Anaesthesiology intensive therapy
-
Anaesthesiol Intensive Ther · Apr 2012
Randomized Controlled Trial Comparative StudyComparison of cuff-pressure changes in silicone and PVC laryngeal masks during nitrous oxide anaesthesia in spontaneously breathing children.
The purpose of this study was to evaluate the cuff pressures of four different laryngeal masks in paediatric patients undergoing routine surgery and to determine whether there is a substantial increase in cuff pressure when silicone masks are used compared to PVC laryngeal mask airways. ⋯ This study demonstrated a substantial increase in cuff pressure during anaesthesia for children in whom a silicone-based LMA-C was used, whereas PVC-based extra glottic airway devices showed a much lower increase.
-
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.
-
Methods for the restoration of circulating blood volume, including the use of intravenous fluids, have been widely discussed over many years. There are no clear guidelines regarding the type of solutions, the total volume that should be transfused, or time schedules. Colloid solutions, usually hydroxyethyl starch compositions, are probably the most commonly used volume expanders in resuscitation, despite the lack of convincing trials and possible nephrotoxicity. ⋯ Among crystalloid solutions, balanced preparations such as acetates, lactates, malates or citrates are recommended to avoid hyperchloraemia, a common side effect of saline infusion. There is no agreement regarding colloid solutions. The fluid transfusion regimen in critically ill patients should therefore be based on clinical assessment and patient responses.
-
Anaesthesiol Intensive Ther · Apr 2012
Intraoperative awareness--recommendations of the Committee on Quality and Safety in Anaesthesia, Polish Society of Anaesthesiology and Intensive Therapy.
Modern general anaesthesia is complex and reversible. It involves a temporary loss of consciousness, analgesia,a decrease in muscle tension or complete muscle relaxation,suppressed reactions of the autonomic nervous system,and the provision of amnesia of events after its completion.
-
Anaesthesiol Intensive Ther · Apr 2012
Case ReportsIndependent lung ventilation for treatment of post-traumatic ARDS.
Independent lung ventilation (ILV) has been recommended for unilateral pulmonary pathology. We describe a case of a multiple trauma patient treated with ILV for unilateral lung injury. ⋯ ILV with a larger tidal volume and high PEEP may be indicated in unilateral lung injury with a significant air leak from the injured tissue.