Search

Introduction The phenomenon of experiencing pain accompanies humanity for ages and is the subject of many studies in the fields of medicine as well as psychology and other disciplines. Aim The aim of this study was a subjective assessment of posttraumatic pain in patients with fractures of the extremities. The effectiveness of analgesic treatment in the period of trauma was also evaluated. Material and methods The study was conducted among 100 patients hospitalized at the surgical department. The research tool was a survey designed by the authors and VAS. Results The analysis of the level of pain intensity after the injury, showed that it was not dependent on age, however, the perception of pain after first aid and the treatment at the A&E showed that the level of pain intensity increased with age. The level of education also affected perception of pain. The lower the level of education of the respondents, the more intense was the pain they experienced due to medical procedures and following treatment at the ED. In the group of younger people more likely occured fractures of the upper limbs, while in the elderly fractures of the lower limbs. Diagnostic tests were more painful for the elderly. Most respondents stated that pain hindered normal functioning, especially in patients with lower levels of education and retirees. Our study demonstrated that pain intensity was very high after trauma, followed by procedures performed by the Emergency Medical Team and treatment at the ED. In addition, 21% of the respondents indicated that they were not given any analgesics. Conclusions Pain after traumatic limb fractures is felt to be very strong in most patients. The pre-hospital and post-operative treatment of post-traumatic pain is still inadequate. Pain management guidelines for Emergency Medical Team should be developed. [ABSTRACT FROM AUTHOR]

Copyright of Polish Journal of Wound Management / Leczenie Ran is the property of Evereth Publishing Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

There was present an analysis of platelet variances in responsibility for dual-antiplatelet therapy -- acetylsalicylic acid and clopidogrel -- in patients with IV stage of limb ischaemia in long term follow-up. This is a pioneer paper and it is focused on the following weakenees effect of antiplatelet drugs in long time period despite of the blockade of IIbIIIa platelet receptor expression and blockage of thromboxane pathway. [ABSTRACT FROM AUTHOR]

Copyright of Polish Journal of Wound Management / Leczenie Ran is the property of Evereth Publishing Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background. The aim of this paper was the assessment of the effectiveness of concurrent endovascular angioplasty with stenting and classic "open" surgery in patients in poor general condition with numerous cardiovascular and respiratory risk factors, during one year of observation. Material and methods. The study group consisted of 43 persons (68.2% men and 31.8% women, with an average age of 63.7 years), selected from 56 patients operated on in our clinic in 2007, in which simultaneous surgery with use of "C" arm was carried out. All operations were performed in elective mode. During initial evaluation of all patients, the ankle brachial pressure index (ABPI) was measured and for assessment of intermittent claudication distance -- walking test was perforated with a runway velocity 3.4 km/h. if possible (patients with resting pains were excluded). All patients were qualified for surgery by a cardiologist; their average EF was 41.3%. The frequency of ca-morbidities in this group was: ischaemic heart disease 58%, previous myocardial infarction 16%, previous CABG or PTCA 12%, diabetes 33%, chronic kidney disease 7%, cerebral vascular diseases 47%, arrhythmia 14%, and hypertension 67%. According to these ca-morbidities, patients were qualified by an anaesthesiologist to A SA groups as follows: ASA I -- 5%, ASA II 43%, ASA II/III -- 16%, ASA III -- 30% and ASA IV -- 9% The patients were operated on under local anaesthesia. In all of them endovascular angioplasty with or without stenting of the iliac artery was done and then, after improving arterial low, the classic operation was performed -- outflow angioplasty of common femoral and deep femoral artery or femoropopliteal bypass, as needed. If there was not satisfactory arterial flow to the ischaemic extremity, and concurrent stenosis of opposite iliac artery was present, endovascular dilation of this artery ("flow donor") was performed and next non anatomical suprapubic crossover femorofemoral bypass was corned out. The average duration of a single operation was I h 48 min. Results. Of the 43 operations performed, in I case (2.3%) it was necessary to make an intraoperative change to the classic technique; on iliofemoral bypass was corned out in the first case because of a breakage of the external iliac artery during balloon angioplasty. In 2 cases (3.5%) scheduled amputation was performed, at shin level in I case (1.7%) and at forefoot level in I case (1.7%). All patients were discharged in good general condition and with considerable improvement of perfusion in the operated leg, with a recommendation of taking oral antiplatelet and hypolipaemic medications. During postoperative follow up in 43 patients, ankle-brachial pressure index (ABPI) was measured and walking test on a running track was performed. The overage objective preoperative distance of claudication was 49.09 m, and during the postoperative year it increased to an average of 358.38 m; in patients with critical ischaemia the resting and nocturnal pain has withdrawn, and the distance of claudication has increased to an average of l2O m. The average value of ABPI in the whole group before surgery was 0.315, and at the end of first postoperative year it has increased to 0.87. Conclusions. Early results of the study show the great effectiveness of hybrid surgery, especially in patients with numerous co morbidities limiting the possibilities of "open" revascularisation. In one year of observation, it has been shown that the obtained postoperative improvement of blood supply in the operated extremity is maintained at a constant satisfactory level, and that the clinical effect of this treatment was good. [ABSTRACT FROM AUTHOR]

Copyright of Physiotherapy / Fizjoterapia is the property of Physiotherapy and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)