7 results on '"Eva Strīķe"'
Search Results
2. Feasible Evaluation of PQ Bypass Results with Duplex Ultrasound
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Dainis Krieviņš, Edgars Zellāns, Indulis Kukulis, Roberts Rumba, Natālija Ezīte, Aigars Lācis, Eva Strīķe, Jānis Šavlovskis, and Inguna Ļūļaka
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medicine.medical_specialty ,Science ,medicine.medical_treatment ,Femoral vein ,arterial bypass ,030204 cardiovascular system & hematology ,stent graft ,Asymptomatic ,03 medical and health sciences ,0302 clinical medicine ,Occlusion ,medicine ,030212 general & internal medicine ,Multidisciplinary ,business.industry ,Ultrasound ,Stent ,medicine.disease ,Surgery ,Stenosis ,Bypass surgery ,Duplex (building) ,medicine.symptom ,peripheral arterial occlusive disease ,business - Abstract
Patients with peripheral arterial disease (PAD) have substantially impaired health-related quality of life (HR-QoL). Chronic lower limb ischaemia due to the atherosclerotic occlusion of infra-inguinal arteries is one of the most important causes of invalidity among smokers over the age of fifty. Historically, these lesions were treated by open bypass surgery. Less invasive endovascular revascularisation methods are available to treat short lesions, while treatment of long lesions are lacking. Fully endovascular trans-venous femoro-popliteal bypass (PQ Bypass, Inc., Sunnyvale, CA, USA) to treat long femoral lesions has been developed recently. The objective of the study was to evaluate duplex ultrasound (DUS) as a tool to follow up patients after PQ bypass procedure. A prospective clinical study was conducted at one clinical site. DUS of treated arteries and femoral vein was performed before the procedure, 30 days, 6 months, and 12 months in follow-up period by 2 independent radiologists. Ankle-brachial index (ABI) evaluation was performed at all visits. Thirty-five patients (35 limbs) treated with PQ bypass were enrolled in the study. Median age was 63.6 years (ranged 50 to 87 years). There was 100% successful evaluation of all patients at all clinical visits available. Deviation of the DUS results was found within the accepted standard limit between two radiologists. Twelve months after the PQ procedure, 28 (80.0%) PQ stent-grafts were still functioning without DUS signs of stenosis, while seven (20.0%) limbs experienced varying degrees of stent malfunction. PQ stent-graft occlusion was detected in five (14.3%) – 1 (2.9%) patients at one-month follow-up, 3 (8.6%) at six months and 1 (2.9%) at twelve months follow-up period, respectively. PQ stent-graft proximal junction stenosis was detected in one patient (2.9%) at six months and distal junction stenosis in one patient (2.9%) at twelve months follow-up, respectively. Despite of graft occlusion found with DUS, two patients had no severe worsening of post-operative ABI. DUS is a reliable method to evaluate patients after PQ bypass procedure and has higher sensitivity than ABI to follow-up patients after PQ procedure, especially in asymptomatic stent stenosis. Regular and timely use of DUS during the postoperative period may help to recognise potential complications and provide effective treatment..
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- 2019
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3. Pain management in intensive care unit patients after cardiac surgery with sternotomy approach
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Katrīna Rutka, Eva Strīķe, Roberts Leibuss, and Baiba Vilīte
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medicine.medical_specialty ,Visual analogue scale ,lcsh:Medicine ,030204 cardiovascular system & hematology ,Patient Outcome Questionnaire ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,law ,Pain assessment ,Intensive care ,Medicine ,030212 general & internal medicine ,intensive care ,business.industry ,lcsh:R ,General Medicine ,Pain management ,pain management nursing ,Intensive care unit ,Cardiac surgery ,Physical therapy ,business ,postoperative pain ,cardiac surgery ,Research Article - Abstract
Background. Postoperative pain is a common problem among intensive care patients. Pain management includes pain assessment and documentation, patient care, and pharmacological treatment. Materials and methods. The study used a prospective, cross-sectional design. Nineteen intensive care nurses and 72 intensive care patients after cardiac surgery with sternotomy approach were studied. Toronto Pain Management Inventory was used to assess nurses and the 2010 Revised American Pain Society Patient Outcome Questionnaire was used to assess the patients. A research protocol was used to document pharmacological treatment data and Visual Analog Scale (VAS) pain measurements. The pharmacological therapy data was available for 72 patients, but patient satisfaction measurements were acquired from 52 patients. Results. Postoperative pain for intensive care patients after cardiac surgery is mostly mild (68.66%). Pain intensity had a tendency to decrease over time, from a mean VAS score of 4.66 two hours after extubation to a mean VAS score of 3.12 twelve hours after extubation. Mostly opioids (100%) and nonsteroidal anti‑inflammatory drugs (NSAIDs, 77.8%) were used for pharmacological treatment, and treatment was adjusted according to pain levels and patient needs. Patient satisfaction regarding pain management in the first 24 hours after surgery was high (94.2%), even though the nurses’ pain knowledge was average (X = 60.6 ± 7.3%). Conclusions. An individualized pain management plan requires pain documentation and ensures high patient satisfaction. Pain levels after cardiac surgery with sternotomy approach are mostly mild and patient satisfaction is high.
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- 2019
4. Erratum: Initiation of Vancomycin Therapy and the First Therapeutic Drug Monitoring
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Inga Mauliņa, Angelika Krūmiņa, Aleksandra Aitullina, Renārs Erts, Katrīna Bandere, Dace Bandere, and Eva Strīķe
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Vancomycin therapy ,medicine.medical_specialty ,medicine.diagnostic_test ,Therapeutic drug monitoring ,business.industry ,medicine ,Intensive care medicine ,business - Published
- 2021
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5. Chronic Lumbosacral Painful Unilateral Radiculopathy: Dorsal Root Ganglion Pulsed Radiofrequency vs. Transforaminal Epidural Steroid Injection: A Prospective Randomized Study
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Jekaterina Logasina, Igors Paņihins, Irina Evansa, Mihails Arons, Edgars Vasiļevskis, Eva Strīķe, and Māra Pilmane
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business.industry ,Pulsed radiofrequency ,Epidural steroid injection ,medicine.medical_treatment ,General Engineering ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,Dorsal root ganglion ,030202 anesthesiology ,Anesthesia ,Medicine ,Prospective randomized study ,business ,030217 neurology & neurosurgery ,Lumbosacral joint - Published
- 2016
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6. Anaesthesia Management with Deep Hypothermia and Circulatory Arrest During Surgery for Chronic Thromboembolic Pulmonary Hypertension / Anestēzija Pie Plaušu Artēruas Endarterektomijas Dziļā Hipotermuā Ar Cirkulācijas Apiurēšanu
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Mārtiēņš Kalējs, Agnese Ozoliņa, Andris Skride, Romāns Lācis, Roberts Leibuss, Pēteris Stradiņš, Eva Strīķe, and Mihails Bekkers
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medicine.medical_specialty ,Multidisciplinary ,General interest ,business.industry ,Science ,pulmonary endarterectomy ,Hypothermia ,Surgery ,Internal medicine ,Anesthesia ,Circulatory system ,pulmonary hypertension ,medicine ,Cardiology ,neurocognitive dysfunction ,Chronic thromboembolic pulmonary hypertension ,neuroprotection ,cardiac bypass ,medicine.symptom ,business - Abstract
Chronic thromboembolic pulmonary hypertension (CTEPH) occurs in 1 to 4% after acute pulmonary embolism. CTEPH can be cured by pulmonary endarterectomy (PEA), which is approved golden standard in chronic condition. There were performed three cases of PEA in Latvian Cardiology Centre during 2013-2014. General anaesthesia under cardiopulmonary bypass (CPB) with deep hypothermic circulatory arrests was provided. The core issue is correct patient selection (in terms of central PA obstruction by thrombus) as well as pulmonary circulation recovery capacity. Neuroprotection was provided by deep hypothermia, topical cooling of the head, Trendelenburg position, mild hypocapnia, Hb 9-10 g/L and pharmacological agents. For screening postoperative cognitive function the mini mental state examination (MMSE) was used before and after the surgery. Postoperative pulmonary vascular resistance index decreased by 56.3% (right ventricular systolic pressure decreased from 93.3 ± 25.7 to 44.5 ± 11.2 mmHg). Before the surgery three patients had NYHA functional class III or IV, at the time of discharge - I or II. In one case moderate (MMSE 18) cognitive disorders was observed at discharge from the ICU. No one died neither in the hospital nor within 30 days of discharge. The surgery improved RV function and pulmonary perfusion with no considerable organ failure, except mild cognitive disorders.
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- 2014
7. Regional Lung Blood Perfusion Measured With Laser Doppler Method During Body Position Change, Valsalva Manoeuvre and Cardiopulmonary Bypass
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Immanuels Taivans, Eva Strīķe, Gunta Strazda, Indulis Vanags, Nora Porīte, Romāns Lācis, and Juris Lejnieks
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medicine.medical_specialty ,Supine position ,Science ,medicine.medical_treatment ,law.invention ,law ,Internal medicine ,medicine.artery ,Valsalva maneuver ,Cardiopulmonary bypass ,Medicine ,cardiac bypass ,Multidisciplinary ,Lung ,business.industry ,laser doppler technique ,Laser Doppler velocimetry ,pulmonary vascular bed ,medicine.anatomical_structure ,Bypass surgery ,Anesthesia ,Cardiology ,business ,Bronchial artery ,Perfusion ,valsalva manoeuvre - Abstract
Regional Lung Blood Perfusion Measured With Laser Doppler Method During Body Position Change, Valsalva Manoeuvre and Cardiopulmonary Bypass Methodological approaches to investigate local regulatory mechanisms of lung blood supply in humans are restricted. We tried a new approach using laser Doppler technique. During bronchoscopy, an angled laser Doppler flow probe was introduced through a biopsy channel and wedged into small bronchus. Laser light penetrated the wall of small bronchus and was reflected from blood cells running through neighbouring capillaries. Regional blood perfusion changes were recorded during body position change from vertical to supine and back to vertical, while performing Valsalva maneuver and during cardiac bypass surgery. Body position change and Valsalva maneuver markedly influenced the blood perfusion signal. During cardiac bypass when lungs were supplied with blood only through bronchial arteries regional blood perfusion dropped substantially on average from 93 ± 42 to 7.3 ± 4.3 perfusion units. We conclude that blood perfusion measured with this method reflect mainly the pulmonary vascular bed and may be used for investigation of its local regulatory mechanisms.
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- 2008
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