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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)
Internet cím:	DOI Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM062339
Első szerző:	Sárkány Péter (aneszteziológus)
Cím:	Non-invasive pulse wave analysis for monitoring the cardiovascular effects of CO2 pneumoperitoneum during laparoscopic cholecystectomy- a prospective case-series study / Sárkány Péter, Lengyel Szabolcs, Nemes Réka, Orosz Lívia, Páll Dénes, Molnár Csilla, Fülesdi Béla
Dátum:	2014
ISSN:	1471-2253
Megjegyzések:	AbstractBackground: Peritoneal insufflation results in hemodynamic changes during laparoscopic cholecystectomy.The aim of the present work is to test whether non-invasive applanation tonometry is suitable for reflectingthese hemodynamic alterations.Methods: 41 patients undergoing laparoscopic cholecystectomies were monitored using the SphygmoCor pulsewave analysing system. Peripheral blood pressures (PBP), central aortic blood pressures (CBP), augmentation index(ALX@HR75) and subendocardial viability ratio (SVR) were measured at rest (Phase 1), after anesthetic induction(Phase 2), after peritoneal inflation (Phase 3) and after peritoneal deflation (Phase 4).Results: Induction of anesthesia resulted in a statistically significant reduction in both the peripheral blood pressureand central aortic pressures, accompanied by a decrease in augmentation pressure and augmentation index.Peripheral blood pressures did not change along with the peritoneal cavity insufflation, except for a moderateincrease in systolic blood pressure. In contrast to this, an increase could be observed in central aortic pressure(106.77 ? 18.78 vs. 118.05 ? 19.85 mmHg, P < 0.01) which was accompanied by increased augementation pressure(18.97 ? 10.80 vs. 31.55 ? 12.01; P < 0.001) and augmentation index (7.31 ? 5.59 vs. 12.61 ? 7.56, P < 0.001), indicatinga rise in peripheral arterial stiffness.Conclusions: The Sphigmocor pulse wave analysis system can be reliably used for detecting and monitoringcardiovascular changes occurring during laparoscopic cholecystectomy.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Laparoscopic cholecystectomy Hemodynamic changes Applanation tonometry
Megjelenés:	BMC Anesthesiology. - 14 : 98 (2014), p. 1-7. -
További szerzők:	Lengyel Szabolcs (1981-) (belgyógyász) Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Orosz Lívia Páll Dénes (1967-) (belgyógyász, kardiológus) Molnár Csilla (1962-) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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