Search results

Filters

  • Journals
  • Authors
  • Keywords
  • Date
  • Type

Search results

Number of results: 6
items per page: 25 50 75
Sort by:
Download PDF Download RIS Download Bibtex

Abstract

Cardiopulmonary resuscitation is one of the most studied procedures in medicine. Over the years, despite numerous scientific studies, changes in guidelines, refining algorithms, expanding the availability of resuscitation equipment and educating the public, it has not been possible to improve the results of treatment of patients after cardiac arrest. Only 10% of them survive until hospital discharge. There is a well-tested medical procedure, wide application of which could improve results of resuscitation. This procedure is open chest cardiac massage (OCCM).
OCCM is not a new technique, its use dates back to the nineteenth century, now it is reserved for patients sustaining trauma and those after surgical procedures. A number of experimental and clinical studies have proven its advantage over the currently preferred indirect massage (CCCM) also in the group of non- traumatic patients. Of course, OCCM is an invasive method with a number of possible complications accompanying surgical procedures, and its wide implementation would require a long-term training program, but it seems that it could be an impulse that would significantly improve survival in this group of patients.
Go to article

Bibliography

1. Sasson C., Rogers M.A.M., Dahl J., Kellermann Arthur L.: Predictors of survival from out-of-hospital cardiac arrest a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010; 3: 63–81.
2. Lott C., et al.: European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation. 2021; 161: 152–219. https://doi.org/10.1016/j.resuscitation.2021.02.011
3. Lee W.E., Downs M.: Resuscitation by direct massage of the heart in cardiac. Ann Surg. 1924; 80 (4): 555–561.
4. Stephenson H.E. Jr., Reid L.C., Hinton J.W.: Some common denominators in 1200 cases of cardiac arrest. Ann Surg; 1953; 137 (5): 731–774.
5. Briggs B.D., et al.: Cardiac arrest; study of a thirty-year period of operating room deaths at Massachusetts General Hospital, 1925–1954. J Am Med Assoc. 1956; 160 (17): 1439–1444.
6. Jude J.R., et al.: Cardiac arrest. Report of application of external cardiac massage on 118 patients. Jama. 1961; 178: 1063–1070.
7. Pappelbaum S., Lang T.W., Bazika V., Bernstein H., Herrold G., Corday E.: Comparative Hemodynamics during open versus closed cardiac resuscitation. Jama. 1965; 193: 659–662.
8. Weale F.E., Rothwell-Jackson R.L.: The efficiency of cardiac massage. Lancet. 1962; 1 (7237): 990–992.
9. Weiser F.M., Adler L.N., Kuhn L.A.: Hemodynamic effects of closed and open chest cardiac resuscitation in normal dogs and those with acute myocardial infarction. Am J Cardiol. 1962; 10: 555–561.
10. Bircher N., Safar P.: Comparison of standard and “new” closed-chest CPR and open-chest CPR in dogs. Crit Care Med.. 1981; 9 (5): 384–385.
11. Barsan W.G., Levy R.C.: Experimental design for study of cardiopulmonary resuscitation in dogs. Ann Emerg Med. 1981; 10 (3): 135–137.
12. Bartlett R.L., Stewart N.J. Jr., Raymond J., Anstadt G.L., Martin S.D.: Comparative study of three methods of resuscitation: closed-chest, open-chest manual, and direct mechanical ventricular assistance. Ann Emerg Med. 1984; 13 (9 Pt 2): 773–777.
13. Sanders A.B., Kern K.B., Ewy G.A., Atlas M., Bailey L.: Improved resuscitation from cardiac arrest with open-chest massage. Ann Emerg Med. 1984; 13 (9 Pt 1): 672–675.
14. White B.C., Hildebrandt J.F., Evans A.T., Aronson L., Indrieri R.J., Hoehner T., Fox L., Huang R., Johns D.: Prolonged cardiac arrest and resuscitation in dogs: brain mitochondrial function with different artificial perfusion methods. Ann Emerg. 1985; May; 14 (5): 383–388.
15. Badylak S.F., Kern K.B., Tacker W.A., Ewy G.A., Janas W., Carter A.: The comparative pathology of open chest vs. mechanical closed chest cardiopulmonary resuscitation in dogs. Resuscitation. 1986; 13 (4): 249–264.
16. Barnett W.M., Alifimoff J.K., Paris P.M., Stewart R.D., Safar P.: Comparison of open-chest cardiac massage techniques in dogs. Ann Emerg Med. 1986; 15 (4): 408–411.
17. DeBehnke D.J., Angelos M.G, Leasure J.E.: Comparison of standard external CPR, open-chest CPR, and cardiopulmonary bypass in a canine myocardial infarct model. Ann Emerg Med. 1991 Jul; 20 (7): 754–760.
18. Benson D.M., O’Neil B., Kakish E., Erpelding J., Alousi S., Mason R., Piper D., Rafols J.: Open-chest CPR improves survival and neurologic outcome following cardiac arrest. Resuscitation. 2005; 64: 209– 217.
19. Delguercio L.R., Feins N.R., Cohn J.D., Coomaraswamy R.P., Wollman S.B., State D.: Comparison of blood flow during external and internal cardiac massage in man. Circulation. 1965; 31 (Suppl 1): 171–180.
20. Takino M., Okada Y.: The optimum timing of resuscitative thoracotomy for non-traumatic out-of- hospital cardiac arrest. Resuscitation. 1993; 26 (1): 69–74.
21. Boczar M.E., Howard M.A., Rivers E.P., Martin G.B., Horst H.M., Lewandowski C., Tomlanovich M.C., Nowak R.M.: A technique revisited: hemodynamic comparison of closed- and open-chest cardiac massage during human cardiopulmonary resuscitation. Crit Care Med. 1995 Mar; 23 (3): 498–503. doi: 10.1097/00003246-199503000-00014. PMID: 7874901.
22. Wang M., et al.: Open-chest cardiopulmonary resuscitation versus closed-chest cardiopulmonary resuscitation in patients with cardiac arrest: a systematic review and meta-analysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2019; 27: 116. https://doi.org/10.1186/ s13049-019-0690-7
23. Morgan B.S., Garner J.P.: Emergency thoracotomy — the indications, contraindications and evidence. J R Army Med Corps. 2009 Jun; 155: 87–93. doi: 10.1136/jramc-155-02-02
24. Seamon M.J., Chovanes J., Fox N., Green R., Manis G., Tsiotsias G., Warta M., Ross S.E.: The use of emergency department thoracotomy for traumatic cardiopulmonary arrest. Injury. 2012; 43: 1355– 1361. doi: 10.1016/j.injury.2012.04.011
25. Buckman R.F., Jr., Badellino M.M., Mauro L.H., Aldridge S.C., Milner R.E., Malaspina P.J., Merchant N.B., Buckman R.F.: Direct cardiac massage without major thoracotomy: Feasibility and systemic blood flow. Resuscitation. 1995; 29: 237–248.
26. Bircher N., Safar P.: Manual open-chest cardiopulmonary resuscitation. Ann Emerg Med. 1984 Sep; 13 (9 Pt 2): 770–773. doi: 10.1016/s0196-0644(84)80432-1
27. Passos E.M., et al.: Social costs of inappropriate emergency department thoracotomy. J Am Coll Surg. 2012; 214: 18–25.
Go to article

Authors and Affiliations

Jan Szpor
1
Barbara Uchańska
1
Janusz Andres
1

  1. Department of Anaesthesiology and Intensive Therapy, Jagiellonian University Medical College, Kraków, Poland
Download PDF Download RIS Download Bibtex

Abstract

Malignant neoplasms are currently a severe medical challenge and the second leading cause of death worldwide. The modern anesthesia applied may improve the patient outcome. This paper presents a review of anesthesia management related to patients with gynaecologic malignancies. It includes the influence of the type of anesthesia on cancer recurrence, application of regional anesthesia in gynaecologic oncologic surgery, and selected aspects of anesthesia for robotic surgery. We performed a literature search on MEDLINE, EMBASE, Google Scholar, the Cochrane Central Register of Controlled Trials, and Clinical Trials. The database search focused on the topics related to anesthesia in gynecological oncology. The authors also contributed through individual, independent literature searches.
Go to article

Authors and Affiliations

Paweł Krawczyk
1
Tomasz Lonc
1
Rafał Świstek
1
Paweł Tyszecki
2
Janusz Andres
1

  1. Department of Anesthesiology and Intensive Care Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Anesthesiology and Intensive Care Medicine 5th Military Hospital with Polyclinic Kraków, Poland
Download PDF Download RIS Download Bibtex

Abstract

B a c k g r o u n d: Near Infrared Spectroscopy (NIRS) is considered a reliable assessment method of a balance between cerebral oxygen demand and supply. One of forms of anaesthesia applied during extensive abdominal surgical procedures is the epidural anaesthesia. Its application in addition to the general anaesthesia is a commonly accepted form of anaesthesia in patients undergoing abdominal surgery. The aim of this study was to verify the hypothesis that epidural blocks may have eff ects on cerebral saturation in patients undergoing abdominal surgery under general anaesthesia.

M e t h o d s: Cerebral saturation was monitored intrasurgically. Reduction of cerebral oxymetry by over 25% in relation to the baseline, or cerebral oxymetry value below 50% was considered clinically significant.

R e s u l t s: One hundred and one (101) subsequent and non-randomised patients, age between 35 and 84 years (mean 64 ± 10) qualifi ed for major abdominal surgeries were enrolled. In 14 (13.9%) patients of 101 enrolled a clinically signifi cant reduction of cerebral saturation was observed. In 50 (49.5%) of the enrolled patients, the epidural anaesthesia was applied along the general anaesthesia. A clinically signifi cant reduction of cerebral saturation was observed in 9 of them. No statistically significant association was found between the application of epidural anaesthesia and development of cerebral desaturation.

C o n c l u s i o n: The application of epidural anaesthesia caused no clinically significant reduction of cerebral saturation during the general anaesthesia in course of major abdominal surgical procedures.

Go to article

Authors and Affiliations

Tomasz Składzień
Janusz Andres
Artur Pasternak
Jerzy Wordliczek
Download PDF Download RIS Download Bibtex

Abstract

Oncological surgery is the primary treatment for gynecological malignancies and is inseparably linked with anesthesia. The modern approach to interdisciplinary and multidisciplinary perioperative care in gynecologic oncological patients improves the outcome. This paper presents a review of perioperative management of patients with gynecologic oncology related to enhanced recovery after surgery and cytor-eductive surgery with hyperthermic intraperitoneal chemotherapy. We performed a literature search on MEDLINE, EMBASE, Google Scholar, the Cochrane Central Register of Controlled Trials, and Clinical Trials. The database search focused on selected topics related to perioperative gynecological oncology care. The authors also contributed through individual, independent literature searches.
Go to article

Authors and Affiliations

Paweł Krawczyk
1
Rafał Baran
2
Dominika Trojnarska
3
Robert Jach
3
Janusz Andres
1

  1. Department of Anesthesiology and Intensive Care Medicine, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Gynecological Endocrinology and Gynecology, University Hospital, Kraków, Poland
  3. Department of Obstetrics and Gynecology, Jagiellonian University Medical College, Kraków, Poland
Download PDF Download RIS Download Bibtex

Abstract

Introduction: Trauma is one of the leading causes of death in the European Union. The European Trauma Course (ETC) is a training course that focuses on administering aid to trauma patients in a Hospital’s Emergency Department by creating an effective and well-organized trauma team. The purpose of the study is to analyze how the ETC training is evaluated by its participants and whether it is tailored to local needs.

Materials and Methodology: The study includes eight courses conducted between 2010 and 2015, involving 109 medical professionals. Participants were given questionnaires where they could evaluate the various aspects of the course and comment on each of them, using a four-level scale. Finally, 78 surveys were qualified for the study.

Results: The exercises were very highly rated (average 3.79 points), mainly for their interesting scenarios and station preparation. Equally well-evaluated was the short and concise method of instruction. The lowest ranked aspect was the course fee (2.41 points). There were oft en negative comments about the use of English during the training (lectures and manuals).

Discussion: The opinions of Polish students were similar to those of ETC participants in other European countries. There are many interesting advantages of workshop scenarios, while the downside is the time constraint. Nevertheless, the ETC has been very successful. High ratings and positive feedback affirm the high demand for such courses in Poland.

Go to article

Authors and Affiliations

Kaja Gąska
Grzegorz Cebula
Grzegorz Danielczok
Michał Nowakowski
Piotr Kolęda
Janusz Andres

This page uses 'cookies'. Learn more