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  1. Article ; Online: Proenkephalin A 119-159, a Possible Early Biomarker of Acute Kidney Injury in Complex Endovascular Aortic Repair: a Single Centre Observational, Cross Sectional Study.

    Walczak-Wieteska, Paulina / Zuzda, Konrad / Szczęsna, Karolina / Ziętalewicz, Joanna / Andruszkiewicz, Paweł / Małyszko, Jolanta

    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

    2024  

    Language English
    Publishing date 2024-03-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 1225869-6
    ISSN 1532-2165 ; 1078-5884
    ISSN (online) 1532-2165
    ISSN 1078-5884
    DOI 10.1016/j.ejvs.2024.01.084
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  2. Article ; Online: Measurement of cricoid pressure force during simulated Sellick's manoeuvre.

    Andruszkiewicz, Paweł / Zawadka, Mateusz / Kosińska, Anna / Walczak-Wieteska, Paulina / Majerowicz, Kalina

    Anaesthesiology intensive therapy

    2017  Volume 49, Issue 4, Page(s) 283–287

    Abstract: Background: Cricoid pressure is a standard anaesthetic procedure used to reduce the risk of aspiration of gastric contents during the induction of general anaesthesia. However, for several years its validity has been questioned. There still remains the ... ...

    Abstract Background: Cricoid pressure is a standard anaesthetic procedure used to reduce the risk of aspiration of gastric contents during the induction of general anaesthesia. However, for several years its validity has been questioned. There still remains the question of whether we perform it correctly. The aim of the study was an evaluation of the theoretical knowledge of Sellick's manoeuvre, as well an assessment of practical skill related with it when simulated on a model of the upper airway.
    Methods: The study was performed on a cohort of anaesthetists and anaesthetic nurses working in various hospitals in the Warsaw area. Measurements were taken on an upper airway model placed on an electronic kitchen scale. Participants were asked to perform Sellick's manoeuvre in the way they do it in their clinical practice. The test was done twice. Both the position and pressures applied on the model were documented. Knowledge concerning current recommendations of cricoid force was noted.
    Results: 206 subjects participated in the study. Only 49% (n = 101) properly identified cricoid cartilage during their application of Sellick's manoeuvre. Application of the correct pressure on the model of the airway was noted in 16.5% (n = 34) during the first attempt and in 20.4% (n = 42) during the second attempt. The median force applied during simulated Sellick's manoeuvrewas 36 N (IQR: 26-55) in the first attempt, and 38 (IQR 25-55) in the second attempt.
    Conclusions: Sellick's manoeuvre was performed incorrectly in many cases. Half of the participants of our study applied the pressure in the wrong place while the majority of them used an inappropriate amount of force. Thus, the application of cricoid pressure in patients should be preceded with simulation training.
    MeSH term(s) Anesthesia, General/methods ; Anesthetists/standards ; Clinical Competence ; Cricoid Cartilage ; Humans ; Models, Anatomic ; Nurse Anesthetists/standards ; Poland ; Pressure ; Prospective Studies ; Respiratory Aspiration/prevention & control
    Language English
    Publishing date 2017-09-27
    Publishing country Poland
    Document type Journal Article
    ISSN 1731-2531
    ISSN (online) 1731-2531
    DOI 10.5603/AIT.a2017.0049
    Database MEDical Literature Analysis and Retrieval System OnLINE

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