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001-es BibID:BIBFORM068737
Első szerző:Sárkány Péter (aneszteziológus)
Cím:Does standing or sitting position of the anesthesiologist in the operating theatre influence sevoflurane exposure during craniotomies? / Péter Sárkány, Béla Tankó, Éva Simon, Judit Gál, Béla Fülesdi, Csilla Molnár
Dátum:2016
ISSN:1471-2253
Megjegyzések:BackgroundExposure of the OR staff to inhalational anesthetics has been proven by numerous investigators, but its potential adverse effect under the present technical circumstances is a debated issue. The aim of the present work was to test whether using a laminar flow air conditioning system exposure of the team to anesthetic gases is different if the anesthetist works in the sitting as compared to the standing position.MethodsSample collectors were placed at the side of the patient and were fixed at two different heights: at 100 cm (modelling sitting position) and 175 cm (modelling standing position), whereas the third collector was placed at the independent corner of the OR. Collected amount of sevoflurane was determined by an independent chemist using gas chromatography.ResultsAt the height of the sitting position the captured amount of sevoflurane was somewhat higher (median and IQR: 0.55; 0.29?1.73 ppm) than that at the height of standing (0.37; 0.15?0.79 ppm), but this difference did not reach the level of statistical significance. A significantly lower sevoflurane concentration was measured at the indifferent corner of the OR (0.14; 0.058?0.36 ppm, p?<?0.001).ConclusionsOpen isolation along with the air flow due to the laminar system does not result in higher anesthetic exposure for the sitting anesthetist positioned to the side of the patient. Evaporated amount of sevoflurane is below the accepted threshold limits in both positions.KeywordsOccupational exposure Sevoflurane
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Occupational exposure Sevoflurane
Megjelenés:BMC Anesthesiology. - 16 : 1 (2016), p. 120-125. -
További szerzők:Tankó Béla (1972-) (aneszteziológus) Simon Éva (1963-) (aneszteziológus) Gál Judit (1977-) (aneszteziológiai és ITO szakorvos) Fülesdi Béla (1961-) (aneszteziológus) Molnár Csilla (1962-) (aneszteziológus)
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001-es BibID:BIBFORM117820
035-os BibID:(WoS)001127456200001 (Scopus)85186595598
Első szerző:Simon Éva (aneszteziológus)
Cím:Preoperatively administered single dose of dexketoprofen decreases pain intensity on the first 5 days after craniotomy : a single-centre placebo-controlled, randomized trial / Éva Simon, Csaba Csipkés, Dániel Andráskó, Veronika Kovács, Zoltán Szabó-Maák, Béla Tankó, Gyula Buchholcz, Béla Fülesdi, Csilla Molnár
Dátum:2023
ISSN:2081-3856 2081-6936
Megjegyzések:Background and purpose - Headache attributed to craniotomy is an underestimated and under-treated condition. Previous studies confirmed the efficacy of preemptive analgesia with non-steroidal anti-inflammatory agents. The aim of the present work was to test the hypothesis of whether a single preoperatively administered dose of dexketoprofen (DEX) has the potency to decrease postcraniotomy headache (PCH) as compared to placebo (PL).Patients and methods - This is a single-centre, randomized, PL-controlled trial comparing the effect of a single oral dose of 25 mg DEX to PL on the intensity of PCH. Patients undergoing craniotomy were randomly allocated to DEX and PL groups. Patients rated their actual and worst daily pain using visual analogue scale (VAS) scores during intrahospital treatment (0-5 days) and 30 and 90 days postoperatively.Results - Two hundred patients were included. DEX decreased the worst daily pain intensity in the first 24 h only; the 5-days cumulative score of actual pain was 9.7 +/- 7.9 cm for the DEX group and 12.6 +/- 10.5 cm for the PL group, respectively (p = 0.03). This difference disappeared in the late, 30-, and 90-day follow-up period. No differences in VAS scores could be detected in supra- and infratentorial cases among the DEX and PL groups.Conclusions - A single preoperative dose of 25 mg of DEX slightly decreases the intensity of PCH in the first 5 days after craniotomy but it does not have an effect on chronic headaches and postoperative analgesic requirements.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
postcraniotomy headache, preemptive analgesia, dexketoprofen
Megjelenés:Translational Neuroscience. - 14 : 1 (2023), p. 1-8. -
További szerzők:Csipkés Csaba (1994-) (aneszteziológus rezidens) Andráskó Dániel (1994-) (ANESZTEZIOLÓGUS REZIDENS) Kovács Veronika (1991-) (aneszteziológus) Szabó-Maák Zoltán (1984-) (aneszteziológus, intenzív terápiás szakorvos) Tankó Béla (1972-) (aneszteziológus) Buchholcz Gyula (1961-) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus) Molnár Csilla (1962-) (aneszteziológus)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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