RESUMO
Response to anxiety has been analyzed in 195 patients operated because of intracranial expansive process and influence of standard and individualized preoperative preparations over it.
Assuntos
Anestesia/psicologia , Neoplasias Encefálicas/psicologia , Neoplasias Encefálicas/cirurgia , Cuidados Pré-Operatórios/métodos , Cuidados Pré-Operatórios/psicologia , Adaptação Psicológica , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicologia Social/estatística & dados numéricos , Fatores de RiscoRESUMO
Own observations and experiments in neuroanaesthesia were presented, some of them controversial and in present day even historical, other put into practice for safety and comfort of patients and neurosurgical team.
Assuntos
Anestesia/métodos , Anestesia/normas , Procedimentos Neurocirúrgicos/métodos , Humanos , Procedimentos Neurocirúrgicos/normas , Equipe de Assistência ao Paciente , Assistência Perioperatória/métodosRESUMO
Problems resulted from necessity of securing safety for 4500 children with intracranial congenital hydrocephalus and subdural hygromas diagnosed and operated in one-day neurosurgery terms.
Assuntos
Procedimentos Cirúrgicos Ambulatórios/métodos , Hidrocefalia/cirurgia , Procedimentos Neurocirúrgicos/métodos , Derrame Subdural/cirurgia , Humanos , Lactente , PolôniaRESUMO
The paper outlines the history of experiments on animals in medicine and biology. It also presents the sources of the notion and its evolution along with the roles played by Silesian Medical Academy representative in supporting experimental animals rights.
Assuntos
Direitos dos Animais/legislação & jurisprudência , Animais de Laboratório , Ética Médica , Animais , Biologia/legislação & jurisprudência , Humanos , Legislação Médica , PolôniaRESUMO
A case is presented of an 8-year-old child reoperated on for recurrence of intracranial expansive lesion. Intraoperative cardiac arrest occurred and resuscitation was unsuccessful. The authors analysed the supposed causes of failures and laid stress on problems which may be encountered by the anaesthesiology-neurosurgical team. A number of physiopathological processes occurring here are presented in mathematical form.
Assuntos
Neoplasias Encefálicas/cirurgia , Complicações Intraoperatórias , Meduloblastoma/cirurgia , Criança , Parada Cardíaca/etiologia , Humanos , Recidiva Local de Neoplasia , PrognósticoRESUMO
The authors describe a 28-year-old patient with cervical intraspinal tumour in whom permanent apnoea developed after decompression laminectomy and plastic operation of the dura. The patient was artificially ventilated and received intensive therapy but died 2 months after the operation for septic complications.
Assuntos
Laminectomia/efeitos adversos , Quadriplegia/etiologia , Insuficiência Respiratória/etiologia , Compressão da Medula Espinal/cirurgia , Neoplasias da Medula Espinal/cirurgia , Adulto , Vértebras Cervicais/inervação , Feminino , Humanos , Compressão da Medula Espinal/etiologia , Neoplasias da Medula Espinal/complicaçõesRESUMO
A case is described of intracranial hypotension after surgical removal of chronic subdural haematoma and hygroma resulting in apnoea lasting several hours. Fully effective anaesthesiological management of this complication is reported.
Assuntos
Apneia/etiologia , Neoplasias Encefálicas/cirurgia , Transtornos Cerebrovasculares/etiologia , Hematoma Subdural/cirurgia , Hipotensão/etiologia , Linfangioma/cirurgia , Neoplasias Encefálicas/complicações , Doença Crônica , Hematoma Subdural/complicações , Humanos , Complicações Intraoperatórias/etiologia , Linfangioma/complicações , Masculino , Pessoa de Meia-IdadeRESUMO
Specific intraoperative complications are described which occur as a result of sitting position of the patients: herniation of the cerebellar tonsils into the great occipital foramen in a case of tumour in cerebellar hemisphere and venous air embolism in another case of tumour in the cervical part of the vertebral canal. Attention is called to certain methods of prevention and diagnosis.