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Biomedical subjects

M Pecan

Publications and source records attributed to M Pecan.

17 recordsLinked to original sources

Training of medical students in resuscitation at the University of Ljubljana.

The Faculty of Medicine in Ljubljana has been offering formal training in cardiopulmonary resuscitation (CPR) to its students since 1988. The CPR courses are taught mostly by anaesthesiologists. To determine whether our training programme provides the students with adequate skills and knowledge in CPR we analyzed the results of the examinations, tests, questionnaires and interviews of all students who had received CPR training at our Faculty of Medicine in 1994. We found that all the 1st year students passed the skill test immediately after the basic life support (BLS) course and that the majority of these students showed good knowledge in the written exam at the end of the year. These students were generally satisfied with the first-aid lecture course and BLS course. The 4th year lecture courses, however, were less effective because only a few of the students were present at each lecture. The 6th year students ended the advanced cardiac life support (ACLS) courses and practice in the operating theatre with both satisfactory basic theoretical knowledge and also practical skills in CPR. Thus in the oral examination at the end of the 6th year the success rate at first attempt was high, and the interviews with these students showed that they had been given the opportunities to practice airway management, breathing support and venous cannulation. These findings suggest that the education programme provides our students with both a sound basic knowledge and adequate practical skills in CPR for postgraduate training in emergency medicine.

Adult

[Clinical trial of the new volatile anaesthetic agent isoflurane].

In the article the author presents the main properties of isoflurane. The clinical testing was carried out in thirty maxillofacial patients undergoing surgery. A description of anaesthetic procedures is given. During this work special concern was paid to changes of arterial blood pressure and pulse rate under influence of isoflurane action, as well as to the recovery from it. A dependent decrease of arterial blood pressure has been observed. The pulse rate remained stable. During recovery from anaesthesia only a few adverse effects were registered. Isoflurane was estimated as safe and useful volatile anaesthetic agent.

Anesthesia, General

[Changes of heart rate and arterial blood pressure during the surgery of cheilognathopalatoschisis with the local usage of adrenalin].

The authors describe cardiovascular changes and needs for blood transfusion in 70 babies and children who received adrenalin into hard palate (A = 40) POR-8 and (B = 30) adrenalin and were operated due to cheilognathopalatoschisis. The effectiveness between POR-8 and adrenalin are compared and the advantages of adrenalin are described. The infiltration of adrenalin in dosage from 5-10 micrograms/kg increases arterial blood pressure for 30% and puls for 10%. 20% of operated children who have got POR-8 2.5 IU received blood transfusion as well. Children who received adrenalin, did not get transfusion.

Blood Pressure

[Measurement of adrenalin concentrations in the blood of children after local infiltration before surgical corrections of clefts].

Blood concentrations of epinephrine were measured after local infiltration of epinephrine and procaine in children, undergoing surgical corrections of lip and palate clefts. Local anaesthesia was combined with general intravenous anaesthesia. Cardio-circulatory parameters were changing moderately in spite of enormous elevations of epinephrine serum levels. Monitoring of vital signs is obligatory with this combined method.

Anesthesia, General

[Massive transfusion].

Data about the definition of massive transfusion are given. The physiological changes during conservation of blood are reviewed and the effects of stored blood transfusion are stressed. The massive transfusion cases in 1979 are presented (in materials of five surgical departments) and the patient's condition during and after the massive transfusion analyzed. There was no correlation between volume of massive transfusion and frequency of complications during intensive therapy treatment. The group of patients transfused with transfusion pump showed better results.

Adult

[Hematologic study of rapid and massive transfusion].

Massive transfusion was applied in the standard manner and using the transfusion pump. Considering the complications accompanying massive transfusion several coagulation parameters, as well as the free haemoglobin values were studied before, during and after the surgery. The materials were obtained from heart, liver and polytraumatised patients undergoing surgery. The results were yielded by comparison of all three groups of patients (total number 41). It was obvious, that the massive transfusion has been affecting coagulations parameters at most in polytraumatised patients.

Blood Coagulation Factors

[The "Emona" anaesthetic baby system (author's transl)].

A paediatric breathing system, called the Emona system has been devised because commercially available anaesthetic baby systems used in head and neck surgery did not give satisfactory results. The system provides for fresh gas inflow while the expiratory path is positioned close to the patient. A precise description and schematic presentation of its action is given. The efficiency of the Emona system was tested in 65 infants and children using blood gas analyses. Furthermore, CO2 analyses of mixed expired and inspired gases, as well as some measurements applying the respiratory nomogram, were carried out. The efficiency of the Emona system is compared with results of some other baby systems (Jackson-Rees and Ruben's systems). The problems of paediatric anaesthetic systems are discussed and the dilemma of normal values for some respiratory parameters in children exposed. The results show that the Emona system is particularly advantageous in manually controlled ventilation in comparison to the results of other authors applying mechanical respiratory support.

Anesthesiology