Publications by authors named "Puslecki M"
Background: Upper ministernotomy for sutureless aortic prosthesis implantation provides an attractive opportunity compared to conventional access. Although in the last decade, the former has gained popularity, data comparing quality of life (QoL) following these procedures are scarce.
Objectives: The purpose of this study was to assess the patient's QoL after aortic valve replacement (AVR) using a ministernotomy approach compared to a full sternotomy.
Article Synopsis
- The study evaluates the acronym CALL TO ECLS to improve decision-making for patient qualification in out-of-hospital cardiac arrest for the ECMO procedure.
- A survey conducted among experts rated various criteria on a scale of usefulness, importance, clarity, and unambiguity, showing high validity with I-CVI scores between 0.87 and 0.97.
- The feedback led to revisions of the acronym, enhancing clarity and usefulness, particularly by adding explanations like "Signs of life" in the context of CPR.
Background: Cardiac arrest constitutes a critical medical emergency necessitating swift intervention to reinstate normal heart rhythm and prevent harm to vital organs. The pivotal role of bystander cardiopulmonary resuscitation (CPR) in influencing survival rates is well recognized. With older adults being the most common group to witness such events, it's curcial to understand their attitudes and knowledge about performing CPR.
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- There weren't any special training centers for doctors during the tough times of the coronavirus, even though they were using complicated methods to help patients.
- The National Education Centre created a program to teach doctors about using extracorporeal technologies (like ECMO) to save lives between 2019 and 2023, training 405 doctors through 34 courses.
- After these courses, the doctors showed a big improvement in their knowledge and skills, which helped them be better prepared to deal with critical situations, especially during the pandemic.
Atrial fibrillation (AF) is the most common arrhythmia presenting in emergency departments (EDs), vastly increasing mainly due to society's lifestyles leading to numerous comorbidities. Its management depends on many factors and is still not unified. Aims: The aim of this study was to compare different AF management strategies in the ED and to evaluate their influence on the length of stay (LOS) in the ED and their safety.
View Article and Find Full Text PDFIntroduction: The ministernotomy approach with sutureless aortic bioprosthesis may provide an attractive and safe option for aortic valve disease patients.
Aim: To assess the early and mid-term outcomes of minimally invasive aortic valve replacement (miniAVR) with sutureless vs. standard prostheses.
Transcatheter aortic valve implantation (TAVI) is currently becoming the method of choice in high-risk patients with severe aortic valve stenosis. Post-TAVI complications are more common owing to the increasing use of the method. The majority of TAVI complications derive from concomitant aortic stenosis with moderate/severe aortic insufficiency, paravalvular leak, and atrioventricular block.
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- Simulation training at the EuroELSO congress allows healthcare professionals to learn team-based skills without risking patient safety.
- The Educational Corner featured 43 sessions focused on advanced ECLS techniques for both adults and children, gaining positive feedback from participants.
- An overwhelming majority (94%) found the training valuable, and 95% would recommend it, indicating that the sessions effectively met educational objectives and could enhance their future practices.
Article Synopsis
- High-volume ECMO centers tend to yield better patient outcomes compared to low-volume centers, likely due to greater exposure to ECMO cases and experience.
- Simulation-based training (SBT) can enhance education and clinical skills for healthcare professionals in ECMO, potentially improving teamwork and interdisciplinary interactions.
- A new classification system categorizes ECMO simulators into low-, mid-, and high-fidelity types based on expert-defined criteria, currently showing that only low- and mid-fidelity simulators are available, which could aid in the development and comparison of future simulation tools.
Background: Implementation of emergency endovascular aortic repair provides an attractive opportunity in the treatment of complicated acute aortic syndromes involving descending aorta.
Aim: The aim of this study was to analyze the effectiveness of thoracic endovascular aortic repair (TEVAR) for the treatment of acute surgical emergencies involving the descending thoracic aorta.
Methods: A retrospective review of the medical records of all patients undergoing TEVAR in a single center since 2007 was undertaken.
Background: Coronavirus disease 2019 (COVID-19) pandemic had an impact on the quality of healthcare services and led to many changes in the treatment of cardiac pathologies.
Objectives: To assess the differences in the clinical manifestations, management and outcomes of patients with aortic valve diseases (AVDs) treated invasively before and during the pandemic.
Material And Methods: This retrospective single-center study involved patients with AVDs treated by means of balloon aortic valvuloplasty (BAV), transcatheter aortic valve implantation (TAVI) or surgical aortic valve replacement (SAVR) in 2019 and 2020.
Background: Persistent inflammatory response after transcatheter aortic valve implantation (TAVI) is one of the possible causes of early and mid-term postprocedural adverse events.
Objectives: To establish the predictive role of whole blood parameters on inflammatory response characteristics within a 1-year follow-up.
Material And Methods: The study group comprised 163 consecutive patients (52.
Background: The outbreak of the Coronavirus Disease 2019 (COVID-19) pandemic has caused many significant social and economic changes. The consecutive waves of the epidemic in various countries have had dissimilar courses depending on the methods used to combat it. The aim of this study was to determine the dynamics of the third wave of COVID-19 from the perspective of emergency departments (ED).
View Article and Find Full Text PDFMechanical circulatory support (MCS) methods are used in patients with both acute and chronic heart failure, who have exhausted other options for pharmacological or surgical treatments. The purpose of their use is to support, partially or completely, the failed ventricles and ensure adequate organ perfusion, which allows patients to restore full cardiovascular capacity, prolonging their life and effectively improving its quality. The three most popular devices include an intra-aortic balloon pump (IABP), percutaneous assist devices (including Impella, TandemHeart), and venoarterial extracorporeal membrane oxygenation (VA-ECMO).
View Article and Find Full Text PDFBackground: Although considered a minimally invasive procedure, transcatheter aortic valve implantation (TAVI) generates an inflammatory response which is related to post-procedural complications including acute kidney injury (AKI). The aim of the present study was to analyse the association between simple, easily available post-operative morphological parameters of inflammatory status such as neutrophil-to-lymphocyte ratio (NLR) and AKI as well as post-discharge survival.
Methods: The study group was comprised of 203 consecutive patients (102 females and 101 males, mean age 78 ± 6.
Background: Excessive metabolic excitation of platelets after cardiac procedures may be related to some adverse events but assessment of their metabolic activity is not routine. The purpose of this study was to evaluate which of the basic platelet morphological parameters best reflects their metabolic status.
Methods: The blood samples of 22cardiac surgical patients (mean age of 62.
Article Synopsis
- ECMO is beneficial for select critically ill patients with COVID-19 but requires specialized training and resources, prompting the need for a new nursing care protocol to enhance safety and efficiency when using personal protective equipment (PPE).
- A comprehensive simulation training was developed, focusing on the proper use of PPE during ECMO procedures and daily nursing care, supplemented by expert consultations to refine the approach.
- The resulting standardized operating procedures outline essential categories like work organization and daily care, intending to improve team coordination and training in intensive care settings for better patient outcomes during the COVID-19 crisis.
Association between time-related changes in routine blood morphological parameters and renal function after transcatheter aortic valve implantation - a preliminary study.
Kardiochir Torakochirurgia Pol
September 2021
Introduction: Transcatheter aortic valve implantation (TAVI) although minimally invasive is still accompanied by changes in blood morphological parameters, some of them linked to unfavorable outcomes.
Aim: To find any association between changes in blood morphology reflecting an inflammatory response and acute kidney injury (AKI).
Material And Methods: This study involved 176 consecutive transfemoral TAVI patients with a mean age of 78.