Biomedical subjects

Piotr Dabrowski

Publications and source records attributed to Piotr Dabrowski.

9 recordsLinked to original sources

PubMed2006

[Central venous catheter as a reason of bleeding after tracheotomy].

Tracheotomy as an operation may be connected with many complications. One of them is intra- or postoperative bleeding. A lot of reasons of such bleeding is well known, but we describe a case of bleeding caused by central venous catheter which was inserted into external jugular vein, but dislocated into anterior jugular vein and destructed it's wall. The bleeding observed after tracheotomy was firstly counted as an effect of coagulation defect connected with heparin supply. When few days after tracheotomy the tip of the catheter was seen in the tracheotomy, patient was quickly operated--the destructed anterior jugular vein and external jugular vein were ligated and the central venous catheter was removed.

Catheterization, Central Venous↗

PubMed2004

[The dynamics of habituation of perception and reaction in tinnitus patients treated with TRT].

In this paper the authors present the dynamics of habituation of reaction and perception in tinnitus patients. All patient with subjective chronic tinnitus were diagnosed and treated using TRT method according to Jastreboff's neurophysiological model. 110 patients was estimated during last 4 years treated in ENT Rehabilitation Center in Poznań. The authors present the most frequently troubles in every day life caused by tinnitus and also the dynamics regression of complaints during period of treatment. Speed of disappearance of suffering is very important for all patients already in the beginning of cure.

Acoustic Stimulation↗

PubMed2004

Pre-operative management of patients on drugs affecting blood coagulation.

The aim of the study is to present practical guidelines for the pre-operative management of patients taking commonly applied drugs that affect blood coagulation. In hospital practice it is the responsibility of an internist to evaluate the patient's condition before the patient undergoes surgery. Among the patients consulted by the internist prior to the surgery the number of patients taking the drugs affecting coagulation is on the increase. The surgery performed on these patients carries the increased risk of bleeding that may threaten health or even life of the patient.

Anticoagulants↗

PubMed2004

Practical aspects of preparation of the patient for the thyroid gland surgery.

The aim of the study is to present practical suggestions of how to prepare a patient for thyroid gland surgery. Widespread distribution of thyroid diseases results in referring the patients for strumectomy. Proper preparation of the patient for the operation decreases the risk of perioperative complications to a minimum. Good co-operation in the team endocrinologist-anaestesiologist-surgeon is very important for the effective treatment.

Biopsy↗

PubMed2004

Substitutive administration of thyroxine in patients after strumectomy.

The aim of the study is to present practical suggestions as to substitutive administration of thyroxine in patients who underwent strumectomy. Hypothyerosis due to strumectomy is an indication for starting treatment with thyroxine. Until thyroid cancer is excluded on the basis of histopathological examinations the patient should not take thyroxine, as there may be a possibility for the need of scinthigraphy of the whole body. Proper management of the patient with hypothyreosis includes informing the patient about the necessity of regular taking the hormone and undergoing regular check-ups.

Goiter↗

PubMed2002

[Tinnitus in systemic diseases].

Permanent or temporary degenerative changes in the internal ear causing tinnitus may occur with particular intensity in patients suffering from systemic disease (diabetes, hypertension, rheumatic diseases, kidney and thyroid gland diseases). Pathomechanisms of hearing impairment and the risk of tinnitus and its character in particular cases are discussed in the paper. The research was carried out on 1200 patients treated in the Laryngological Rehabilitation Centre in Poznań between 1.1.1998 and 04.2001 due to tinnitus. The analysis included the diagnosis of general health condition, general laryngological examination as well as additional tests. In the examined group 34% suffered from systemic diseases. Among them the highest percentage (47%) suffered from hypertension, 41% from hypercholesterolaemia, 22% from rheumatic diseases and 16% from diabetes. 96% of the patients had a long family history of diseases. The additional factor causing damage of the internal ear may be ototoxic drug used in the treatment of many systemic diseases.

Adult↗

PubMed2002

[The problem of tinnitus in patients with presbyacusis].

At the ENT Rehabilitation Centre as part of ENT Department University of Medical Sciences in Poznań over 900 patients with tinnitus were diagnosed and treated. Among them were 128 patients over 65 years of age, who in addition to tinnitus, reported hearing loss. After a battery of audiological tests, blood tests and additional specialist consultation, mixed hearing loss was found in 5 patients and senso-neural hearing loss (presbyacusis) was found in remaining 123 patients. For various reasons only 75 patients began treatment. Treatment of tinnitus was threefold: electrostimulation: 40 patients (53%); fitting of hearing aid: 29 patients (39%); TRT according to Jastreboff's model: 6 patients (8%). The authors described results of treatment patients with tinnitus and presbyacusis. The treatment model adopted at the ENT Rehabilitation Centre in Poznań has produced satisfactory therapeutic results.

Adaptation, Psychological↗

PubMed2002

[Unilateral tinnitus--diagnostics and treatment].

900 patients with tinnitus were treated between January 1998 and August 2000 in ENT Rehabilitation Center in Poznan. Unilateral tinnitus was observed in more than 50% of the patients. In all the patients a history was taken paying a special attention to the loudness estimation by the patient and to the influence of the tinnitus on the everyday life. Laryngological, audiological and neurological examinations and laboratory tests were performed. In some cases endocrinological examination was performed. In the group of patients with unilateral tinnitus a special attention was paid to the possibility of ponto-cerebellar angle tumour. After audiological diagnostics CT or MRI examinations were performed. Authors emphasize, that in patients with unilateral tinnitus a proper observation is required to exclude expansive process within the acoustic nerve.

Activities of Daily Living↗

PubMed2002

[Objective audiometry in diagnosis of tinnitus].

During last 3 years there have been 900 tinnitus patients treated at ENT Rehabilitation Center in Poznan. Everyone underwent a thorough laryngological and audiological examination. Diagnostic procedure comprised also neurological and endocrinological consultations with accessory blood tests. Wide group of audiological tests used for diagnosis was divided into objective (BERA, OAE, tympanometry, stapedius reflex) and subjective (pure tone audiometry, speech audiometry, suprathreshold audiometry) methods. Otological diagnostic in tinnitus patients is difficult due to its subjective character. That is why it is so important to have objective methods for its evaluation. In this paper authors present results of BERA tests and impedance conducted on group of 900 patients. Performed objective tests enabled to diagnose otosclerosis, chronic otitis media and pathology in cerebello-pontine angle in patients without any abnormalities on physical examination.

Audiometry↗