Wiadomości lekarskie (Warsaw, Poland : 1960)
-
Cervical spine injuries are common and essential diagnostic problem. Diagnostic imaging is necessary for proper and effective treatment. Helical computed tomography (CT) and plain radiography are the basic diagnostic methods in cervical spine injuries. ⋯ CT examination is the basic technique of diagnostic imaging in a case of cervical spine injuries. It enables quick, accurate and precise evaluation of bone structures and surrounding soft tissues. CT also enables multiplanar imaging and 3-dimentional imaging.
-
Case Reports
[Effects of combined spinal-epidural anesthesia in patients undergoing abdominal aorta aneurysms stent-grafting].
We present the anesthetic combined spinal-epidural management of two patients undergoing endovascular abdominal aorta aneurysm stent-graft procedure. Due to many concomitant diseases: high blood pressure, chronic pulmonary obstructive disease, diabetes and obesity both patients were of high anesthesia risk. With no need for abdominal surgical opening, anesthetic muscles relaxation and intraoperative ventilatory support, CSEB was a method of choice. Additionally it provided sufficient intraoperative and postoperative analgesia with a possibility of anesthesia prolongation when needed and decreased the overall risk of intraoperative and postoperative cardiac and respiratory complication.
-
Review Comparative Study Historical Article
[Thoracic paravertebral blockade--history or present time?].
This article discusses thoracic paravertebral blockade (TPVB)--a popular in early XX-th century method of local anaesthesia used also for diagnosis and treatment--being revitalized lately. Authors present modem indications for TPVB comparing it to other methods of regional anaesthesia.
-
This article presents in illustrations the classical technique of transdermal identification and anatomy of paravertebral space (PVS) comparing to other techniques. This have to be acknowledged by anaesthesiologists as well as by other specialists to perform thoracic paravertebral blockade (TPVB)--earlier elapsed but nowadays getting more popular--safely. In addition the article contains a short description of author's own modification of Eason's and Wyatt's technique.
-
Remifentanil is a new, ultra-short acting opioid, which may be applied in several branches of anaesthesia. Data concerning pharmacokinetics and pharmacodynamics as well as review of references regarding practical use, combining this drug with other anaesthetics agents and side effects are given. Particular attention is paid to the usefulness of remifentanil to provide good control of haemodynamics and stress response during surgical procedures. Remifentanil also seems to be very effective in the intensive care setting and for pain control during various medical procedures.