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Pharmacotherapy in Emergency Medical Services applies to patients with special conditions both in terms of the clinical condition and the risk of drug-induced iatrogenization. The paper presents the most common causes of incorrectly selected pharmacotherapy in emergency medical services, indicating practical possibilities of solving them. [ABSTRACT FROM AUTHOR]

Cardiac arrhythmias are increasingly a consequence of incorrectly selected polypharmacy therapy. When using even two drugs at the same time, we must take into account the possibility of complications in the form of cardiac arrhythmias, which result from both pharmacokinetic interactions and the summation of side effects of drugs taken simultaneously by the patient. The paper discusses the most common complications of pharmacotherapy, which result in cardiac arrhythmias and interactions of drugs used in the pharmacotherapy of arrhythmia. [ABSTRACT FROM AUTHOR]

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House 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.)

Adverse drug reactions are still a growing practical problem in pharmacotherapy. Adverse drug reactions may occur during treatment in the intensive care unit (ICU) or result in admission to the ICU, and in the latter case, pharmacotherapy should always be modified if it is a source of complications. From a practical point of view, observations from Polish ICUs indicate that the use of fluoroquinolone chemotherapeutics is not always rational. Fluoroquinolones are broad-spectrum antibacterials, also with good oral bioavailability and optimal distribution parameters. Their indications in the ICU include the treatment of urinary tract infections, pneumonia, gastrointestinal infections, and infections of the skin, subcutaneous tissue and joints. Fluoroquinolones may cause side effects with a different clinical picture, which in most cases are predictable and active prevention. The paper discusses important from the practical point of view complications that may occur during the use of fluoroquinolones. [ABSTRACT FROM AUTHOR]

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House 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.)

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House 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.)

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House 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.)

Pharmacotherapy used in emergency medical services in the current model generates the risk of complications. In terms of drug-related complications that occur as a consequence of administering pharmacotherapy by paramedics, we can see repeated causes of drug-induced iatrogeny, the causes of which are easily modifiable in practice. Unfortunately, in Poland, no analyzes are conducted to evaluate the substance of the drugs used, which in turn does not allow for the monitoring of the most common errors and leads to the escalation of the problem instead of de-escalating it. One of the main causes of errors is the lack of practical application of contextual pharmacotherapy. The paper presents the most common errors in pharmacotherapy in emergency medical services. [ABSTRACT FROM AUTHOR]

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House 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.)

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House 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.)

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House 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.)

Copyright of Anaesthesiology & Rescue Medicine / Anestezjologia i Ratownictwo is the property of Akademia Medycyny Publishing House 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 present study was planned to compare the efficacy of interfascial blocks of ventrolateral chest wall (PECS/SAPB) with thoracic paravertebral block (tPVB) for perioperative analgesia after modified radical mastectomy. Material and methods. Sixty female patients were randomly allocated to different groups. The primary goal was the comparison of oxycodone consumption within the first 48 hours of postoperative period among patients with PECS/SAPB to patients with tPVB and the control group without regional anaesthesia. Additionally, we examined the influence of these blocks on fentanyl consumption during the surgery and subjective intensity of pain based on numeric rating scale (NRS) in postoperative period. Results. The mean oxycodone consumption within first and second day after the surgery were 0 and 0 (mg) in groups where regional analgesia (RA) techniques were performed and 10 and 0 (mg) in the control group (p = 0,0007, p > 0,05). The mean intraoperative fentanyl consumption was 0,3 (mg) in the RA group, 0,3 (mg) in group without RA (p > 0,05), and 0,35 (mg) in PECS/SAB group and 0,3 (mg) in tPVB group (p > 0,05). Discussion. The mean oxycodone consumption was statistically significant lower in the RA group vs. the control group within the first 24 hours of postoperative period. Our results did not show statistically significant decrease in: mean fentanyl usage during the surgery and total oxycodone dose on the second postoperative day in groups with or without regional analgesia and in total oxycodone dose within the first 48 hours after the surgery between PECS/SAPB group and tPVB group. Conclusions. We found that the regional analgesia comparing to standard pain treatment alone lowers opioid consumption in the first 24 hours after the surgery. Blocks used in the study PECS/ SAPB and tPVB were similar in effectiveness of postoperative analgesia after radical mastectomy. [ABSTRACT FROM AUTHOR]

Background. A pre-delivery urgent brain tumour resection may be required if a rapidly growing lesion is having a massive effect. Awake craniotomy is indicated for procedures requiring intraoperative cortical language and sensorimotor stimulation mapping. Speech function monitoring in a conscious and responding patient allows the evaluation of neurological dysfunction before the removal of tissue in order to minimize the risk of neurological complications. Case report. We describe a total awake craniotomy for the resection of a left parietal brain tumour with intra-procedural speech mapping in a 31-year-old woman in the 22nd week of gestation. Throughout the surgical procedure, the patient was in monitored anaesthesia care (MAC) at minimal and moderate sedation. Intraoperative analgesia was maintained with infusion of remifentanil and a scalp block placed preoperatively using ropivacaine and lidocaine. Sedation was maintained with dexmedetomidine. Conclusion. No negative maternal or foetal side effects were noted during the intraoperative and (hospital) postoperative period. [ABSTRACT FROM AUTHOR]