ther 2018 ;50(2):91-94

Harvard Medical School, Center for Bioethics, Boston, MA, USA; Pain Research Unit, Department of Anaesthesia and Pain Medicine, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.

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. Read More

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http://dx.doi.org/10.5603/AIT.2018.0015DOI Listing
January 2018
1 Read

'Chasing the dragon' on the intensive care unit.

Anaesthesiol Intensive Ther 2018 22;50(3):243. Epub 2018 Jun 22.

Department of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

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http://dx.doi.org/10.5603/AIT.a2018.0014DOI Listing

Risk factors for the development of Horner's syndrome following interscalene brachial plexus block using ropivacaine for shoulder arthroscopy: a randomised trial.

Anaesthesiol Intensive Ther 2018 22;50(3):215-220. Epub 2018 Jun 22.

Department of Anaesthesiology and Intensive Care, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland, St. Barbara's Memorial Hospital WSS no. 5 Trauma Centre, Sosnowiec, Poland.

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. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0013DOI Listing
June 2018
27 Reads

Comparison of propofol-based versus volatile-based anaesthesia and postoperative sedation in cardiac surgical patients: a prospective, randomized, study.

Anaesthesiol Intensive Ther 2018 18;50(3):200-209. Epub 2018 Jun 18.

Deaprtment of Anesthesia, Faculty of Medicine, University of Toronto; Department of Anesthesia and Pain Management, Toronto Genaral Hospital/University Health Network, Toronto, Ontario, Canada.

Background: Clinical trials have shown conflicting results regarding the use of volatile anaesthesia before or after an ischaemic insult in cardiac surgical patients and its effect on myocardial injury. This may be attributable to the failure of continuing volatile agents into the early postoperative period. We hypothesised that combined volatilebased anaesthesia and postoperative sedation would decrease the extent of myocardial injury after coronary artery bypass grafting (CABG) when compared with an intravenous, propofol-based approach. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0012DOI Listing
June 2018
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ICU delirium - a diagnostic and therapeutic challenge in the intensive care unit.

Anaesthesiol Intensive Ther 2018 8;50(2):160-167. Epub 2018 Jun 8.

Department of Anesthesiology, Intensive Therapy and Acute Intoxications, Pomeranian Medical University in Szczecin, Poland.

ICU delirium is a common medical problem occurring in patients admitted to the intensive care units (ICUs). Studies have shown that ICU delirium is associated with increased mortality, prolonged hospitalization, prolonged mechanical ventilation, costs and the occurrence of cognitive disoders after discharge from ICU. The tools available for ICU delirium screening and diagnosis are validated tests available for all members if the medical team (physicians, nurses, physiotherapists). Read More

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http://dx.doi.org/10.5603/AIT.a2018.0011DOI Listing
June 2018
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Hyperbaric oxygen therapy for spinal cord ischaemia after complex aortic repair - a retrospective review.

Anaesthesiol Intensive Ther 2018 8;50(2):103-109. Epub 2018 Jun 8.

Hyperbaric Medicine Unit, Department of Anaesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada.

Background: Complex aortic repair (CAR) carries high rates of debilitating postoperative complications, including spinal cord injury. The rate of spinal cord deficits post-CAR is approximately 10%, with permanent paraplegia in 2.9% and paraparesis in 2. Read More

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http://dx.doi.org/10.5603/AIT.a2018.0010DOI Listing
June 2018
8 Reads

High serum procalcitonin concentration and dynamics of its changes as a prognostic factor of mortality.

Anaesthesiol Intensive Ther 2018 ;50(1):88-89

Department of Anaesthesiology and Intensive Care with Paediatric Ward, Medical University of Lublin, Poland.

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http://dx.doi.org/10.5603/AIT.2018.0009DOI Listing
January 2018
2 Reads

Tips and troubleshooting during intubation with AirTraq videolaryngoscope.

Anaesthesiol Intensive Ther 2018 ;50(1):86-88

Department of Anaesthesiology and Intensive Therapy Medical University of Lodz.

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http://dx.doi.org/10.5603/AIT.2018.0008DOI Listing
January 2018
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Always check anaesthetic equipment.

Anaesthesiol Intensive Ther 2018 ;50(1):85-86

The Lister Hospital, Chelsea Bridge Road, London W1W 8RH.

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http://dx.doi.org/10.5603/AIT.2018.0007DOI Listing
January 2018
2 Reads