Anestezjologia intensywna terapia
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Anestezjol Intens Ter · Oct 2009
[Medical personnel in a paediatric hospital do not possess adequate cardiopulmonary resuscitation skills].
The main changes to the European Resuscitation Guidelines in 2005 were relate to the tidal volume of artificial breaths, the position and depth of chest compressions, and th number of resuscitation cycles. To find out if these guidelines were widely known, we assessed the knowledge and skills of physicians and nurses working in a paediatric hospital. ⋯ Despite continuous education, the resuscitation skills of physicians and nurses from a paediatric hospital were far from satisfactory. The results indicate an urgent need for regular training.
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We retrospectively assessed the effects and usefulness of regional techniques, performed at the time of admission to the emergency department, in patients with lower limb trauma. ⋯ Regional techniques may be useful in the emergency department, for patients with lower limb trauma but they require expertise and skills.
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Anestezjol Intens Ter · Oct 2009
[A modified technique of retrograde intubation using gastric tube--a manikin study].
Airway management is a critical skill that must be mastered by all emergency physicians. Retrograde intubation was first described in 1960, and since then it has been used as an alternative method when the classical approach to establish an artificial airway fails. Although it may be difficult due to anatomical and/or technical reasons, it requires limited equipment, is easy to learn, and has few contraindications ⋯ The retrograde passage of a guide catheter (e.g., gastric tube) through the cricothyroid membrane may be more effective than the routine method, when it is introduced though the mouth.
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Anestezjol Intens Ter · Jul 2009
Comparative Study[A comparison of the optical AirTraq and the standard Macintosh laryngoscope for endotracheal intubation in obese patients].
Endotracheal intubation in morbidly obese patients is usually difficult and may lead to traumatic complications. ⋯ The optical AirTraq laryngoscope proved to be more useful than the Macintosh blade for faster and easier intubation in morbidly obese patients.