Wiadomości lekarskie (Warsaw, Poland : 1960)
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Review Comparative Study Historical Article
[Thoracic paravertebral blockade--history or present time?].
This article discusses thoracic paravertebral blockade (TPVB)--a popular in early XX-th century method of local anaesthesia used also for diagnosis and treatment--being revitalized lately. Authors present modem indications for TPVB comparing it to other methods of regional anaesthesia.
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Remifentanil is a new, ultra-short acting opioid, which may be applied in several branches of anaesthesia. Data concerning pharmacokinetics and pharmacodynamics as well as review of references regarding practical use, combining this drug with other anaesthetics agents and side effects are given. Particular attention is paid to the usefulness of remifentanil to provide good control of haemodynamics and stress response during surgical procedures. Remifentanil also seems to be very effective in the intensive care setting and for pain control during various medical procedures.
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The authors present an analysis of literature data regarding correlations between health-related quality of life (HRQL), quality of anesthesia, quality assurance and pharmaco-economic factors in the context of patient-based individual perception of a life threatening situation in the perioperative period. The main attention was given to the quantification of HRQL as a new clinical parameter and methodological problems were emphasized.
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This article presents in illustrations the classical technique of transdermal identification and anatomy of paravertebral space (PVS) comparing to other techniques. This have to be acknowledged by anaesthesiologists as well as by other specialists to perform thoracic paravertebral blockade (TPVB)--earlier elapsed but nowadays getting more popular--safely. In addition the article contains a short description of author's own modification of Eason's and Wyatt's technique.