The aim of this study was to investigate the effects of a positional change of regional cerebral oxygen saturation values (rSO2) because of the sitting position, before and after the administration of general anaesthesia. Twenty five consecutive patients of ASA class I or II undergoing shoulder surgery under general anaesthesia were chosen to participate in this study.
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The essential help of medical emergency teams (M.E.T.) is to decrease the frequency of sudden deaths and the pointless transport of patients in the intensive care units. Aim of present study is to record the number and the type of urgent intrahospital callings, the departments of hospital that were covered by M.E.T, the staff (medical and/or nursing) that participated in them, the medications that were used, and the number of involved individuals per incident, as well as the type of monitoring and the fluids that were used. In the particular study were recorded the urgent calls from the 07/06/2006 up to the 07/01/2007 (7 months).
Continue readingOur study compared the effectiveness between two of the proposed as rescue manoeuvres to overcome difficulty, in advancing a tracheal tube, during railroading over the fibreoptic bronchoscope. A ninety degrees anti-clockwise rotation (90ΑCWR) of the tube or cricoid cartilage pressure application (CCPA) was randomly performed in eighty patients undergoing fibreoptic orotracheal intubation under general anaesthesia, in whom first attempt to railroad the tracheal tube had failed.
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The aim of this study was to examine and compare the efficacy and safety of combining strong opioids (transdermal fentanyl) with weak opioids (codeine or tramadol) for the management of severe cancer pain. Forty six patients (25 male / 21 female) aged 42-80 years were studied. According to an eleven-grade numeric rating scale (NRS; 0 = no pain, 10 = severe pain), they all had severe steady pain intensity greater than 5 (NRS >5) despite treatment with weak opioids and adjuvant drugs, as proposed by the 2nd step of the World Health Organization (WHO) analgesic ladder, at the maximum tolerated doses.
Continue readingThe scope of this study was to investigate if changing the direction of the Whitacre 26G needle aperture in regional anaesthesia during planned caesarean section produces a difference in the dose-response curves of the level of subdural blockade achieved by ropivacaine 0.75% and a standard dose of opioid. One hundred and twenty healthy parturients were blindly randomised in two groups, with 5 subgroups of 12 women each.
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We present two cases of pregnant women with placenta percreta invading the bladder, along with a short review of the literature. The two women sustained early and late major haemorrhagic complications requiring massive transfusion (up to 142 PRBC and 353 blood product units) and urgent reoperation. They were both treated in the ICU and discharged in good state.
Continue readingΗ διασωλήνωση της τραχείας είναι μία από τις σημαντικότερες αναισθησιολογικές πράξεις στο να εξασφαλίζει τη βατότητα και τη στεγανότητα των ανωτέρων αεροφόρων οδών. Τα λήμμα διασωλήνωση αναφέρεται στο λεξικό το Γ. Μπαμπινιώτη και χαρακτηρίζεται σαν «εισαγωγή ελαστικού σωλήνα σε όργανο ή φυσική κοιλότητα πχ η εισαγωγή ελαστικού σωλήνα στην τραχεία»[1]
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The issue of cerebral circulation and oxygen delivery to the brain requires constant vigilance for the clinician in the ICU, the trauma unit and the neurosurgical operation suite. These patients are administered anaesthetic medications that affect cerebral physiology by a lot of different and some times unexplored mechanisms.
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Ultrasonography is a useful tool in order to provide information regarding diaphragm function, especially in cases where local pathology coexists, as in pleural effusions or traumatic rupture. Ultrasound can also be used as a method for analyzing diaphragmatic movement using M-mode.
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