Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
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Pol. Merkur. Lekarski · Sep 2015
Comparative StudyUsage of soft bougie for intubation via supraglottic airway devices.
An effective and dexterously established airway management of patients in life-threatening conditions is one of the basic procedures. Endotracheal intubation is considered to be the best method, however when, difficulties occur, it is indispensable to use of alternative methods with expertise. ⋯ Usage of soft track does not increase the effectiveness of intubation by any of the equipment or even the effectiveness decreases. IGEL device shows the highest effectiveness in both groups. The mean duration of intubation was achieved with the LMA Curve.
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Pol. Merkur. Lekarski · Sep 2015
Case Reports[Damage of the lungs after exposure to obscurant smoke - a case report].
Firing smoke candle, on reaction of pyrotechnic mixture of zinc oxide and hexachloroethane, releases of white smoke, which can damage the pulmonary parenchyma. Presented case illustrates the effects of such an inhalation injury that has led to acute respiratory distress syndrome (ARDS). The use of mechanical ventilation and administration of antibiotics and corticosteroids give the possibility to obtain clinical improvement. The resulting changes in the lung parenchyma shown on imaging studies resulted in significant impairment of breathing.
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Pol. Merkur. Lekarski · Sep 2015
[Detection of disease markers in the breath using optoelectronic methods].
Great interest of scientific community is observed recently over non-invasive tests methods dedicated to diagnose disease states using biomarkers. The ability to detect these substances in the human breath can provide valuable information about disorder of biochemical processes in the body. Breath analysis is non-invasive, painless and can provide a quick answer about the existence of the disease. In addition, the sampling process is carried out comfortably for both the patient and the medical staff. ⋯ Developed sensors are characterized by high sensitivity (ppb-level) and high selectivity, simple and fast measurement procedure. Therefore, they can be applied as medical screening tools enabling biomarkers detection in exhaled air at the molecular level.
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Pol. Merkur. Lekarski · Aug 2015
Comparative StudyComparison of supraglottic airway laryngopharyngeal tube, oropharyngeal and nasopharyngeal airway use by Polish soldiers on the manikin with difficult airway.
Airway obstruction represents 6% of avoidable deaths in a combat zone. Statistical analysis of deaths in the battlefield during combat missions in Iraq and Afghanistan shows that 1% of the soldiers are killed because of airway obstruction. The aim of the study was to objectively evaluate the use of S.A.L.T. (Supraglottic Airway Laryngopharyngeal Tube), oropharyngeal airway (OPA) and nasopharyngeal airway (NPA) on the manikin with difficult airway to assess the risk of air introduction into the stomach during ventilation trauma patient and time of insertion of each device. ⋯ Total volume of air entering into the stomach using S.A.L.T. was the lowest among all three devices. The use of NPA did not show any clinically important advantage, the fastest insertion time for OPA may be of value in the battlefield.
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Pol. Merkur. Lekarski · Jul 2015
Assessment of the correlation between gender, age, body mass index and the severity of postoperative pain, nausea and vomiting in patients undergoing laparoscopic cholecystectomy.
Obesity has become one of the leading epidemic diseases in the world. Obesity is acknowledged as a risk factor for postoperative pain, nausea and vomiting (PONV), especially in obese patients undergoing laparoscopic procedures. ⋯ Female gender is a risk factor of PONV, so women should receive antiemetic prophylactic. There is a positive relationship between BMI and postoperative pain, so obese patients undergoing laparoscopic procedures should receive prophylactic application of analgesic drugs.