{"title":"Early haemorrhage from brachiocephalic trunk as a complication of tracheostomy.","authors":"J Kmiecik, R Szulc, W Grabus","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 27-year-old patient suffered injuries to the facial bones and brain contusion in a traffic accident. On the third day after the accident the patient was admitted to an intensive care unit in view of increasing respiratory failure. Tracheostomy was performed for prolonged controlled respiration. On the 6th day after tracheostomy the patient died from a sudden massive hemorrhage from the tracheostomy site. Autopsy findings showed that the direct cause of death was injury to the brachiocephalic trunk communicating with a focus of tissue necrosis in the tracheal wall. The authors stress the early development of this complication and the necessity of the earliest possible commencement of intensive care in cases of injuries to the facial bones.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 3","pages":"201-4"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11986408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J Czajkowski, A Deszkiewicz, J Polański, M Ruka, W Olszewski
{"title":"Anaesthesia for orthotopic allogenic liver transplantation in pigs.","authors":"J Czajkowski, A Deszkiewicz, J Polański, M Ruka, W Olszewski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Anaesthesia with a mixture of halothane, nitrous oxide and oxygen was used for allogenic liver transplantation in 24 pigs. All animals had haemodynamic disturbances due to the technique of the operation: metabolic acidosis, disturbances of bioelectric activity of the heart and electrolyte level changes. The methods of management of these disturbances are discussed. Favourable results were obtained when transfusing heparinized stored blood in place of initially used ACD blood which increased the intensity of metabolic acidosis. Details of the technique and method of anaesthesia and monitoring of animals during operation are discussed.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 3","pages":"149-58"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11985342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Assessment of methods of anaesthesia used for total alloplasty of hip joint with application of bone cement.","authors":"A Zawadzki, W J Ciastoń, A Mazurek, B Jakubczyk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors analyse 151 cases of anaesthesia for total hip joint alloplasty. Fifty-three patients had general anaesthesia and in 98 cases epidural analgesia was performed. Although the statistical analysis of correlations between the fall of the arterial blood pressure and the age of patients failed to demonstrate significant differences between both types of anaesthesia the authors regard local analgesia as superior.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 3","pages":"181-5"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12194472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Iontophoretic blockade in treatment of carotid sinus syndrome.","authors":"E Beda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author describes the results of treatment by his own modification of carotid sinus blockade with lidocaine electrophoresis in 17 patients. The results confirmed the effectiveness of the method and demonstrates its simplicity and safety.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 3","pages":"195-200"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12194476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
W Gaszyński, A Pruszyńska-Bednarek, A Majka, J Siwik
{"title":"The effect of bone cement used for endoprosthesis stabilization on the activity of lysosomal enzymes in peripheral blood granulocytes.","authors":"W Gaszyński, A Pruszyńska-Bednarek, A Majka, J Siwik","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The effect of bone cement used for stabilization of hip joint endoprosthesis on the activity of lysosomal enzymes in peripheral blood granulocytes was studied. The operations were carried out under balanced, non-toxic, endotracheal anaesthesia using muscle relaxants. The blood for tests was obtained from an antecubital vein before and during anaesthesia, before application of bone cement, and 10 min., 1 hour and 24, 48 and 72 hours after endoprosthesis implantation using bone cement. The activity of acid phosphatase, acid protease and neutral protease was determined by calculating it in relation to protein level in the studied fractions. During anaesthesia as well as during the operation when bone cement was applied no statistically significant differences were found in the activity of lysosomal enzymes. On the other hand, after the operation statistically significant changes were found in the activity of lysosomal marker enzymes. Lability of lysosomal membranes appeared with permeation of hydrolases into supernatant. These results confirmed the importance of lysosomal proteins in the processes of wound healing and general postoperative course.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 3","pages":"187-94"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12194474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Z Gruca, Z Wajda, J Greźlikowski, A Lewiński, J Stolarczyk
{"title":"The effect of adrenergic receptor blocking agents on arrhythmia caused by trauma.","authors":"Z Gruca, Z Wajda, J Greźlikowski, A Lewiński, J Stolarczyk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Experiments on animals have shown that blunt trauma to the anterior chest wall causes arrhythmia and conduction disturbances. In most cases nodal rhythm and ST segment elevation were observed. Microscopic examination disclosed myocardial damage in the vicinity of the atrioventricular node. Administration of alpha or beta adrenergic receptor blocking agents immediately before trauma failed to prevent arrhythmia and conduction disturbances, on the contrary, they became even more pronounced.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 3","pages":"175-9"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11236992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acid-base balance and blood gases changes and \"lactate excess\" in acute respiratory alkalosis during general anaesthesia.","authors":"Z Rybicki, M Jung, A Michajlik, A Kański","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 40 young males aged 18-20 years operated on for inguinal hernioplasty acute respiratory alkalosis was obtained in the 45th minute of general anaesthesia. The values of basic acid-base balance parameters, blood gases, pyruvate and lactate levels and \"lactate excess\" were determined before and after hyperventilation. Shifts in the concentrations of hydrogen and bicarbonate ions were found which are both typical of acute respiratory alkalosis. No changes were observed in the oxygenation of capillary blood and the values of \"lactate excess\" were normal which rules out tissue hypoxia during acute respiratory alkalosis. Passive hyperventilation being a less dangerous alternative of hypoventilation is a frequent occurrence during general anaesthesia and it causes transient respiratory alkalosis.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 3","pages":"167-73"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11236990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of P a-A CO2, P A-a O2 and VD/VT measurements during controlled respiration in children. Preliminary communication.","authors":"J Grebski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The indices of P a-A CO2, P A-a O2 and VD/VT were evaluated in a group of children treated with controlled ventilation (IPPV) for: pneumonia, congenital heart disease, respiratory distress syndrome or central nervous system diseases. The P A-a O2 index is regarded as the most useful one, since it enables the possibility to select a F IO2 value for obtaining an optimal P aO2. For calculation of VD/VT according to Bohr's formula during connection of the child to respirator P ECO2 was determined planimetrically from the capnographic curve. P a-A CO2 was recognized as a less useful index and difficult to interpret.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 3","pages":"159-65"},"PeriodicalIF":0.0,"publicationDate":"1976-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11985344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pathomorphology of lungs and heart in experimental prolonged hypoxia.","authors":"M Konopiński, L Zimnoch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors carried out morphological examinations of lungs and heart in 20 days with prolonged hypoxia caused by surgical subglottic stenosis of the trachea by 50%. The studies showed that 30 and 60 days after the onset of hypoxia changes such as emphysema and chronic bronchitis developed in the lungs showing an increasing tendency, while in the myocardium microgranular disintegration and fatty infiltration of muscle fibres with simultaneous disappearance of glycogen was seen in the first period-after 30 days - while later, after 60 days fibrosis developed.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 2","pages":"95-103"},"PeriodicalIF":0.0,"publicationDate":"1976-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12153494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical electromyomechanographic and electromyographic studies in decurarization with pymadine.","authors":"E Stoyanov, P Vulchev, M Shturbova, M Marinova","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors present a clinical evaluation of a new drug - pymadine - reversing the non-depolarization block. The drug was administered to 21 patients. Full return of neuromuscular conduction was obtained. The drug is not an anticholinergic agent, has no side effects and does not require atropine administration. The authors recommend its use in patients with high cardiovascular and respiratory operative risk.</p>","PeriodicalId":75483,"journal":{"name":"Anaesthesia, resuscitation, and intensive therapy","volume":"4 2","pages":"139-42"},"PeriodicalIF":0.0,"publicationDate":"1976-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11353981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}