Anaesthesiology intensive therapy最新文献

{"title":"The use of the ERAS protocol in malnourished and properly nourished patients undergoing elective surgery: a questionnaire study.","authors":"Paweł Kutnik, Michał Bierut, Elżbieta Rypulak, Aleksandra Trwoga, Kamila Wróblewska, Paweł Marzęda, Kamil Kośmider, Maciej Kamieniak, Agnieszka Pająk, Natalia Wolanin, Martyna Gębska-Wolińska, Michał Borys","doi":"10.5114/ait.2023.134190","DOIUrl":"10.5114/ait.2023.134190","url":null,"abstract":"<p><strong>Introduction: </strong>Enhanced recovery after surgery (ERAS) is a modern approach to perioperative management. This study aimed to evaluate compliance with certain aspects of the ERAS protocol in malnourished and properly nourished patients undergoing elective surgery.</p><p><strong>Material and methods: </strong>A questionnaire study was conducted among 197 patients undergoing elective surgery at the university hospital. We divided patients into two groups according to nutritional status.</p><p><strong>Results: </strong>The study's results showed that 67 patients (34%) lost weight before admission (the weight-loss group). Twenty-five participants (37%) in the weight-loss group and 15 patients (12%) in the preserved-weight group underwent surgery due to cancer ( P < 0.001). More patients in the weight loss group (45 of 67) than in the preserved-weight group (40 of 129, P < 0.001) limited their food intake a week before the surgery. The preserved-weight group participants were mobilized earlier than the weight-loss group ( P = 0.04). The median number of hours since drinking their last fluids and eating their last meals before the surgery were 12.2 hours and 25.4 hours for both groups, respectively. Only eight patients received preoperative carbohydrate loading. We found higher serum protein concentrations in the preserved-weight group (7.10 [0.5] vs. 6.92 [0.71], P = 0.023); however, white blood cell count was higher in the weight-loss group (7.85 (2.28) vs.7.10 (0.50), P = 0.04). Both groups were highly satisfied with their hospital treatments.</p><p><strong>Conclusions: </strong>Our study revealed relatively high malnutrition in patients undergoing elective surgery. As a standard of perioperative care in the studied centre, the ERAS protocol implementation level is low.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"55 5","pages":"330-334"},"PeriodicalIF":1.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10801458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139569671","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}

{"title":"Viral haemorrhagic encephalitis due to influenza A virus (H1N1) - a case report.","authors":"María Mora-Aznar","doi":"10.5114/ait.2023.128645","DOIUrl":"https://doi.org/10.5114/ait.2023.128645","url":null,"abstract":"","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"55 2","pages":"123-125"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/84/a2/AIT-55-50845.PMC10415605.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10446659","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}

{"title":"Commentary on \"Integrated ultrasound protocol in predicting weaning success and extubation failure: a prospective observational study\".","authors":"Jacobo Bacariza Blanco,&nbsp;Antonio Esquinas","doi":"10.5114/ait.2023.129315","DOIUrl":"https://doi.org/10.5114/ait.2023.129315","url":null,"abstract":"","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"55 2","pages":"136-137"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/eb/0b/AIT-55-51050.PMC10415599.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10046799","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}

{"title":"The effect of Mozart music on patient satisfaction during caesarean delivery: a randomised controlled trial.","authors":"Dan M Drzymalski, Mohammad Dahlawi, Robert R Hall, Shreya Ranjan, Craig L Best","doi":"10.5114/ait.2023.129007","DOIUrl":"10.5114/ait.2023.129007","url":null,"abstract":"<p><strong>Background: </strong>Music is a low-cost intervention that can improve patient satisfaction.</p><p><strong>Methods: </strong>This was a prospective, randomised, controlled trial conducted at an urban tertiary care academic medical centre in the United States. Nulliparous women 18-50 years old with a healthy singleton pregnancy at ≥ 37 weeks gestational age undergoing elective caesarean delivery under neuraxial anaesthesia were randomised to the music group (Mozart sonatas) or control group (no music). Mozart sonatas were broadcast to the music group immediately prior to patient entry and maintained throughout the procedure. The primary outcome was patient satisfaction using the Maternal Satisfaction Scale for Caesarean Section (MSSCS). Secondary outcomes were changes in anxiety pre- and post-operatively and post-operative mean arterial pressure (MAP). Student's t-test, the Wilcoxon rank sum test, and the c2 test were used where appropriate for statistical analyses.</p><p><strong>Results: </strong>27 parturients were evaluated for participation between 2018 and 2019, and 22 enrolled. The final study subject number was 20 due to two withdrawals. There were no clinically meaningful differences in baseline demographics, vital signs, and anxiety. The mean (SD) total patient satisfaction for music vs. control was 116 (16) vs. 120 (22), mean difference 4 (95% CI: -14.0 to 22.0), P = 0.645. The mean (SD) change in anxiety with music vs. control was 2.7 (2.7) vs. 2.5 (2.6), mean difference -0.4 (95% CI: -4.0 to 3.2), P = 0.827. The median (IQR) post-operative MAP with music vs. control was 77.7 (73.7-85.3) vs. 77.3 (72.0-87.3), P = 0.678.</p><p><strong>Conclusions: </strong>The use of Mozart sonatas did not result in improvements in patient satis-faction, anxiety or MAP in parturients undergoing elective caesarean delivery.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"55 2","pages":"114-119"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/b2/AIT-55-50938.PMC10415609.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10071066","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}

{"title":"Computed tomography measured epicardial adipose tissue and psoas muscle attenuation: new biomarkers to predict major adverse cardiac events (MACE) and mortality in patients with heart disease and critically ill patients. Part I: Epicardial adipose tissue.","authors":"Jeroen Walpot,&nbsp;Paul Van Herck,&nbsp;Caroline M Van de Heyning,&nbsp;Johan Bosmans,&nbsp;Samia Massalha,&nbsp;Manu L N G Malbrain,&nbsp;Hein Heidbuchel,&nbsp;João R Inácio","doi":"10.5114/ait.2023.130922","DOIUrl":"https://doi.org/10.5114/ait.2023.130922","url":null,"abstract":"<p><p>Over the last two decades, the potential role of epicardial adipocyte tissue (EAT) as a marker for major adverse cardiovascular events has been extensively studied. Unlike other visceral adipocyte tissues (VAT), EAT is not separated from the adjacent myocardium by a fascial layer and shares the same microcirculation with the myocardium. Adipocytokines, secreted by EAT, interact directly with the myocardium through paracrine and vasocrine pathways. The role of the Randle cycle, linking VAT accumulation to insulin resistance, and the relevance of blood flow and mitochondrial function of VAT, are briefly discussed. The three available imaging modalities for the assessment of EAT are discussed. The advantages of echocardiography, cardiac CT, and cardiac magnetic resonance (CMR) are compared. The last section summarises the current stage of knowledge on EAT as a clinical marker for major adverse cardiovascular events (MACE). The association between EAT volume and coronary artery disease (CAD) has robustly been validated. There is growing evidence that EAT volume is associated with computed tomography coronary angiography (CTCA) assessed high-risk plaque features. The EAT CT attenuation coefficient predicts coronary events. Many studies have established EAT volume as a predictor of atrial fibrillation after cardiac surgery. Moreover, EAT thickness has been independently associated with severe aortic stenosis and mitral annular calcification. Studies have demonstrated that EAT volume is associated with heart failure. Finally, we discuss the potential role of EAT in critically ill patients admitted to the intensive care unit. In conclusion, EAT seems to be a promising new biomarker to predict MACE.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"55 3","pages":"141-157"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/98/AIT-55-51341.PMC10496106.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41092656","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}

{"title":"Medication errors in the practice of paediatric anaesthesia - a narrative review.","authors":"Neha Goyal,&nbsp;Sugandhi Nemani,&nbsp;Ankur Sharma,&nbsp;Varuna Vyas,&nbsp;Nikhil Kothari,&nbsp;Shilpa Goyal","doi":"10.5114/ait.2023.130837","DOIUrl":"https://doi.org/10.5114/ait.2023.130837","url":null,"abstract":"<p><p>Medication error has emerged as a significant problem in healthcare, especially in the past 2 decades. In anaesthesia, the paediatric age group is particularly at risk of such events because of complex age- and weight-based drug calculation, drug formulations, serial dilutions, and often limited staff experience in handling such patients. We searched PubMed, Cochrane, and Google Scholar for literature on medication errors in paediatric anaesthesia in children (< 18 years of age). Two authors searched for the articles independently, and a third author sorted any consensus differences. A total of 2979 articles were retrieved. We studied primary outcomes, the results, and conclusions of the various studies. A total of 21 relevant articles were selected finally. Following preventive strategies like colour coding, accurate dose calculations, verification by a second individual, and checking and encouraging self-reporting can improve perioperative safety in the paediatric population to a significant extent.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"55 3","pages":"229-236"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/49/AIT-55-51321.PMC10496092.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41092657","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}

{"title":"Effect of clonidine on heart rate variability during spinal anaesthesia: randomized clinical trial.","authors":"Hermes Melo Teixeira Batista,&nbsp;Solange Kelly Lima Araújo,&nbsp;Galba Matos Cardoso de Alencar Júnior,&nbsp;Luiz Carlos de Abreu,&nbsp;Italla Maria Pinheiro Bezerra,&nbsp;Andrés Ricardo Pérez Riera","doi":"10.5114/ait.2023.130821","DOIUrl":"https://doi.org/10.5114/ait.2023.130821","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal anaesthesia consists of administering a local anaesthetic in the subarachnoid space, thus causing sensory, motor, and autonomic nerve conduction block. Currently, recovery from spinal anaesthesia is evaluated by the return of motor function, without considering the autonomic blockade, which is responsible for most complications of the technique. Heart rate variability (HRV) is an indirect method to measure the autonomic nervous system and may be useful in assessing autonomic recovery after spinal anaesthesia. The study objective was to evaluate the autonomic function, through HRV, at the moment of return of motor function in patients who received spinal anaesthesia when clonidine is used as an adjuvant.</p><p><strong>Material and methods: </strong>This was a randomised, double-blind clinical trial. The sample consisted of 64 ASA I-II patients who underwent spinal anaesthesia and were divided into 2 groups. Group C received 20 mg of bupivacaine with 75 mcg of clonidine, and group B received 20 mg of bupivacaine. HRV was evaluated at rest (T1) and at the time of motor function recovery (T2). Data were collected using a Polar V800® heart rate monitor and then analysed and filtered using Kubios 3.0® software.</p><p><strong>Results: </strong>There was no difference in the values of the low-frequency/high-frequency (LF/HF) ratio, Poincaré plot standard deviation (SD2/SD1), detrended fluctuation analysis (DFAα1, DFAα2), or correlation dimension (D2) indices in any of the groups between the 2 moments. In the clonidine group, there was a difference only in approximate entropy (ApEn), where a P of 0.0124 was obtained considering a 95% confidence interval ranging from 17.83 to 141.47.</p><p><strong>Conclusions: </strong>There was no significant difference between the duration of sympathetic blockade and motor blockade in spinal anaesthesia.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"55 3","pages":"218-222"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/08/AIT-55-51318.PMC10496102.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41098157","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}

{"title":"Dexmedetomidine-induced diabetes insipidus during coronary artery bypass graft surgery.","authors":"Tuan Tang,&nbsp;Rishi Wagle,&nbsp;Jamal Hasoon,&nbsp;Sandeep Markan,&nbsp;Anvinh Nguyen","doi":"10.5114/ait.2023.130859","DOIUrl":"https://doi.org/10.5114/ait.2023.130859","url":null,"abstract":"","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"55 3","pages":"237-239"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/f0/AIT-55-51326.PMC10496099.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41099924","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}

{"title":"Intranasal sphenopalatine ganglion block by lignocaine spray for postdural puncture headache following spinal anesthesia: a randomized clinical trial","authors":"Shuchi Smita, Prakash K. Dubey, Kunal Singh","doi":"10.5114/ait.2023.132524","DOIUrl":"https://doi.org/10.5114/ait.2023.132524","url":null,"abstract":"AMA Smita S, Dubey P, Singh K. Intranasal sphenopalatine ganglion block by lignocaine spray for postdural puncture headache following spinal anesthesia: a randomized clinical trial. Anaesthesiology Intensive Therapy. 2023. doi:10.5114/ait.2023.132524. APA Smita, S., Dubey, P., & Singh, K. (2023). Intranasal sphenopalatine ganglion block by lignocaine spray for postdural puncture headache following spinal anesthesia: a randomized clinical trial. Anaesthesiology Intensive Therapy. https://doi.org/10.5114/ait.2023.132524 Chicago Smita, Shuchi, Prakash K. Dubey, and Kunal Singh. 2023. \"Intranasal sphenopalatine ganglion block by lignocaine spray for postdural puncture headache following spinal anesthesia: a randomized clinical trial\". Anaesthesiology Intensive Therapy. doi:10.5114/ait.2023.132524. Harvard Smita, S., Dubey, P., and Singh, K. (2023). Intranasal sphenopalatine ganglion block by lignocaine spray for postdural puncture headache following spinal anesthesia: a randomized clinical trial. Anaesthesiology Intensive Therapy. https://doi.org/10.5114/ait.2023.132524 MLA Smita, Shuchi et al. \"Intranasal sphenopalatine ganglion block by lignocaine spray for postdural puncture headache following spinal anesthesia: a randomized clinical trial.\" Anaesthesiology Intensive Therapy, 2023. doi:10.5114/ait.2023.132524. Vancouver Smita S, Dubey P, Singh K. Intranasal sphenopalatine ganglion block by lignocaine spray for postdural puncture headache following spinal anesthesia: a randomized clinical trial. Anaesthesiology Intensive Therapy. 2023. doi:10.5114/ait.2023.132524.","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135704696","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":"Identification of risk factors for post-intensive care syndrome in family members (PICS-F) among adult patients: a systematic review.","authors":"Zbigniew Putowski,&nbsp;Natalia Rachfalska,&nbsp;Karolina Majewska,&nbsp;Katarzyna Megger,&nbsp;Łukasz Krzych","doi":"10.5114/ait.2023.130831","DOIUrl":"https://doi.org/10.5114/ait.2023.130831","url":null,"abstract":"<p><strong>Introduction: </strong>Relatives of critically ill patients who either die or survive the intensive care unit (ICU) may develop substantial mental health problems that are collectively defined as post-intensive care syndrome in family (PICS-F).</p><p><strong>Material and methods: </strong>By using a systematised search strategy we included studies that focused on PICS-F in relatives of adult ICU patients and reported the risk factors associated with its development. The search was conducted within PubMed, Embase, SCOPUS, clinicaltrials.gov, and Cochrane Library on the 23 August 2022. PRISMA 2020 guidelines were implemented for appropriate reporting. The objective was to document all possible risk factors associated with the development of PICS-F.</p><p><strong>Results: </strong>We included 51 papers covering 9302 relatives. The frequency of PICS-F varied between 2.5 and 69%. We identified 51 different risk factors of PICS-F, among which we distinguished patient-related ( n = 16), relative-related ( n = 27), and medical staff-related ( n = 8) risk factors. Among 21 studies of the highest quality, we identified the 33 variables associated with the development of PICS-F, of which younger age of a patient, death of a patient, depression in relatives during the ICU stay, history of mental disorders in relatives, being a female relative, being a spouse, and having low satisfaction with communication and care in the ICU were the most commonly reported risk factors.</p><p><strong>Conclusions: </strong>PICS-F is a highly frequent phenomenon that can be exacerbated by several risk factors. Special attention should be paid to relatives of younger patients with worse prognosis and with the following relative-related risk factors: female sex, being a spouse, and history of mental health disorders. Finally, the medical staff play a role in preventing the PICS-F development, not only by maintenance of proper communication, but also by early identification of relatives prone to PICS-F.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"55 3","pages":"168-178"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/d4/AIT-55-51319.PMC10496103.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41111959","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}