Anaesthesiology intensive therapy
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Due to frequent complications, especially pneumothorax, supraclavicular brachial plexus block became less popular. Ultrasonography is a very powerful tool in modern medicine and a real milestone in regional anaesthesia. Ultrasound- guided supraclavicular brachial plexus block reduces the probability of major complications occurrence (like pneumothorax, Horner's syndrome, phrenic nerve palsy). In this review we present the usefulness of ultrasonographic imaging and how to perform efficient ultrasound-guided blockade safely.
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Anaesthesiol Intensive Ther · Jan 2014
ReviewPsychological reactions in family members of patients hospitalised in intensive care units.
The environment of the intensive care unit (ICU) is burdensome to a patient and the patient's family. There is a higher risk of depression, anxiety and stress-related disorders in the ICU patients' family members. ⋯ Apart from negative psychological consequences experienced after a loved one's stay in the ICU, there are also some positive changes observed in patient's relatives called posttraumatic growth. In this review, the psychological repercussions in the ICU patient's family and the means to prevent their undesirable responses are discussed.
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Anaesthesiol Intensive Ther · Jan 2014
Clinical experience with the C-Mac videolaryngoscope in morbidly obese patients.
The use of videolaryngoscopes is recommended as a part of routine practice in anaesthesia for morbidly obese patients. The aim of this study was to evaluate C-Mac in a group of morbidly obese patients to see if it improves intubation conditions. ⋯ The C-Mac improves laryngeal view in morbidly obese patients, and allows for fast endotracheal intubation.
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Anaesthesiol Intensive Ther · Jan 2014
Intrathecal morphine increases the incidence of urinary retention in orthopaedic patients under spinal anaesthesia.
Morphine injected into the subarachnoid space enhances the analgesic effects of spinal anaesthesia, improving the patient's comfort in the postoperative period. However, it is likely to be associated with adverse side effects that reduce patient satisfaction, e.g., urine retention. The aim of the present study was to evaluate the incidence of urine retention in patients receiving spinal anaesthesia combined with intrathecal morphine. ⋯ Patients receiving spinal anaesthesia with a 0.5% hyperbaric solution of bupivacaine combined with intrathecal morphine were demonstrated to have a higher incidence of urinary catheterisation, longer time to urinary catheterisation and longer time to miction compared to patients receiving only local anaesthetics.
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Anaesthesiol Intensive Ther · Jan 2014
Randomized Controlled Trial Comparative StudyComparison of haemodynamics and myocardial injury markers under desflurane vs. propofol anaesthesia for off-pump coronary surgery. A prospective randomised trial.
Several studies have highlighted that volatile anaesthetics improve myocardial protection in cardiopulmonary bypass coronary surgery. However, the haemodynamic effect of desflurane in off-pump coronary surgery has not been clarified yet. Our study hypothesis was that desflurane-fentanyl anaesthesia could decrease myocardial injury markers and improve haemodynamics compared to propofol-fentanyl in patients undergoing off-pump coronary surgery. ⋯ NCT00528515 (http://www.clinicaltrials.gov/ ct2/show/NCT00528515?term = NCT00528515&rank = 1).