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Anaesthesiology Intensive Therapy

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https://read.qxmd.com/read/30747991/introducing-a-new-sedation-policy-in-a-large-district-general-hospital-before-and-after-cohort-analysis
#1
Anne Frawley, John Hickey, Christine Weaver, James P Williams, Tamas Szakmany
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. We retrospectively examined data from two patient populations, namely those before and after the introduction of a new sedation protocol in July 2015...
February 12, 2019: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30723887/complications-associated-with-nasotracheal-intubation-and-proposal-of-simple-countermeasure
#2
Tomohiro Yamamoto, Miriam Flenner, Ehrenfried Schindler
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]. Moreover, it is selected for patients who require prolonged intubation for intensive care[9]...
February 6, 2019: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30723886/epileptiform-eeg-patterns-during-different-techniques-of-induction-of-general-anaesthesia-with-sevoflurane-and-propofol-a-randomised-trial
#3
Michał Jan Stasiowski, Radosław Marciniak, Anna Duława, Lech Krawczyk, Przemysław Jałowiecki
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...
February 6, 2019: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30667036/emergency-caesarean-section-delivery-and-puerperium-in-a-patient-with-severe-idiopathic-pulmonary-arterial-hypertension-a-case-report
#4
Tomasz Maciejewski, Tomasz Darocha, Kazimierz Kiermasz, Barbara Budziarz, Piotr Duraj, Wojciech Szanecki, Mirosława Mackiewicz, Jarosław Myszor, Katarzyna Mizia-Stec, Ewa Kucewicz-Czech
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. Because of progressive respiratory and circulatory failure as well as the pulmonary artery pressure exceeding the systemic pressure the AV ECMO was applied on postoperative day 6...
January 22, 2019: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615799/hemodynamic-monitoring-for-fetal-surgery-open-versus-fetoscopic-repair-of-myelomeningocele
#5
Ayten Saracoglu, Kemal Tolga Saracoglu, Huseyin Canaz, Ibrahim Alatas, Ali Gedikbasi, Ibrahim Haluk Kafali
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615798/be-weary-when-removing-pacing-wires-and-drains-complications-can-and-do-happen
#6
Omar Viswanath, Gerald P Rosen
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615797/toxicological-pitfalls-in-icu-practice
#7
Tomasz Janus, Krzysztof Pabisiak
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...
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615796/regional-anaesthesia-induced-peripheral-nerve-injury
#8
Paweł Michał Pietraszek
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615795/effect-of-dexmedetomidine-or-propofol-sedation-on-haemodynamic-stability-of-patients-after-thoracic-surgery
#9
Szymon Białka, Maja Copik, Jacek Karpe, Maciej Przybyła, Magdalena Śliwczyńska, Damian Czyżewski, Hanna Misiołek
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. The primary objective of this study is to compare the influence of both drugs on hemodynamic effects in patients after thoracic surgical procedures receiving dexmedetomidine or propofol for noninvasive postoperative ventilation...
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615794/the-influence-of-propofol-on-middle-cerebral-artery-flow-velocity-vmca-in-patients-with-unruptured-intracranial-aneurysms-during-induction-of-general-anaesthesia
#10
Zbigniew Karwacki, Seweryn Niewiadomski, Małgorzata Witkowska, Jarosław Dzierżanowski, Sebastian Szczyrba, Magdalena Cichomska
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. The aim of the study was to assess the effects of propofol on intracranial homeostasis in patients with unruptured intracranial aneurysms during the induction of anaesthesia based on VMCA changes...
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615793/what-does-surgery-owe-to-anaesthesia
#11
Krzysztof Bielecki
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615792/my-own-experience-in-performing-ether-anaesthesia
#12
Tadeusz Szreter
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615791/polish-pioneers-of-local-anaesthesia
#13
Jerzy Wordliczek, Renata Zajączkowska
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615790/the-genesis-of-anaesthesia-in-prehistory
#14
Alicja Macheta, Agnieszka Frączek
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30615789/the-role-of-anaesthesiology-and-intensive-care-for-patient-safety-in-the-perioperative-period-past-present-and-future
#15
Janusz Andres
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30378094/broadening-the-operative-field-the-extent-of-surgery-beyond-the-patient-s-informed-consent-the-so-called-therapeutic-exception
#16
Rafał Kubiak
No abstract text is available yet for this article.
2018: Anaesthesiology Intensive Therapy
https://read.qxmd.com/read/30378093/inter-arm-differences-in-blood-pressure-among-subjects-with-disseminated-atherosclerosis-scheduled-for-vascular-surgery
#17
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://read.qxmd.com/read/30317537/diagnostic-accuracy-of-red-blood-cell-distribution-width-in-predicting-in-hospital-mortality-in-patients-undergoing-high-risk-gastrointestinal-surgery
#18
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://read.qxmd.com/read/30317536/use-of-noninvasive-mechanical-ventilation-with-pressure-support-guaranteed-with-average-volume-in-de-novo-hypoxaemic-respiratory-failure-a-pilot-study
#19
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://read.qxmd.com/read/30284716/a-case-report-of-inadvertent-intranasal-submucosal-injection-of-concentrated-epinephrine-with-no-long-term-sequelae
#20
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