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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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001-es BibID:	BIBFORM053931
Első szerző:	Végh Tamás (aneszteziológus, intenzív terápiás szakorvos)
Cím:	Clinical observations on reversal of rocuronium-induced residual neuromuscular blockade by sugammadex after thoracic surgery / Tamás Végh, Marianna Juhász, István László, Attila Vaskó, Edömér Tassonyi, Béla Fülesdi
Dátum:	2014
Megjegyzések:	Objective: After thoracic surgery, a complete reversal of neuromuscular blockade (NMB) facilitatesventilatory movements and expectoration and enhances the possibility of early physiotherapy. Therefore,the aim of the present study was to evaluate the clinical usefulness of sugammadex for reversal of NMBafter anaesthesia for thoracic surgery.Design: prospective case series.Setting: university hospital.Participants: 49 patients undergoing thoracic surgical procedures (25 thoracotomies, 11 video-assistedthoracoscopies and 13 mediastinosciopies) were included.Interventions: Rocuronium was used for intubation and maintenance of NMB under continuousmonitoring with TOF Watch SX acceleromyograph. Residual NMB at the end of surgery was reversed byadministration of sugammadex 2 mg/kg BW.Main results: All patients had a residual curarisation at the end of surgery (TOF: 27.02 ? 25.9%).Time to 100% TOF recovery after sugammadex averaged 2.46 ? 0.58 minutes. Thirty three out of 49patients had mild hypothermia at the end of surgery. There was no difference in time needed for TOFrecovery to 100% between hypothermic and normothermic patients (hypothermic: 2.46 ? 2.9 minutes,normothermic: 1.81 ? 0.76 minutes, p = 0.29). Postoperative shivering occurred in 67% of the patients.Conclusions: We conclude that sugammadex allows fast and complete recovery of the neuromuscularfunction after thoracic surgical procedures even if mild hypothermia was present.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban thoracic anaesthesia sugammadex rocuronium residual curarisation
Megjelenés:	Romanian Journal of Anaesthesia and Intensive Care. - 21 : 1 (2014), p. 7-11. -
További szerzők:	Juhász Marianna (1975-) (aneszteziológus) László István (1978-) (aneszteziológus) Vaskó Attila (1976-) (tüdőgyógyász) Tassonyi Edömér (1940-2022) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus)
Internet cím:	Szerző által megadott URL Intézményi repozitóriumban (DEA) tárolt változat
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