@article{MTMT:34083583, title = {Incomplete circle of Willis as a risk factor for intraoperative ischemic events during carotid endarterectomies performed under regional anesthesia – A prospective case-series}, url = {https://m2.mtmt.hu/api/publication/34083583}, author = {Gyöngyösi, Zoltán and Belán, Ivett and Nagy, Edit and Fülesdi, Zsófia and Farkas, Orsolya and Végh, Tamás and Hoksbergen, Arjan Willem and Fülesdi, Béla}, doi = {10.1515/tnsci-2022-0293}, journal-iso = {TRANSL NEUROSCI}, journal = {TRANSLATIONAL NEUROSCIENCE}, volume = {14}, unique-id = {34083583}, issn = {2081-3856}, year = {2023}, eissn = {2081-6936}, pages = {8} } @article{MTMT:33535642, title = {The value of transcranial Doppler monitoring of cerebral blood flow changes during carotid endarterectomy performed under regional anesthesia – A case series}, url = {https://m2.mtmt.hu/api/publication/33535642}, author = {Gyöngyösi, Zoltán and Farkas, Orsolya and Papp, Lóránd and Bodnár, Fruzsina and Végh, Tamás and Fülesdi, Béla}, doi = {10.1515/tnsci-2022-0257}, journal-iso = {TRANSL NEUROSCI}, journal = {TRANSLATIONAL NEUROSCIENCE}, volume = {13}, unique-id = {33535642}, issn = {2081-3856}, abstract = {Recent evidence suggests no difference between patient outcomes when carotid endarterectomies (CEAs) are performed under general or regional anesthesia. However, for detecting the need for a shunt, general anesthesia has the drawback of monitoring needs in the intraoperative setting. In the present study, we attempted to perform intraoperative transcranial Doppler (TCD) monitoring for CEAs performed under intermediate plexus block to describe cerebral hemodynamic changes during different phases of the procedure.}, year = {2022}, eissn = {2081-6936}, pages = {476-482} } @article{MTMT:33123777, title = {Preparing the Patient for ICU Transfer: What Is the Anesthesiologist’s Role?}, url = {https://m2.mtmt.hu/api/publication/33123777}, author = {László, István and Végh, Tamás and Szántó, Dorottya and Véghné Juhász, Marianna Beáta and Molnár, Csilla and Fülesdi, Béla}, doi = {10.1007/s40140-022-00543-z}, journal-iso = {CURR ANESTHESIOL REP}, journal = {CURRENT ANESTHESIOLOGY REPORTS}, volume = {12}, unique-id = {33123777}, issn = {1523-3855}, abstract = {Purpose of Review This review summarizes the anesthesiologist’s role in transferring critically ill surgical patients at different phases of care. Recent Findings Early recognition of patients at high intraoperative and postoperative risk is one of the most important first steps, followed by preoperative and intraoperative stabilization measures depending on the individual needs. It mainly is the anesthesiologist’s responsibility to decide on postoperative ICU admission. The transfer of the critically ill should be planned; the ICU staff has to be informed as early as possible. Locally developed checklists should be used during the preparation of patient transport. Trained, dedicated staff should be made available in every institution. A detailed handover using dedicated institutional flowcharts should ensure patient safety upon arrival to the ICU. Summary Transfer of critically ill patients from the OR to the ICU is an interdisciplinary task with a high probability of eventual incidents. Anesthesiologists should play a key role in all phases of the procedure to improve patient outcomes}, keywords = {High-risk surgery; Critically ill patients; Intrahospital transport ; Critical incidents; Transportation team ; Handover communication}, year = {2022}, eissn = {2167-6275}, pages = {461-466}, orcid-numbers = {Fülesdi, Béla/0000-0003-2541-9740} } @article{MTMT:32809581, title = {Korábban SARS-CoV-2-fertőzésen átesett betegek műtéti érzéstelenítése és perioperatív ellátása}, url = {https://m2.mtmt.hu/api/publication/32809581}, author = {Balla, Boglárka and Fülesdi, Béla and Végh, Tamás}, doi = {10.1556/650.2022.32506}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {163}, unique-id = {32809581}, issn = {0030-6002}, year = {2022}, eissn = {1788-6120}, pages = {695-701} } @article{MTMT:32531606, title = {Thoracic Anesthesia during the COVID-19 Pandemic: 2021 Updated Recommendations by the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) Thoracic Subspecialty Committee}, url = {https://m2.mtmt.hu/api/publication/32531606}, author = {Senturk, Mert and El Tahan, Mohamed R. and Shelley, Ben and Szegedi, Laszlo L. and Piccioni, Federico and Licker, Marc-Joseph and Karzai, Waheedullah and Gil, Manuel Granell and Neskovic, Vojislava and Vanpeteghem, Caroline and Pelosi, Paolo and Cohen, Edmond and Sorbello, Massimiliano and MBChB, Johan Bence and Stoica, Radu and Mourisse, Jo and Brunelli, Alex and Jimenez, Maria-Jose and Globokar, Mojca Drnovsek and Yapici, Davud and Morsy, Ahmed Salaheldin and Kawagoe, Izumi and Végh, Tamás and Navarro-Ripoll, Ricard and Marczin, Nandor and Pálóczi, Balázs and Unzueta, Carmen and Di Gregorio, Guido and Wouters, Patrick and Rex, Steffen and Mukherjee, Chirojit and Paternoster, Gianluca and Guarracino, Fabio}, doi = {10.1053/j.jvca.2021.07.027}, journal-iso = {J CARDIOTHOR VASC AN}, journal = {JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA}, volume = {35}, unique-id = {32531606}, issn = {1053-0770}, abstract = {The novel coronavirus pandemic has radically changed the landscape of normal surgical practice. Lifesaving cancer surgery, however, remains a clinical priority, and there is an increasing need to fully define the optimal oncologic management of patients with varying stages of lung cancer, allowing prioritization of which thoracic procedures should be performed in the current era. Healthcare providers and managers should not ignore the risk of a bimodal peak of mortality in patients with lung cancer; an imminent spike due to mortality from acute coronavirus disease 2019 (COVID-19) infection, and a secondary peak reflecting an excess of cancer-related mortality among patients whose treatments were deemed less urgent, delayed, or cancelled.The European Association of Cardiothoracic Anaesthesiology and Intensive Care Thoracic Anesthesia Subspecialty group has considered these challenges and developed an updated set of expert recommendations concerning the infectious period, timing of surgery, vaccination, preoperative screening and evaluation, airway management, and ventilation of thoracic surgical patients during the COVID-19 pandemic. (C) 2021 Elsevier Inc. All rights reserved.}, keywords = {CORONAVIRUS; Personal protective equipment; thoracic anesthesia; COVID-19; lung separation}, year = {2021}, eissn = {1532-8422}, pages = {3528-3546} } @article{MTMT:31991553, title = {The effect of propofol-sufentanil intravenous anesthesia on systemic and cerebral circulation, cerebral autoregulation and CO2 reactivity – a case-series}, url = {https://m2.mtmt.hu/api/publication/31991553}, author = {Véghné Juhász, Marianna Beáta and Páll, Dénes and Fülesdi, Béla and Molnár, Levente and Végh, Tamás and Molnár, Csilla}, doi = {10.1016/j.bjane.2021.04.002}, journal-iso = {BRAZ J ANESTH}, journal = {BRAZILIAN JOURNAL OF ANESTHESIOLOGY}, volume = {71}, unique-id = {31991553}, issn = {0104-0014}, abstract = {Background and objectives The aim of our study was to assess systemic and cerebral hemodynamic changes as well as cerebral CO2-reactivity during propofol anesthesia. Methods 27 patients undergoing general anesthesia were enrolled. Anesthesia was maintained using the Target-Controlled Infusion (TCI) method according to the Schnider model, effect site propofol concentration of 4 μg.mL-1. Ventilatory settings (respiratory rate and tidal volume) were adjusted to reach and maintain 40, 35 and 30 mmHg EtCO2 for 5-minutes, respectively. At the end of each period, transcranial Doppler and hemodynamic parameters using applanation tonometry were recorded. Results Systemic mean arterial pressure significantly decreased during anesthetic induction and remained unchanged during the entire study period. Central aortic and peripherial pulse pressure did not change significantly during anesthetic induction and maintenance, whereas augmentation index as marker of arterial stiffness significantly decreased during the anesthetic induction and remained stable at the time points when target CO2 levels were reached. Both cerebral autoregulation and cerebral CO2-reactivity was maintained during propofol anesthesia. Conclusions Propofol at clinically administered doses using the Total Intravenous Anesthesia (TIVA/TCI) technique decreases systemic blood pressure, but does not affect static cerebral autoregulation, flow-metabolism coupling and cerebrovascular CO2 reactivity. According to our measurements, propofol may exert its systemic hemodynamic effect through venodilation. Trial registration The study was registered at http://www.clinicaltrials.gov, identifier: NCT02203097, registration date: July 29, 2014.}, keywords = {Propofol, Cerebral blood flow; Cerebral autoregulation; CO2-reactivity; Applanation tonometry; Transcranial Doppler}, year = {2021}, pages = {558-564}, orcid-numbers = {Fülesdi, Béla/0000-0003-2541-9740} } @{MTMT:31624637, title = {General Aspects of Thoracic Anesthesia}, url = {https://m2.mtmt.hu/api/publication/31624637}, author = {Marczin, Nándor and Licker, Marc and Szegedi, Laszlo L. and Piccioni, Federico and Granell, Manuell and Végh, Tamás and Karzai, Waheed and Unzueta, Carmen and Senturk, Mert and Bence, Johan D. and Shelley, Benjmin G. and Tahan, Mohamed El}, booktitle = {Thoracic Surgery}, doi = {10.1007/978-3-030-40679-0_2}, unique-id = {31624637}, abstract = {Thoracic anesthesia, a fascinating subspecialty, provides perioperative medicine for a spectrum of dynamically evolving surgical procedures ranging from classical thoracotomies to minimally invasive and ultra-minimally invasive video or robotically assisted procedures. Its core mission is to provide optimal surgical conditions by deflating the operative lung while providing adequate oxygenation and avoiding injury to the ventilated lung. Thoracic anesthesia also provides preoperative care to achieve best possible health status before surgery and improves postoperative recovery by providing means of pain therapy and enhanced recovery following some of the most painful procedures in patients who are at the highest risk for developing chronic pain. This chapter focuses on major current paradigms of general thoracic anesthesia representing the clinical views and preferences of a substantial core leadership of the EACTA thoracic subcommittee. As such, it is a uniquely European perspective not on the exact procedure specific details but, as the title demands, on the fundamentally basic principles of thoracic anesthesia. While covering the traditional topics of airway management, ventilation and acute pain in sufficient detail, it also expands into newer areas of interest as preoperative optimization through prehabilitation and introducing new methods to prevent chronic pain. While the discussed strategies currently represent our view as a group, we hope to formally test these concepts in the near future by subjecting these recommendations to a formal consensus statement (Thoracic Anaesthesia Consensus Agreement, TOSSCA) through a robust Delphi process involving the full membership of the EACTA Thoracic committee and the wider EACTA membership.}, keywords = {Thoracic anesthesia; Prehabilitation; Double lumen tubes; Bronchial blockers ;One lung ventilation ;Epidural analgesia; Paravertebral blockade ;Chronic pain; Postoperative pulmonary complications}, year = {2020}, pages = {31-49}, orcid-numbers = {Marczin, Nándor/0000-0003-3690-5891} } @article{MTMT:31279850, title = {Thoracic Anesthesia of Patients with Suspected or Confirmed 2019 Novel Coronavirus Infection: Preliminary Recommendations for Airway Management by the EACTA Thoracic Subspecialty Committee}, url = {https://m2.mtmt.hu/api/publication/31279850}, author = {Şentürk, Mert and Tahan, Mohamed R. El and SZEGEDI, Laszlo L. and Marczin, Nándor and Karzai, Waheedullah and Shelley, Ben and Piccioni, Federico and Gil, Manuel Granell and Rex, Steffen and Bence, Johan and Cohen, Edmond and Gregorio, Guido Di and Drnvsek-Globoikar, Mojca and Jimenez, Maria-José and Licker, Marc-Josephjo and Mourisse, Jo and Mukherjee, Chirojit and Navarro-Ripolli, Ricard and Neskovic, Vojislava and Pálóczi, Balázs and Paternoster, Gianluca and Pelosi, Paolo and Salaheldeen, Ahmed and Stoica, Radu and Unzueta, Carmen and Vanpeteghem, Caroline and Végh, Tamás and Wouters, Patrick and Yapici, Davud and Guarracino, Fabio}, doi = {10.1053/j.jvca.2020.03.059}, journal-iso = {J CARDIOTHOR VASC AN}, journal = {JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA}, volume = {34}, unique-id = {31279850}, issn = {1053-0770}, abstract = {The novel coronavirus has caused a pandemic around the world. Management of patients with suspected or confirmed coronavirus infection who have to undergo thoracic surgery will be a challenge for the anesthesiologists. infection who have to undergo thoracic surgery will be a challenge for the anesthesiologists. The thoracic subspecialty committee of European Association of Cardiothoracic Anaesthesiology (EACTA) has conducted a survey of opinion in order to create recommendations for the anesthetic approach to these challenging patients. It should be emphasized that both the management of the infected patient with COVID-19 and the self-protection of the anesthesia team constitute a complicated challenge. The text focuses therefore on both important topics.}, keywords = {Thoracic anesthesia;Lung separation;Personal protective equipment;Corona;COVID-19}, year = {2020}, eissn = {1532-8422}, pages = {2315-2327}, orcid-numbers = {Şentürk, Mert/0000-0003-2373-6451; Marczin, Nándor/0000-0003-3690-5891} } @article{MTMT:31275347, title = {Emelt szintű szervtámogató és életfenntartó kezelések kritikus állapotú COVID–19-fertőzött betegeken}, url = {https://m2.mtmt.hu/api/publication/31275347}, author = {Berhés, Mariann and Fábián, Ákos István and László, István and Végh, Tamás and Molnár, Csilla and Fülesdi, Béla and Koszta, György}, doi = {10.1556/650.2020.31813}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {161}, unique-id = {31275347}, issn = {0030-6002}, abstract = {A COVID–19-fertőzéses, kritikus állapotba került betegek körében a cardiorespiratoricus rendszer összeomlása a következő mechanizmusok útján történhet: (1) citokinvihar, haemophagocytosis – szeptikus sokk, (2) uralhatatlan hypoxaemia, (3) specifikus szervelégtelenségek, illetve többszervi elégtelenség részjelenségeként. Ebben az összefoglalóban a fenti állapotok ellátásának és megelőzésének jelenleg rendelkezésre álló terápiás opcióit tekintjük át. A szeptikus sokk kezelésére az utóbbi években egyre gyakrabban és biztató sikerességgel kerül alkalmazásra a citokinek eltávolítása CytoSorb-haemoperfusióval. A konvencionális, mechanikus lélegeztetéssel már nem kezelhető hypoxaemia esetén szóba jön az inhalált nitrogén-oxid (iNO), az inhalációs formában bejuttatott epoprosztenol és a venovenosus extracorporalis membránoxigenizáció (VV-ECMO). A többnyire késői fázisban fellépő szervelégtelenségek gyakori komponense az akut veseelégtelenség, amely a rendelkezésre álló folyamatos vesepótló kezelések valamelyikének indítását igényli. Orv Hetil. 2020; 161(17): 704–709.}, year = {2020}, eissn = {1788-6120}, pages = {704-709}, orcid-numbers = {Fábián, Ákos István/0000-0003-0795-4125} } @article{MTMT:31275345, title = {A COVID-19-betegek kórházon belüli újraélesztésének speciális szempontjai}, url = {https://m2.mtmt.hu/api/publication/31275345}, author = {László, István and Molnár, Csilla and Koszta, György and Végh, Tamás and Fábián, Ákos István and Berhés, Mariann and Véghné Juhász, Marianna Beáta and Fülesdi, Béla}, doi = {10.1556/650.2020.31816}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {161}, unique-id = {31275345}, issn = {0030-6002}, abstract = {A koronavírus-pandémia számos kihívással szembesíti az egészségügyi ellátószemélyzetet. A vírus cseppfertőzéssel terjed, és magas a virulenciája, ezért minden olyan beavatkozás, mely légúti aeroszolképződéssel jár, potenciálisan veszélyezteti az ellátásban részt vevők egészségét. A koronavírus-fertőzés mortalitása akár 10% feletti lehet, ezért a COVID–19-betegek körében gyakori a reanimáció. A reanimáció során fokozott a légúti aeroszolképződés valószínűsége, így magas az ellátószemélyzet fertőződésének a veszélye. Cikkünk célja, hogy gyakorlatorientált áttekintést adjon a koronavírussal fertőzött betegek újraélesztésének specialitásairól. Orv Hetil. 2020; 161(17): 710–712.}, year = {2020}, eissn = {1788-6120}, pages = {710-712}, orcid-numbers = {Fábián, Ákos István/0000-0003-0795-4125} }