Anaesthesiology intensive therapy
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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
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
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 · Apr 2012
Randomized Controlled TrialEffect on cognition of galanthamine administered for neuromuscular block reversal in octogenarians undergoing cataract surgery.
The purpose of the study was to determine the possible effect of the cholinesterase inhibitor, galanthamine, on cognition when administered to antagonise neuromuscular blockade after anaesthesia. ⋯ In octogenarians, impaired organ function as well as changes in body composition, are factors which affect the pharmacodynamics and pharmacokinetics of drugs.
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Anaesthesiol Intensive Ther · Apr 2012
ReviewAnaphylactic reactions during anaesthesia and the perioperative period.
Allergy and hypersensitivity occurring during anaesthesia remains a major cause of concern for anaesthesiologists. Drugs administered during surgery and various anaesthetic procedures can elicit two major groups of adverse reactions. The first group includes reactions that are usually dose-dependent and related to the pharmacological properties of a drug and/or its metabolites. ⋯ Multiple organ failure, beginning with bronchospasm and cardiovascular collapse, is typical of latex reactions. An increased serum tryptase concentration confirms the diagnosis of an anaphylactic reaction, and triggers can be identified by skin prick, intradermal injection, or serologic testing. The elimination of triggers during subsequent medical episodes is essential to avoid major mortality and morbidity.