Anaesthesiology intensive therapy最新文献

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Nutritional responsiveness affects novel neutrophil parameters and reduces in-hospital mortality and costs in elective cancer oesophagectomy - a single centre, prospective, observational study. 营养反应性影响新型中性粒细胞参数,降低择期癌症食管切除术的院内死亡率和费用--一项单中心、前瞻性、观察性研究。
IF 1.7
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.136013
Paweł Kutnik, Michał Borys, Kamil Nurczyk, Weronika Domerecka, Jacek Dziedzic, Grzegorz Buszewicz, Grzegorz Teresiński, Helena Donica, Paweł Piwowarczyk, Mirosław Czuczwar
{"title":"Nutritional responsiveness affects novel neutrophil parameters and reduces in-hospital mortality and costs in elective cancer oesophagectomy - a single centre, prospective, observational study.","authors":"Paweł Kutnik, Michał Borys, Kamil Nurczyk, Weronika Domerecka, Jacek Dziedzic, Grzegorz Buszewicz, Grzegorz Teresiński, Helena Donica, Paweł Piwowarczyk, Mirosław Czuczwar","doi":"10.5114/ait.2024.136013","DOIUrl":"10.5114/ait.2024.136013","url":null,"abstract":"<p><strong>Introduction: </strong>Malnutrition in surgical patients remains a common issue affecting the perioperative period. Oesophageal cancer is a disease associated with one of the highest malnutrition rates. Assessment of patient nutritional status remains a challenge due to limited validated tools. Novel parameters to identify malnourished patients and the effectiveness of preoperative nutritional intervention might improve treatment results in the perioperative period.</p><p><strong>Material and methods: </strong>This was a prospective, observational, single-centre study of patients scheduled for elective oesophagectomy. The primary aim of this study was to establish the correlation between neutrophil reactivity intensity (NEUT-RI) and neutrophil granularity intensity (NEUT-GI) and patients' nutritional status. We divided patients into nutritional responders (R group) and nutritional non-responders (NR group) defined as regaining at least 25% of the maximum preoperative body weight loss during the preoperative period.</p><p><strong>Results: </strong>The R group had significantly shorter intensive care unit (ICU) stays: 5.5 (4-8) vs. 13 (7-31) days ( P = 0.01). It resulted in a lower cost of ICU stays in the R group: 4775.2 (3938.9-7640.7) vs. 12255.8 (7787.6-49108.7) euro in the NR group ( P = 0.01). Between the R group and the NR group, we observed statistically significant differences in both preoperative NEUT-RI (48.6 vs. 53.4, P = 0.03) and NEUT-GI (154.6 vs. 159.3, P = 0.02). Apart from the T grade, the only preoperative factor associated with reduced mortality was the nutritional responsiveness: 11.1% vs. 71.4% ( P = 0.008).</p><p><strong>Conclusions: </strong>Preoperative nutritional responsiveness affects neutrophil intensity indexes and reduces in-hospital mortality and costs associated with hospital stay. Further research is required to determine the correlation between novel neutrophil parameters and patients' nutritional status.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11022637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Predictors of outcomes of patients ≥ 80 years old admitted to intensive care units in Poland - a post-hoc analysis of the VIP2 prospective observational study. 波兰重症监护病房收治的≥80岁患者的预后因素--VIP2前瞻性观察研究的事后分析。
IF 1.7
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.138192
Paweł Melchior Pasieka, Michał Kurek, Wojciech Skupnik, Evan Skwara, Valentyn Bezshapkin, Jakub Fronczek, Anna Kluzik, Bartosz Kudliński, Szymon Białka, Dorota Studzińska, Łukasz Krzych, Szymon Czajka, Jan Stefaniak, Radosław Owczuk, Joanna Sołek-Pastuszka, Jowita Biernawska, Joanna Zorska, Paweł Krawczyk, Katarzyna Cwyl, Maciej Żukowski, Katarzyna Kotfis, Małgorzata Zegan-Barańska, Agnieszka Wieczorek, Wojciech Mudyna, Mariusz Piechota, Szymon Bernas, Waldemar Machała, Łukasz Sadowski, Marta Serwa, Mirosław Czuczwar, Michał Borys, Mirosław Ziętkiewicz, Natalia Kozera, Barbara Adamik, Waldemar Goździk, Paweł Nasiłowski, Paweł Zatorski, Janusz Trzebicki, Piotr Gałkin, Ryszard Gawda, Urszula Kościuczuk, Waldemar Cyrankiewicz, Katarzyna Sierakowska, Wojciech Gola, Hubert Hymczak, Hans Flaatten, Wojciech Szczeklik
{"title":"Predictors of outcomes of patients ≥ 80 years old admitted to intensive care units in Poland - a post-hoc analysis of the VIP2 prospective observational study.","authors":"Paweł Melchior Pasieka, Michał Kurek, Wojciech Skupnik, Evan Skwara, Valentyn Bezshapkin, Jakub Fronczek, Anna Kluzik, Bartosz Kudliński, Szymon Białka, Dorota Studzińska, Łukasz Krzych, Szymon Czajka, Jan Stefaniak, Radosław Owczuk, Joanna Sołek-Pastuszka, Jowita Biernawska, Joanna Zorska, Paweł Krawczyk, Katarzyna Cwyl, Maciej Żukowski, Katarzyna Kotfis, Małgorzata Zegan-Barańska, Agnieszka Wieczorek, Wojciech Mudyna, Mariusz Piechota, Szymon Bernas, Waldemar Machała, Łukasz Sadowski, Marta Serwa, Mirosław Czuczwar, Michał Borys, Mirosław Ziętkiewicz, Natalia Kozera, Barbara Adamik, Waldemar Goździk, Paweł Nasiłowski, Paweł Zatorski, Janusz Trzebicki, Piotr Gałkin, Ryszard Gawda, Urszula Kościuczuk, Waldemar Cyrankiewicz, Katarzyna Sierakowska, Wojciech Gola, Hubert Hymczak, Hans Flaatten, Wojciech Szczeklik","doi":"10.5114/ait.2024.138192","DOIUrl":"10.5114/ait.2024.138192","url":null,"abstract":"<p><strong>Introduction: </strong>Elderly patients pose a significant challenge to intensive care unit (ICU) clinicians. In this study we attempted to characterise the population of patients over 80 years old admitted to ICUs in Poland and identify associations between clinical features and short-term outcomes.</p><p><strong>Material and methods: </strong>The study is a post-hoc analysis of the Polish cohort of the VIP2 European prospective observational study enrolling patients > 80 years old admitted to ICUs over a 6-month period. Data including clinical features, clinical frailty scale (CFS), geriatric scales, interventions within the ICU, and outcomes (30-day and ICU mortality and length of stay) were gathered. Univariate analyses comparing frail (CFS > 4) to non-frail patients and survivors to non-survivors were performed. Multivariable models with CFS, activities of daily living score (ADL), and the cognitive decline questionnaire IQCODE as predictors and ICU or 30-day mortality as outcomes were formed.</p><p><strong>Results: </strong>A total of 371 patients from 27 ICUs were enrolled. Frail patients had significantly higher ICU (58% vs. 44.45%, P = 0.03) and 30-day (65.61% vs. 54.14%, P = 0.01) mortality compared to non-frail counterparts. The survivors had significantly lower SOFA score, CFS, ADL, and IQCODE than non-survivors. In multivariable analysis CFS (OR 1.15, 95% CI: 1.00-1.34) and SOFA score (OR 1.29, 95% CI: 1.19-1.41) were identified as significant predictors for ICU mortality; however, CFS was not a predictor for 30-day mortality ( P = 0.07). No statistical significance was found for ADL, IQCODE, polypharmacy, or comorbidities.</p><p><strong>Conclusions: </strong>We found a positive correlation between CFS and ICU mortality, which might point to the value of assessing the score for every patient admitted to the ICU. The older Polish ICU patients were characterised by higher mortality compared to the other European countries.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11022638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utilisation and outcomes of a mobile (ambulance and air transport) venovenous extracorporeal membrane oxygenation (VV-ECMO) program in Poland during the COVID-19 pandemic - a retrospective, two-centres, case-series study. COVID-19大流行期间波兰静脉体外膜肺氧合(VV-ECMO)移动项目(救护车和空中运输)的使用情况和结果--一项回顾性、双中心、病例系列研究。
IF 1.6
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.139526
Elżbieta Rypulak, Marta Szczukocka, Tomasz Czarnik
{"title":"Utilisation and outcomes of a mobile (ambulance and air transport) venovenous extracorporeal membrane oxygenation (VV-ECMO) program in Poland during the COVID-19 pandemic - a retrospective, two-centres, case-series study.","authors":"Elżbieta Rypulak, Marta Szczukocka, Tomasz Czarnik","doi":"10.5114/ait.2024.139526","DOIUrl":"10.5114/ait.2024.139526","url":null,"abstract":"<p><strong>Introduction: </strong>Many patients required mechanical ventilation support due to severe COVID-19 pneumonia. A significant proportion of mechanically ventilated patients also required venovenous extracorporeal membrane oxygenation (VV-ECMO) due to refractory hypoxemia. A high demand for VV-ECMO support during the pandemic was challenging due to many factors, including limited resources and lack of established transfer protocols. This study aims to present the organisation and outcomes of a mobile VV-ECMO program in two high-volume centres in Poland during the COVID-19 pandemic.</p><p><strong>Material and methods: </strong>This retrospective, two-centre case series study, which lasted 36 months, was conducted between March 10, 2020, and January 31, 2023. The data of all patients transferred using venovenous extracorporeal membrane oxygenation (VV-ECMO) were analysed, including five women in the perinatal period with severe respiratory failure attri-buted to the COVID-19 virus. The analysis encompassed baseline patient demographics, Sequential Organ Failure Assessment (SOFA) scores, admission laboratory parameters, ECMO therapy, duration of mechanical ventilation, and patient survival to ICU discharge.</p><p><strong>Results: </strong>We assessed 86 patients who met the ELSO inclusion criteria and were transported during VV-ECMO support. Mortality in the analysed group was high (80.3%). Despite high mortality, VV-ECMO appeared to be a safe procedure in COVID-19 patients with severe ARDS. No complications were noted in more than half of the analysed procedures. Despite the above, many severe complications were observed, including stroke or cerebral haemorrhage (9.8%) and limb or gut ischemia (1.6%). The most common problems co-existing with VV-ECMO treatment were bleeding complications (34.4%).</p><p><strong>Conclusions: </strong>The ICU mortality rate among patients requiring VV-ECMO for COVID-19 in high-volume ECMO centres was high but not associated with the type of transportation.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11284578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Remote, automatic, digital preanesthetic evaluation - are we there yet? 远程、自动、数字化麻醉前评估--我们做到了吗?
IF 1.6
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.138959
Michał Pasternak, Wojciech Szczeklik, Szymon Białka, Paweł Andruszkiewicz, Marta Szczukocka, Aleksandra Pawlak, Elżbieta Rypulak, Dawid Pytliński, Michał Borys, Mirosław Czuczwar
{"title":"Remote, automatic, digital preanesthetic evaluation - are we there yet?","authors":"Michał Pasternak, Wojciech Szczeklik, Szymon Białka, Paweł Andruszkiewicz, Marta Szczukocka, Aleksandra Pawlak, Elżbieta Rypulak, Dawid Pytliński, Michał Borys, Mirosław Czuczwar","doi":"10.5114/ait.2024.138959","DOIUrl":"10.5114/ait.2024.138959","url":null,"abstract":"<p><p>Recent years have witnessed multiple advancements in the field of information technology in medicine. The need to ensure patient and doctor safety during COVID-19 resulted in improved telemedicine adaptation across various fields, including anaesthesiology. In this review, the authors examine the current state of the elements of preanesthetic evaluation and their remote execution using current and future telemedical facilities and technologies, as well as the potential of future advancements in this field.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11284583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can't intubate, can't oxygenate? What is the preferred surgical strategy? A retrospective analysis. 无法插管,无法吸氧?首选手术策略是什么?回顾性分析。
IF 1.7
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.138437
Akiva Nachshon, Shimon Firman, Baruch Mark Batzofin, Bala Miklosh, Peter Vernon van Heerden
{"title":"Can't intubate, can't oxygenate? What is the preferred surgical strategy? A retrospective analysis.","authors":"Akiva Nachshon, Shimon Firman, Baruch Mark Batzofin, Bala Miklosh, Peter Vernon van Heerden","doi":"10.5114/ait.2024.138437","DOIUrl":"10.5114/ait.2024.138437","url":null,"abstract":"<p><strong>Introduction: </strong>Cricothyrotomy (CTM) is currently recommended as the preferred method due to its ease, speed, and safety in life-threatening airway emergencies where standard tracheal intubation and mask ventilation fail.</p><p><strong>Material and methods: </strong>This retrospective study analyzed 33 cases of \"can't intubate, can't oxygenate or ventilate\" (CICOV): 12 of percutaneous dilatational tracheostomy (PDT) and 21 of CTM. The CTM group was younger (median age 44) and mainly consisted of trauma patients. The PDT group was more diverse and procedures were performed by anesthesia and critical care consultants.</p><p><strong>Results: </strong>Initial success rates were 100% for PDT (12/12) and 86% for CTM (18/21), with one conversion from CTM to PDT. No perioperative complications occurred in the PDT group, while the CTM group experienced two cases of false tracts requiring re-do and three cases of bleeding. Immediate mortality within 24 hours was reported in 5/19 CTM patients and none in the PDT group. Successful liberation from mechanical ventilation at hospital discharge was achieved in 6/12 PDT patients and 11/21 CTM patients. Among the 21 CTM cases, all 16 survivors underwent subsequent tracheostomy. Tracheal decannulation occurred in 4/12 PDT patients and 10/21 CTM patients. Favorable immediate neurological outcomes (GCS ≥ 11T) were observed in 8/12 PDT patients and 8/21 CTM patients, while 3 PDT patients remained anesthetized until death and 7 CTM patients died within the first 72 hours without recovery attempts.</p><p><strong>Conclusions: </strong>In experienced hands, PDT could be a legitimate clinical option for the surgical airway in cases of CICOV. CTM may be more suitable for practitioners who encounter CICOV infrequently.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11022633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of feasibility of opioid-free anesthesia combined with preoperative thoracic paravertebral block and postoperative intravenous patient-controlled analgesia oxycodone with non-opioid analgesics in the perioperative anesthetic management for video-assisted thoracic surgery. 评估无阿片类药物麻醉结合术前胸椎旁阻滞和术后静脉注射患者自控镇痛剂羟考酮与非阿片类药物镇痛剂在视频辅助胸腔手术围手术期麻醉管理中的可行性。
IF 1.6
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.141279
Maja Magdalena Copik, Dominika Sadowska, Jacek Smereka, Damian Czyzewski, Hanna Dorota Misiołek, Szymon Białka
{"title":"Assessment of feasibility of opioid-free anesthesia combined with preoperative thoracic paravertebral block and postoperative intravenous patient-controlled analgesia oxycodone with non-opioid analgesics in the perioperative anesthetic management for video-assisted thoracic surgery.","authors":"Maja Magdalena Copik, Dominika Sadowska, Jacek Smereka, Damian Czyzewski, Hanna Dorota Misiołek, Szymon Białka","doi":"10.5114/ait.2024.141279","DOIUrl":"10.5114/ait.2024.141279","url":null,"abstract":"<p><strong>Introduction: </strong>This study, conducted between December 2015 and March 2018 at a single university hospital, explored the feasibility and safety of opioid-free anesthesia combined with preoperative thoracic paravertebral block (ThPVB) for patients undergoing elective video-assisted thoracoscopic surgery (VATS). The aim was to assess the impact of this approach on postoperative pain levels and opioid consumption.</p><p><strong>Material and methods: </strong>Sixty-four patients scheduled for elective VATS were randomly assigned to either the intervention group, receiving opioid-free anesthesia with ThPVB, or the control group, managed with standard general anesthesia. Postoperatively, both groups received oxycodone patient-controlled analgesia along with non-opioid analgesics. Pain intensity was measured using the Numeric Pain Rating Scale (NRS) and Prince Henry Hospital Pain Score (PHHPS). The total dose of postoperative oxycodone and the occurrence of opioid-related adverse events were recorded during the 24-hour follow-up period.</p><p><strong>Results: </strong>Patients in the intervention group showed significantly lower pain levels at 20 and 24 hours post-procedure ( P = 0.015, P = 0.021, respectively) compared to the control group. Notably, oxycodone consumption at 24 hours was significantly higher in the control group ( p < 0.0001). No serious adverse events were observed during the study period.</p><p><strong>Conclusions: </strong>This study demonstrates the feasibility and safety of opioid-free anesthesia combined with ThPVB for elective VATS. The approach significantly reduces postoperative pain and the need for opioids, supporting its potential as an effective and balanced perioperative anesthetic strategy.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11284581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overview of artificial intelligence in point-of-care ultrasound. New horizons for respiratory system diagnoses. 护理点超声中的人工智能概述。呼吸系统诊断的新视野。
IF 1.7
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.136784
Sławomir Mika, Wojciech Gola, Monika Gil-Mika, Mateusz Wilk, Hanna Misiołek
{"title":"Overview of artificial intelligence in point-of-care ultrasound. New horizons for respiratory system diagnoses.","authors":"Sławomir Mika, Wojciech Gola, Monika Gil-Mika, Mateusz Wilk, Hanna Misiołek","doi":"10.5114/ait.2024.136784","DOIUrl":"10.5114/ait.2024.136784","url":null,"abstract":"<p><p>Throughout the past decades ultrasonography did not prove to be a procedure of choice if regarded as part of the routine bedside examination. The reason was the assumption defining the lungs and the bone structures as impenetrable by ultrasound. Only during the recent several years has the approach to the use of such tool in clinical daily routines changed dramatically to offer so-called point-of-care ultrasonography (POCUS). Both vertical and horizontal artefacts became valuable sources of information about the patient's clinical condition, assisting therefore the medical practitioner in differential diagnosis and monitoring of the patient. What is important is that the information is delivered in real time, and the procedure itself is non-invasive. The next stage marking the progress made in this area of diagnostic imaging is the development of arti-ficial intelligence (AI) based on machine learning algorithms. This article is intended to present the available, innovative solutions of the ultrasound systems, including Smart B-line technology, to ensure automatic identification process, as well as interpretation of B-lines in the given lung area of the examined patient. The article sums up the state of the art in ultrasound artefacts and AI applied in POCUS.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11022635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A randomised controlled trial to compare blind intubation success through LMA Blockbuster® and I-Gel® LMA. 通过 LMA Blockbuster® 和 I-Gel® LMA 比较盲插成功率的随机对照试验。
IF 1.7
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.138562
Nazia Nazir, Anupriya Saxena
{"title":"A randomised controlled trial to compare blind intubation success through LMA Blockbuster® and I-Gel® LMA.","authors":"Nazia Nazir, Anupriya Saxena","doi":"10.5114/ait.2024.138562","DOIUrl":"10.5114/ait.2024.138562","url":null,"abstract":"<p><strong>Introduction: </strong>Laryngeal mask airway-blockbuster (LMA-BT) is a relatively new supraglottic airway device (SGAD). In this study, we compared LMA-BT with I-Gel LMA for efficacy of blind tracheal intubation.</p><p><strong>Material and methods: </strong>We conducted a single-blind prospective study after ethical approval. One hundred American Society of Anesthesiology (ASA) Grade I-III (age 18-60 years) patients scheduled for elective surgery under general anaesthesia with endotracheal intubation were included and randomly divided into 2 groups. Blind tracheal intubation was performed through LMA-BT ( n = 50) and I-Gel ( n = 50) in groups 1 and 2, respectively. The primary aim was to evaluate the first pass success rate of blind tracheal intubation through the LMAs. The secondary objectives noted were attempts and ease of LMA insertion, total time taken for LMA insertion, airway seal pressure of LMA, ease of NGT insertion through LMA, fibre-optic grading of laryngeal view through LMA, overall success rate and time of intubation through LMA, time for LMA removal, and complications, if any.</p><p><strong>Results: </strong>In the LMA-BT group, the first pass success rate ( P < 0.019) and the overall success rate of intubation ( P < 0.005) were significantly higher than in the I-Gel group. Using LMA-BT also resulted in statistically significant shorter intubation time ( P < 0.0001) with higher airway seal pressure as compared to I-Gel ( P < 0.001). The difference in the first attempt insertion, number of insertion attempts, ease and time of LMA insertion and removal after intubation, and postoperative complications were comparable among the groups.</p><p><strong>Conclusions: </strong>LMA-BT is a superior device as compared to I-Gel LMA as a conduit for blind tracheal intubation.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11022640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A retrospective assessment of the effectiveness of pulsed radiofrequency ablation in the treatment of chronic pain caused by advanced knee osteoarthritis. 对脉冲射频消融治疗晚期膝关节骨性关节炎引起的慢性疼痛效果的回顾性评估。
IF 1.6
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.139860
Anna Rękas-Dudziak, Krzysztof Brzeziński, Edyta Kotlińska-Hasiec, Wojciech Dąbrowski, Przemysław Matuła, Włodzimierz Płotek
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引用次数: 0
Asystolic cardiac arrest secondary to sugammadex administration in a young patient. 一名年轻患者因服用舒格迈司后继发收缩期心脏骤停。
IF 1.6
Anaesthesiology intensive therapy Pub Date : 2024-01-01 DOI: 10.5114/ait.2024.141235
Scott Weerasuriya, Dale Seddon, Vishal Salota
{"title":"Asystolic cardiac arrest secondary to sugammadex administration in a young patient.","authors":"Scott Weerasuriya, Dale Seddon, Vishal Salota","doi":"10.5114/ait.2024.141235","DOIUrl":"10.5114/ait.2024.141235","url":null,"abstract":"","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11284579/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142016112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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