Anaesthesiology intensive therapy
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Anaesthesiol Intensive Ther · Jul 2012
ReviewPharmacokinetic-pharmacodynamic modelling of antibiotic therapy in severe sepsis.
The antibiotic treatment of severe sepsis poses an increasing challenge in ICU. The multidrug resistance and diverse pharmacokinetics of antibiotics requires a different approach on antibiotic therapy because of the inadequate serum antibiotic levels found in ICU patients. The current guidelines or recommendations of antibiotic treatment take into account the pharmacokinetic parameters in determining the proper dosage. The recommended antibiotic treatment of severe sepsis requires daily assessment and dosage adjustment based on measurements of antibiotic concentrations in order to optimize the treatment.
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Anaesthesiol Intensive Ther · Jul 2012
Comparative StudyComparison of target controlled infusion and total intravenous anaesthesia with propofol and remifentanil for lumbar microdiscectomy.
Propofol is often combined with remifentanil for induction and maintenance of total intravenous anaesthesia. Target-controlled infusion (TCI) permits adapting infusion to pharmacokinetic models. In this study we compared depth of anaesthesia, haemodynamic variables and times to recovery in patients scheduled for lumbar microdiscectomy and receiving either manually controlled (group I) or target- controlled (group II) infusion of propofol and remifentanil for anaesthesia. ⋯ There are no clinically important differences in haemodynamic variables, depth of anaesthesia, time to recovery and doses of propofol/remifentanil between manually controlled and target-controlled infusion of propofol and remifentanil.
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Anaesthesiol Intensive Ther · Jul 2012
Paediatric intensive therapy services contracted by the National Health Fund in 2012.
Departments of paediatric anaesthesiology and intensive therapy are relevant elements of the healthcare system in Poland. The aim of the present study was to analyse the level of funding of departments of paediatric anaesthesiology and intensive therapy provided by regional branches of the National Health Fund (NHF) in 2012. ⋯ The level of funding of departments of paediatric anaesthesiology and intensive therapy provided by NHF appears to be sufficient; however, the staff and equipment potential of many such departments is not fully exploited.
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Anaesthesiol Intensive Ther · Jul 2012
ReviewManagement of perioperative stress in children and parents. Part II--anaesthesia and postoperative period.
The majority of children, even those well prepared and with positive attitudes, experiences stress in the operating theatre and during the postoperative period. In some cases, the stress is even stronger for their parents. ⋯ Such a stress-reducing strategy should be initiated before hospitalisation and consistently continued to its completion or even longer, the example of which are one-day surgery patients who should receive prescriptions for or suitable drugs (mainly analgesics) on discharge for use in the home setting. Preparation of local programmes for management reducing surgery-associated stress in children is worth recommending.
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Anaesthesiol Intensive Ther · Jul 2012
Adult intensive therapy services contracted by the National Health Fund in 2012.
Limited financial resources of the National Health Fund (NHF) affect the extent of funding allocated for intensive therapy services. The objective of the study was to analyse the levels of funding the departments of anaesthesiology and intensive therapy are provided with by NHF regional branches in 2012. ⋯ Funds allocated by NHF for services of departments of anaesthesiology and intensive therapy are insufficient.