Találati lista | Tudóstér

001-es BibID:	BIBFORM128154
035-os BibID:	(scopus)105000459879 (wos)001460871300001
Első szerző:	Asztalos László (aneszteziológus)
Cím:	Deep neuromuscular block with pipecuronium in patients undergoing laparoscopic surgery : a prospective case series / Asztalos László, Szabó-Maák Zoltán, Berhés Mariann, Kanyári Zsolt, Nagy György, Pongrácz Adrienn, Nemes Réka, Brull Sorin J., Fülesdi Béla
Dátum:	2025
ISSN:	2352-5568
Megjegyzések:	Introduction We tested the feasibility of maintaining low intraabdominal pressures during pipecuronium-induced deep block (post-tetanic count ?1, train-of-four count?=?0) in patients undergoing laparoscopic surgery. Methods Ten adult patients awaiting cardiac surgery or heart transplantation and requiring non-elective abdominal surgery were included. Pipecuronium bromide 0.09?mg/kg was used for muscle relaxation and maintenance of deep block. Top-up doses of pipecuronium (0.01-0.02?mg/kg) were administered when post-tetanic count was 4-8. Intraabdominal pressures were kept below 10?mmHg. Mean arterial pressure was measured intra-arterially. Surgical field view was rated on a 5-point scale (1?=?extremely poor, 5?=?optimal). Results Induction dose of 0.09?mg/kg pipecuronium had an onset time of 5.3 (2.3-6.3, 25-75% IQR) min. Deep block was maintained for 51.2???19.7?min. Top-up pipecuronium doses were necessary in 5 patients, 56.0???28.1?min. after the first dose. At the end of surgery, neuromuscular block was deep (post-tetanic count 0-6). Administration of 2?mg/kg of sugammadex induced recovery to train-of-four ratio ?0.9 in 3.5???1.6?min, and to train-of-four ratio?=?1.0 in 4.3???1.2?min. Mean intraabdominal pressure was 8.1???1.1?mmHg during pneumoperitoneum. There was no significant change in heart rate (0.0, -2.6 to 0) beats/min. Discussion Pipecuronium is a rational alternative when deep neuromuscular block is necessary, because of its long-acting neuromuscular blocking effect that may be antagonized quickly and safely with sugammadex.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Laparoscopic surgery Deep neuromuscular block Pipecuronium bromide Sugammadex
Megjelenés:	Anaesthesia Critical Care & Pain Medicine. - 44 : 2 (2025), p. 1-4. -
További szerzők:	Szabó-Maák Zoltán (1984-) (aneszteziológus, intenzív terápiás szakorvos) Berhés Mariann (1975-) (orvos) Kanyári Zsolt (1964-) (orvos) Nagy György (1986-) (aneszteziológus, intenzív terápiás szakorvos) Pongrácz Adrienn (1971-) (aneszteziológus, intenzív terápiás szakorvos) Nemes Réka (1985-) (aneszteziológus, intenzív terápiás szakorvos) Brull, Sorin J. Fülesdi Béla (1961-) (aneszteziológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon:

001-es BibID:	BIBFORM064231
Első szerző:	Nemes Balázs Áron (sebész)
Cím:	Horseshoe kidney transplantation / Balázs Nemes, Zsolt Kanyári, Gergely Zádori, Lajos Zsom, Mariann Berhés, Mátyás Hamar, Krisztina Kóbor, Antal Péter
Dátum:	2015
Megjegyzések:	Abstract: Horseshoe kidney is a fusion anomaly found in approximately one in 400?600 people. Due to vascular and ureteral variations,transplantation with a horseshoe kidney presents a technical challenge. In our case, the isthmus connected the upper poles and containedparenchyma. It consisted of three renal arteries, fi ve veins collected to the inferior vena cava, and two ureters and pyelons. It was implanteden bloc to the left side retroperitoneally. During the early period, cellular and humoral rejection was confi rmed and treated. For a urine leak,double J catheters were implanted into both ureters. Later, the fi rst catheter was removed. Subsequently, urinary sepsis developed, necessitatinggraftectomy. The uncommon anatomy of ureters and antibody-mediated rejection (AMR) may both be factors for a ureter tip necrosis led to aninfected urinoma. After other Hungarian authors, we also report a horseshoe kidney transplantation that was technically successful. However,after an adequately treated but severe acute humoral rejection, the patient developed sepsis, and the kidney had to be removed. We conclude thattransplantation with horseshoe kidney is technically feasible but may increase the risk for urinary complications and resultant infections. Carefulconsideration of risk and benefi t is advised when a transplant professional is faced with this option.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény hazai lapban horseshoe kidney kidney transplant duplicated ureter antibody-mediated rejection urinary leakage graftectomy
Megjelenés:	Interventional Medicine & Applied Science 7 : 2 (2015), p. 85-89. -
További szerzők:	Kanyári Zsolt (1964-) (orvos) Zádori Gergely (1983-) (sebész) Zsom Lajos (1968-) (belgyógyász, nefrológus) Berhés Mariann (1975-) (orvos) Hamar Mátyás Kóbor Krisztina Péter Antal
Internet cím:	Szerző által megadott URL Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon: