Anaesthesiology intensive therapy
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Anaesthesiol Intensive Ther · Oct 2012
Randomized Controlled TrialUsefulness of ultrasound guidance for central venous catheterisation in patients with end-stage renal disease.
Renal replacement therapy often requires the insertion of a central venous catheter. The procedure is invasive and can lead to a number of complications. To minimise the risk of such complications, ultrasonography is used. The aim of the present study was to assess the usefulness of ultrasound-assisted vs. traditional method of location of anatomical orientation points for the placement of central venous catheters. ⋯ The study findings did not demonstrate significant differences in the incidence of early complications during cannulation with and without ultrasound guidance. The first attempt success rate was found to be significantly higher in cases of ultrasound-assisted central venous catheterisation.
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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.
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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.