Biomedical subjects

G Michalska-Krzanowska

Publications and source records attributed to G Michalska-Krzanowska.

5 recordsLinked to original sources

PubMed1998

[Crucial evaluation of medical management in patients with cranial and brain injuries from the moment of the accident to the end of the diagnostics].

The aim of the research was to verify the procedures of first-aid and treatment in 100 patients with cranial and brain injuries, admitted to the Intensive Care Unit. Material was estimated using Ambulance and Surgical Ambulatory data and Intensive Care Unit case records. Medical procedure at the place of accident and during transport, duration of the transport to the hospital, duration of the diagnostics and morbidity in studied groups were estimated. Considering the analysed material, it seems that following procedures have significant influence on the final outcome: 1. full resuscitation of the patient at the place of accident; 2. correct protection of the injured person during transport and duration of the transport; 3. time necessary for full and correct diagnostics.

Accidents↗

PubMed1998

[HELLP syndrome. Case report].

We present a case of a 40-year-old multigravida with rare combination of HELLP syndrome followed by hemorrhagic complications, DIC, acute renal failure, ARDS. During her stay in intensive care unit total abdominal hysterectomy was performed. Peritoneal dialysis was conducted for two days because of transient acute renal failure. A gradual improvement of her condition was observed after drainage of extraperitoneal haematoma. After forty-two days she was extubated and discharged from intensive care unit.

Acute Kidney Injury↗

PubMed1997

[Midazolam administered orally as premedication in children in the ophthalmology department].

The aim of research was using midazolam for preoperational medication in children undergoing diagnostic and minor surgical procedures in ophthalmic surgery and estimation of its properties for deep sedation. We used midazolam in children of both sex, from 2 to 10 years of age. All the patients were considered as I or II grade of ASA scale of perioperational risk. Patients were given midazolam orally at dose 0.5 mg per kg of body weight. Sedation degree was assessed according to Addenbrooke's Hospital Scale of Sedation as well as to changes in systolic (SAP) and diastolic (DAP) arterial pressure, pulse oximetry of capillary blood (SpO2) and heart rate (HR). Sedation in all children subjected to the trial was good and optimal conditions to perform the procedures were achieved. We found the level of sedation satisfactory and safe. Measurement of SAP, DAP, SpO2 and HR revealed stability of circulation in the whole perioperative period. We found the sedative properties of midazolam as excellent in the described range of age and useful for the diagnostics and surgery respectively.

Administration, Oral↗

PubMed1995

[Comparative studies of rhombencephalon vascularization in rabbit and man in light of anatomic and microangiographic studies].

A comparative study of a microvascularization of the rhombencephalon, especially pre- and capillary system, in rabbits and in humans was performed. It was intended to find out whether there were any similarities and differences in rhombencephalon microvascularization of a rabbit and man. The study was carried out on 75 (50--female, 25--male) mixed-race rabbits aged 4 months, as well as on 30 (15--females, 10--males) human brains that had been dissected free from cadavers, aged from 20 up to 70 years. Angiography of sections of the rhombencephalon in rabbits and cadavers was performed. The vessels were investigated after the introduction of Micropaque contrast medium, under controlled pressure, into an investigated vessel. Intravital injection of the contrast into rabbit's vessel was beneficial for the experiment. Radiography of intact brains as well as sections of the frontal plane was accomplished. Large arterial vessels were measured, with the results being subjected to statistical analysis (Table 1-2, Fig. 1-7). Microvascularization of the medulla oblongata and of the pons in rabbits were similar to those in its human counterparts, whereas the vascular system of the cerebellum was different. The results of micrographic studies were not always the same as described by Bochenek et al. The anatomical forms that had not been previously described were noted: para--medial arteries to the medulla oblongata and the pons; lateral arteries to the medulla oblongata and the pons; posterior arteries to the medulla oblongata; branches of the upper artery of the cerebellum branching and the simple ones with few lateral branches. The central or medial artery that follows the central sulcus was separate.

Adult↗

PubMedDate not supplied

[A rare case of intracranial hematoma complicating bacterial endocarditis].

Endocarditis is an infectious and inflammatory disease of cardiac valves with other coexisting symptoms affecting heart and other organs and systems. Patients with cardiac valves diseases are in the group of high risk. The authors present a case of successfully treated endocarditis affecting mitral valve prosthesis in the course of staphylococcus septicaemia complicated by intracranial haematoma.

Brain Diseases↗