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    Wyświetlanie 1-8 z 8
    Tytuł:
    A proposal of a cheap and simple method of medical personnel protection for endotracheal intubation of patients with a suspected or confirmed COVID-19 infection
    Autorzy:
    Gaszyński, Tomasz
    Fedorczak, Michał
    Pondel, Jakub
    Powiązania:
    https://bibliotekanauki.pl/articles/2086093.pdf
    Data publikacji:
    2021-05-27
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    intubation
    infection
    personal protective equipment
    airway management
    COVID-19
    intubation barrier
    Opis:
    ObjectivesThe COVID-19 pandemic has created additional risks to healthcare providers, especially those who perform aerosol generating procedures (AGPs) like endotracheal intubation. Endotracheal intubation is one of the procedures mostly generating aerosol and, therefore, requiring full protection of medical personnel against the infection.Material and MethodsIn this paper, basing on a literature review, the recommended intubation procedure is presented together with recommendations for personal protection during intubation. Additionally, a proposal of a simple and cheap protective barrier is described against spreading aerosol outside the intubation area. The aim was to propose a simple and cheap method to increase the safety of medical personnel performing AGPs in patients infected or suspected of being infected with COVID-19, which could be easily introduced into clinical practice.ResultsThe presented method is the authors’ own idea, based on their experience gathered from working in an operating room. Judging from their clinical experience, the presented method is effective and safe for patients.ConclusionsEndotracheal intubation is one of the most common AGPs and adequate actions must be taken in order to protect medical personnel against the infection and to prevent the spreading of aerosol around the intubation area. The proposed barrier is easy to set with disposable materials and standard equipment available in every operating room.
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2021, 34, 2; 301-305
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Influence of the CPRmeter on angular position of elbows and generated forces during cardiopulmonary resuscitation
    Autorzy:
    Kopacz, Karolina
    Fronczek-Wojciechowska, Magdalena
    Jaźwińska, Anna
    Padula, Gianluca
    Nowak, Dariusz
    Gaszyński, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/2161843.pdf
    Data publikacji:
    2017-10-06
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    emergency medicine
    paramedics
    cardiopulmonary resuscitation
    force
    objective movement analysis
    CPRmeter
    Opis:
    Objectives It is commonly known that ergonomics in emergency medical services (EMS) is very important. Emergency medical services workers are exposed to different conditions and they should perform a variety of tasks. Material and Methods The aim of the work has been to analyze the angular position of elbows and forces generated by the upper limbs during cardiopulmonary resuscitation with and without the CPRmeter based on feedback technology. Ten male paramedics and 10 male non-paramedics, in a kneeling position, performed cardiopulmonary resuscitation (CPR) on an Ambu Megacode manikin placed on the ground. Measurements were taken after 1 min and 4 min following the beginning of the trial. The angular position of the elbows was evaluated with a BTS Smart DX 7000 motion capture system. Kistler platforms 9286BA were used for measuring forces. Results In the paramedic group, one statistically significant difference was observed in the mean difference between maximal and minimal right elbow angle in the 1st min without the device vs. the mean difference in the 4th min without the device. In the paramedic group, a 25% force decrease was observed after 4 min of resuscitation in trials without the CPRmeter in comparison to the 1st min. In trials with the CPRmeter, the force parameters were similar in the 1st and 4th min and more stable. No statistically significant differences were noticed in the control group. Conclusions The CPRmeter has influence on the magnitude of the forces applied by the upper limbs and on the optimization of the rescuer effort during cardiopulmonary resuscitation. The CPRmeter had no influence on the position of the upper part of the kinematic chain. Int J Occup Med Environ Health 2017;30(6):909–916
    Źródło:
    International Journal of Occupational Medicine and Environmental Health; 2017, 30, 6; 909-916
    1232-1087
    1896-494X
    Pojawia się w:
    International Journal of Occupational Medicine and Environmental Health
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Muscle activity during endotracheal intubation using 4 laryngoscopes (Macintosh laryngoscope, Intubrite, TruView Evo2 and King Vision) – A comparative study
    Aktywność mięśni w trakcie intubacji dotchawiczej za pomocą 4 laryngoskopów (standardowego z łopatką Macintosha, Intubrite, TruView Evo2 i King Vision) – badanie porównawcze
    Autorzy:
    Gaszyński, Tomasz
    Jakubiak, Jakub
    Powiązania:
    https://bibliotekanauki.pl/articles/2164407.pdf
    Data publikacji:
    2016-04-29
    Wydawca:
    Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
    Tematy:
    intubacja
    satysfakcja
    wysiłek fizyczny
    aktywność mięśni
    anestezjologia
    sprzęt
    intubation
    satisfaction
    workload
    muscle activity
    anesthesiology
    equipment
    Opis:
    Background Successful endotracheal intubation requires mental activity and no less important physical activity from the anesthesiologist, so ergonomics of used devices is important. The aim of our study has been to compare 4 laryngoscopes regarding an operator’s activity of selected muscles of the upper limb, an operator’s satisfaction with used devices and an operator’s fatigue during intubation attempts. Material and Methods The study included 13 anesthesiologists of similar seniority. To measure muscle activity MyoPlus 2 with 2-channel surface ElectroMyoGraphy (sEMG) test device was used. Participant’s satisfaction with studied devices was evaluated using Visual Analog Scale. An operator’s fatigue during intubation efforts was evaluated by means of the modified Borg’s scale. Results The highest activity of all the studied muscles was observed for the Intubrite laryngoscope, followed by the Mackintosh, TruView Evo2 and the lowest one – for the King Vision video laryngoscope. A significant statistical difference was observed for the King Vision and the rest of laryngoscopes (p < 0.05). No significant statistical differences were observed between the Macintosh, TruView Evo2 and Intubrite laryngoscopes (p > 0.05). The shortest time of intubation was achieved using the standard Macintosh blade laryngoscope. The highest satisfaction was noted for the King Vision video laryngoscope, and the lowest for – the TruView Evo2. The Intubrite was the most demanding in terms of workload, in the opinion of the participants’, and the least demanding was the King Vision video laryngoscope. Conclusions Muscle activity, namely the force used for intubation, is the smallest when the King Vision video laryngoscope is used with the highest satisfaction and lowest workload, and the highest muscle activity was proven for the Intubrite laryngoscope with the highest workload. Med Pr 2016;67(2):155–162
    Wstęp Udana intubacja dotchawicza wymaga od wykonującego ją anestezjologa umiejętności i sprawności fizycznej. Ponieważ stanowi też duże obciążenie fizyczne, ergonomia stosowanych urządzeń ma znaczenie. Celem badania było porównanie 4 laryngoskopów i ocena aktywności wybranych mięśni kończyny górnej oraz satysfakcji i zmęczenia u osób wykonujących intubację za ich pomocą. Materiał i metody W badaniu wzięło udział 13 anestezjologów z podobnym stażem pracy. Aktywność mięśni mierzono przy użyciu aparatu do elektromiografii (ElectroMyoGraphy – EMG) MyoPlus 2. Satysfakcję intubujących określono w wizualnej skali analogowej (Visual Analog Scale – VAS), a zmęczenie oceniono zmodyfikowaną skalą Borga. Wyniki Najwyższą aktywność mięśni odnotowano w przypadku intubacji wykonywanej za pomocą laryngoskopu Intubrite, następnie standardowego z łopatką Mackintosha, dalej – TruView Evo2, a najniższą w przypadku wideolaryngoskopu King Vision. Różnice istotne statystycznie w aktywności mięśni odnotowano dla King Vision i pozostałych laryngoskopów (p < 0,05), natomiast między pozostałymi urządzeniami nie zaobserwowano istotnych różnic (p > 0,05). Najkrócej trwała intubacja przeprowadzana z użyciem standardowego laryngoskopu. Najwyżej satysfakcję z wykonanej pracy oceniali badani korzystający z King Vision, a najniższej w przypadku TruView Evo2. Największe zmęczenie powodował u badanych używany do intubacji laryngoskop Intubrite, a najmniejsze – King Vision. Wnioski Najniższa aktywność mięśni, czyli najmniejsza siła, są konieczne do wykonania intubacji za pomocą laryngoskopu King Vision. Korzystanie z tego urządzenia sprawia także największą satysfakcję i powoduje najmniejsze zmęczenie. Z kolei najwyższa aktywność mięśni i największy wysiłek są potrzebne do intubacji za pomocą Intubrite. Med. Pr. 2016;67(2):155–162
    Źródło:
    Medycyna Pracy; 2016, 67, 2; 155-162
    0465-5893
    2353-1339
    Pojawia się w:
    Medycyna Pracy
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Comparison of Microaspiration Around Taperguard Tube Cuffs and Standard Tracheal Tubes in Obese Patients Subjected to Surgery Under General Anesthesia
    Autorzy:
    Gaszyńska, Ewelina
    Ratajczyk, Paweł
    Wieczorek, Andrzej
    Szewczyk, Tomasz
    Gaszyński, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/1395728.pdf
    Data publikacji:
    2014-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    endotracheal intubation
    general anesthesia
    tracheal tubes
    cuff tightness
    microaspirations
    ventilator-associated pneumonia
    Opis:
    Tracheal secretion leakage might lead to ventilator-associated pneumonia. Standard tracheal tube cuffs are cylindrical in shape. Bronchial tree aspiration is observed in the presence of leakage past tracheal tube cuffs. The new TaperGuard tracheal tube has a cuff in the shape of a cone, preventing from the development of microtubules and microaspiration. The aim of the study was to compare standard tracheal tube cuffs with TaperGuard tubes, in terms of protection from microaspiration under general anesthesia. Material and methods. The observational study evaluated incidents of leakage during general anesthesia with intubation and mechanical ventilation in patients with significant obesity. The study group comprised 20 patients with the BMI >40 kg/m2 subjected to elective surgery under general anesthesia with intubation and mechanical ventilation, randomly divided into two subgroups: standard tracheal tube and TaperGuard tube. Results. In 4 of 10 patients with standard tracheal tubes we observed leakage around the cuff. In case of TaperGuard tubes no such leakage was observed. Conclusion. TaperGuard tubes protect against microaspirations, while standard tracheal tubes have no such properties.
    Źródło:
    Polish Journal of Surgery; 2014, 86, 3; 107-110
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Comparison of haemodynamic effects of noninvasive ventilation delivered via ResQGARD and CPAP boussignac masks
    Autorzy:
    Gaszyńska, Ewelina
    Roguszka, Krzysztof
    Stankiewicz- Rudnicki, Michał
    Wieczorek, Andrzej
    Gaszyński, Tomasz
    Powiązania:
    https://bibliotekanauki.pl/articles/1396097.pdf
    Data publikacji:
    2013-03-01
    Wydawca:
    Index Copernicus International
    Tematy:
    mechanical ventilation
    haemodynamic CPAP
    Impedance Threshold Device
    Opis:
    Noninvasive ventilation (NIV) is a technique of mechanical ventilation which does not require invasive airway management, i.e. intubation or tracheostomy. In emergency medicine Continuous Positive Airway Pressure (CPAP) is used often. A new method of NIV is Impedance Threshold Device (ITD). Breathing through an ITD is utilized to raise blood pressure in hypotensive patients. Aim of the study was to compare haemodynamic effects of NIV ITD and NIV CPAP. Material and methods. This study involved a group of 25 healthy volunteers. NIV was performed using ResQGARD ITD and CPAP Boussignac. Ventilation time was 25 minutes for each mask in each participant. Every three minutes parameters were collected: SpO2, BP and HR. There was a one hour interval in between ventilation with each mask. CPAP pressure was set at a level of 8 cm H2O and the mean inspiratory resistance of the ITD was 7cm H2O. Collected parameters were subjected to ANOVA statistical analysis. Results. Absolute comparison of BP, HR and SpO2 values did not reveal statistically significant differences between the masks. However considering blood pressure levels at entry, ventilation through an ITD significantly raised BP. Ventilation with NIV CPAP did not change significantly BP. Conclusion. Ventilation through an ITD device significantly improve haemodynamic function, whereas CPAP ventilation had no significant effect on it.
    Źródło:
    Polish Journal of Surgery; 2013, 85, 3; 129-132
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Diagnosis and Treatment of Cervical Branchial Cleft Cysts Based on the Material from the Department of Cranio-Maxillofacial Surgery, Medical University in Łódź and Literature Review
    Autorzy:
    Gaszyńska, Ewelina
    Gaszyński, Tomasz
    Arkuszewski, Piotr
    Powiązania:
    https://bibliotekanauki.pl/articles/1396906.pdf
    Data publikacji:
    2012-12-01
    Wydawca:
    Index Copernicus International
    Tematy:
    branchial cleft cyst
    neck abnormalities
    diagnosis
    surgery
    Opis:
    Cervical branchial cleft cysts are relatively common tumors of the neck that should be distinguished from an epidermoid cyst, hygroma, hemangioma, lymphangioma, lymphadenitis, and metastatic papillary carcinoma of the thyroid gland. Infected cysts might be misdiagnosed as a recurrent abscess. The aim of the study was to present current views concerning diagnosis and treatment of cervical branchial cleft cysts. Material and methods. Data and histopathological results obtained from 49 patients (18 women and 31 men) admitted to the Department of Cranio-Maxillofacial Surgery, due to lateral cervical cysts during the period between 2005 and 2009 were subject to retrospective analysis. Results. Most patients were in their third decade of life. The clinical examination showed a painless, slowly growing tumor on the lateral surface of the neck, more often on the right side, and in 30 cases with a concomitant infection. Initial diagnosis on the basis of the clinical examination, radiology and biopsy was confirmed in 48/49 cases (98%). All patients were subject to surgical treatment. During the 3 to 7 year follow-up period recurrence was not observed. Conclusions. Initial diagnosis of a cervical branchial cleft cyst on the basis of the clinical examination should always be confirmed by means of ultrasonography. In case of suspicion of a coexisting infection, fine-needle aspiration biopsy under ultrasound control is recommended. If there is concern that the lateral neck lesion is not a branchial cyst or its dimension is large, computed tomography of the neck or magnetic resonance should be performed. Complete excision of the tumor under general anesthesia is the treatment of choice, being associated with the low risk of local postoperative complications
    Źródło:
    Polish Journal of Surgery; 2012, 84, 11; 547-550
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-8 z 8

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