Anaesthesiology intensive therapy最新文献

{"title":"Femoral artery cannulation for arterial pressure measurement in the intensive care unit: current evidence and description of the technique.","authors":"Ryszard Gawda, Tomasz Królicki, Tomasz Czarnik","doi":"10.5114/ait/221621","DOIUrl":"10.5114/ait/221621","url":null,"abstract":"<p><p>Arterial cannulation for arterial line placement is a common procedure in critically ill patients. The radial artery is usually cannulated for this purpose, but in excessive vaso-constriction or shock, this approach may be inaccessible. In such cases, the femoral artery is frequently selected for the placement of an arterial catheter. Given this, the low number of clinical trials conducted in intensive care concerning femoral artery cannulation is surprising. The femoral approach is particularly useful in patients who require hemodynamic monitoring using transpulmonary thermodilution and fluid responsiveness tests. Arterial catheters inserted through the femoral artery are considered more durable than those placed in the radial artery. In addition, arterial pressure has higher values when measured in the femoral artery than in the radial artery. This narrative review presents current evidence on percutaneous cannulation of the common femoral artery for arterial pressure measurement in critically ill patients. The cannulation techniques are described with their limitations and contraindications. In addition, practical tips that may be useful in daily practice, and some potential pitfalls, are also presented.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"110-120"},"PeriodicalIF":2.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148161361","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":"Failure of tracheal tube removal after surgery: a case report.","authors":"Matthias Osigbemeh Ikokoh, Abayomi Kolawole Ojo, Olugbenga Olalekan Ojo, Uvie Ufuoma Onakpoya, John Olusinmi Ajefolakemi","doi":"10.5114/ait/221639","DOIUrl":"10.5114/ait/221639","url":null,"abstract":"","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"106-109"},"PeriodicalIF":2.3,"publicationDate":"2026-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148161397","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":"Central venous cannulation in critically ill patients: guidelines of the Polish Society of Anaesthesiology and Intensive Therapy.","authors":"Mateusz Zawadka, Tomasz Czarnik, Ryszard Gawda, Magdalena Miłobędzka, Julia Trzebicka, Tomasz Królicki, Radosław Owczuk, Mirosław Czuczwar, Szymon Białka, Wojciech Gola, Aleksander Aszkiełowicz, Maciej Latos, Anna Włudarczyk, Wojciech Szczeklik, Zbigniew Putowski","doi":"10.5114/ait/220388","DOIUrl":"10.5114/ait/220388","url":null,"abstract":"<p><p>These guidelines provide evidence-based recommendations for central venous cannulation in critically ill patients in the intensive care unit. The document was developed by the Working Group of the Polish Society of Anaesthesiology and Intensive Therapy (Polskie Towarzystwo Anestezjologii i Intensywnej Terapii - PTAiIT) based on the GRADE (Grading of Recommendations Assessment, Development and Evaluation) methodology, which encompasses systematic reviews of the literature, meta-analyses, and - in the absence of sufficient data - expert consensus. These guidelines aim to standardise the approach to central venous cannulation, increase the effectiveness of procedures, and minimise the risk of complications. The guidelines address pre-procedural ultrasound assessment, selection of the optimal vascular access site, comparison of ultrasound-guided versus landmark cannulation at different access sites, confirmation of catheter position after cannulation, and the role of positional manoeuvres.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"84-105"},"PeriodicalIF":2.3,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148161417","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":"How much is enough? Reconsidering the role of sample size in critical care research.","authors":"Karol P Steckiewicz","doi":"10.5114/ait/221640","DOIUrl":"10.5114/ait/221640","url":null,"abstract":"","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"82-83"},"PeriodicalIF":2.3,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147961862","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":"Erratum to the article: Transcranial sonography: practical use in the intensive care unit. Authors: Aleksandra Baska, Krystian Sporysz-Janiec, Monika Figura, Paweł Andruszkiewicz, Mateusz Zawadka. Anaesthesiol Intensive Ther 2024; 56(5): 267-276. DOI: https://doi.org/10.5114/ait.2024.146640.","authors":"","doi":"10.5114/ait/219409","DOIUrl":"10.5114/ait/219409","url":null,"abstract":"","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"78"},"PeriodicalIF":2.3,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147961907","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":"Emergency surgery and post-STEMI dual antiplatelet therapy. Looking for the sweet spot.","authors":"Evangelia Samara, Georgios Lianos, Despoina Pantazi, Kallirroi Kalantzi, Petros Tzimas","doi":"10.5114/ait/219073","DOIUrl":"10.5114/ait/219073","url":null,"abstract":"","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"79-81"},"PeriodicalIF":2.3,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147961872","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":"Ultrasound-guided regional anaesthesia techniques for post-caesarean analgesia: a narrative review of current evidence.","authors":"Wojciech Gola, Mykhailo Kazantsev, Tomasz Jasiński","doi":"10.5114/ait/220235","DOIUrl":"10.5114/ait/220235","url":null,"abstract":"<p><p>Optimal postoperative pain management after caesarean delivery is a fundamental component of perioperative care and enhanced recovery protocols in obstetric anaes-thesia. Although intrathecal morphine (ITM) remains the gold standard for post-caesarean analgesia, its use is not always feasible or desirable. This narrative review synthesises current evidence regarding ultrasound-guided regional anaesthesia techniques employed for post-caesarean analgesia, with emphasis on anatomical rationale, clinical efficacy, and their role when neuraxial opioids are omitted. Available data indicate that abdominal wall blocks provide effective somatic analgesia and meaningful opioid-sparing benefits, particularly in the absence of ITM. Careful technique selection and integration within multimodal analgesic pathways are essential to optimise postoperative outcomes.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"71-77"},"PeriodicalIF":2.3,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384214/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147832752","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":"Severe methemoglobinemia resulting from intentional sodium hypochlorite poisoning in a 13-year-old girl hospitalized in the intensive care unit: a case report.","authors":"Magdalena Mazur, Beata Irena Mycek, Wojciech Stobiński","doi":"10.5114/ait/218164","DOIUrl":"10.5114/ait/218164","url":null,"abstract":"","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"66-70"},"PeriodicalIF":2.3,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13384211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147669845","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 fluid paradox: dissociation between clinical and ultrasound parameters of fluid overload - results of the INCIVEX exploratory study.","authors":"Adrian Wong, Kim Cheah, Georgios Papathanakos, Federico Stefanini, Mateusz Zawadka","doi":"10.5114/ait/217910","DOIUrl":"10.5114/ait/217910","url":null,"abstract":"<p><strong>Introduction: </strong>Fluid management in critically ill patients relies on clinical assessment, fluid balance calculations and, increasingly, point-of-care ultrasound. However, the rela-tionships between these assessment modalities remain poorly understood, with conflicting evidence regarding their correlation and clinical utility. The study aimed to eva-luate correlations between clinical indicators of fluid overload, cumulative fluid balance, and comprehensive ultrasound parameters including cardiac function, lung ultrasound, and the venous excess ultrasound (VExUS) protocol in critically ill patients.</p><p><strong>Material and methods: </strong>We conducted a cross-sectional, observational study in a tertiary intensive care unit. Adults admitted for ≥ 72 hours with clinical evidence of fluid overload but haemodynamic stability were eligible. Assessments included focused echocardiography, six-zone lung ultrasound, and comprehensive VExUS. Correlations between cumulative fluid balance, clinical oedema, and ultrasound parameters were analysed.</p><p><strong>Results: </strong>Of 195 patients screened, 50 were recruited to the study. The study population had a mean age of 59 years. Sepsis and respiratory failure were the most common admission diagnoses. The mean cumulative fluid balance was 7.1 ± 4.8 L at the time of recruitment. Peripheral oedema was present in over 70%. Ultrasound revealed left ventricular dysfunction in 16%, right ventricular dysfunction in 10%, bilateral pleural effusions in 44%, and elevated VExUS scores (> 2) in 20%. Cumulative fluid balance showed no correlation with clinical or ultrasound findings.</p><p><strong>Conclusions: </strong>Traditional fluid assessment (cumulative fluid balance and clinical signs of oedema) methods show no correlation with ultrasound parameters in critically ill patients. Future research should focus on ultrasound-guided approaches that provide cardiovascular assessment rather than on cumulative fluid balance calculations or clinical signs alone.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"59-65"},"PeriodicalIF":2.3,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13085044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147508796","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":"Flexible bronchoscopy in mechanically ventilated critically ill patients: practical considerations and clinical applications - a narrative review.","authors":"Sylweriusz Kosiński, Magdalena Kluska, Jakub Stachowicz, Mirosław Ziętkiewicz, Tomasz Darocha, Artur Szlubowski","doi":"10.5114/ait/218317","DOIUrl":"10.5114/ait/218317","url":null,"abstract":"<p><p>Flexible bronchoscopy (FB) is an established diagnostic and therapeutic tool for critically ill patients. Technological advances have enabled rapid and convenient bedside availability in the intensive care unit, expanding the range of therapeutic indications for the procedure outside the endoscopy laboratory. FB in critically ill patients, especially mechanically ventilated patients, is technically challenging and requires appropriate operator qualifications. To avoid serious complications, it is essential to understand the procedure's effects on the respiratory and circulatory systems, as well as the mecha-nisms of complications, including infection transmission. A key challenge is to individually determine the expected benefit-risk balance and implement local protocols for the preparation, implementation, and supervision of the procedure. This narrative review aims to explore the practical and clinical aspects of FB in critically ill, mechanically ventilated patients in the ICU environment, emphasizing the most common interventions and safety issues.</p>","PeriodicalId":7750,"journal":{"name":"Anaesthesiology intensive therapy","volume":"58 1","pages":"49-58"},"PeriodicalIF":2.3,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13085045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484359","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}