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001-es BibID:	BIBFORM053066
Első szerző:	Molnár Levente
Cím:	Postcraniotomy headache / Levente Molnár, Éva Simon, Réka Nemes, Béla Fülesdi, Csilla Molnár
Dátum:	2014
ISSN:	0913-8668 1438-8359
Megjegyzések:	Although pain after craniotomy is a clinically significant problem that has a continuously expanding literature, it is still a source of concern and controversy. Postcraniotomy headache (PCH) has been neglected for years. It is assessed regularly by only a few neurosurgical centers, and its frequency and severity tend to be underestimated by medical staff; hence, PCH is often undertreated and poorly managed. Various patient and surgical factors have an impact on the severity and incidence of PCH; thus, effective analgesic protocols are hard to define, which could explain the absence of available therapeutic guidelines. According to recent studies, certain surgical measures and the use of local anesthetics are promising in the prevention of PCH. NSAIDs seem to have inadequate analgesic effects, whereas opioids have a wide range of drawbacks; nevertheless, both types of medicaments are regarded as cornerstones of a balanced and adequate multimodal therapy. The purpose of this review is to collect the currently available knowledge about the incidence, assessment, pathophysiological mechanism, and predictors of acute and chronic PCH. Therefore, a broad search of the literature has been carried out to collect evidence of potential prevention and treatment strategies.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban sepsis-associated encephalopathy
Megjelenés:	Journal of Anesthesia. - 28 : 1 (2014), p. 102-111. -
További szerzők:	Simon Éva (1963-) (aneszteziológus) Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Fülesdi Béla (1961-) (aneszteziológus) Molnár Csilla (1962-) (aneszteziológus)
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001-es BibID:	BIBFORM076718
Első szerző:	Nemes Réka (aneszteziológus, intenzív terápiás szakorvos)
Cím:	Performance Assessment of a New Electromyography-based Neuromuscular Monitor and Subjective Discomfort in Unmedicated Volunteers / Nemes Reka, Dioszeghy Boglarka, Pongracz Adrienn, Tassonyi Edomer, Fulesdi Bela
Dátum:	2018
ISSN:	2155-6148 2155-6148
Megjegyzések:	Objective: The aim of this prospective, unblinded, randomized study was to provide performance data of the prototype of new electromyography-based neuromuscular monitor, the NEAT device (Acacia Designs BV, Amsterdam, the Netherlands) and assess the subjective discomfort associated with neurostimulation in unmedicated healthy volunteers. Methods: The study enrolled ten male and ten female volunteers. Based on a priori randomization the ulnar nerve of the left or right arms was stimulated in 1 Hz single twitch and train-of-four modes. Stimulating current intensity was increased from 10 mA to 60 mA in 10 mA steps. Electromyography recordings were performed at the abductor digiti minimi and adductor pollicis muscles via surface electrodes. The volunteers were asked to rate the discomfort in association with neurostimulation on a 0-10 visual analogue scale. Results: The overall train-of-four ratio was 1.02 (0.98-1.06) {median and (interquartile range)}. The abductor digiti minimi muscle required lower stimulating current intensity to evoke maximal stimulation, than the adductor pollicis (30 vs. 50 mA, p <0.001). The overall intracurrent variability of compound muscle action potential amplitudes was 0.42 (0.21-0.87) mV, that was unaffected by the type of muscle or the stimulating current intensity. Women reported moderately higher visual analogue scale scores than men. The largest recorded difference was 5 (3.75-6) vs. 3 (3-4), p <0.05. Conclusion: The Acacia Designs BV NEAT monitoring device was suitable to deliver neurostimulation, record and analyze the elicited muscle action potentials. The precision of stimulations was acceptable. The volunteers reported the discomfort in association with neurostimulation as tolerable. Registered at the Hungarian Office for Health Authorization and Administrative Procedures (December 30th, 2014). Identifier: 028605-010/2014/OTIG. Registered at clinicaltrials.gov (December 15th, 2015). Identifier: NCT02630576.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Neuromuscular monitoring Electromyography Visual analogue scoring scale Abductor digiti minimi muscle Adductor pollicis muscle
Megjelenés:	Journal of Anesthesia and Clinical Research. - 9 : 8 (2018), p. 1-8. -
További szerzők:	Diószeghy Boglárka Pongrácz Adrienn (1971-) (aneszteziológus, intenzív terápiás szakorvos) Tassonyi Edömér (1940-2022) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus)
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001-es BibID:	BIBFORM066549
Első szerző:	Pálóczi Balázs
Cím:	Effects of diclofenac premedication, as preventive analgesia on post thoracotomy pain and lung function test values / Pálóczi Balázs, Kazup Ágota, Nemes Réka, Farkas Orsolya, Fülesdi Béla, Végh Tamás
Dátum:	2015
ISSN:	1053-0770
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idézhető absztrakt
Megjelenés:	Journal of Cardiothoracic and vascular anesthesia 29 (2015), p. 44. -
További szerzők:	Kazup Ágota Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Farkas Orsolya Fülesdi Béla (1961-) (aneszteziológus) Végh Tamás (1975-) (aneszteziológus, intenzív terápiás szakorvos)
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001-es BibID:	BIBFORM094394
035-os BibID:	(cikkazonosító)110234
Első szerző:	Renew, J. Ross
Cím:	Comparison of the TetraGraph and TOFscan for monitoring recovery from neuromuscular blockade in the Post Anesthesia Care Unit. / Renew J. R., Hernandez-Torres V., Logvinov I., Nemes R., Nagy G., Li Z., Watt L., Murphy G. S.
Dátum:	2021
ISSN:	0952-8180
Megjegyzések:	Study objective: Comparison of the TetraGraph (TG) and TOFscan (TS) for monitoring recovery from neuromuscular blockade in the Post Anesthesia Care Unit (PACU). Design: Randomized, multicenter trial. Setting: PACU in three tertiary care hospitals. Patients: 120 patients (40 per site) receiving neuromuscular blockade during elective surgery. Interventions: Patients were enrolled preoperatively and intraoperative neuromuscular blockade management was at the discretion of the anesthesiologist. Upon arrival to the PACU, patients were randomized to have either TG or TS placed on their dominant hand. The alternate device (TS or TG) was placed on the nondominant hand. Following simultaneous ulnar nerve stimulation on each arm, the response of the adductor pollicis was measured. Measurements: Train-of-four ratios (TOFRs) were obtained upon arrival to the PACU (t = 0), after 5 min (t = + 5) and after +10 min (t = + 10). Main results: There was there was no significant difference in the mean TOFRs obtained with the TG and TS at t = 0 (0.97 ? 0.18 vs 0.94 ? 0.13, P = 0.06, respectively) and t = + 5 (0.96 ? 0.20 vs 0.95 ? 0.12, P = 0.29, respectively). At (t = + 10), there was a statistically significant difference in mean TOFRs obtained with the TG and TS, (0.99 ? 0.14 vs 0.94 ? 0.12, P < 0.001, respectively). The bias between devices at t = 0 was estimated to be 0.03 (95% CI, ?? 0.29 to 0.35, P = 0.26); at t = + 5 min, it was estimated to be 0.02 (95% CI, ?? 0.36 to 0.40, P = 0.54); and at t = +10 min, it was estimated to be 0.05 (95% CI, ?? 0.25 to 0.36, P = 0.77). Conclusions: TS and TG provide interchangeable quantitative measurements once the TOF ratio has returned to a value of 0.90 or greater in the PACU.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Journal Of Clinical Anesthesia. - 71 (2021), p. 1-6. -
További szerzők:	Hernandez-Torres, Vivian Logvinov, Ilana I. Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Nagy György (1986-) (aneszteziológus, intenzív terápiás szakorvos) Li, Zhuo Watt, Liah Murphy, Glenn S.
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