Combined subarachnoid and epidural anaesthesia for endoprosthetoplasty of the knee joint.

Background. We investigated the efficacy of combined spinal epidural anaesthesia (CSEB) that combines the main spinal and the supporting epidural anaesthesia for pain treatment after total knee replacement (TKR). Material and methods.

Combined subarachnoideal-extradural anesthesia for high-risk patients during surgery on the musculo-skeletal system.

Background. Patients in advanced age undergoing surgery for musculo-skeletal disorders are at risk for failure of vital systems under anesthesia. Thus the choice of anesthetic technique for high-risk patients can have a vital impact on treatment outcome.

[Quality of life assessment in patients after the embolization of aneurysms of cerebral arteries].

Unlabelled: THE OBJECTIVE OF THE PAPER: The objective of the paper has been to assess the quality of the patients lives after subarachnoid haemorrhage and the embolization of aneurysms of cerebral arteries, and to specify correlations between different aspects of the patients life under examination and selected socio-demographic factors.

Material And Method: The examination covered 28 patients having been subject to embolization of aneurysms of cerebral arteries including 12 women and 16 men at the age of 33 up to 62 (48.4 years of age on average) in the years 2000-2002.

[Risk factors and frequency of postoperative nausea and vomiting in patients operated under general anesthesia].

Introduction: Postoperative nausea and vomiting belong to fairly frequent postoperative complications, but they occupy a distant position on the list of complications, which most probably result from a general conviction that they do not pose a direct threat to patients.

Objective: The objective of this work is specification of factors facilitating occurrence of postoperative nausea and vomiting, and determination of frequency of their occurrence in patients operated under general anesthesia.

Material And Methods: Questionnaire about the occurrence of postoperative nausea and vomiting (PONV), was carried out and included 253 adult sick persons (102 female and 151 male patients), in the age between 23-76 (average 42.

[Postoperative nausea and vomiting (PONV)--causes, prevention, treatement].

The paper approximates news relating to pathophysiology, prophylaxis and treatment of postoperative nausea and vomiting, which, besides the pain, remain some of the most unpleasant memories of the recovery phase. In spite of the fact that they belong to very common ailments of the postoperative phase, they are placed low on this list, probably because the common belief that they do not threaten life imminently. However they may cause a varity of undesired symptoms, among them aspiration of stomach contents into the lungs in patients with impaired consciousnesess, also dehydratation, and electrolytic disturbances, especially with children and older patients.

[Effects of combined spinal-epidural anesthesia in patients undergoing abdominal aorta aneurysms stent-grafting].

We present the anesthetic combined spinal-epidural management of two patients undergoing endovascular abdominal aorta aneurysm stent-graft procedure. Due to many concomitant diseases: high blood pressure, chronic pulmonary obstructive disease, diabetes and obesity both patients were of high anesthesia risk. With no need for abdominal surgical opening, anesthetic muscles relaxation and intraoperative ventilatory support, CSEB was a method of choice.

[Usefulness of urapidil during intraoperative rise of arterial blood pressure in patients operated under general anesthesia].

Materials And Methods: Urapidil was administered in 69 patients aged between 46-79 age (average 62.7 +/- 8.4 age) to control intra-operative increase in arterial blood pressure accompanying endotracheal intubation, extubation, wakening of the patients, incision of abdominal integument and clamping of abdominal aorta.

[Laryngeal mask airway after failed intubation. Case report].

The case of a 58-year old patient, who nearly experienced cardiac arrest due to growing oxygen deficiency, was presented. The arrest was brought about by the impossibility to perform endotracheal intubation. A laryngeal mask successfully replaced an intubation tube and enabled artificial lung ventilation and restoration of correct blood oxygenation.

[End-tidal sevoflurane concentrations for laryngeal mask airway insertion and tracheal intubation in children].

Background: Sevoflurane, a new inhalation anesthetic agent characterized by a low blood-gas partition coefficient and nonpungent odor, appears suitable as an induction agent for children. This study was conducted to determine the sevoflurane concentration required for tracheal intubation and insertion laryngeal mask in children.

Methods: Thirty patients, aged 3-7 years, scheduled for surgery during general anesthesia were randomly assigned into two groups: Group I (n=15)--tracheal intubation (IT), Group II (n=15)--laryngeal mask insertion (LMI).

[Anesthesia of a patient with recent cardiac infarct for the implantation of a bifurcated aorto-femoral prosthesis. Case report].

The case of 44-year old patient anaesthetized in an emergency course of action for implantation of a bifurcated aorto-femoral prosthesis (Leriche syndrome), with an accompanying acute rest pain in both lower limbs. Three months earlier patient experienced a cardiac infarct complicated by cardiogenic shock and circulatory arrest. Described case proves that: cooperation of an anesthesiologist, cardiologist and surgeon during preparation for surgery on the abdominal aorta in a patient with previous myocardial infarct, selection of an anesthetic as well as postoperative treatment in the intensive care unit, reduce risk of postoperative cardiologic complications.

[Effects of modified anaesthesia for patients undergoing brain artery aneurysm repair operation].

55 patients (age 45-63 years old) scheduled for elective brain artery anaeurysm repair operation were randomly divided into two groups: thiopental, atracurium besilate and fentanyl group (group I; n= 27) and propofol, vecuronium bromide and fentanyl in a continuous intravenous administration group (group II; n=28). In group II little changes of arterial blood pressure during the operation were observed. Also the mean time for patient's awaiking was significantly shorter which allowed effective postoperative evaluation of neurological status.

[Early postoperative complications in patients with aneurysm of the abdominal aorta treated with vascular prosthesis].

Type and frequency of early postoperative complications were analyzed in a group of 226 patients (190 men and 36 women) at the age of 45 to 83 (mean age 65.3 +/- 8.2) who were operated as planned due to aneurysm of abdominal part of aorta.

[Effectiveness of extrameningeally administered opioids in patients with aortic prosthesis].

The examination was carried out in 60 men at the age of 56 to 78 (mean age 65.3 years) treated by suturing of vascular prosthesis due to aneurysm of abdominal part of aorta, in which postoperative analgesia was done with the use of bupivacaine with opioids administered extradurally. Patients were divided into two groups consisting of 30 individuals each.