Publications by authors named "Z Stach"

Purpose: The echocardiography parameters may predict the maintenance of sinus rhythm after cardioversion of a supraventricular arrhythmia (SVA).

Materials And Methods: Patients in septic shock with onset of an SVA, normal to moderately reduced LV systolic function (EF_LV˃̳35%) and on a continuous noradrenaline of <1.0 μg/kg.

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Article Synopsis
  • Acute supraventricular arrhythmias can worsen hemodynamic stability in patients with septic shock, and a study compared the effects of intravenous propafenone and amiodarone on arrhythmias in this population.
  • In a trial with 209 patients, those receiving propafenone had a quicker return to sinus rhythm (3.7 hours) compared to those on amiodarone (7.3 hours), although the overall 24-hour sinus rhythm rates were similar.
  • Propafenone led to fewer cases of arrhythmia recurrence than amiodarone, especially in patients without a dilated left atrium, indicating it may be a more effective option for short-term management.
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  • A prospective study was conducted on Covid-19 ARDS patients to investigate how the location of chest drains affects the detection of pneumothorax through bedside imaging methods like chest ultrasound (CUS) and X-ray.
  • Out of 106 pneumothorax cases, the study found that chest drains were more accurately located with CUS in patients who experienced full lung expansion, while a significant percentage had residual pneumothorax post-drainage.
  • Key indicators of a likely residual pneumothorax included an invisible chest drain on CUS, a low chest drain index (CDI) on X-ray, and observable continuous air leaks from the drain.
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Purpose: The aim was to verify the impact of obesity on the long-term outcome of patients with severe SARS-CoV-2 ARDS.

Materials And Methods: The retrospective study included patients admitted to the high-volume ECMO centre between March 2020 and March 2022. The impact of body mass index (BMI), co-morbidities and therapeutic measures on the short and 90-day outcomes was analysed.

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Envenomations that are caused by snakebites are mostly accompanied by venom-induced consumption coagulopathy (VICC) with defibrination. The clinical course of VICC is well described; however, reports about its detailed effects in the hemocoagulation systems of patients are sparse. In this pilot study, we prospectively analyzed the changes in plasma fibrinogen that were caused by the envenomation of six patients by five non-European snakes.

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