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001-es BibID:BIBFORM096224
035-os BibID:(WoS)000715789800023 (Scopus)85107868916
Első szerző:Ledowski, Thomas
Cím:Reversal of residual neuromuscular block with neostigmine or sugammadex and postoperative pulmonary complications : a prospective, randomised, double-blind trial in high-risk older patients / Thomas Ledowski, Zoltan Szabo-Maák, Pui San Loh, Berwin A. Turlach, Hong Seuk Yang, Hans D. de Boer, Laszló Asztalos, Ina Ismiarti Shariffuddin, Lucy Chan, Bela Fülesdi
Dátum:2021
ISSN:0007-0912
Megjegyzések:Background Residual neuromuscular block is associated with an increased risk of postoperative pulmonary complications in retrospective studies. The aim of our study was to investigate prospectively the incidence of postoperative pulmonary complications after reversal with either sugammadex (SUG) or neostigmine (NEO) in high-risk older patients. Methods We randomly allocated 180 older patients with significant morbidity (ASA physical status 3) ?75 yr old to reversal of rocuronium with either SUG or NEO. Adverse events in the recovery room and pulmonary complications (defined by a 5-point [0?4; 0=best to 4=worst] outcome score) on postoperative Days 1, 3, and 7 were compared between groups. Results Data from 168 patients aged 80 (4) yr were analysed; SUG vs NEO resulted in a reduced probability (0.052 vs 0.122) of increased pulmonary outcome score (impaired outcome) on postoperative Day 7, but not on Days 1 and 3. More patients in the NEO group were diagnosed with radiographically confirmed pneumonia (9.6% vs 2.4%; P=0.046). The NEO group showed a non-significant trend towards longer hospital length of stay across all individual centres (combined 9 vs 7.5 days), with a significant difference in Malaysia (6 vs 4 days; P=0.011). Conclusions Reversal of rocuronium neuromuscular block with SUG resulted in a small, but possibly clinically relevant improvement in pulmonary outcome in a select cohort of high-risk older patients.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
neostigmine
neuromuscular block
perioperative complications
postoperative pulmonary complications
reversal
sugammadex
Megjelenés:British Journal Of Anaesthesia. - 127 : 2 (2021), p. 316-323. -
További szerzők:Szabó-Maák Zoltán (1984-) (aneszteziológus, intenzív terápiás szakorvos) Loh, Pui San Turlach, Berwin A. Yang, Hong Seuk Boer, Hans D. de Asztalos László (1985-) (aneszteziológus) Shariffuddin, Ina Ismiarti Chan, Lucy Fülesdi Béla (1961-) (aneszteziológus)
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2.

001-es BibID:BIBFORM063290
Első szerző:McQuay, H. J.
Cím:Randomized clinical trial of dexketoprofen/tramadol 25 mg/75 mg in moderate-to-severe pain after total hip arthroplasty / H. J. McQuay, R. A. Moore, A. Berta, O. Gainutdinovs, B. Fülesdi, N. Porvaneckas, S. Petronis, M. Mitkovic, L. Bucsi, L. Samson, V. Zegunis, M. L. Ankin, M. Bertolotti, B. Pizà-Vallespir, S. Cuadripani, M. P. Contini, A. Nizzardo
Dátum:2016
ISSN:0007-0912
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:British Journal Of Anaesthesia 116 : 2 (2016), p. 269-276. -
További szerzők:Moore, Richard A. Berta A. (Budapest) Gainutdinovs, O. Fülesdi Béla (1961-) (aneszteziológus) Porvaneckas, N. Petronis, S. Mitkovic, M. Bucsi László Sámson L. Zegunis, V. Ankin, M. L. Bertolotti, M. Pizà-Vallespir, B. Cuadripani, S. Contini, M. P. Nizzardo, A.
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3.

001-es BibID:BIBFORM013894
Első szerző:Nagy Géza (aneszteziológus)
Cím:Hungarian web-based nationwide anaesthesia and intenisve care data collection and reporting system : its development and experience from the first 5 yr / Nagy G., Vári S. G., Mező T., Bogár L., Fülesdi B.
Dátum:2010
ISSN:0007-0912
Megjegyzések:Background. Annual data collection is obligatory in Hungary for every department in the fields of anaesthesia and intensive care. A new, web-based data-reporting system was introduced in Hungary in 2003. The present paper summarizes experience from the first 5 yr of its operation. Methods. The Information Technology Working Group of Hungarian Society of Anaesthesia and Intensive Care developed a data collection system, which was Internet-based, provided web surface for every accredited department, and used the integration of international code systems. The analysis mode summarized the data automatically at loco-regional, national, or both levels. In 2008, a questionnaire was sent to the users in order to evaluate the usefulness of, and user satisfaction with, the web-based system. Results. The examples of anaesthetic and intensive therapy workload activities reflect the status of the discipline in Hungary. There have been no significant changes in the total number of anaesthesias per year in the past 5 yr, except that the number of combined general and regional anaesthesias has been elevated by more than 30%. The physicians' workload has increased by 13.2% in relation to the total number of anaesthetic procedures per physician per year. In this field, our data have verified that the number of physicians has decreased in Hungary. On the basis of the opinion of the users, the web-based data collection system has increased the effectiveness and accuracy of annual data collection. Conclusions. The developed web-based system is an effective tool for data collection. Its usefulness was also borne out by its users on the basis of experience from the first 5 yr.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
anaesthesia, audit
intensive care
Megjelenés:British Journal of Anaesthesia. - 104 : 6 (2010), p. 711-716. -
További szerzők:Vári Sándor G. Mező Tibor Bogár Lajos Fülesdi Béla (1961-) (aneszteziológus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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4.

001-es BibID:BIBFORM084529
Első szerző:Szücs Zoltán
Cím:Suitability of a preserved human cadaver model for the simulation of facemask ventilation, direct laryngoscopy and tracheal intubation : a laboratory investigation / Szűcs Z., László C. J., Baksa G., László I., Varga M., Szuák A., Nemeskéri Á., Tassonyi E.
Dátum:2016
ISSN:0007-0912
Megjegyzések:Background: Using fresh or formalin-embalmed cadavers has not been generally accepted for the purposes of teaching airway management. We investigated whether cadavers ♭preserved according Thiel's embalming method' (PATEM) are suitable for the simulation of facemask ventilation and tracheal intubation by direct laryngoscopy. Methods: This observational cluster sampling, controlled simulation study, included eight PATEM cadavers and eight manikins in two clusters. Twenty experienced anaesthetists were randomly assigned to execute 80 facemask ventilations and 80 tracheal intubations in both groups. The ease of facemask ventilation was the primary endpoint. The secondary endpoint was the composite outcomes of laryngoscopy and tracheal intubation. Results: The success rate at the first attempt at mask ventilation was 74% (59/80 attempts) on cadavers and 41% (33/80 attempts) on manikins (P<0.0001). Twenty one subjects received an oral airway in both groups and succeeded in facemask ventilation 20 times on cadavers and four times on manikins (P=0.004). Two-handed technique mask ventilation was required 24 times on manikins and once on cadavers (P=0.0016). In one attempt on a manikin the mask ventilation was impossible. Poor laryngeal view (Cormack-Lehane grade 3) occurred 14 times among cadavers (17.5%) and once in manikins (1.25%) (P=0.007), whereas difficulties in tracheal intubation were encountered 16 times in cadavers (20%) vs 17 times in manikins (21.25%) (P=0.84). In a subjective evaluation the participants preferred the cadaver model over the manikins (P<0.0001). Conclusions: PATEM cadavers were better suited for facemask ventilation and provided a more realistic environment for laryngoscopy and tracheal intubation than the studied manikins.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
airway management
education, medical
patient simulation
Megjelenés:British Journal Of Anaesthesia. - 116 : 3 (2016), p. 417-422. -
További szerzők:László C. J. Baksa Gábor László István (1978-) (aneszteziológus) Varga M. Szuák A. Nemeskéri Ágnes Tassonyi Edömér (1940-2022) (aneszteziológus)
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