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001-es BibID:	BIBFORM070752
Első szerző:	Mitre, Calin
Cím:	Clinical Experiences with the FRONT Formula for Pre-Operative Airway Assessment and Documentation : a Multi-Centre Study / Mitre Calin, Mitre Ileana, Gyongyosi Zoltan, Fulesdi Bela, Zdrehus Claudiu, Breazu Caius, Biro Peter
Dátum:	2017
ISSN:	2149-0937 2149-276X
Megjegyzések:	Objective: The prediction of difficult airway is one of the most important challenges before general anaesthesia. This study aimed to assess theclinical usefulness of the FRONT score, a recently developed scoring system to predict and document airway difficulties.Methods: This multi-centre, inter-observer, prospective and double-blinded study included 976 patients from two university centres.The pre-operative evaluation of the patients was performed by a pre-operative team of anaesthesiologists (team A) who evaluated andscored the expected difficulty of airway management. An intra-operative team of evaluators (team B) working independently of team A,performed the actual instrumentation of the airway and scored the actual findings. Both teams used the FRONT scoring system andworked independently of each other to ensure blinded assessments. The statistical analysis of the pre- and intra-operative FRONT scoreswas performed in an off-line blinded manner.Results: Our results show a fair and promising association between pre-operative composite FRONT score and that observed at the inductionphase (Spearman=0.43). Among the score components, the best correlation was observed for the F and R components (kappa=0.44 and 0.36,respectively), and the worse correlation was observed for the O and T components (kappa=0.25 and 0.24, respectively).Conclusion: The FRONT formula for the prediction and documentation of the airway status is a simple and effective method for assessingand defining airway management difficulties. Further prospective studies are required to assess the sensitivity and specificity of thesystem.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Difficult airway prediction of intubation documentation of airway status FRONT score
Megjelenés:	Turkish Journal of Anesthesia and Reanimation 45 : 4 (2017), p. 225-230. -
További szerzők:	Mitre, Ileana Gyöngyösi Zoltán (1977-) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus) Zdrehus, Claudiu Breazu, Caius Bíró Péter
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001-es BibID:	BIBFORM078888
Első szerző:	Pongrácz Adrienn (aneszteziológus, intenzív terápiás szakorvos)
Cím:	International survey of neuromuscular monitoring in two European countries : a questionnaire study among Hungarian and Romanian anaesthesiologists / Adrienn Pongrácz, Réka Nemes, Caius Breazu, László Asztalos, Ileana Mitre, Edömér Tassonyi, Béla Fülesdi, Calin Mitre
Dátum:	2019
Megjegyzések:	Background: Accumulating evidence indicates that objective neuromuscular monitoring and pharmacological reversal of neuromuscular block reduces the occurrence of residual muscle paralysis in the acute postoperative phase. However, objective neuromuscular monitoring is not a routine habit in anaesthesia. In order to change this situation, we wished to find out, as a first step to improvement, the current use of neuromuscular monitors and the custom of anaesthetists for reversal of neuromuscular block before tracheal extubation. Methods A ten-point questionnaire was available via the Surveymonkey website and the link was sent to 2202 Hungarian and Romanian anaesthetists by email. Results: Three hundred and two (13.7%) of the 2202 registered anaesthetists responded. Less than 10% of them regularly use neuromuscular monitors. They underestimated the occurrence of residual block; only 2.2% gave a correct answer. Neuromuscular monitors are available in 74% of hospitals but are scarcely used. One third of anaesthetists rarely or never use reversal; approximately 20% regularly reverse before extubation. The responders typically believe that clinical signs of residual block are reliable. Instead of monitoring, they use the "timing methods" for tracheal extubation such as time elapsed from last dose, the duration of action of relaxant, the number of top-up doses, the cumulative dose, the return of adequate respiratory tidal volume and the ability to sustain a 5 s head lift. Conclusions: We concluded that neuromuscular monitoring in these two European countries is suboptimal as is the reversal strategy. Given the fact that monitors are available in the hospitals, the mentality should be changed towards evidence based practice.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban neuromuscular blocking agents neuromuscular monitoring residual neuromuscular block survey
Megjelenés:	Romanian Journal of Anaesthesia and Intensive Care. - 26 : 1 (2019), p. 45-51. -
További szerzők:	Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Breazu, Caius Asztalos László (1985-) (aneszteziológus) Mitre, Ileana Tassonyi Edömér (1940-2022) (aneszteziológus) Fülesdi Béla (1961-) (aneszteziológus) Mitre, Calin
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