Focus Assessed Transthoracic Echocardiography for the Diagnosis and Management of Pulmonary Embolism in Anaesthesia and Critical Care

Juliana Dudko, Asta Mačiulienė, Giedrė Bakšytė, Andrius Macas Abstract Pulmonary embolism (PE) is a relatively common life-threatening situation in anaesthesiologists‘ and intensivists‘ clinical practice. Obstruction of the pulmonary artery (PA) circulation and increased pressure in it leads to right ventricular failure. Early diagnosis of PE is fundamental for immediate and highly effective treatment. Transesophageal echocardiography…

Anaesthesia for Awake Video – Assisted Thoracoscopic Surgery

Geda Klimavičiūtė, Renata Paškevičiūtė, Vidas Jankus, Aleksandras Bagajevas Abstract In the recent decade, nonintubated video-assisted thoracoscopicsurgery (VATS) has been extensively performed and evaluated.Perioperative anaesthetic management presents itself as a freshissue for the iatrogenic open pneumothorax, which is intended forunilateral lung collapse to create a steady surgical field, and theensuing physiologic derangement involving ventilatory and hemodynamicperspectives.…

Preoperative Medication Optimization Of Patients‘ With Acute Heart Failure

Lina Mockutė, Giedrė Bakšytė, Andrius Macas Abstract Preoperative cardiovascular management is an essential component of overall perioperative period. The aim of the preoperative optimization of patients‘ state is to improve patients‘ outcomes and to avoid cardiovascular complications in the perioperative period. In the last number of the journal (‘Health Sciences‘, 2013; 23(6): 88-93), the most…

Anaesthesia for Patients with Acute Heart Failure

Lina Mockutė, Andrius Macas, Giedrė Bakšytė Abstract Acute heart failure (AHF) is a clinical syndrome, which more often occurs in the anaesthesiologists‘ clinical practice. This syndrome aggravates patient‘s state and it is associated with an increased risk of perioperative morbidity and mortality. Besides, the increasing number of patients with critical states (cardiogenic shock) who require…