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1. European Association of Cardiothoracic Anesthesiology and Intensive Care (EACTAIC) Fellowship Curriculum: Second Edition

Author

Erdoes, Gabor, Wouters, Patrick F., Alston, R. Peter, Schreiber, Jan-Uwe, Bettex, Dominique, Antoniou, Theofani, Benedetto, Maria, Bouchez, Stefaan, Szegedi, Laszlo, Wilkinson, Kirstin, Landoni, Giovanni, Treskatsch, Sascha, Matute, Purificación, von Dossow, Vera, Van Beersel, Dieter, Unic-Stojanovic, Dragana, Momeni, Mona, Gaudard, Philippe, Szekely, Andrea, Burtin, Philippe, Flo-Forner, Anna, Neto, Caetano Nigro, Fassl, Jens, Granell, Manuel, Erb, Joachim M., Navarro-Ripoll, Ricard, Vives, Marc, Fetouh, Fawzia Aboul, Howell, Simon J., Marczin, Nandor, Martinez, Alberto Hernandez, Vuylsteke, Alain, El-Ashmawi, Hossam, de Arroyabe, Blanca Martinez Lopez, Mukherjee, Chirojit, Rex, Steffen, Paternoster, Gianluca, Guarracino, Fabio, and El-Tahan, Mohamed R.

Published
2022
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2. European Association of Cardiothoracic Anesthesiology and Intensive Care Pediatric Cardiac Anesthesia Fellowship Curriculum: First Edition

Author

El-Tahan, Mohamed R., Erdoes, Gabor, van der Maaten, Joost, Wilkinson, Kirstin, Kousi, Theofili, Antoniou, Theofani, von Dossow, Vera, Neto, Caetano Nigro, Schindler, Ehrenfried, Székely, Andrea, Forner, Anna Flo, Wouters, Patrick F., Guarracino, Fabio, Burtin, Philippe, Unic-Stojanovic, Dragana, Schreiber, Jan-Uwe, Matute, Purificación, Aboulfetouh, Fawzia, Navarro-Ripoll, Ricard, Fassl, Jens, Bettex, Dominique, Benedetto, Maria, Szegedi, Laszlo, Alston, R. Peter, Landoni, Giovanni, Granell, Manuel, Gaudard, Philippe, Treskatsch, Sascha, Van Beersel, Dieter, Vuylsteke, Alain, Howell, Simon, Janai, Aniruddha R., Martinez, Alberto Hernandez, Erb, Joachim M., Vives, Marc, El-Ashmawi, Hossam, Rex, Steffen, Mukherjee, Chirojit, Paternoster, Gianluca, and Momeni, Mona

Published
2022
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4. Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee

Author

Şentürk, Mert, El Tahan, Mohamed R., Shelley, Ben, Szegedi, Laszlo L., Piccioni, Federico, Licker, Marc-Joseph, Karzai, Waheedullah, Gil, Manuel Granell, Neskovic, Vojislava, Vanpeteghem, Caroline, Pelosi, Paolo, Cohen, Edmond, Sorbello, Massimiliano, MBChB, Johan Bence, Stoica, Radu, Mourisse, Jo, Brunelli, Alex, Jimenez, Maria-José, Drnovsek Globokar, Mojca, Yapici, Davud, Morsy, Ahmed Salaheldin, Kawagoe, Izumi, Végh, Tamás, Navarro-Ripoll, Ricard, Marczin, Nandor, Paloczi, Balazs, Unzueta, Carmen, Gregorio, Guido Di, Wouters, Patrick, Rex, Steffen, Mukherjee, Chirojit, Paternoster, Gianluca, and Guarracino, Fabio

Published
2021
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5. International consensus recommendations for anesthetic and intensive care management of lung transplantation. An EACTAIC, SCA, ISHLT, ESOT, ESTS, and AST approved document

Author

Burrell, Aidan, Carmona, Paula, Greenhalgh, Donna, Höchter, Dominik, Kachulis, Bessie, King, Christopher S., Licker, Marc J., McIlroy, David R., Nair, Priya, Pasero, Daniela, Pilcher, David, Rex, Steffen, Royston, David, Slinger, Peter, Valenza, Franco, Walker, Chris, Arcadipane, Antonio, Bastien, Oliver, Bekkers, Joseph A., Bettex, Dominique, Caliandro, Francesca, Checco, Erika Dal, Davis, Robert Duane, Dellgren, Göran, Espinoza, Andreas, Felten, Marie Louise, Feltracco, Paolo, Fischler, Marc, Fitzgerald, Linda J, Forner, Ana Flo, Fragata, Isabel, Román, Ana González, Harris, Paul, Hommel, Matthias, Lees, Nicholas J., Guen, Morgan Le, Leone, Marc, Lepoivre, Thierry, Marcucci, Carlo, Martelli, Sabina, Michel-Cherqui, Mireille, Molitoris, Ulrich, Montravers, Philippe, Mosca, Roberto, Parizkova, Barbora, Prabhu, Mahesh, Pugliese, Francesco, Raman, Sanjeev M., Ramos, Cristina, Ranieri, Vito Marco, Real, Maria I., Ricksten, Sven-Erik, Roman, Ana Gonzalez, Rozec, Bertrand, Sale, Shiva M., Sanchez, Juan F., Schwarzenberger, Johanna, Turan, Sema, Valchanov, Kamen, Valentine, Vincent G., von Homeyer, Peter, Vuylsteke, Alain, Weig, Thomas, Zarragoikoetxea, Iratxe, Zenz, Sebastian, Falcoz, Pierre-Emmanuel, Inci, Ilhan, Roscoe, Andrew, Senturk, Mert, Marczin, Nandor, de Waal, Eric E.C., Hopkins, Peter M.A., Mulligan, Michael S., Simon, Andre, Shaw, Andrew D., Van Raemdonck, Dirk, Neyrinck, Arne, Gries, Cynthia J., Algotsson, Lars, Szegedi, Laszlo, and von Dossow, Vera

Published
2021
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7. Contributors

Author

Afonso, Anoushka M., primary, Agrò, Felice Eugenio, additional, Amar, David, additional, Amer, MS, MD, Omar Ben, additional, Baar, MD, Wolfgang, additional, Behringer, Elizabeth Cordes, additional, Bergmann, Astrid, additional, Blech, Daniel, additional, Blessing, Marcelle, additional, Brodsky, Jay B., additional, Bronheim, David, additional, Campos, Javier H., additional, Castillo, Maria, additional, Charlesworth, Michael, additional, Chen, Grant H., additional, Cohen, Edmond, additional, Dabo-Trubelja, Anahita, additional, de Abreu, Marcelo Gama, additional, Desiderio, Dawn P., additional, Dong, Qinglong, additional, Eaker, Lily, additional, Eisenkraft, James B., additional, Tahan, Mohamed R. El, additional, Fischer, Gregory W., additional, Flores, Raja, additional, Gal, Jonathan, additional, Gök, Funda, additional, Gonzalez-Rivas, Diego, additional, Gil, MD, Manuel Granell, additional, Ginsberg, Nicole, additional, Gulati, Amitabh, additional, Hachenberg, MD, PhD, Thomas, additional, Haffey, Paul Ryan, additional, Hagerman, Andres, additional, Harkin, Timothy J., additional, He, Jianxing, additional, He, Jiaxi, additional, Hecht, Patrick, additional, Hell, Johannes, additional, Hillenbrand, Karl D., additional, Hosseinian, Leila, additional, Hyers, Benjamin M., additional, Jackson, Jacob C., additional, Kalowitz, Daniel, additional, Kanellakos, George W., additional, Karzai, Waheedullah, additional, Keller, Steven P., additional, Kim, MD, Mark S., additional, Kozian, Alf, additional, Kretzschmar, Moritz A., additional, Lee, Dong-Seok, additional, Leff, Jonathan, additional, Leiendecker, Eric, additional, Li, Shuben, additional, Liang, Lixia, additional, Licker, Marc, additional, Liu, Hui, additional, Lohser, Jens, additional, Lonner, Baron, additional, Loop, Torsten, additional, McRae, Karen, additional, Meineri, Massimiliaino, additional, Lurie, Jacob Michael, additional, Mojica, Jeffrey J., additional, Morikawa, Nicole, additional, Mourisse, Jo, additional, Ninh, Allen, additional, Pawlowski, John, additional, Pedoto, Alessia, additional, Pérez, MD, Elena Biosca, additional, Piliego, MD, Chiara, additional, Plumed, Ruth Martínez, additional, Popescu, Wanda M., additional, Rakesh, Neal, additional, Rocca, Alessandra Della, additional, Rocca, Giorgio Della, additional, Rodriguez-Diaz, Cesar, additional, Salter, Benjamin S., additional, Satoh, Kei, additional, Schilling, Thomas, additional, Schisler, Travis, additional, Schwenk, Eric S., additional, Şentürk, Evren, additional, Şentürk, Mert, additional, Shapiro, David M., additional, Sharma, Archit, additional, Silvay, George, additional, Smith, Theodore C., additional, Sparling, Jamie L., additional, Spellman, Jessica, additional, Steel, Andrew C., additional, Sullivan, Breandan, additional, Sungur, Zerrin, additional, Sutherland, Lauren, additional, Szegedi, Laszlo L., additional, Teeter, Emily G., additional, Templeton, Richard, additional, Thiele, Robert H., additional, van der Heide, Stefan, additional, Melo, Marcos F. Vidal, additional, Viscusi, Eugene R., additional, Vue, Elizabeth May, additional, Walsh, Spencer P., additional, Weiner, Menachem M., additional, White, Alexander, additional, Wilson, Roger S., additional, Wittenstein, Jakob, additional, and Yoon, Uzung, additional

Published
2022
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10. General Aspects of Thoracic Anesthesia

Author

Marczin, Nandor, Licker, Marc, Szegedi, Laszlo L., Piccioni, Federico, Granell, Manuell, Vegh, Tamas, Karzai, Waheed, Unzueta, Carmen, Senturk, Mert, Bence, Johan D., Shelley, Benjmin G., Tahan, Mohamed El, Nistor, Claudiu E., editor, Tsui, Steven, editor, Kırali, Kaan, editor, Ciuche, Adrian, editor, Aresu, Giuseppe, editor, and Kocher, Gregor J., editor

Published
2020
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11. A Multi-Country Survey on the Availability of Intraoperative Use of Echocardiography for Noncardiac Surgery.

Author

El Tahan, Mohamed M., Cheng, Davy C., Szegedi, Laszlo, Mellin-Olsen, Jannicke, Zdravkovic, Marko, Lineburger, Eric Benedet, Filipescu, Daniela, Tritapepe, Luigi, Guarracino, Fabio, Neto, Caetano Nigro, Garcia, Paula Camona, Ángel Rodenas Monteagudo, Miguel, Granell, Manuel Gil, Guillén, Rosario Vicente, Gaudard, Philippe, Abdulmomen, Ahmed, Eldawlatly, Abdelazeem Ali, Bubenek-Turconi, Serban-Ion, Stoica, Radu, and Licker, Marc

Abstract

Background: This survey aimed to explore the availability and accessibility of echocardiography during noncardiac surgery worldwide. Methods: An internet-based 45-item survey was sent, followed by reminders from August 30, 2021, to August 20, 2022. Results: 1189 responses were received from 62 countries. Nearly seventy-one percent of respondents had intraoperatively used transesophageal or transthoracic echocardiography (TEE and TTE, respectively) for monitoring or examination. The unavailability of echocardiography machines (30.3%), lack of trained personnel (30.2%), and absence of clinical indications (22.6%) were the top 3 reasons for not using intraoperative echocardiography in noncardiac surgery. About 61.5% of participants had access to at least one echocardiography machine. About 41% had access to at least 1 TEE probe, and 62.2% had access to at least 1 TTE probe. Seventy-four percent of centers had a procedure to request intraoperative echocardiography if needed for noncardiac cases. Intraoperative echocardiography service was immediately available in 58% of centers. Conclusions: Echocardiography machines and skilled echocardiographers are still unavailable at many centers worldwide. National societies should aim to train a critical mass of certified TEE/TTE anesthesiologists and provide all anesthesiologists access to perioperative TEE/TTE machines in anesthesiology departments, considering the increasing number of older and sicker surgical patients scheduled for noncardiac surgery. [ABSTRACT FROM AUTHOR]

Published
2024
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12. Thoracic Anesthesia of Patients With Suspected or Confirmed 2019 Novel Coronavirus Infection: Preliminary Recommendations for Airway Management by the European Association of Cardiothoracic Anaesthesiology Thoracic Subspecialty Committee

Author

Şentürk, Mert, El Tahan, Mohamed R., Szegedi, Laszlo L., Marczin, Nandor, Karzai, Waheedullah, Shelley, Ben, Piccioni, Federico, Granell Gil, Manuel, Rex, Steffen, Sorbello, Massimiliano, Bence, Johan, Cohen, Edmond, Gregorio, Guido Di, Kawagoe, Izumi, Globokar, Mojca Drnovšek, Jimenez, Maria-José, Licker, Marc-Joseph, Mourisse, Jo, Mukherjee, Chirojit, Navarro, Ricard, Neskovic, Vojislava, Paloczi, Balazs, Paternoster, Gianluca, Pelosi, Paolo, Salaheldeen, Ahmed, Stoica, Radu, Unzueta, Carmen, Vanpeteghem, Caroline, Vegh, Tamas, Wouters, Patrick, Yapici, Davud, and Guarracino, Fabio

Published
2020
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13. European Association of Cardiothoracic Anesthesiology (EACTA) Cardiothoracic and Vascular Anesthesia Fellowship Curriculum: First Edition

Author

Erdoes, Gabor, Vuylsteke, Alain, Schreiber, Jan-Uwe, Alston, R. Peter, Howell, Simon J., Wouters, Patrick F., Guarracino, Fabio, Unic-Stojanovic, Dragana, Martinez, Alberto Hernandez, Vives, Marc, Gaudard, Philippe, Burtin, Philippe, Bettex, Dominique, Granell, Manuel, Szekely, Andrea, van der Maaten, Joost, Antoniou, Theofani, Jiménez, María José, Szegedi, Laszlo, Seeberger, Manfred, Erb, Joachim M., Singh, Rajni, von Dossow, Vera, Matute, Purificación, Rosseel, Peter, Marczin, Nandor, Landoni, Giovanni, Wilkinson, Kirstin, Diprose, Paul, Mukherjee, Chirojit, Paternoster, Gianluca, and El-Tahan, Mohamed R.

Published
2020
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15. European Association of Cardiothoracic Anesthesiology and Intensive Care (EACTAIC) Fellowship Curriculum: Second Edition

Author

UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, Erdoes, Gabor, Wouters, Patrick F., Alston, R. Peter, Schreiber, Jan-Uwe, Bettex, Dominique, Antoniou, Theofani, Benedetto, Maria, Bouchez, Stefaan, Szegedi, Laszlo, Wilkinson, Kirstin, Landoni, Giovanni, Treskatsch, Sascha, Matute, Purificación, von Dossow, Vera, Van Beersel, Dieter, Unic-Stojanovic, Dragana, Momeni, Mona, Gaudard, Philippe, Szekely, Andrea, Burtin, Philippe, Flo-Forner, Anna, Neto, Caetano Nigro, Fassl, Jens, Granell, Manuel, Erb, Joachim M., Navarro-Ripoll, Ricard, Vives, Marc, Fetouh, Fawzia Aboul, Howell, Simon J., Marczin, Nandor, Martinez, Alberto Hernandez, Vuylsteke, Alain, El-Ashmawi, Hossam, de Arroyabe, Blanca Martinez Lopez, Mukherjee, Chirojit, Rex, Steffen, Paternoster, Gianluca, Guarracino, Fabio, El-Tahan, Mohamed R., UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, Erdoes, Gabor, Wouters, Patrick F., Alston, R. Peter, Schreiber, Jan-Uwe, Bettex, Dominique, Antoniou, Theofani, Benedetto, Maria, Bouchez, Stefaan, Szegedi, Laszlo, Wilkinson, Kirstin, Landoni, Giovanni, Treskatsch, Sascha, Matute, Purificación, von Dossow, Vera, Van Beersel, Dieter, Unic-Stojanovic, Dragana, Momeni, Mona, Gaudard, Philippe, Szekely, Andrea, Burtin, Philippe, Flo-Forner, Anna, Neto, Caetano Nigro, Fassl, Jens, Granell, Manuel, Erb, Joachim M., Navarro-Ripoll, Ricard, Vives, Marc, Fetouh, Fawzia Aboul, Howell, Simon J., Marczin, Nandor, Martinez, Alberto Hernandez, Vuylsteke, Alain, El-Ashmawi, Hossam, de Arroyabe, Blanca Martinez Lopez, Mukherjee, Chirojit, Rex, Steffen, Paternoster, Gianluca, Guarracino, Fabio, and El-Tahan, Mohamed R.

Abstract

No abstract available

Published
2022

21. International consensus recommendations for anesthetic and intensive care management of lung transplantation. An EACTAIC, SCA, ISHLT, ESOT, ESTS, and AST approved document

Author

Marczin, Nandor, primary, de Waal, Eric E.C., additional, Hopkins, Peter M.A., additional, Mulligan, Michael S., additional, Simon, Andre, additional, Shaw, Andrew D., additional, Van Raemdonck, Dirk, additional, Neyrinck, Arne, additional, Gries, Cynthia J., additional, Algotsson, Lars, additional, Szegedi, Laszlo, additional, von Dossow, Vera, additional, Burrell, Aidan, additional, Carmona, Paula, additional, Greenhalgh, Donna, additional, Höchter, Dominik, additional, Kachulis, Bessie, additional, King, Christopher S., additional, Licker, Marc J., additional, McIlroy, David R., additional, Nair, Priya, additional, Pasero, Daniela, additional, Pilcher, David, additional, Rex, Steffen, additional, Royston, David, additional, Slinger, Peter, additional, Valenza, Franco, additional, Walker, Chris, additional, Arcadipane, Antonio, additional, Bastien, Oliver, additional, Bekkers, Joseph A., additional, Bettex, Dominique, additional, Caliandro, Francesca, additional, Checco, Erika Dal, additional, Davis, Robert Duane, additional, Dellgren, Göran, additional, Espinoza, Andreas, additional, Felten, Marie Louise, additional, Feltracco, Paolo, additional, Fischler, Marc, additional, Fitzgerald, Linda J, additional, Forner, Ana Flo, additional, Fragata, Isabel, additional, Román, Ana González, additional, Harris, Paul, additional, Hommel, Matthias, additional, Lees, Nicholas J., additional, Guen, Morgan Le, additional, Leone, Marc, additional, Lepoivre, Thierry, additional, Marcucci, Carlo, additional, Martelli, Sabina, additional, Michel-Cherqui, Mireille, additional, Molitoris, Ulrich, additional, Montravers, Philippe, additional, Mosca, Roberto, additional, Parizkova, Barbora, additional, Prabhu, Mahesh, additional, Pugliese, Francesco, additional, Raman, Sanjeev M., additional, Ramos, Cristina, additional, Ranieri, Vito Marco, additional, Real, Maria I., additional, Ricksten, Sven-Erik, additional, Roman, Ana Gonzalez, additional, Rozec, Bertrand, additional, Sale, Shiva M., additional, Sanchez, Juan F., additional, Schwarzenberger, Johanna, additional, Turan, Sema, additional, Valchanov, Kamen, additional, Valentine, Vincent G., additional, von Homeyer, Peter, additional, Vuylsteke, Alain, additional, Weig, Thomas, additional, Zarragoikoetxea, Iratxe, additional, Zenz, Sebastian, additional, Falcoz, Pierre-Emmanuel, additional, Inci, Ilhan, additional, Roscoe, Andrew, additional, and Senturk, Mert, additional

Published
2021
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22. Lung separation in adult thoracic anesthesia

Author

Huybrechts, Isabelle, Tuna, Turgay, Szegedi, Laszlo L., Huybrechts, Isabelle, Tuna, Turgay, and Szegedi, Laszlo L.

Abstract

Thoracic anesthesia is mainly the world of OLV during anesthesia. The indications for OLV, classified as absolute or relative are more representative of the new concepts in OLV: It includes either the separation or the isolation of the lungs. Modern DLTs are most widely employed worldwide to perform OLV including the concept of one lung separation. Endobronchial blockers are a valid alternative to DLTs, and they are mandatory in the education of lung separation and in case of predicted difficult airways as they are the safest approach (with an awake intubation with an SLT through a FOB). Every general anesthesiologist should know how to insert a left-sided DLT, but he/she should also have in his technical luggage and toolbox, basic knowledge and minimal expertise with BBs, this option being considered a suitable alternative, particularly in emergency situation where the patient is already intubated and/or in case of difficult airways. One should keep in mind that extubation or re-intubation after DLT might be difficult too, and additional intubation tools are necessary for the safety conditions., SCOPUS: re.j, info:eu-repo/semantics/published

Published
2021

23. Anesthesia for robotic thoracic surgery

Author

Gonsette, Kimberly, Tuna, Turgay, Szegedi, Laszlo L., Gonsette, Kimberly, Tuna, Turgay, and Szegedi, Laszlo L.

Abstract

The management of the robotic thoracic surgical patient requires the knowledge of minimally invasive surgery techniques involving the chest. Over the past decade, robotic-assisted thoracic surgery has grown, and, in the future, it will take an important place in the treatment of complex thoracic pathologies. The enhanced dexterity and three-dimensional visualization make it possible to do this in the small space of the thoracic cavity. Familiarity with the robotic surgical system by the anesthesiologists is mandatory. Management of a long period of one-lung ventilation with a left-sided double-lumen endotracheal tube or an independent bronchial blocker is required, along with flexible fiberoptic bronchoscopy techniques (best continuous monitoring). Correct patient positioning and prevention of complications such as eye or nerve or crashing injuries while the robotic system is used is mandatory. Recognition of the hemodynamic effects of carbon dioxide during insufflation in the chest is required. Cost is higher and outcome is not yet demonstrated to be better as compared to video-assisted thoracic surgery. The possibility for conversion to open thoracotomy should also be kept in mind. Teamwork is mandatory, as well as good communication between all the actors of the operating theatre., SCOPUS: re.j, info:eu-repo/semantics/published

Published
2021

27. Does it matter how I ventilate the patient for the postoperative period?

Author

Szegedi, Laszlo, Sentürk, Mert, Orhan Sungur, Mukadder, Supporting clinical sciences, Anesthesiology research group, and Anesthesiology

Subjects
Continuous Positive Airway Pressure, acute lung injury, Postoperative Pulmonary Complication, respiratory system, lung injury, acute respiratory distress syndrome, respiratory tract diseases
Abstract

Much has been written about how to ventilate patients in ICU settings, less on how to optimize one-lung ventilation in the OR. After a twentieth century consecrated to the study of hypoxic pulmonary vasoconstriction, lung-separating devices, and prevention of hypoxemia, the last decades have seen the apparition of publications over lung protection, while maintaining a good oxygenation. The incidence of hypoxemia diminished, due in part at least to the fiber-optic bronchoscope which has become a standard of monitoring and care during one-lung ventilation. Pulmonary complications after one-lung ventilation are still one of the leading causes of postoperative morbidity. The question that rises is how to protect the lung(s) during one-lung ventilation? We know what we should do, but we don’t know really how much to do. Low tidal volumes, low inspired oxygen concentration, recruitment maneuvers, PEEP, low driving pressures, and better anesthetics – these evidence-based recommendations are different from what was said before, opening a new era in one-lung ventilation.

Published
2017

28. Haemostasis monitoring during sequential aortic valve replacement and liver transplantation

Author

Sieders, E., Filip De Somer, Stefaan Bouchez, Szegedi, Laszlo L., Belleghem, Yves, Isabelle Colle, and Troisi, Roberto

Subjects
OPERATIONS, THROMBOEMBOLISM, CARDIOPULMONARY BYPASS, TRANSFUSION, APROTININ, ANTIFIBRINOLYTIC DRUGS, THROMBIN GENERATION, CIRRHOSIS, CARDIAC-SURGERY
Abstract

Despite advances in anaesthesiological and surgical techniques, cardiac surgery in cirrhotic patients remains hazardous. This report outlines our experience with haemostasis monitoring in two consecutive cases of sequential aortic valve replacement and liver transplantation. Clotting disturbances proved to have fatal consequences since one of these patients died following massive lung embolism. The second patient underwent successfully this combined procedure and is in good clinical state 14 months postoperatively. Evaluation and discussion of the coagulation monitoring by the Sonoclot Analyzer in both patients and related therapeutic suggestions for the prevention of thrombotic events are discussed. (Acta gastroenterol. belg., 2010, 73, 65-68).

Published
2010

30. Gravity is an important determinant of Oxygenation during One-Lung Ventilation

Author

Szegedi, Laszlo L, D'Hollander, Alain, Deryck, F., and Wouters, Patrick

Subjects
Medicine and Health Sciences
Abstract

The role of gravity in the redistribution of pulmonary blood flow during one-lung ventilation (OLV) has recently been questioned. To address this controversial but clinically important issue we used an experimental approach that allowed us to differentiate the effects of gravity from the effects of hypoxic pulmonary vasoconstriction on arterial oxygenation during OLV in patients scheduled for thoracic surgery

Published
2010

34. The effects of acute isovolemic hemodilution on oxygenation during one-lung ventilation

Author

Szegedi, Laszlo L., Van Der Linden, Philippe, Ducart, Anne, Cosaert, Pieter, Poelaert, Jan, Vermassen, Frank, Mortier, Eric E.P., D'Hollander, Alain, Szegedi, Laszlo L., Van Der Linden, Philippe, Ducart, Anne, Cosaert, Pieter, Poelaert, Jan, Vermassen, Frank, Mortier, Eric E.P., and D'Hollander, Alain

Abstract

Data on the effects of isovolemic hemodilution (IH) on oxygenation during one-lung ventilation (OLV) are lacking. We studied 47 patients with hemoglobin >14 g/dL who were scheduled for lung surgery (17 with normal lung function [group NL], 17 with chronic obstructive pulmonary disease [COPD] [group COPD], and 13 with COPD as control for time/anesthesia effects [group CTRL]). Anesthesia was standardized. The tracheas were intubated with a double-lumen tube. Ventilatory settings and fraction of inspired oxygen remained constant. The study was performed with patients in the supine position before surgery. OLV was initiated for 15 min. Two-lung ventilation was reinstituted, and IH was performed (500 mL); an identical volume of hydroxyethyl starch was administered. Subsequently, OLV was again performed for 15 min. In group CTRL, the same sequences of OLV were performed without IH. At the end of each period of OLV, pulmonary mechanics and blood gases were recorded. Data were analyzed by analysis of variance (mean ± SD). In group NL and group CTRL, the arterial oxygen partial pressure remained constant, whereas it decreased in group COPD from 119 ± 21 mm Hg before IH to 86 ± 16 mm Hg after IH (P < 0.01). Mild IH impairs gas exchange during OLV in COPD patients, but not in patients with normal lung function., SCOPUS: ar.j, info:eu-repo/semantics/published

Published
2005

38. Airway pressure changes during one-lung ventilation

Author

Szegedi, Laszlo L., Bardoczky, Gizella, Engelman, Edgard, D'Hollander, Alain, Szegedi, Laszlo L., Bardoczky, Gizella, Engelman, Edgard, and D'Hollander, Alain

Abstract

SCOPUS: ar.j, info:eu-repo/semantics/published

Published
1997

42. EU-level Market Surveillance and Regulation by EU Agencies in Light of the Reshaped Meroni Doctrine.

Author

Szegedi, Laszlo

Subjects
TREATY on European Union (1992). Protocols, etc., 2007 December 13, TREATIES, GOVERNMENT agencies, EUROPEANIZATION
Abstract

In the era of 'agencification' the EU (regulatory) agencies have become an essential part of the implementation of EU law by delegation of regulatory powers, even if the agency as such has not been institutionalised in the Treaties yet. In its long-awaited judgment C- 270/12 the CJEU clarified the requirements of the delegation of market intervention powers to EU agencies by reinterpretation of the Meroni doctrine in the context of Lisbon primary law. The Court also declared that the internal market harmonisation clause of Article 114 TFEU can be proper primary legal basis for delegation of powers to take direct EU level measures directed at individual market participants in case of extraordinary market circumstances. The sector-neutral reasoning of the judgment could be applied in the case of network industries as well. In light of the further 'mushrooming' of EU agencies as well as the Europeanisation of former national administrative powers, however, the institutionalisation of (regulatory) agencies in the Treaties seems to be necessary just as before the judgment. [ABSTRACT FROM AUTHOR]

Published
2014

44. European Association of Cardiothoracic Anesthesiology (EACTA) Cardiothoracic and Vascular Anesthesia Fellowship Curriculum: First Edition

Author

Erdoes, Gabor, Vuylsteke, Alain, Schreiber, Jan-Uwe, Alston, R Peter, Howell, Simon J, Wouters, Patrick F, Guarracino, Fabio, Unic-Stojanovic, Dragana, Martinez, Alberto Hernandez, Vives, Marc, Gaudard, Philippe, Burtin, Philippe, Bettex, Dominique, Granell, Manuel, Szekely, Andrea, Van Der Maaten, Joost, Antoniou, Theofani, Jiménez, María José, Szegedi, Laszlo, Seeberger, Manfred, Erb, Joachim M, Singh, Rajni, Von Dossow, Vera, Matute, Purificación, Rosseel, Peter, Marczin, Nandor, Landoni, Giovanni, Wilkinson, Kirstin, Diprose, Paul, Mukherjee, Chirojit, Paternoster, Gianluca, and El-Tahan, Mohamed R

Subjects
education, 610 Medicine & health, 3. Good health
Abstract

This special article summarizes the design and certification process of the European Association of Cardiothoracic Anesthesiology (EACTA) Cardiothoracic and Vascular Anesthesia (CTVA) Fellowship Program. The CTVA fellowship training includes a two-year curriculum at an EACTA-accredited educational facility. Before fellows are accepted into the program, they must meet a number of requirements, including evidence of a valid license to practice medicine, a specialist degree examination in anesthesiology, and appropriate language skills as required in the host centers. The CVTA Fellowship Program has 2 sequential and complementary levels of training-both with a modular structure that allows for individual planning and also takes into account the differing national healthcare needs and requirements of the 36 countries represented in EACTA. The basic training period focuses on the anesthetic management of patients undergoing cardiac, thoracic, and vascular surgery and related procedures. The advanced training period is intended to deepen and to extend the clinical and nontechnical skills that fellows have acquired during the basic training. The goal of the EACTA fellowship is to produce highly trained and competent perioperative physicians who are able to care for patients undergoing cardiac, thoracic, and vascular anesthesia.

45. European Association of Cardiothoracic Anesthesiology and Intensive Care (EACTAIC) Fellowship Curriculum: Second Edition

Author

Gabor Erdoes, Patrick F. Wouters, R. Peter Alston, Jan-Uwe Schreiber, Dominique Bettex, Theofani Antoniou, Maria Benedetto, Stefaan Bouchez, Laszlo Szegedi, Kirstin Wilkinson, Giovanni Landoni, Sascha Treskatsch, Purificación Matute, Vera von Dossow, Dieter Van Beersel, Dragana Unic-Stojanovic, Mona Momeni, Philippe Gaudard, Andrea Szekely, Philippe Burtin, Anna Flo-Forner, Caetano Nigro Neto, Jens Fassl, Manuel Granell, Joachim M. Erb, Ricard Navarro-Ripoll, Marc Vives, Fawzia Aboul Fetouh, Simon J. Howell, Nandor Marczin, Alberto Hernandez Martinez, Alain Vuylsteke, Hossam El-Ashmawi, Blanca Martinez Lopez de Arroyabe, Chirojit Mukherjee, Steffen Rex, Gianluca Paternoster, Fabio Guarracino, Mohamed R. El-Tahan, MUMC+: MA Anesthesiologie (9), RS: MHeNs - R3 - Neuroscience, Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, Erdoes, Gabor, Wouters, Patrick F, Alston, R Peter, Schreiber, Jan-Uwe, Bettex, Dominique, Antoniou, Theofani, Benedetto, Maria, Bouchez, Stefaan, Szegedi, Laszlo, Wilkinson, Kirstin, Landoni, Giovanni, Treskatsch, Sascha, Matute, Purificación, von Dossow, Vera, Van Beersel, Dieter, Unic-Stojanovic, Dragana, Momeni, Mona, Gaudard, Philippe, Szekely, Andrea, Burtin, Philippe, Flo-Forner, Anna, Neto, Caetano Nigro, Fassl, Jen, Granell, Manuel, Erb, Joachim M, Navarro-Ripoll, Ricard, Vives, Marc, Fetouh, Fawzia Aboul, Howell, Simon J, Marczin, Nandor, Martinez, Alberto Hernandez, Vuylsteke, Alain, El-Ashmawi, Hossam, de Arroyabe, Blanca Martinez Lopez, Mukherjee, Chirojit, Rex, Steffen, Paternoster, Gianluca, Guarracino, Fabio, and El-Tahan, Mohamed R

Subjects
Critical Care, education, Internship and Residency, Cardiac Procedures, Anesthesiology and Pain Medicine, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, Anesthesiology, Medicine and Health Sciences, Anesthesia, Cardiac Procedures, Anesthesiology/education, Humans, Anesthesia, Curriculum, Fellowships and Scholarships, Cardiology and Cardiovascular Medicine
Abstract

International audience; This document represents the first update of the Cardiothoracic and Vascular Anaesthesia Fellowship Curriculum of the European Association of Cardiothoracic Anaesthesiology and Intensive Care. After obtaining feedback from exit interviews with fellows in training, graduate fellows, and program directors, 2 modified online Delphi procedures with questionnaires were conducted. A consensus was reached when two-thirds of responding committee members gave green or yellow ratings on a traffic light system, and >70% indicated strong agreement or agreement on a 5-point Likert scale. The new regulations include the following: (1) more flexibility in the fellows` rotation, as long as the total number of days, rotations, and cases are completed during the training year; (2) recommendation for strict compliance with national working-time guidelines; (3) no extension of fellowship training to compensate for annual and/or sick leave, unless the required minimum number of cases and rotations are not reached; (4) interruption of fellowship training for >12 months is allowed for personal or medical reasons; (5) introduction of a checklist for quantitative assessment of standard clinical skills; (6) recommendations for a uniform structure of exit interviews; (7) possibility of a 1-month training rotation in a postanesthesia care unit instead of an intensive care unit; and (8) provided all other requirements have been met, the allowance of progression from the basic training year to the advanced fellowship training year without first passing the transesophageal echocardiography examination.

Published
2022
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46. Lung separation in adult thoracic anesthesia.

Author

Huybrechts I, Tuna T, and Szegedi LL

Abstract

Thoracic anesthesia is mainly the world of OLV during anesthesia. The indications for OLV, classified as absolute or relative are more representative of the new concepts in OLV: It includes either the separation or the isolation of the lungs. Modern DLTs are most widely employed worldwide to perform OLV including the concept of one lung separation. Endobronchial blockers are a valid alternative to DLTs, and they are mandatory in the education of lung separation and in case of predicted difficult airways as they are the safest approach (with an awake intubation with an SLT through a FOB). Every general anesthesiologist should know how to insert a left-sided DLT, but he/she should also have in his technical luggage and toolbox, basic knowledge and minimal expertise with BBs, this option being considered a suitable alternative, particularly in emergency situation where the patient is already intubated and/or in case of difficult airways. One should keep in mind that extubation or re-intubation after DLT might be difficult too, and additional intubation tools are necessary for the safety conditions., Competing Interests: There are no conflicts of interest., (Copyright: © 2021 Saudi Journal of Anesthesia.)

Published
2021
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47. Anesthesia for robotic thoracic surgery.

Author

Gonsette K, Tuna T, and Szegedi LL

Abstract

The management of the robotic thoracic surgical patient requires the knowledge of minimally invasive surgery techniques involving the chest. Over the past decade, robotic-assisted thoracic surgery has grown, and, in the future, it will take an important place in the treatment of complex thoracic pathologies. The enhanced dexterity and three-dimensional visualization make it possible to do this in the small space of the thoracic cavity. Familiarity with the robotic surgical system by the anesthesiologists is mandatory. Management of a long period of one-lung ventilation with a left-sided double-lumen endotracheal tube or an independent bronchial blocker is required, along with flexible fiberoptic bronchoscopy techniques (best continuous monitoring). Correct patient positioning and prevention of complications such as eye or nerve or crashing injuries while the robotic system is used is mandatory. Recognition of the hemodynamic effects of carbon dioxide during insufflation in the chest is required. Cost is higher and outcome is not yet demonstrated to be better as compared to video-assisted thoracic surgery. The possibility for conversion to open thoracotomy should also be kept in mind. Teamwork is mandatory, as well as good communication between all the actors of the operating theatre., Competing Interests: There are no conflicts of interest., (Copyright: © 2021 Saudi Journal of Anesthesia.)

Published
2021
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