Ieva Norkienė

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OBJECTIVE To analyze large contemporary patient population, undergoing on-pump coronary artery bypass grafting at our institution, and identify the prevalence and precipitating factors of delirium development. DESIGN Baseline demographics, operative data and postoperative outcomes of 1367 consecutive patients were recorded prospectively and analysed using(More)
BACKGROUND. The aim of our study was to evaluate the incidence of early postoperative cognitive decline (POCD) and determine perioperative risk factors as well as the impact of asymptomatic cerebral vascular lesion on the development of neurocognitive complications. MATERIALS AND METHODS. A total of 127 consecutive adult patients undergoing on-pump coronary(More)
INTRODUCTION The aim of our study was to identify the incidence and risk factors of delirium after cardiac surgery implementing Intensive Care Delirium Screening Checklist (ICDSC). MATERIAL AND METHODS 87 patients, undergoing cardiac surgery at Vilnius University hospital, were prospectively monitored for postoperative delirium development, during(More)
OBJECTIVES The crucial decision to progress from pharmacological treatment of acute decompensated heart failure to institution of assist device or transplantation begins with evaluation of the chances for a successful recovery. We tested whether the intra-aortic balloon counterpulsation (IABP) could give us the necessary time for clinical decision-making(More)
BACKGROUND & AIMS Phase angle (PA), which is obtained from bioelectrical impedance analysis (BIA), is a non-invasive method for measuring altered electrical properties of biological tissues. It has been recognised as an objective prognostic marker of disease severity and frailty. The aim of this study is to determine whether PA is a marker of malnutrition(More)
OBJECTIVE Cognitive decline has a negative impact on early postoperative morbidity and affects subjective quality of life. The role of asymptomatic cerebrovascular disease in developing postoperative neurocognitive damage remains controversial. The aim of our study was to evaluate the impact of asymptomatic carotid artery stenosis on postoperative cognitive(More)
Introduction Hyperlactatemia (plasma lactate > 2 mmol/l or >18 mg/dl) can occur in the setting of inadequate tissue perfusion or hypoxia or have non hypoxic origin like impaired buffering systems or metabolic disorders. Numerous studies have proven lactate concentration to be a good marker of disease severity for ICU patients. A single centre study recently(More)
BACKGROUND Long-term improvement in health-related quality of life (HRQOL) is one of the most important outcomes of cardiac surgery. The aim of this study is to define the impact of perioperative patient and procedural variables on HRQOL dynamics, a year after cardiac surgery. METHODS Consecutive patients undergoing elective on-pump cardiac surgery were(More)
Introduction Perioperative use of Normal Saline is linked to hyperchloraemic or Strong Ion Difference (SID) related acidosis. It has been suggested, that this can be avoided by the use of balanced crystalloid solutions including Ringer’s Lactate (RL). Significant changes in SID were noted previously in cardiac surgery, however recent publication disproved(More)
There is a growing interest in the effects of plasma sodium levels on postoperative outcomes. A trend of using balanced crystalloid solutions is based on the extensive data on chloride and the strong ion difference-related acidosis. However, effects of sodium are often overlooked in this context. The aim of the study was to establish the effects of the(More)