scholarly journals Preeclampsia. Eclampsia. Anesthesia and intensive care in childbirth and the puerperium. Review

2020 ◽  
pp. 41-52
Author(s):  
Natalia Yu. Pylaeva ◽  
E. M Shifman ◽  
A. V Kulikov ◽  
N. V Artymuk ◽  
T. E Belokrinitskaya ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cesarean Section ◽  
Anesthetic Management ◽  
Intensive Therapy ◽  
Fetal Outcome ◽  
Diagnosis And Treatment ◽  
Evidence Based ◽  
Hypertensive Disorders ◽  
Interdisciplinary Approaches

The review discusses the possibilities of predicting preeclampsia and its complications, modern criteria for the diagnosis of gestational hypertensive disorders and tactics of their intensive therapy. Particular attention was devoted on the anesthetic management for cesarean section in a woman with preeclampsia and its complications. The information proposed in the review makes it possible to define a unified terminology and form unified evidence-based interdisciplinary approaches to the diagnosis and treatment of preeclampsia, which will improve maternal and fetal outcome.

scholarly journals Problems of clinical diagnosis and treatment of P. falciparum malaria in Russian Federation

2018 ◽  
Vol 90 (11) ◽  
pp. 4-8 ◽  
Author(s):  
V P Sergiev ◽  
A M Baranova ◽  
G M Kozhevnikova ◽  
A K Tokmalayev ◽  
D V Chernyshov ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Falciparum Malaria ◽  
Clinical Diagnosis ◽  
Russian Federation ◽  
Intensive Therapy ◽  
Adverse Outcomes ◽  
Diagnosis And Treatment ◽  
Clinical Hospital ◽  
Care Protocol

Aim. To study the causes of falciparum malaria deaths in Russian Federation and to optimize therapy for severe forms of the disease. Materials and methods. The analysis of falciparum malaria cases with deaths recorded in Russian Federation from 2013 to 2017 was conducted. The results of optimization of pathogenetic therapy of severe forms of falciparum malaria for the prevention of adverse outcomes in the intensive care unit of the Infectious Clinical Hospital №2 of Moscow in 44 patients with severe course are presented. Treatment, clinical laboratory and instrumental investigations were carried out in accordance with our intensive care protocol, which took into account the current WHO recommendations. Results. From 2013 to 2017 there were nine deaths from falciparum malaria reported in patients from African countries (6) and India (3). In Russia, due to the lack of effective drugs of artemisinin group, quinine with tetracycline or doxycycline is used for etiotropic therapy of patients with complicated form of falciparum malaria. In the management of such patients, the basis for treatment was the prevention of ischemic, reperfusion injuries of organs and hemorrhagic complications. In the infectious clinical hospital №2 of Moscow, since 2007, the intensive care unit has developed and tested a protocol for intensive therapy in patients with severe and complicated forms of falciparum malaria, including preventive methods of extracorporeal hemocorrection with prolonged veno-venous hemodiafiltration therapy and plasmapheresis, as a result of which the mortality rate decreased from 84 to 6.8% Conclusion. The country's lack of anti-malarial drugs, the insufficient awareness of the population about the risk of infection and measures to prevent malaria, late referral of cases for medical care and errors of clinical diagnosis and treatment annually lead to fatal outcomes. In such situation, the experience of optimizing the treatment of severe falciparum malaria is particularly useful, allowing decreasing the mortality.

scholarly journals Anesthetic Management of a Parturient with Congenital Complete Heart Block posted for Emergency Lower Segment Cesarean Section

2015 ◽  
Vol 1 (4) ◽  
pp. 74-76
Author(s):  
GS Karthik ◽  
R Mamatha ◽  
MJ Sowmya ◽  
KT Venkateshmurthy ◽  
H Sahajananda
Keyword(s):  
Cesarean Section ◽  
Heart Block ◽  
Complete Heart Block ◽  
Anesthetic Management ◽  
Cardiac Pacing ◽  
Pregnant Patient ◽  
Fetal Outcome ◽  
Lower Segment ◽  
Lower Segment Cesarean Section ◽  
Congenital Complete Heart Block

ABSTRACT Pregnancy complicated with complete heart block is rare and usually required termination of pregnancy in the past. Improvement in medical technology in the form of cardiac pacing has allowed taking these women to term. Overall, maternal and fetal outcome is not affected in asymptomatic cases. We report here an unbooked, pregnant patient presented at 38+ weeks with complete heart block and pregnancy-induced hypertension for emergency lower segment cesarean section (LSCS). Emergency LSCS was performed under general anesthesia. Maternal and fetal outcome was good. How to cite this article Mamatha R, Sowmya MJ, Venkateshmurthy, Sahajananda H, Karthik GS. Anesthetic Management of a Parturient with Congenital Complete Heart Block posted for Emergency Lower Segment Cesarean Section. J Med Sci 2015;1(4):74-76.

scholarly journals ISSUES OF TREATMENT OF SECONDARY HYPERPARATHYROIDISM WITH THE EYES OF AN ANESTHESIOLOGIST. EXPERIENCE OF PERIOPERATIVE ANESTHESIOLOGICAL SUPPORT AND INTENSIVE THERAPY IN PARATHYROID SURGERY

2021 ◽  
Vol 2 (16) ◽  
pp. 4-16
Author(s):  
A.I. Denysenko ◽  
V.I. Cherniy ◽  
R.P. Tkachenko
Keyword(s):  
Chronic Kidney Disease ◽  
Intensive Care ◽  
Secondary Hyperparathyroidism ◽  
Anesthetic Management ◽  
Intensive Therapy ◽  
Parathyroid Surgery ◽  
Preoperative Preparation ◽  
Careful Monitoring ◽  
The Third ◽  
Hungry Bone

Secondary hyperparathyroidism (SHPT) affects a majority of patients with chronic kidney disease (CKD) in the third and above stages with manifestations of chronic renal failure (CRF), especially in patients undergoing hemodialysis. Despite the temporary effects obtained from taking calcimimetics, there is no significant breakthrough in the treatment of SHPT, and most of the patients require parathyroid surgery (PTS). This review describes the main pathophysiological changes in SHPT, their correction, summarizes the indications for PTS, reflects preoperative preparation, anesthetic management, perioperative intensive care, and possible complications associated with SHPT and CRF. The experience of treating 214 patients with SHPT, 237 PTS (23 in connection with relapse of SHPT), algorithm of examination, preoperative preparation, anesthetic management and perioperative intensive care are presented. In the postoperative period, patients are at risk of severe hypocalcemia and hungry bone syndrome, which require careful monitoring and calcium replenishment.

scholarly journals COMPARISON OF FETAL OUTCOME IN PLANNED ELECTIVE DELIVERIES AT 38 AND 39 GESTATIONAL WEEKS AT LADY WILLINGDON HOSPITAL, LAHORE

2016 ◽  
Vol 21 (4) ◽  
pp. 285
Author(s):  
Gul Hani Qaisrani ◽  
Sarwat Rizvi ◽  
Anum Jafri ◽  
Rubar Haider
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cesarean Section ◽  
Cesarean Delivery ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Fetal Outcome ◽  
Cesarean Deliveries ◽  
Elective Cesarean ◽  
Elective Deliveries

AbstractIntroduction:Planned elective cesarean delivery is carried out when a patient has no emergency maternal or fetal indication for cesarean section. Such a planned cesarean section can be delayed.Objective:To compare fetal outcome of planned elective cesarean deliveries at 38 and 39 weeks of gestation in a tertiary care hospital.Study Design: Cohort Study.Place and Duration of Study:Lady Willingdon Hos-pital, Lahore. The study was carried out over a period of six months from 1st October, 2012 to 3 st March, 2013.Sample Size:A total number of 470 live born neonates were included in the study. 235 neonates were born at 38 weeks while other 235 neonates were born at 39 weeks of gestation.Results:Majority of patients, 121 (51.48%) who underwent cesarean section at 38 weeks of gestation were at 26 30 years of age with mean age of 27.69 3.5 years. Mean parity at 38 weeks cesarean delivery group was 2.4 1.35. 19 (8.1%) neonates were admitted to intensive care unit in this 38 weeks gestational age cesarean delivery group. Majority of patients 122 (51.91%) who underwent cesarean section at 39 weeks of gestation were between 26 30 years of age with a mean age of 27.36 3.54 years. Mean parity of patients in this group was 2.30 1.280. 6 (2.6%) neonates delivered at 39 weeks of gestation were admitted to neonatal intensive care unit.Conclusion:Neonatal outcome was better at 39 weeks of gestation as compared to 38 weeks of gesta-tion.Key Words:Planned cesarean delivery, neonatal intensive care unit admission (NICU), transient tachypnea of newborn.

Tailored interventions to support the implementation of the German national guideline on screening, diagnosis and treatment of alcohol-related disorders: a project protocol

2019 ◽  
Vol 65 (6) ◽  
pp. 373-381 ◽  
Author(s):  
Bernd Schulte ◽  
Christina Lindemann ◽  
Angela Buchholz ◽  
Anke Rosahl ◽  
Martin Härter ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Guideline Implementation ◽  
Implementation Strategies ◽  
Organizational Factors ◽  
Diagnosis And Treatment ◽  
Primary Data ◽  
Routine Practice ◽  
Evidence Based ◽  
Advisory Boards ◽  
Prevention And Treatment

Abstract. Background: The German Guideline on Screening, Diagnosis and Treatment of Alcohol Use Disorders aims to increase the uptake of evidence-based interventions for the early identification, diagnosis, prevention and treatment of alcohol-related disorders in relevant healthcare settings. To date, dissemination has not been accompanied by a guideline implementation strategy. The aim of this study is to develop tailored guideline implementation strategies and to field-test these in relevant medical and psycho-social settings in the city of Bremen, Germany. Methods: The study will conduct an impact and needs assessment of healthcare provision for alcohol use orders in Bremen, drawing on a range of secondary and primary data to: evaluate existing healthcare services; model the potential impact of improved care on public health outcomes; and identify potential barriers and facilitators to implementing evidence-based guidelines. Community advisory boards will be established for the selection of single-component or multi-faceted guideline implementation strategies. The tailoring approach considers guideline, provider and organizational factors shaping implementation. In field tests quality outcome indicators of the delivery of evidence-based interventions will be evaluated accompanied by a process evaluation to examine patient, provider and organizational factors. Outlook: This project will support the translation of guideline recommendations for the identification, prevention and treatment of AUD in routine practice and therefore contributes to the reduction of alcohol-related burden in Germany. The project is running since October 2017 and will provide its main outcomes by end of 2020. Project results will be published in scientific journals and presented at national and international conferences.

Limitation and withdrawal of intensive therapy at the end of life: Practices in intensive care units in Mumbai, India*

2005 ◽  
Vol 33 (6) ◽  
pp. 1272-1275 ◽  
Author(s):  
Farhad Kapadia ◽  
Manoj Singh ◽  
Jigeeshu Divatia ◽  
Priya Vaidyanathan ◽  
Farokh E. Udwadia ◽  
...  
Keyword(s):  
Intensive Care ◽  
End Of Life ◽  
Intensive Care Units ◽  
Intensive Therapy

scholarly journals Nursing Interventions to Prevent Delirium in Critically Ill Patients in the Intensive Care Unit during the COVID19 Pandemic—Narrative Overview

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 578
Author(s):  
Dorota Ozga ◽  
Sabina Krupa ◽  
Paweł Witt ◽  
Wioletta Mędrzycka-Dąbrowska
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Critically Ill Patients ◽  
Current Knowledge ◽  
Personalised Medicine ◽  
Nursing Interventions ◽  
Evidence Based ◽  
Current State ◽  
Scientific Disciplines ◽  
Reliable Methods

It has become a standard measure in recent years to utilise evidence-based practice, which is associated with a greater need to implement and use advanced, reliable methods of summarising the achievements of various scientific disciplines, including such highly specialised approaches as personalised medicine. The aim of this paper was to discuss the current state of knowledge related to improvements in “nursing” involving management of delirium in intensive care units during the SARS-CoV-2 pandemic. This narrative review summarises the current knowledge concerning the challenges associated with assessment of delirium in patients with COVID-19 by ICU nurses, and the role and tasks in the personalised approach to patients with COVID-19.

scholarly journals PIN156 Knowledge of Intensive Care Nurses about the Evidence-Based Guidelines of Preventing Centralvenous Catheter Related Infection

2020 ◽  
Vol 23 ◽  
pp. S569-S570
Author(s):  
V. Pacsai ◽  
B. Szabó ◽  
E. Kalamár-Birinyi ◽  
L. Horváth ◽  
I. Boncz ◽  
...  
Keyword(s):  
Intensive Care ◽  
Evidence Based ◽  
Catheter Related Infection ◽  
Intensive Care Nurses ◽  
Evidence Based Guidelines
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