Wyniki wyszukiwania - Biblioteka Nauki

1

Acutum ingenium. Asteiologiczny motyw w estetyce i sztuce

100%

Piotrowski K.

Estetyka i Krytyka

|

2012

|

nr 1(24)

151-168

XX

How to read out the work of A.G. Baumgarten after Duchamp’s anesthesia? The author of this interpretation of aesthetics as asteiology (Greek: asteidzomai – to be witty) seeks to reconstruct the foundations of aesthetic thinking as the art, science and paideia of wit, and he proves that the category of acutum ingenium occupies the central role in Baumgarten’s aesthetics. From Quintilianus to Kant wit (ingenium) was comprehended as a form of invention, cognition, expression and a talent for social communication, and in Baumgarten’s asteiology as the ideal (habitus) of arts and sciences. Raising the issue of asteism (Greek: asteísmos) as a mental process in the Polish art, starting with – nomen omen – the wit of Witkacy, we have to make use of a normative model of asteic intelligence. This is the author’s answer to the wit – often without asteism – of the contemporary post-art, post-aesthetics or post-philosophy.

2

The investigation of the incidence rate of bradycardia caused by nasopharynx irritation and its related factors in adenoidectomy surgery

100%

Saki N. , Ebadi A. , Behbahani S. , Nikakhlagh S. , Akbarpour M.

Family Medicine & Primary Care Review

|

2018

|

nr 2

167-170

3

Distribution of papers on COVID-19 in the field of anesthesiology in individual countries and journals.

100%

Pinar A.

Critical Care Innovations

|

2021

|

tom 4

|

nr 2

8-22

EN

INTRODUCTION: The are many published papers on COVID-19 in the field of anesthesia recently. However, there isn’t any study that indicates what kind of issues countries and journals are focusing on this particular subject. The aim of this paper is to determine the countries and journals that contribute the most to the literature on COVID-19 in the field of anesthesia and also to examine the features that make the difference in the total cited count numbers of related papers. MATERIAL AND METHODS: The search engine of the Web of Science was used for the selection of papers. The search yielded 359 published materials in total. However, 78 (61 Articles, 17 Reviews) of them did not have keywords. Therefore, they were excluded from the analysis. The remaining 196 articles plus 84 reviews, in total 280 papers were examined. In order to examine the differences between published materials in terms of total cited count numbers, independent samples t-tests and one-way Anova test were performed with SPSS. In order to explore the topical differences, the keywords according to country of the first author, and the journal were mapped. KNIME and FactoMiner software were used for the analysis. RESULTS: Results indicated that international papers were cited more compared to domestic papers; multi-centered national papers were cited more compared to single-centered national papers. The largest percentage (34.64%) of the overall publications originated from Anglo-American countries (USA=13.93%; England=12.14%; Canada=6.07%; Australia=2.50%). The keyword mapping showed that COVID-19, SARS-CoV-2, Pandemic, Anesthesia, Airway, Acute Respiratory Distress Syndrome, Critical Care, Intensive Care, Personal Protective Equipment, Infection, Mortality, and Mechanical Ventilation were the main keywords of these published materials. CONCLUSIONS:This paper not only showed the features of papers that are cited more but also showed the ranking of countries that contribute the most to the literature and reflected the hot topics about COVID-19 in the field of anesthesia. Extensive studies about COVID-19 have already begun, and the number of studies keep increasing. Therefore, this study could provide hints for authors who would like their papers to be cited more as well as useful information for further research.

PL

WSTĘP: W ostatnim czasie opublikowano wiele prac dotyczących COVID-19 w dziedzinie anestezjologii. Jednak nie ma żadnych badań, które wskazują które kraje i czasopisma naukowe koncentrują się na tym konkretnym temacie. Celem badania jest wskazanie krajów i czasopism, które wnoszą największy wkład w literaturę dotyczącą COVID-19 w problematyce dotyczącej anestezjologii, a także zbadać cechy, które wpływają na różnicę w całkowitej liczbie cytowań. MATERIAŁ I METODY: Do wyboru artykułów wykorzystano wyszukiwarkę Web of Science. Wyszukiwanie przyniosło łącznie 359 opublikowanych materiałów. Jednak 78 (61 artykułów, 17 recenzji) nie zawierało słów kluczowych. W związku z tym zostały wykluczone z analizy. Pozostało 196 artykułów plus 84 recenzje (łącznie 280 artykułów). W celu oceny różnic między publikowanymi materiałami pod względem całkowitej liczby cytowań zastosowano niezależne próby t-testów i jednokierunkowych testów Anova, które przeprowadzono w SPSS. W celu zbadania aktualnych różnic słów kluczowych pod względem kraju pierwszego autora oraz czasopisma zastosowano mapowanie, wykorzystując oprogramowanie KNIME i FactoMiner. WYNIKI: Wyniki wskazują, że artykuły międzynarodowe były cytowane częściej niż artykuły krajowe; wielocentrowe publikacje krajowe były częściej cytowane w porównaniu z publikacjami o charakterze jednocentrowym. Największy odsetek (34.64%) publikacji pochodził z krajów anglo-amerykańskich (USA=13.93%; Anglia=12.14%; Kanada=6.07%; Australia=2.50%). Mapowanie słów kluczowych wykazało, że COVID-19, SARS-CoV-2, pandemia, znieczulenie, drogi oddechowe, ostry zespół niewydolności oddechowej, intensywna terapia, intensywna terapia, sprzęt ochrony osobistej, infekcje, śmiertelność i wentylacja mechaniczna - były głównymi słowami kluczowymi publikowanych materiałów. WNIOSKI: Praca ta nie tylko pokazała cechy artykułów, które są częściej cytowane, ale także pokazała ranking krajów, które wnoszą największy wkład w literaturę i odzwierciedlają gorące tematy dotyczące COVID-19 w dziedzinie anestezjologii. Rozpoczęto już szeroko zakrojone badania dotyczące COVID-19, a liczba badań stale rośnie. Dlatego to badanie może dostarczyć wskazówek dla autorów, którzy chcieliby, aby ich artykuły były częściej cytowane, a także przydatnych informacji do dalszych analiz.

4

Perioperative challenges in a primary hyperparathyroid patient with osteitis fibrosa cystic and borderline QTc: a case-based review and practice analysis

100%

HMR., Karim , PK., Neema , Iqbal J.

Progress in Health Sciences

|

2019

|

tom 2

57-63

EN

Introduction: Perioperative care of primary hyperparathyroidism patients is a significant challenge. The challenge increases when the preoperative optimization of the patient is suboptimal due to any reason. Concomitant complications like osteitis fibrosa cystic, renal involvement, and multiple electrolyte abnormalities predispose these patients towards multiple morbidities and even mortality during the perioperative period. It is known that the hypercalcemia causes shortened QT, and the inhalational and intravenous anesthesia drug-induced QT prolongation is likely to be buffered. On the other hand, prolonged QTc in primary hyperparathyroid patients in the presence of hypercalcemia is more uncommon, but an extremely challenging situation for anesthesiologists as these patients are more prone to torsadogenesity. Materials and methods: A case-based review is presented in this paper. To review the current practice and opinions, we searched PubMed and Google Scholar using the advanced search engine with the combination index words of primary hyper-parathyroidism, anesthesia, anaesthesia, anesthesia management, and anaesthesia management with a time frame of January 1, 2000, to August 30, 2018. Results: The results are enumerated in the text. Although anesthetic management of primary hyperparathyroid patients is available in the literature, anesthetic management of primary hyperparathyroid patients with prolonged or borderline QTc is not well described. In this paper, we present a case that was successfully managed using Desflurane based minimal flow anesthesia, which is probably also the first of such. Conclusion: Balanced anesthesia with Propofol induction and modern inhalational agents for maintenance and non-depolarizing neuromuscular blockade appears to be safe method of anesthesia.

5

The role of magnesium in the supposed mechanism of anaesthesia

100%

Kiss S. A. , Galbacs Z. , Galbacs G.

Journal of Elementology

|

2006

|

tom 11

|

nr 4

EN

The anaesthetic, narcotic effect of magnesium has been discussed since the publication of Meltzer-Auger (1906), but its mechanism has not been clarified. Since then, other investigations have also been performed, but none of the publications has explained the issue. We propose a mechanism analogous to the studies made by Feinstein (1964), who examined organic compounds showing anaesthetic effects. Our view is that magnesium abridges two phospholipids of the opposite sides of the membrane through their phosphate groups. This binding results in membrane rigidity, which makes the ion permeability provided by the ion channel and/or carrier decrease or discontinue, thus the halting of the Na+, K+ and Ca2+ ion flow eventually causes an anaesthetic effect. Another possible pathway is that magnesium ions block the activity of N-methyl-D-aspartate (NMDA) receptor to control the ion channel, which also lowers the permeability of the membrane.

6

Analgesic effects of ethyl chloride spray in venepuncture – a prospective, randomized, controlled, single-blind study

100%

Gur A. , Cakmak F.

European Journal of Clinical and Experimental Medicine

|

2023

|

nr 2

339-343

EN

Introduction and aim. This study evaluated whether ethyl chloride spray had an analgesic effect on pain intensity caused by venepuncture compared to a placebo. Material and methods. A total of 339 patients were randomly divided into two groups: The group in which ethyl chloride spray was applied (n=212) and the placebo group (n=127). The analgesic efficacy of ethyl chloride spray was compared with the placebo group using the Visual Analog Scale (VAS). Results. When the analgesic efficacy of ethyl chloride spray was compared with the placebo group, the VAS score was 4 [interquartile range (IQR): 1.0] for the ethyl chloride spray group and 5 (IQR: 2.0) for the placebo group. The efficacy of ethyl chloride spray in reducing pain was statistically significant compared to the placebo (p<0.001). Conclusion. Ethyl chloride spray has analgesic activity in venepuncture. Therefore, this spray can be used at the emergency departments to reduce pain intensity in patients undergoing such interventions.

7

Response to 2-phenoxyethanol in juvenile Vimba vimba [L.]

100%

Kaminski R. , Myszkowski L. , Wolnicki J.

Archives of Polish Fisheries

|

2001

|

tom 09

|

nr 1

EN

The anaesthetic effect of 2-phenoxyethanol onjuvenile Vimba vimba (L.) aged 38-179 days post-hatch (26-56 mm TL) was studied at 25°C. The concentration which anaesthetized 100% of the fish within 10 min without causing mortality after 15 min of exposure ranged from 0.35 g dm⁻³ to 0.48g dm⁻³ in 38 day-old vimba and from 0.33 g dm⁻³ to 0.43 g dm⁻³ in older fish. The induction and recovery times were shorter in the initial phase of vimba juvenile life than in older fish. In fish of the same age, induction time or recovery time did not depend on their size or condition (Fulton's coefficient). At 25°C, 2-phenoxyethanol at 0.40 g dm⁻³ may be used to efficiently and safely anaesthetize vimba juveniles.

PL

Celem badań było określenie reakcji młodocianej certy, Vimba vimba (L.), w wieku 38-179 dni od wyklucia na 2-fenoksyetanol, powszechnie stosowany w akwakulturze preparat do znieczulenia ryb. Badania przeprowadzono w temperaturze 25°C. Określono stężenia tego anestetyku zapewniające indukcję pełnej anestezji w czasie nie dłuższym niż 10 min (stężenia skuteczne) oraz stężenia nie powodujące śmiertelności po 15 min ekspozycji (stężenia bezpieczne). Najniższe stężenie skuteczne (NSS) wynosiło 0,35 g dm⁻³ u ryb w wieku 38 dni, a 0,33 g dm⁻³ u ryb starszych (63-179 dni od wyklucia). Najwyższe stężenie bezpieczne (NSB) wynosiło 0,48 g dm⁻³ u certy w wieku 38 dni, a u ryb starszych 0,43 g dm⁻³. W roztworze 2-fenoksyetanolu o stężeniu 0,40 g dm⁻³, średni czas indukcji pełnej anestezji i średni czas wybudzania były najkrótsze u ryb najmłodszych (odpowiednio 2,53 i 1,21 min). Maksymalny obserwowany u certy czas indukcji pełnej anestezji wynosił 6,22 min, a najdłuższy czas wybudzania 3,00 min. Zakres stężeń między najniższym stężeniem skutecznym i najwyższym stężeniem bezpiecznym 2-fenoks- yetanolu jest stosunkowo szeroki (nie mniej niż 0,1 g dm⁻³). W praktyce oznacza to, że zastosowanie stężenia nieznacznie wyższego od NSS pozostawia margines bezpieczeństwa utrudniający przypadkowe przedawkowanie. Wyniki badań dowiodły przydatności 2-fenoksyetanolu do skutecznej i bezpiecznej anestezji młodocianej certy.

8

Influence of different oxygen and nitrogen mixtures on the survival of worker bees after anesthesia with carbon dioxide

86%

Madras-Majewska B. , Ochnio L. , Ochnio M. , Zajdel B. , Kaminski Z. , Ostaszewska T. , Kamaszewski M.

Medycyna Weterynaryjna

|

2014

|

tom 70

|

nr 12

EN

Bee anesthesia has long been widely used in scientific research and for practical purposes. Bee anesthesia is usually induced with carbon dioxide. It is required for such procedures as populating mating hives and cages, introducing queen bees and instrumental insemination. The oxygen to nitrogen ratio may play a very important role in the process of awakening. The aim of the experiment was to investigate the survival rate of worker bees after the application of different concentrations of oxygen and nitrogen in their recovery from anesthesia. The general purpose was to determine the optimal gas mixture for the fastest recovery and the longest survival of bees. The results of this study provide a basis for future experiments on queen bees aimed at accelerating the awakening from anesthesia with carbon dioxide during insemination as well as the initiation of laying eggs. The lowest bee mortality in the first days after awakening from anesthesia was observed in the group awoken in a mixture of 48.6% O₂ and 51.4% N₂, but the highest average survival rate was noted in the group awoken in 60% O₂ and 40% N₂.

9

Comparison of the efficiency of anatomical and ultrasound-guided method for the Th4 –Th7 intercostal nerve block in dogs

86%

Trebacz P. , Trebacz E. , Jurka P. , Galanty M.

Bulletin of the Veterinary Institute in Puławy

|

2011

|

tom 55

|

nr 3

EN

The aim of this study was the assessment of the usefulness of the ultrasound-guided method during injections into the Th₄- Th₇ intercostal nerve area in dogs, as well as comparison of the liquid deposition precision obtained using anatomical and ultrasound- guided methods. The study has been performed on fresh cadavers of 20 dogs. A mixture of black ink and iodinated contrast medium was injected. The procedure was performed by anatomical method at the right side and ultrasound-guided at the left side. Subsequently, thoracic radiograph in dorsal recumbency and post-mortem examination were performed. A spread of the contrast media mixture was assessed on radiographs and during post-mortem examinations. Eighty injections were done in 20 dogs with the use of each method. The assessment method of the accurate placement of the contrast medium mixture in the area of the intercostal nerve, based on X-ray examination, was consistent with necropsy findings. Probability of the precise liquid placement was two times greater in case of ultrasound-guided method than in case of anatomical one. These differences were statistically significant. Ultrasound viewing improved considerably the precision of injection of the contrast medium mixture in the area of intercostal nerves. This technique is simple and easy to master and it increases effectiveness and safety of performed procedures. The comparison of both methods on cadavers enables a choice of an appropriate anaesthesia technique in living animals.

10

Influence of some biologically active agents on brain temperature sensitivity in the rabbit

86%

Yaitchnikov I. K. , Borodin Y. S.

Acta Physiologica Polonica

|

1990

|

tom 41

|

nr 7

11

Awareness of pregnant women about natural methods of anesthesia of sorts

86%

Goncharevich M. , Sinitskaya N. , Tishchenko E.

Health Problems of Civilization

|

2016

|

tom 10

|

nr 3

EN

Background. Today there is a set of pharmacological ways of pain relief at childbirth, but some women consciously choose natural anesthesia. It works for relaxation of the woman, and therefore they effectively relieve pain and restore forces. Material and methods. The objective of the research was studying of awareness of pregnant women at the age of 18 - 44 years about natural methods of labor pain relief and the efficiency of using these methods in order to decrease patrimonial pain. The patients were offered to answer on the short questionnaire which had been consisted of 14 open questions. Results. The most common methods of non-pharmacological analgesia and the results of their application for women during childbirth are considered on the basis of the survey highlights. Our studies indicate that natural methods of pain relief with proper and timely application of the women effective in reducing sensitivity to pain during labor, making labor more pleasant for the mother and has no adverse effects on the child. Conclusions. Today pregnant women are adequately informed with respect to the existing natural methods of pain relief in labor and they quite often use them in practice.

PL

Wprowadzenie. W dzisiejszych czasach istnieje szereg farmakologicznych sposobów na uśmierzenie bólu w czasie porodu, jednak niektóre kobiety świadomie wybierają metodę naturalnego znieczulenia. Działa ona na stan zrelaksowania kobiet, za czym idzie skuteczne uśmierzenie bólu oraz zregenerowanie sił. Materiał i metody. Celem badania było przeanalizowanie świadomości kobiet ciężarnych w wieku 18-44 lat w zakresie naturalnych metod uśmierzania bólu oraz efektywności korzystania z tych metod przy zmniejszaniu bólu porodowego. Pacjentkom zaproponowano udzielenie odpowiedzi na krótką ankietę składającą się z 14 otwartych pytań. Wyniki. Najpopularniejsze metody niefarmakologicznej analgezji oraz wyniki ich użycia dla kobiet w czasie rodzenia zostały wskazane na podstawie wyników kwestionariusza. Nasze badania wykazały, że naturalne metody uśnieżenia bólu, o ile są one stosowane w odpowiedni sposób w odpowiednim momencie, skutecznie zmniejszają wrażliwość na ból w czasie porodu, sprawiając, że staje się on mniej nieznośny dla mam, nie wywołując przy tym negatywnych efektów dla dzieci. Wnioski. W dzisiejszych czasach kobiety ciężarne są odpowiednio poinformowane na temat istniejących metod naturalnych uśmierzających ból porodowy, co sprawia, że korzystają one z tych metod dosyć często.

12

Identification of greater occipital nerve landmarks for the treatment of occipital neuralgia

86%

Loukas M. , El-Sedfy A. , Tubbs R. S. , Louis R. G. J. , Wartmann C. T. , Curry B. , Jordan R.

Folia Morphologica

|

2006

|

tom 65

|

nr 4

337-342

EN

Important structures involved in the pathogenesis of occipital headache include the aponeurotic attachments of the trapezius and semispinalis capitis muscles to the occipital bone. The greater occipital nerve (GON) can become entrapped as it passes through these aponeuroses, causing symptoms of occipital neuralgia. The aim of this study was to identify topographic landmarks for accurate identification of GON, which might facilitate its anaesthetic blockade. The course and distribution of GON and its relation to the aponeuroses of the trapezius and semispinalis capitis were examined in 100 formalin-fixed adult cadavers. In addition, the relative position of the nerve on a horizontal line between the external occipital protuberance and the mastoid process, as well as between the mastoid processes was measured. The greater occipital nerve was found bilaterally in all specimens. It was located at a mean distance of 3.8 cm (range 1.5–7.5 cm) lateral to a vertical line through the external occipital protuberance and the spinous processes of the cervical vertebrae 2–7. It was also located approximately 41% of the distance along the intermastoid line (medial to a mastoid process) and 22% of the distance between the external occipital protuberance and the mastoid process. The location of GON for anaesthesia or any other neurosurgical procedure has been established as one thumb’s breadth lateral to the external occipital protuberance (2 cm laterally) and approximately at the base of the thumb nail (2 cm inferior). This is the first study proposing the use of landmarks in relation to anthropometric measurements. On the basis of these observations we propose a target zone for local anaesthetic injection that is based on easily identifiable landmarks and suggest that injection at this target point could be of benefit in the relief of occipital neuralgia.

13

F-actin disrupting agents affect the fluid-phase endocytosis of human skin fibroblasts in culture

86%

Michalik M. , Wianecka-Skoczen M. , Korohoda W.

Cellular and Molecular Biology Letters

|

2002

|

tom 07

|

nr Suppl.

14

Intravenous midazolam as an induction agent for inhalation anaesthesia in dogs

72%

Cwiek A. , Balicki I. , Rozanska D.

Medycyna Weterynaryjna

|

2010

|

tom 66

|

nr 01

37-40

EN

The aim of this study was to evaluate midazolam as an intravenous induction agent for inhalation anaesthesia in the routine castration of dogs. Investigations concerned the dose required for induction as well as its effects on the dog’s general condition, arterial blood gas and acid-base balance. A total of 24 male dogs of various breeds were studied, ranging in age from 1 to 11 years and in weight from 5 to 27 kg. Dogs were recruited at the Department and Clinics of Animal Surgery, University of Life Sciences in Lublin, Poland. The dogs were premedicated intramuscularly with xylazine and atropine sulphate at dose rates of 2 mg/kg and 0.05 mg/kg respectively. Twenty minutes after premedication, midazolam was administered by intravenous infusion. Intravenous midazolam proved useful as an induction agent for inhalation anaesthesia. The dose used was dependent on the animal’s reaction. The induction of anaesthesia with midazolam was successful and enabled endotracheal intubation and inhalation anaesthesia with a halothane-oxygen mixture. The application of midazolam with halothane, however, led to transitory disturbances in systemic acid-base balance due to gas exchange abnormalities. The median effective dose of midazolam for the induction of anaesthesia was 0.46 mg/kg i.v. Postoperatively, a full recovery of consciousness and motor functions was rapidly achieved in all dogs. Further studies on midazolam as an intravenous induction agent for inhalation anaesthesia in the dog are warranted.

15

Effect of different oxygen and nitrogen ratios in bees awakened from carbon dioxide anesthesia on their behavior and survival after this exertion

72%

Madras-Majewska B. , Kaminski Z. , Balcerak M. , Ochnio L.

Medycyna Weterynaryjna

|

2013

|

tom 69

|

nr 12

EN

Carbon dioxide is commonly used to anesthetize the bee queen during instrumental insemination. It can be used both during the insemination procedure, and also to speed up the start of oviposition of instrumentally inseminated queen bees. Anesthesia is not indifferent to the bees’ condition and is unable to reduce the queen latency period to a similar duration as in naturally mated queens. Aside from experiments on bee queens research on worker bees is also conducted because of costs reduction as well as the fact that adverse effects of anesthesia are more pronounced in worker bees than in queens. Therefore the aim of this study carried out on worker bees is to determine the influence of different atmospheric compositions during their awakening from anesthesia. The study was conducted in 2008 in the apiary of the Apiculture Division of the Warsaw University of Life Sciences – SGGW. 3960 Carniolan bees at the age of 2 weeks were studied. All of the 10 bees placed in plastic mail cages were anaesthetized with carbon dioxide for 3 minutes and then awakened in a chamber with a controlled composition of the atmosphere. 33 repetitions were conducted, each of them included 6 groups of the following atmospheric compositions: 1. oxygen 100%; 2. nitrogen 100%; 3. oxygen/nitrogen 30%/70%; 4. oxygen/nitrogen 50%/50%; 5. oxygen/nitrogen 70%/30%; 6. control group, natural composition of atmospheric air. Awakening time was determined by first breathing movements observed and then upon their fully awakening. The awakening of bees after carbon dioxide anesthesia follows a different course in relation to the atmospheric composition during recovery. Awakening in a pure oxygen and pure nitrogen atmosphere significantly prolongs the time to the appearance of the first respiratory movements and the total time to full awakening of bees (in comparison to the control group). Awakening in an atmosphere composed of 70% of oxygen and 30% of nitrogen significantly reduces the time to the appearance of the first respiratory movements and the time of the full awakening of bees. The highest survival rate 14 days after awaking was found in group 5 (70% of oxygen and 30% of nitrogen). The shortest survival rate, (22 days), had bees that awakened in a pure nitrogen atmosphere.

16

Effect of pneumoperitoneum with carbon dioxide (CO2) on various kinds of anesthesia during laparoscopic operations in dogs

72%

Brzeski W. , Adamiak Z. , Nowicki M. , Jalynski M. , Depta A. , Nieradka R. , Rychlik A. , Nowicki M.

Electronic Journal of Polish Agricultural Universities. Series Veterinary Medicine

|

2002

|

tom 05

|

nr 1

17

Rodzaj znieczulenia stosowanego podczas cięcia cesarskiego w dwóch szpitalach województwa małopolskiego (Polska)

72%

Edyta Barnaś E. , Małgorzata Kołpa M. , Dorota Wolak D. , Bogumił Gawlik B.

Medical Review

|

2016

|

nr 1

75-82

PL

Wprowadzenie. W ostatnich latach obserwujemy wzrost ilości cięć cesarskich, głównie wykonywanych w trybie planowym. Najczęstszą metodą znieczulenia wykorzystywaną w porodzie operacyjnym jest znieczulenie przewodowe, głównie znieczulenie podpajęczynówkowe. Cel pracy. Analiza porównawcza sposobów znieczulenia do cięcia cesarskiego w wybranych dwóch szpitalach województwa małopolskiego (powiat tarnowski) w roku 2014. Materiał i metody. Przeprowadzono analizę dokumentacji medycznej 1097 znieczuleń cięć cesarskich (w tym: wiek, dane antropometryczne, wartość skali ASA, rodzaj wykonanego znieczulenia, płyny zastosowane przed znieczuleniem, rodzaj igły, spadki ciśnienia po wykonanym bloku). Do analizy zebranych danych użyto testów: parametryczny chi kwadrat, oraz nieparametryczne testy Kruskala- Wallisa i U Mana- Whitneya. Przyjęto poziom istotności p < 0,05. Wyniki. Średni wiek kobiet poddawanych zabiegowi cięcia cesarskiego wyniósł 32,3±5,42. Średnia ocena w skali ASA badanych kobiet wyniosła1,02±0,15. Najczęściej wybieraną metodą znieczulenia było znieczulenie przewodowe podpajęczynówkowe, w grupie B zdecydowanie częściej podczas znieczulenia podpajęczynówkowego stosowano igłę 26G Standard oraz większą ilość marcainy. Częściej wybieraną formą nawodnienia pacjentek z grupy B było stosowanie HAES. Wykazano, że nawodnienie koloidami (HAES) przed zabiegiem skutkuje mniejszymi spadkami ciśnienia tętniczego po znieczuleniu. Wnioski. Znieczulenie podpajęczynówkowe jest najczęstszą metodą znieczulenia podczas cięcia cesarskiego. Najczęstszym powikłaniem znieczulenia przewodowego w cięciu cesarskim był spadek ciśnienia tętniczego krwi. Jako prewencję hipotonii stosowano nawadnianie płynami koloidowymi i krystaloidami.

EN

Background. Recent years have witnessed an increase in the number of elective caesarean deliveries. Conduction anesthesia, mainly spinal, is the type of anesthesia most frequently used for caesarean delivery. Purpose. The survey aimed to conduct comparative analysis of anesthesia types used for caesarean deliveries in two selected hospitals of the Małopolska Province (county of Tarnow), Poland, in 2014. Material and methods. Anesthetic records for 1097 caesarean deliveries were analyzed (including: patients’ age, anthropometric data and ASA physical status score, type of performed anesthesia, pre-anesthetic fluids, type of spinal needles and a drop in arterial blood pressure after the blockade). The parametric chi-squared test and the nonparametric Kruskal- Wallis and U-Mann Whitney tests were used to analyze the data collated. The level of significance was accepted at < 0.05. Results. The mean age of females subjected to caesarean section equaled 32.3±5.42 and their mean ASA score was 1.02±0.15. On balance, conduction spinal anesthesia was the most frequently selected anesthetic to prevent pain, and in group B, 26G standard spinal needles and a greater dose of Marcaine were far more routinely used. The HAES solution was in group B the most frequently selected method of hydration. It was disclosed that hydration with the HAES colloidal solutions before the surgical intervention resulted in a smaller drop in ABP after anesthesia. Conclusions. Spinal anesthesia was the most frequently selected method of anesthesia for caesarean delivery. The ABP drop was the most prevailing complication resulting from conduction anesthesia for caesarean delivery. Hydration with colloid and crystalloid fluids was implemented as a preventive measure against hypotension.

18

Comparative study of midazolam-propofol and metamizole-propofol clinical effects in domestic pigeons

72%

Mousavi A. , Abedi G. , Jahandideh A. , Hesaraki S.

Medycyna Weterynaryjna

|

2018

|

tom 74

|

nr 09

EN

This study was conducted to determine the quality of anesthesia by evaluating the clinical effects of midazolam-propofol and metamizole-propofol on domestic pigeons (Columba livia). The aim of the study was to choose an appropriate injectable anesthetic protocol by utilizing midazolam and metamizole as pre-anesthetic drugs in order to reduce the dose of propofol and decrease side effects. Eighteen male pigeons weighing 304.2 ± 32.3 g (mean ± SD) were randomly allocated to three groups of six pigeons each. Midazolam (6 mg/kg/IM) and metamizole (500 mg/kg/IM) were used five minutes prior to administration of propofol (8 mg/kg/IV) in groups I and II, respectively, while the birds in group III (control group) received metamizole (500 mg/kg/IM). Five minutes after the last injection, clinical parameters of various systems were evaluated. Nervous system parameters declined in groups I and II, while reflexes could still be elicited in group III (P < 0.05). There were no significant changes in the heart rate, dysrhythmia, or gastrointestinal parameters in the three groups (P > 0.05). The birds in group II showed reduced jaw and limb muscle tone (P < 0.05). Corneal and palpebral reflexes were absent in groups I and II (P < 0.05). Both respiratory depth and pattern were irregular in group I, while all the parameters were normal in group II (P < 0.05). The respiratory rate decreased in all groups after injection, although this reduction was significant only in group I (P < 0.05). In conclusion, the combination of metamizole-propofol is safer and more compatible with the physiology of pigeons and can be used for short operations, especially when inhalation agents are contraindicated.

19

Perifocal and remote blood-brain barrier disruption in cortical photothrombotic ischemic lesion and its modulation by the choice of anesthesia

72%

Krysl D. , Deykun K. , Lambert L. , Pokorny J. , Mares J.

Journal of Physiology and Pharmacology

|

2012

|

tom 63

|

nr 2

20

Airway management - a review of current methods, guidelines and equipment

72%

Bargiel D. , Sejboth J. , Jurkiewicz-Spiewak A. , Szurlej D. , Gurowiec P. , Romanska A. , Dabrowski M.

Medical Science Pulse

|

2018

|

tom 12

|

nr 1

EN

Maintaining airway patency is an essential issue in many fields of medicine. The modern approach to CPR, which focuses on maintaining airway, breathing, and circulation was finally established by Peter Safar in his book ABC of Resuscitation (1950). At present, along with the development of evidence-based medicine, techniques which are proven to be clinically effective are regularly published in a convenient form – as bundles and guidelines. Regarding airway management, ERC and DAS guidelines are the most reliable and useful sources of knowledge and practical clinical advice. Among the medical staff, there is emphasis put on the mastery of AB C techniques. Airway management is the first step in the resuscitation algorithm. It consists of a variety of procedures ranging from simple and non-invasive to more complex, requiring professional training and experience. Currently, the most clinically effective and life-saving actions are incorporated into whole procedures and bundles, such as ERC or DAS guidelines, which are evenly checked, evaluated and, eventually, modified. This method of regular revision allows us to keep all medical professionals at the same level of competence. The aim of the study was to describe basic and advanced techniques, methods, and devices which are currently used to provide it. Currently applicable guidelines regarding CPR and airway management were reviewed and summarized.