Anaesthesiology intensive therapy
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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.
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Anaesthesiol Intensive Ther · Apr 2012
ReviewStrategies of empiric antibiotic therapy in severe sepsis.
Severe sepsis and septic shock remain the leading causes of multiple organ failure and mortality in surgical intensive care units. Early antibiotic therapy recently became a challenge, because of the increased number of infections caused by multiple drug resistant bacteria, with Gram-negative bacteria such as Klebsiella pneumoniae and Pseudomonas aeruginosa being the most frequently cultured pathogens. In this review, detailed recommendations for the treatment of various infections are presented and discussed, with particular emphasis on the determination of empiric antibiotic therapy in the early stages of sepsis and localised infections.
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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.