Anaesthesiology intensive therapy
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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
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).
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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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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
Observational StudyIntraoperative awareness during general anaesthesia: results of the observational survey.
Intraoperative awareness is a rare but extremely unfavourable phenomenon affecting 0.1-0.2% of patients who undergo surgery under general anaesthesia. The event exposes patients to stress and its remote, severe outcomes. The aim of the present study was to determine the incidence of intraoperative awareness in patients undergoing general anaesthesia. ⋯ The incidence of intraoperative awareness in our study was low. The intraoperative monitoring including clinical analysis of anaesthetized patient as well as measurement of end-tidal concentration of volatile anaesthetic agent seems to be sufficient for prevention of episodes of awareness during general anaesthesia.