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Sökning: db:Swepub > Refereegranskat > Ungerska > Peterffy Arpad

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1.
  • Szentgyörgyi, Lajos, et al. (författare)
  • Intraoperative fires caused by alcoholic skin antiseptic and diathermy
  • 2008
  • Ingår i: Magyar sebészet. - 0025-0295. ; 61, s. 71-73
  • Tidskriftsartikel (refereegranskat)abstract
    • UNLABELLED: The authors describe two intraoperative fires during cardiac surgery. In both cases, in addition to the usual disinfection and isolation of the operating field, they wanted to reduce the infection hazard and to restore the partly ruined isolation by 70% alcoholic skin antiseptic solution. Soon after the disinfection, but before the evaporation of alcohol, diathermy was used and caused fire. In case of the first patient the fire spread over the isolation film and resulted second grade (5%) and third-grade (1%) burn injury which required plastic surgery. In the second case the patient's beard caught fire causing second-grade (1%) burn that was treated locally. Despite these burn injuries both patients recovered after the heart surgery. These two intraoperative fires are 0.003-0.004% of all surgical procedures.CONCLUSION: Fires during surgery are rare and might have serious consequences. They can be prevented by keeping the discipline of work and instructions of fire protection. The best way of prevention is regular education of all the staff (doctors, nurses, etc.) working in the operating theatre.
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2.
  • Tamas, Eva, et al. (författare)
  • [Simple surgical method for intraoperative evaluation of adequacy of tricuspid annuloplasty].
  • 2008
  • Ingår i: Magyar sebészet. - 0025-0295. ; 61:1, s. 49-52
  • Tidskriftsartikel (refereegranskat)abstract
    • In tricuspid annuloplasty intraoperative "real time" evaluation using transoesophageal echocardiography requires normal flow to get reliable result. It means that the patient has to be already weaned from the cardiopulmonary bypass by the time of evaluation. In the authors' experience a well functioning tricuspid annuloplasty prevents back-flow through the valve. It can be observed on on-pump beating heart. If the tricuspid valve is competent, it is unnecessary to suck the blood flowing back through the coronary sinus while closing the right atrium. This observation seems to correlate well with post cardiopulmonary bypass transoesophageal echocardiography measurements and the control transthoracic echocardiography right before discharging the patients. These statements are based on a group of 72 patients. Sixty-nine patients (95.8%) were discharged (early mortality 4.2%). Only in one case we could observe a discrepancy between the intraoperative surgical observation and the postoperative echocardiographic finding. Development of functional tricuspid regurgitation in left-sided heart disease is a warning sign for myocardial impairment, which is an indication for surgery. Tricuspid annuloplasty can be performed even with moderate to medium grade regurgitation because it improves the early and late outcome. The described method is an adequate method for intraoperative evaluation of the repaired tricuspid valve competency.
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  • Resultat 1-2 av 2
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tidskriftsartikel (2)
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Tamas, Eva (2)
Maros, Tamás (1)
Szentkiralyi, István (1)
Szentgyörgyi, Lajos (1)
Leny, Andrij (1)
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Galajda, Zoltán (1)
Palotás, Lehel (1)
Jagamos, Endre (1)
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Medicin och hälsovetenskap (2)
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