Anaesthesiology intensive therapy
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Anaesthesiol Intensive Ther · Jan 2013
Case ReportsDeep snow immersion suffocation--the deadly threat.
This report presents the case of non-avalanche-related snow immersion death in the Tatra Mountains, which meets all the criteria of this rare phenomenon. The causes and mechanism of deep snow immersion suffocation as well as prevention strategies are discussed.
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Anaesthesiol Intensive Ther · Jan 2013
Perioperative prognostic factors in patients with ruptured abdominal aortic aneurysms treated in the intensive care unit.
The incidence of abdominal aortic aneurysm has been estimated at 20-40 cases per 100,000 per annum. The disease is often asymptomatic; in many cases, its first symptom is shock caused by a ruptured aneurysm. The aim of the present study was to assess retrospectively the selected perioperative factors in patients hospitalised in the intensive care unit (ICU) after repair of ruptured abdominal aortic aneurysm. ⋯ Markers of impaired homeostasis, such as pH, HCO(3)(-) concentration, INR and APTT assessed on admission to ICU can be relevant prognostic factors in patients after repair of ruptured abdominal aortic aneurysm. Monitoring of diuresis during surgery and on day 1 of ICU treatment was a sensitive risk marker for acute kidney injury. Multiple organ failure scales such as APACHE II, MODS, SOFA and SAPS II were reliable prognostic tools to be used in the early period of ICU treatment.
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Haddad syndrome is a rare genetically conditioned disease. We present a female newborn with congenital central hypoventilation syndrome associated with Hirschprung's disease. The infant is mechanically ventilated and parentally fed in a home setting. The diagnosis has been confirmed by the presence of 20/26 PHOX2B genetic mutation.
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Anaesthesiol Intensive Ther · Jan 2013
Case ReportsComplications after using the Airtraq laryngoscope for a predicted difficult intubation.
Although standard management of an expected difficult intubation is based on fibre-optic techniques, the application of optical laryngoscopes such as Airtraq is gaining widespread acceptance. We here describe a case where an intubation attempt with the Airtraq laryngoscope was not only unsuccessful, but negatively influenced subsequent use of a flexible fibroscopic approach.