A5014957930- Cardiac Arrest and Resuscitation
- Mechanical Circulatory Support Devices
- Thermal Regulation in Medicine
- Respiratory Support and Mechanisms
- Transplantation: Methods and Outcomes
- Cardiac, Anesthesia and Surgical Outcomes
- Cardiac Structural Anomalies and Repair
- Cardiac and Coronary Surgery Techniques
- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Heart Failure Treatment and Management
- Cerebrovascular and Carotid Artery Diseases
- Antiplatelet Therapy and Cardiovascular Diseases
- Atrial Fibrillation Management and Outcomes
- Pulmonary Hypertension Research and Treatments
- Nosocomial Infections in ICU
- Oral microbiology and periodontitis research
- Venous Thromboembolism Diagnosis and Management
- Coronary Interventions and Diagnostics
- Cardiovascular Health and Disease Prevention
- Cardiac Ischemia and Reperfusion
- Inhalation and Respiratory Drug Delivery
- Cardiac pacing and defibrillation studies
- Neonatal Respiratory Health Research
- Cardiac Arrhythmias and Treatments
Jagiellonian University
2014-2025
John Paul II Hospital
2012-2023
Institute of Cardiology
2008-2018
Medical University of Warsaw
2016
The incidence of hypothermia is difficult to evaluate, and the data concerning morbidity mortality rates do not seem fully represent problem. aim study was estimate actual prevalence accidental in Poland, as well methods diagnosis management procedures used emergency rooms (ERs). A specially designed questionnaire, consisting 14 questions, mailed all 223 (ER) Poland. questions concerned incidence, risk factors, rewarming available measurement instruments. analysis involved from 42 ERs...
Hypothermic patients may be rewarmed using passive or active techniques. In case of severe accidental hypothermia (temperature<28°C) and stage III/IV according to the Swiss Staging System, standard methods might not effective aggressive treatment is needed. Extracorporeal membrane oxygenation (ECMO) has proved both safe in such cases. The Department Anesthesiology Intensive Care, John Paul II Hospital, Cracow, Poland, established Severe Accidental Hypothermia Center, which provides 24 h...
Prehabilitation is a comprehensive preparation of patient for primarily surgical treatments. Its aim to improve the patient'sgeneral condition so as reduce risk complications and ensure fastest possible recovery full health. Thebasic components prehabilitation include: improvement nutritional status, appropriate exercises functioning,psychological support, help in eliminating addictions. Other important aspects are: increasinghemoglobin levels patients with anemia, achieving good glycemic...
Microbiological diagnosis of sepsis relies primarily on blood culture data. This study compares four diagnostic methods, i.e. those developed by us: nested, multiplex, qPCR (qPCR) and FISH with commercial methods: SeptiFast (Roche) (SF) BacT/ALERT® 3D system (bioMérieux). Blood samples were derived from adult patients clinical symptoms sepsis, according to SIRS criteria, hospitalized in the Intensive Care Unit.Using qPCR, FISH, SF, culture, microbial presence was found 71.8%, 29.6%, 25.3%,...
The prognosis in hypothermic cardiac arrest is frequently good despite prolonged period of hypoperfusion and cardiopulmonary resuscitation. Apart from protective effect hypothermia itself established protocols treatment novel rewarming techniques may influence on outcome. purpose the study was to assess outcome patients with circulatory treated by means arterio-venous extracorporeal membrane oxygenation (ECMO) according locally elaborated protocol Severe Accidental Hypothermia Center Cracow,...
The impact of systemic inflammation on clinical outcomes after CABG surgery is still controversial. In this study, we evaluated the markers inflammation, endothelial damage and platelet activation on- off-pump CABG.A group 191 consecutive patients were prospectively studied. Blood samples drawn before surgery, 18-36h procedure 5-7 days postoperatively analyzed for 8-iso-prostaglandin F2α (8-iso-PGF2α), asymmetric dimethylarginine (ADMA) β-thromboglobulin (β-TG). White blood count C-reactive...
We sought to organize a functional system of recognition and advanced treatment hypothermic patients with extracorporeal rewarming as option. All suspected hypothermia are consulted the coordinator (HC), whose role is provide expertise on all rescue medical services. Patients Swiss staging class III IV subjected rewarming. I II managed in local hospitals, after HC provides instructions. From program initiation (July 29, 2013) November 1, 2015, 104 patients; 21 were John Paul Hospital Cracow,...
Recently, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has become the rewarming treatment of choice in hypothermic cardiac arrest. The detailed indications for non-arrested, severely patients with circulatory instability have not been established yet. primary purpose study was a preliminary analysis all aspects process, as well initial identification mortality risk factors within group patients, treated arteriovenous (VA-ECMO). secondary aim to evaluate efficacy VA-ECMO 6-h...
Severe accidental hypothermia can cause circulatory disturbances ranging from cardiac arrhythmias through shock to arrest. Severity of shock, pulmonary hypoperfusion and ventilation-perfusion mismatch are reflected by a discrepancy between measurements CO2 levels in end-tidal air (EtCO2) partial pressure arterial blood (PaCO2). This disparity pose problem the choice an optimal ventilation strategy for victims, particularly prehospital period. We hypothesized that severely hypothermic...
Darocha, Tomasz, Sylweriusz Kosinski, Maciej Moskwa, Anna Jarosz, Dorota Sobczyk, Robert Galazkowski, Marcin Slowik, and Rafal Drwila. The role of hypothermia coordinator: A case hypothermic cardiac arrest treated with ECMO. High Alt Biol Med 16:352-355, 2015.—We present a description emergency medical rescue procedures in patient suffering from severe who was found the Babia Gora mountain range (Poland). After diagnosing symptoms II/III stage according to Swiss Staging System, Mountain...
The use of extracorporeal membrane oxygenation is a new approach to rewarming patients with severe hypothermia and hemodynamic instability. There are, however, many questions regarding qualification for this technique in case suspected or confirmed trauma.A male accidental (25°C) after successful cardiopulmonary resuscitation from in-hospital cardiac arrest was subjected protocol profound hypothermia. Because unclear history, full trauma computed tomography performed that showed pericerebral...
Accidental hypothermia is a condition associated with significant morbidity and mortality. Hypothermia has been reported to affect left ventricular systolic diastolic function. However, most of the data come from animal experimental studies. The purpose present study was assess impact severe accidental on function in patients treated using veno-arterial extracorporeal membrane oxygenation (ECMO). We prospectively assessed nine hypothermic (8 male, age 25–78 years) who were transferred Severe...