0000000000165567

AUTHOR

Maciej Molsa

showing 6 related works from this author

Establishing a New ECMO Referral Center Using an ICU-Based Approach: A Feasibility and Safety Study

2022

Background: A high-volume center with a multidisciplinary team is regarded as the optimal place for providing extracorporeal membrane oxygenation (ECMO). We hypothesize that an ECMO center can also be successfully created and subsequently developed entirely by intensivists in a mid-size mixed intensive care unit (ICU). Methods: A model was created for setting up a new ECMO referral center within the structure of an existing mixed ICU in a tertiary hospital. A retrospective analysis was carried out of the first 33 patients treated in the initial period of the center’s activity, from mid 2018 to the end of 2020. Results: An ECMO center was established and developed entirely based on the resou…

surgical procedures operativeHealth Information ManagementLeadership and ManagementHealth PolicyHealth Informaticscritical care; healthcare; intensive care unit; extracorporeal membrane oxygenation; ECMOHealthcare; Volume 10; Issue 3; Pages: 414
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Parathyroid hormone serum concentration kinetic profile in critically ill patients undergoing continuous renal replacement therapies: a prospective o…

2021

Introduction: Elevated serum parathormone (PTH) levels have been observed in acute kidney injury and are related to calcium-phosphate metabolism disturbance, decreased renal production of 1,25 dihydroxyvitamin D3, impaired renal PTH excretion, and other renal-independent factors. There are no data regarding PTH concentration kinetics in critically ill patients undergoing continuous renal replacement therapies (CRRT) in an intensive care setting. The primary objective of this study was to investigate trends in PTH serum levels in critically ill patients with multiorgan failure undergoing CRRT, by performing periodic PTH measurements in the acute phase of critical illness. Material and method…

medicine.medical_specialtyAdolescentEndocrinology Diabetes and MetabolismCritical IllnessParathyroid hormoneGastroenterologylaw.inventionSepsisEndocrinologylawIntensive careInternal medicineSepsismedicineHumansProspective StudiesAgedRetrospective StudiesCalcium metabolismbusiness.industryAcute kidney injuryAcute Kidney Injurymedicine.diseaseIntensive care unitRenal Replacement TherapyKineticsRespiratory failureParathyroid HormoneSOFA scoreCalciumbusinessacute kidney injury; continuous renal replacement therapy; critical illness; intensive care; parathyroid hormoneEndokrynologia Polska (Polish Journal of Endocrinology)
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Impella CP in cardiogenic shock due to acute myocardial infarction: From primary angioplasty to LIMA-LAD grafting.

2021

medicine.medical_specialtybusiness.industryGrafting (decision trees)Cardiogenic shockAngioplastyPrimary angioplastyMyocardial InfarctionShock Cardiogenicmedicine.diseaseTreatment OutcomeInternal medicineCardiologymedicineHumansMyocardial infarctionHeart-Assist DevicesCardiology and Cardiovascular MedicinebusinessImpellaRetrospective StudiesKardiologia polska
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Ultrasound-Guided Infraclavicular Axillary Vein Versus Internal Jugular Vein Cannulation in Critically Ill Mechanically Ventilated Patients: A Random…

2022

OBJECTIVES: This clinical trial aimed to compare the ultrasound-guided in-plane infraclavicular cannulation of the axillary vein (AXV) and the ultrasound-guided out-of-plane cannulation of the internal jugular vein (IJV). DESIGN: A prospective, single-blinded, open label, parallel-group, randomized trial. SETTING: Two university-affiliated ICUs in Poland (Opole and Lublin). PATIENTS: Mechanically ventilated intensive care patients with clinical indications for central venous line placement. INTERVENTIONS: Patients were randomly assigned into two groups: the IJV group (n = 304) and AXV group (n = 306). The primary outcome was to compare the IJV group and AXV group through the venipuncture an…

axillary vein; central venous cannulation; complication; internal jugular vein; success rate; ultrasoundCritical Care and Intensive Care MedicineCritical Care Medicine
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Implementation of veno-venous extracorporeal membrane oxygenation in a COVID-19 convalescent

2020

medicine.medical_specialty2019-20 coronavirus outbreakbiologyCoronavirus disease 2019 (COVID-19)RC86-88.9business.industrySevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)medicine.medical_treatmentTreatment outcomeMedical emergencies. Critical care. Intensive care. First aidGeneral MedicineCritical Care and Intensive Care Medicinebiology.organism_classificationAnesthesiology and Pain MedicineAnesthesiologyPandemicmedicineExtracorporeal membrane oxygenationRD78.3-87.3Intensive care medicinebusinessBetacoronavirusAnaesthesiology Intensive Therapy
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Concomitant use of veno-arterial extracorporeal membrane oxygenation and Impella in the intensive care unit: a case report of fulminant myocarditis w…

2020

medicine.medical_specialtyMyocarditisFulminantmedicine.medical_treatmentCritical Care and Intensive Care Medicinelaw.inventionlawAnesthesiologyInternal medicinemedicineExtracorporeal membrane oxygenationRD78.3-87.3Impellabusiness.industryRC86-88.9Medical emergencies. Critical care. Intensive care. First aidGeneral Medicinemedicine.diseaseMulti organIntensive care unitAnesthesiology and Pain MedicineConcomitantShock (circulatory)Cardiologymedicine.symptombusinessAnaesthesiology Intensive Therapy
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