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Tytuł:
Professional experience of midwives is not sufficient to accurately assess the amount of blood loss during labor
Autorzy:
Kraśnianin, Elżbieta
Raba, Grzegorz
Kremska, Anna
Wróbel, Romana
Zych, Barbara
Powiązania:
https://bibliotekanauki.pl/articles/454856.pdf
Data publikacji:
2018
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
delivery
education
postpartum hemorrhage
Opis:
Introduction. Postpartum hemorrhage is still one of the causes of maternal mortality and morbidity. The purpose of investigation was an examination of practical skills in blood loss assessment during labor by midwives. Aim. To examine the practical skills of midwives that have different professional experience in blood loss assessment during labor. Materials and methods. A case-control prospective study of labour blood loss volume assessment with the use of a birthing simulator was conducted among midwives from 1 September 2016 to 30 May 2017. Midwives were divided in to 2 groups: Group I consisted of midwives who were recent university graduates without professional experience. Group II consisted of midwives with a minimum of two years of professional practice and assistance at more than 1000 births. This was a multicenter study. Outcome measures included visual evaluation of blood loss during simulation scenario. Results. Average evaluation of blood loss: Group I – 737 ml, Group II – 610 ml (p = 0.0002). There were no statistically significant differences between the groups in terms of diagnosing the cause of hemorrhage in the third stage of labor (p = 0.1503) neither in terms of identification of hemorrhage after perineal injury (p = 0.1503) . The examined midwives underestimated blood loss, however the midwives in Group I assessed blood loss statistically better. Conclusions. Subjective assessment of the amount of blood loss during labor is underestimated. Professional experience does not improve the accuracy of assessment of blood loss volume during labor.
Źródło:
European Journal of Clinical and Experimental Medicine; 2018, 3; 204-208
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Stopping hemorrhages from the limbs: raising efficiency through training on unfixed human preparations
Autorzy:
Leszczyński, P.
Klepacka, M.
Bakalarski, P.
Załęska-Marniche, S.
Krusińska, K.
Bojko, I.
Sówka, K.
Powiązania:
https://bibliotekanauki.pl/articles/2088209.pdf
Data publikacji:
2019
Wydawca:
Uniwersytet Opolski. Instytut Nauk o Zdrowiu
Tematy:
cadavers
bleeding
hemorrhage
paramedic
learning
education
Opis:
Background: Hemorrhages from the limbs are one of the most frequent injuries endangering human life. Immediate help from witnesses and the emergency services is necessary in such cases. Developing the skill of stopping the bleeding manually requires adequate training. One of the modern methods for such training is the use of cadavers, which accurately imitate real patients. Aim of the study: The aim of this research is to evaluate the effectiveness of learning to stop the bleeding manually on freshly frozen cadavers. Material and methods: Thirty-one people who had already trained on medical phantoms took part in the study. The participants stopped the hemorrhage on the cadavers twice and the time taken was recorded. The second attempt was performed after a short briefing from a teacher. After the training, the participants assessed their satisfaction with the course on a scale of 1 to 5. Results: On the first attempt, the average time of stopping the bleeding was 2.06 seconds (SD ± 1.61); the longest time was 10 seconds and the shortest was 0.7 seconds. On the second attempt, the average time was 1.52 seconds (SD ± 0.59); the longest time was 4.1 seconds and the shortest was 0.8 seconds. The average rating of course satisfaction among the respondents was 4.48 points (SD ± 0.88). Conclusions: This research showed that training on cadavers increased the quickness of reaction while stopping a hemorrhaging. Moreover, it indicated that training on medical phantoms does not assure optimal ability to perform rescue procedures.
Źródło:
Medical Science Pulse; 2019, 13, 4; 23-26
2544-1558
2544-1620
Pojawia się w:
Medical Science Pulse
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
REBOA – new era of bleeding control, literature review
Autorzy:
Marciniuk, Piotr
Pawlaczyk, Rafał
Rogowski, Jan
Wojciechowski, Jacek
Znaniecki, Łukasz
Powiązania:
https://bibliotekanauki.pl/articles/1391779.pdf
Data publikacji:
2020
Wydawca:
Index Copernicus International
Tematy:
aortic occlusion
hemorrhage
IABO
REBOA
resuscitation
Opis:
It is extremely difficult to provide non-compressible torso hemorrhage control particularly in trauma setting. A vast majority of cases present inability of successful exsanguination arrest, leading to cardiovascular collapse, myocardial and cerebral hypoperfusion and death eventually. The only possible treatment for these patients is prompt bleeding control, either open or endovascular. Aortic occlusion seems to be the most rapid and convenient way to restrain blood loss and possibly increase survival. However, it is not proven yet. Traditional aortic occlusion for trauma consisted of supradiaphragmatic thoracic aorta cross-clamping through resuscitative thoracotomy (RT). This complicated and devastating procedure triggered the necessity to work on a simpler, less invasive resuscitation bridge which can be implemented in emergency departments or even in prehospital setting. Resuscitative balloon occlusion of the aorta (REBOA) provides a novel method of hemorrhagic shock stabilization in bleeding below the diaphragm. The mechanism lies in improving myocardial and cerebral perfusion and ceasing major bleeding itself. This method together with invasive endovascular and surgical procedures creates a new approach of choice for trauma patients. It is called Endovascular Hybrid Trauma and Resuscitation Management (EVTM) and introduces this concept to modern clinical practice. Through a detailed review, this article aims to introduce REBOA procedure to a broader recipient and present REBOA details, benefits and limitations.
Źródło:
Polish Journal of Surgery; 2020, 92, 2; 54-59
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Neurogenic pulmonary edema induced by subarachnoid hemorrhage; case report on diagnostic and therapeutic implications
Autorzy:
Weiss, Guenter
Meyer, Frank
Powiązania:
https://bibliotekanauki.pl/articles/1395592.pdf
Data publikacji:
2015-04-01
Wydawca:
Index Copernicus International
Tematy:
neurogenic pulmonary edema
subarachnoidal hemorrhage
catecholamine
Opis:
An exemplary rare case of neurogenic pulmonary edema induced by intracranial hemorrhage was reported including diagnostic and therapeutic implications as well as management recommendations. A 35-year old man who was treated first by a neurosurgical approach because of a subarachnoid hemorrhage (bore hole trepanation) and subsequently on a surgical intensive care unit because of severe postoperative hemodynamic, cardiocirculatory, and pulmonary disruptions. To monitor cardiopulmonary condition and treatment effects, a Swan-Ganz catheter was placed in the pulmonary artery, since after trepanation, a critical cardiopulmonary status developed during postoperative mechanical ventilation and catecholamine administration. This condition was indicated by neurogenic pulmonary edema detected by control chest X-ray film and high oxygen load in the inspiratory air required for sufficient arterial oxygenation. After use of high positive end-exspiratory pressure (PEEP) (initially directed against neurogenic lesion), adaptation of initial dobutamine doses, initiation of norepinephrine administration, and substitution of fluids, the patient's blood pressure finally rose sufficiently to sustain regular cerebral blood perfusion and achieve better arterial oxygenation. Thus, the patient‘s cardiopulmonary condition stabilized and temporary cardiac insufficiency could be overcome. Subsequently, it became possible to decrease PEEP according to requirements to prevent or limit cerebral edema and to diminish catecholamine doses.
Źródło:
Polish Journal of Surgery; 2015, 87, 4; 189-193
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Cystain C and neuropeptid Y levels in brain tissues after experimental subarachnoid hemorrhage
Autorzy:
Açıkgöz, Şerefden
Can, Murat
Güven, Berrak
Edebali, Nurullah
Barut, Figen
Büyükuysal, Çağatay
Tekin, İshak
Açıkgöz, Bektaş
Powiązania:
https://bibliotekanauki.pl/articles/1039224.pdf
Data publikacji:
2014
Wydawca:
Polskie Towarzystwo Biochemiczne
Tematy:
cystatin C
neuropeptid Y
experimental subarachnoid hemorrhage
Opis:
The aim of this study was to investigate the changes in the levels of cystatin C, which protects neurodegeneration in the central nervous system with the inhibition of cysteine protease and by inducing autophagy in the pathogenesis of cerebral vasospasm and levels of vasoconstrictive neuropeptid Y (NPY) in the brain tissue homogenates of rat model of subarachnoid hemorrhage (SAH). Three experimental groups were used: Day 2 and Day 7 groups after SAH, and also a control group. There were seven Wistar albino rats in each group. SAH was accomplished by transclival basilar artery puncture. Rat cystatin C, rat NPY were determined with ELISA in brain tissue homogenates. Day 2 group showed significantly enhanced cystatin C values in comparision with the control group (P=0.048). NPY levels between the Day 2 and Day 7 groups and the control groups were not significantly different (P=0.315). In histopathological examination, there was less neuronal loss in the Day 2 group than in the Day 7 group. Regarding our results, it would be more valuable to measure NPY levels in specific brain areas. The increased cystatin C levels on the second day after SAH is probably a pathophysiologic mechanism to organize protease activity.
Źródło:
Acta Biochimica Polonica; 2014, 61, 4; 825-828
0001-527X
Pojawia się w:
Acta Biochimica Polonica
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Predictors of recanalization after endovascular treatment of posterior circulation aneurysms
Autorzy:
Wiśniewski, Karol
Tomasik, Bartłomiej
Bobeff, Ernest J
Stefańczyk, Ludomir
Jaskólski, Dariusz J
Powiązania:
https://bibliotekanauki.pl/articles/1393121.pdf
Data publikacji:
2017
Wydawca:
Index Copernicus International
Tematy:
embolization
posterior circulation aneurysms
subarachnoid hemorrhage
predictors
Opis:
Introduction. Posterior circulation aneurysms account for approximately 30% of all intracranial aneurysms, and their rupture often causes aneurysmal subarachnoid hemorrhage (aSAH). Because surgical treatment of posterior circulation aneurysms is difficult, endovascular treatment is commonly indicated. However, simple coil embolization is associated with a high rate of recanalization. Our goal was to investigate morphometric aneurysmal features assessed on pre-embolization computed tomography angiography (CTA) as predictors of recanalization in patients with posterior circulation aneurysms. Material and Methods. We retrospectively analyzed data of 24 patients who underwent coil embolization due to rupture of saccular posterior circulation aneurysms. The morphometric features of aneurysms were measured based on pre-embolization 3D-CTA-aneurysm models, and aneurysmal size and volume were measured on digital subtraction angiography (DSA) images. The effectiveness of initial endovascular treatment was determined visually with the modified Raymond Roy classification directly after embolization and on follow-up DSAs. Recanalization was diagnosed when, compared to the primary embolization aneurysm appearance, compaction and filling of the aneurysm occurred. Statistical analysis was performed with Statistica 13.1 software. Results. Higher maximal aneurysm height perpendicular to the aneurysmal neck was associated with a greater aneurysm recanalization risk (12.12±5.13mm vs. 7.41±3.97mm, p=0.039), and this relationship remained significant after adjustment for patient’s age, sex and aneurysm localization (OR=1.26, 95%CI: 1.01-1.60, p=0.047). Maximal aneurysm height perpendicular to the aneurysmal neck distinguished well between recanalized and non-recanalized aneurysms (AUC=0.755, 95%CI: 0.521- 0.989, p=0.033). Conclusions. Predictors of aneurysm recanalization can help choose best endovascular treatment strategies, which could reduce complication rates.
Źródło:
Polish Journal of Surgery; 2017, 89, 6; 7-11
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Gallbladder sludge in a pregnant woman as a cause of severe complicated hemorrhagic-necrotizing pancreatitis with a spectacular manifestation
Autorzy:
Kamocki, Z.
Glińska, M.
Żurawska, J. L.
Powiązania:
https://bibliotekanauki.pl/articles/1918526.pdf
Data publikacji:
2017-11-12
Wydawca:
Uniwersytet Medyczny w Białymstoku
Tematy:
Biliary sludge
hemorrhage
pancreatic fistula
pregnancy
severe pancreatitis
Opis:
Pancreatitis is an obvious but a rare event in pregnancy. From mild disease to multiorgan failure and sepsis acute pancreatitis has numerous causes and an often unpredictable outcome. The authors present a case of 22-year-old pregnant woman with severe pancreatitis due to biliary sludge. An unusual clinical manifestation of pancreatitis in our patient is worth emphasizing: massive bleeding from upper alimentary tract and concomitant two pancreatic fistulas. The bleeding is a manifestation of the pancreatic juiceinduced injury to the splenic artery, whereas the fistulas are consequence of the disconnected duct syndrome and superficial necrosis of the pancreatic head. After two and a half years lasting treatment the patient was on regular oral diet with supplementation of pancreatic enzymes, and showed normal glycaemia level. She returned to fully physical activity.
Źródło:
Progress in Health Sciences; 2017, 7(2); 126-130
2083-1617
Pojawia się w:
Progress in Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
CT negative subarachnoid hemorrhage in emergency department
Autorzy:
Szypenbejl, Jacek
Siemiński, Mariusz
Szurowska, Edyta
Szmuda, Tomasz
Basiński, Andrzej
Powiązania:
https://bibliotekanauki.pl/articles/895725.pdf
Data publikacji:
2020-05-29
Wydawca:
Gdański Uniwersytet Medyczny
Tematy:
emergency department
computed tomography
cerebral aneurysm
subarachnoid hemorrhage
Opis:
Background: Subarachnoid hemorrhage (SAH) is rare but potentially life-threatening cause of acute headache. First diagnostic test performed in the Emergency Department (ED) for acute “thunderclap” headache is computed tomography of the head (CT) without contrast enhancement. Negative non-contrast head CT may be erroneously interpreted as an exclusion of SAH and lead to ED discharge. The consequences of overlooking SAH are of special interest to the Emergency Physician. The aim of this study was to assess prevalence and clinical picture of CT-negative cases of SAH admitted to the ED. Material and methods: Retrospective analysis of charts of patients admitted to the ED and diagnosed with SAH during 18 consecutive months. Results: Our data gives information about clinical picture of patients with CT-negative SAH and their further clinical course. Out of 126 patients diagnosed with SAH, 5 (4.0%) were diagnosed with SAH despite negative non-contrast head CT scan. All cases were diagnosed by means of lumbar puncture and analysis of cerebrospinal fluid. In all patients with CT-negative SAH computed tomographic angiography (CTA) was performed and no vascular abnormalities were found. In one case digital subtraction angiography was performed due to equivocal CTA picture and it demonstrated small unruptured aneurysm of the medial cerebral artery. All patients with CT-negative SAH were admitted to a neurological ward and later discharged from the hospital without neurological deficit. There were no episodes of clinical deterioration and none of the patients required an urgent neurosurgical intervention. Conclusions: Although lumbar puncture remains a gold standard in exclusion of SAH, head CT scan without contrast enhancement appears to be a satisfying diagnostic tool in ED.
Źródło:
European Journal of Translational and Clinical Medicine; 2020, 3, 1; 43-48
2657-3148
2657-3156
Pojawia się w:
European Journal of Translational and Clinical Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Peculiarities of liver functional state in the early period of cranioskeletal injury combined with bleeding, and its correction by cell therapy
Autorzy:
Zayets, T.A.
Gudyma, A.A.
Powiązania:
https://bibliotekanauki.pl/articles/1032349.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Kazimierza Wielkiego w Bydgoszczy
Tematy:
crinoskeletal injury
hemorrhage
liver
biligenic
bile excretion
fetal cells
Opis:
During the early manifestations of traumatic disease as a result of cranioskeletal injury (CSI) the content of total bile acids in bile is significantly reduced, biliary excretion is slowed, lithogenic properties of bile are increased. Intraperitoneal injection of fetal nerve cells in 12 hours after causing an injury accompanied by improvement of biligenic and biliary excretion liver functions, reduces the lithogenic properties of bile.
Źródło:
Journal of Health Sciences; 2014, 4, 1; 383-390
1429-9623
Pojawia się w:
Journal of Health Sciences
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
General anaesthesia in patients with cerebrovascular diseases - risks and complications
Autorzy:
Piskorz, J.
Iłżecka, J.
Wójcik, G.
Powiązania:
https://bibliotekanauki.pl/articles/2052229.pdf
Data publikacji:
2014
Wydawca:
Akademia Bialska Nauk Stosowanych im. Jana Pawła II w Białej Podlaskiej
Tematy:
general anesthesia
ischemic stroke
intracerebral hemorrhage
cerebral vascular malformation
Opis:
The aim of the study is to present the problems arising during general anesthesia in patients with cerebrovascular diseases, taking into account the appropriate perioperative preparation. When planning the anesthetic procedure strategies aimed at the prevention of cerebral ischemia or hemorrhage into the brain must be taken into account. Material and research methods: a descriptive analysis was applied on the basis of the literature collected from the years 1992 to 2013. Conclusions: Preoperative evaluation of patients with cerebrovascular disease requires a thorough neurological examination, assessment of cardiovascular complications, including the risk of cerebrovascular, respiratory, renal, and endocrine system complications. During general anesthesia one should take care of haemodynamic stability and proper ventilation parameters. The choice of anesthetic agents so that during the induction of anesthesia, throughout anesthesia, during the recovery from the anesthesia there is no risk of hemodynamic instability and an appropriate level of blood perfusion in the brain is maintained. In the postoperative period the neurological status of the patient should be assessed, in order to ensure that he does not demonstrate symptoms of delirium and that he does not experience a recurrence of previous neurological deficits. Each surgery and anesthesia should be discussed with the operator in terms of the risks and benefits of surgery. Scheduled surgery in patients with acute cerebrovascular incidents need to be postponed until their performance is reasonably safe for the patient.
Źródło:
Health Problems of Civilization; 2014, 08, 1; 39-44
2353-6942
2354-0265
Pojawia się w:
Health Problems of Civilization
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Factors determining the best surgical exposure and safe clip positioning in surgical treatment of anterior communicating artery (AComA) aneurysms – particular significance of AComA complex rotation in the axial plane
Autorzy:
Świątnicki, Wojciech
Radomiak-Załuska, Anna
Heleniak, Mariusz
Komuński, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1392107.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
computed tomography angiography
intracranial aneurysms
subarachnoid hemorrhage
vascular spatial orientation
Opis:
Introduction: The aim of this study was to evaluate whether Anterior Communicating Artery (AComA) complex rotation in axial plane may influence the ease of surgical exploration in this region and safety of clip positioning when left vs right-sided approach is compared. Materials and methods: This is a retrospective study based on analysis of patients operated due to AComA aneurysm, both ruptured and unruptured. AComA complex position in relation to coronal plane was evaluated using 3D-CTA VR reconstructions. Next, comparison between surgical approach from the side where A1-A2 junction (angle) was located anterior and posterior to coronal plane was performed in relation to surgical difficulties and intra- and postoperative complications. Results: Subgroup statistical analysis revealed that there is a strong and statistically significant correlation between AComA complex rotation and surgical difficulties expressed by the need of repeated temporary clip application and brain transgression. When anterior vs posterior angle side approach was compared in relation to surgical difficulties and complications, there was a statistically significant difference with strong correlation (p < 0.05) in favour of posterior angle side approach. Interestingly, in 72.7% and 45.5% of patients that were operated from the side where A1-A2 junction was located posterior to coronal plane, the approach was performed form the side of a non-dominant A1 and aneurysm dome projection side, respectively. Conclusions: Despite its limitations, our results suggest that microsurgical clipping strategy of AComA aneurysms should at least include AComA complex rotation in axial plane, besides well acknowledged factors, when deciding from which side these lesions will be approached.
Źródło:
Polish Journal of Surgery; 2019, 91, 6; 6-10
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Cerebral angiogenesis after subarachnoid hemorrhage (SAH) and endothelin receptor blockage with BQ-123 antagonist in rats
Autorzy:
Josko, J.
Hendryk, S.
Jedrzejowska-Szypulka, H.
Slowinski, J.
Gwozdz, B.
Lange, D.
Snietura, M.
Zwirska-Korczala, K.
Jochem, J.
Powiązania:
https://bibliotekanauki.pl/articles/68985.pdf
Data publikacji:
2001
Wydawca:
Polskie Towarzystwo Fizjologiczne
Tematy:
endothelin receptor
angiogenesis
endothelin-1
blockade
rat
subarachnoid hemorrhage
cerebral angiogenesis
Źródło:
Journal of Physiology and Pharmacology; 2001, 52, 2
0867-5910
Pojawia się w:
Journal of Physiology and Pharmacology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Traumatic “TERSON SYNDROME PLUS”: Pneumocephalocele with optic atrophy
Autorzy:
Chowdhury, Sanjoy
Srivastava, Madhumita
Chowdhury, Nilanjan
Powiązania:
https://bibliotekanauki.pl/articles/2037682.pdf
Data publikacji:
2020-06-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
optic atrophy
sub retinal
subarachnoid hemorrhage
sub hyaloid
Terson syndrome plus
Opis:
Introduction. Terson Syndrome is subarachnoid hemorrhage (SAH) with sub retinal hemorrhage flowing through channel. Reduced vision in such fresh case is due to hemorrhage itself, blocking macula/other photo receptors in the long run macular cellophane retinopathy which causes profound visual loss. SAH causes neurological problems which can become a risk factor for evacuating blood from vitreous. Hypertension is commonest cause to cause Terson Syndrome, but trauma is also devastating cause as it can lead to irreversible visual consequences like total loss of perception of light or blindness. Aim. Here we describe a case of Terson Syndrome plus disease features SAH in frontal lobe. Description of the case. When there is traumatic pneumocephalocele, it gives space to blood to imbibe towards bony optic canal and form hematoma around nerve sheath which causes compression around the same and leads to optic atrophy. Optic nerve can be injured by direct traumatic dissection during road traffic accidents (RTA), but even without that blood may accumulate around optic nerve and in turn leads to formation of hematoma and subsequently pressure induced optic atrophy. Moreover, blood can slowly travel to sub hyaloid space/sub retinal space (beneath internal limiting membrane or sub ILM) with probable gliosis covering typical boat shaped blood as seen in this case. This sub ILM hemorrhage or gliosis may have resolved through three injections of Triamcinolone in the orbital floor (OFTA) near apex, but optic atrophy snatches vision. This protocol was followed to treat traumatic compressive (peri optic hematoma) optic neuropathy and traumatic retinopathy associated with sub hyaloid hemorrhage. Conclusion. Diagnosis of Terson syndrome plus disease was established by addressing all features on computed tomography (CT) scan and magnetic resonance imaging (MRI). Plus, features include pneumocephalus, optic nerve sheath hematoma, optic atrophy and gliosis over sub-hyaloid hemorrhage, typical boat shaped. The part of hemorrhage still endured as seen on optical coherence topography, but vision was lost by virtue of optic atrophy. OCT shows clot in sub hyaloid space
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 2; 116-120
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Effect of endothelin-1 receptor antagonist BQ-123 on basilar artery diameter after subarachnoid hemorrhage (SAH) in rats
Autorzy:
Josko, J.
Hendryk, S.
Jedrzejowska-Szypulka, H.
Slowinski, J.
Gwozdz, B.
Lange, D.
Harabin-Slowinska, M.
Powiązania:
https://bibliotekanauki.pl/articles/70078.pdf
Data publikacji:
2000
Wydawca:
Polskie Towarzystwo Fizjologiczne
Tematy:
cerebrospinal fluid
basilar artery
brain
endothelin-1
cisterna magna
cerebral vasospasm
rat
subarachnoid hemorrhage
Źródło:
Journal of Physiology and Pharmacology; 2000, 51, 2
0867-5910
Pojawia się w:
Journal of Physiology and Pharmacology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Macular hemorrhage - therapy
Wylew krwi do plamki żółtej – terapia
Autorzy:
Gawlak, Małgorzata
Guzek, Katarzyna
Kuźlik, Bartosz
Pandey, Ada
Prokop, Dominika
Cwalina, Oliwia
Czarnacka, Kinga
Chmura-Hołyst, Alicja
Alsoubie, Isamel
Sajak-Hydzik, Katarzyna
Pawlicka, Ilona
Piskorz, Agnieszka
Kozak, Maciej
Roszkowska, Anna
Powiązania:
https://bibliotekanauki.pl/articles/6567725.pdf
Data publikacji:
2023-03-31
Wydawca:
Medical Education
Tematy:
submacular hemorrhage
pneumatic displacement
anti-VEGF
rtPA
vitrectomy
krwotok podsiatkówkowy
pneumatyczne przesunięcie krwi
anty-VEGF
witrektomia
Opis:
Submacular hemorrhage treatment is still an important issue in ophthalmology. At present we lack algorithms of treatment that could be used in clinical practice. Efficacy of every treatment method seems to differ by individual factors simultaneously existing in each patient. Therefore, anti-VEGF agents remain crucial in treating patients with coexisting vasculopathy, while in posttraumatic hemorrhage we should lean towards other approaches, like pneumatic displacement. Operative methods, despite being more invasive and burdened with higher potential risk, are indispensable in large hemorrhages, significantly speeding up clot removal. The primary aim of this work is to collect recent data regarding this issue and to determine usefulness of treatment methods in specific cases, regarding factors such as hemorrhage pathophysiology. The following article pertains to currently used treatment methods, such as: pneumatic displacement, anti-VEGF therapy, rtPA and operative methods.
Krwotok podsiatkówkowy do plamki żółtej i jego leczenie pozostają poważnym zagadnieniem okulistycznym. Obecnie brakuje dokładnych algorytmów, które można byłoby stosować w praktyce klinicznej. Użyteczność każdej z metod leczenia jest zależna od indywidualnych czynników współistniejących. Preparaty anty-VEGF wydają się w związku z tym kluczowe w leczeniu pacjentów ze zmianami o charakterze waskulopatii, natomiast w leczeniu pourazowego krwotoku do plamki ustępują one miejsca pneumatycznemu przesunięciu. Operacje, mimo większej inwazyjności i ryzyka, pozostają niezastąpione w przypadku dużych wylewów, znacznie przyspieszając ewakuację skrzepu. Celem poniższej pracy jest zbiorcze przedstawienie aktualnych badań dotyczących tego zagadnienia, a dzięki temu usystematyzowanie użyteczności danej metody ze względu chociażby na pierwotną przyczynę wystąpienia krwotoku. W niniejszym zestawieniu znalazły się obecnie stosowane w praktyce klinicznej metody, tj.: pneumatyczne przesunięcie krwi, terapia anty-VEGF, rtPA oraz metody operacyjne.
Źródło:
OphthaTherapy; 2023, 10, 1; 57-62
2353-7175
2543-9987
Pojawia się w:
OphthaTherapy
Dostawca treści:
Biblioteka Nauki
Artykuł
Wyświetlanie 1-15 z 22

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