Jowita Biernawska

Emerging pathogenetic mechanisms in adolescent idiopathic scoliosis: the role of inflammation and gut microbiota

Bartosz Kruk, Karolina Skonieczna-Żydecka, Wiktoria Czarnecka, Natalia Tuczyńska et autres

PURPOSE: This narrative review was conducted to analyse current evidence on inflammation-related mechanisms contributing to the pathogenesis and progression of adolescent idiopathic scoliosis (AIS). METHODS: A comprehensive narrative synthesis of studies investigating inflammatory biomarkers, immune cell phenotypes, cytokine pathways, paraspinal muscle immunobiology, …

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The consensus statement of the Section of Paediatric Anaesthesiology and Intensive Therapy of the Polish Society of Anaesthesiology and Intensive Therapy on anaesthesia in children over 3 years of age

Alicja Bartkowska‐Śniatkowska, Marzena Zielińska, Magdalena Mierzewska-Schmidt, Jowita Biernawska et autres

Anaesthesia in children seems to be still a challenge for anaesthetists, who usually anaesthetize adult patients in everyday practice. The principles in the field of pediatric anaesthesiology in Poland are regulated by the regulation of the Minister of the Health on the …

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The consensus statement of the Section of Paediatric Anaesthesiology and Intensive Therapy of the Polish Society of Anaesthesiology and Intensive Therapy on anaesthesia in children under 3 years of age

Marzena Zielińska, Alicja Bartkowska‐Śniatkowska, Magdalena Mierzewska-Schmidt, Jowita Biernawska et autres

The anaesthesia of a young child under 3 years of age is a challenge for every anaesthetist. The peculiarities of this group of patients, particularly neonates and infants, resulting primarily from differences in both physiology, anatomy and the immaturity of individual organs …

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Use of Monopolar Coagulation and Transcranial Stimulation During Surgery for Advanced Scoliosis in Patients with Cochlear Implants—Case-Based Review

Katarzyna Radomska, Sandra Sadkowska, Michał Lubkowski, Jowita Biernawska et autres

Surgery of the thoracic and lumbar spine must employ monopolar electrical coagulation due to the necessity of bleeding control because alternative methods have too many limitations. The use of such electrocoagulation in cochlear implant (CI) users carries a high risk of damaging …

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One- versus Two-Minute Intercostal Nerve Cryoanalgesia in Children Undergoing Surgery for Funnel Chest Deformity

Sławomir Zacha, Manuel López, Jarosław Biłas, Karolina Skonieczna‐Żydecka et autres

An inherent defect of the sternum and ribs results in the formation of a funnel-shaped anterior chest wall. The gold standard of surgical correction is the minimally invasive Nuss procedure, which might cause severe pain and carries the risk of sensory disturbances …

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Clinical Consequences of Unreconstructed Pelvic Defect Caused by Osteosarcoma with Subsequent Progressive Scoliosis in a Pediatric Patient—Case Report

Sławomir Zacha, Katarzyna Kotrych, Wojciech Zacha, Jowita Biernawska et autres

Osteosarcoma is the most common primary malignant bone tumor in children and adolescents. The standard and most effective treatment is wide resection of the tumor combined with neoadjuvant chemotherapy. Adolescent idiopathic scoliosis (AIS) is a genetically determined three-dimensional spinal deformity, which occurs …

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Cryoanalgesia as the Essential Element of Enhanced Recovery after Surgery (ERAS) in Children Undergoing Thoracic Surgery—Scoping Review

Sławomir Zacha, Jowita Biernawska

This article aims to present cryoanalgesia as an inventive strategy for pain alleviation among pediatric patients. It underlines the tremendous need to align pain management with the principles of the enhanced recovery after surgery (ERAS) approach. The aim of the study was …

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Predictors of outcomes of patients ≥ 80 years old admitted to intensive care units in Poland – a post-hoc analysis of the VIP2 prospective observational study

Paweł Pasieka, Michał Kurek, Wojciech Skupnik, Evan Skwara et autres

INTRODUCTION: Elderly patients pose a significant challenge to intensive care unit (ICU) clinicians. In this study we attempted to characterise the population of patients over 80 years old admitted to ICUs in Poland and identify associations between clinical features and short-term outcomes. …

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Cryoanalgesia as Essential Component of PerioperativeMultimodal Analgesia in Pediatrics – Literature Review

Sławomir Zacha, Jakub Miegoń, Jowita Biernawska

The article introduces the application of cryoanalgesia as an innovative method utilizing low temperatures toalleviate pain, particularly in perioperative care for pediatric patients. Emphasis is placed on the necessity of paincontrol in accordance with Enhanced Recovery After Surgery (ERAS) principles. Temporary or …

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Ortopedia i traumatologia dziecięca

Arkadiusz Ali, Jowita Biernawska, Filip Bubieńczyk, Konrad Czernikiewicz et autres

Benefits of the Erector Spinae Plane Block before Cryoanalgesia in Children Undergoing Surgery for Funnel Chest Deformity

Sławomir Zacha, Konrad Jarosz, Karolina Kokot, Jarosław Biłas et autres

Thoracic surgery causes significant pain despite standard multimodal analgesia. Intraoperative cryoanalgesia may be a solution. The onset of the clinical effect of cryoanalgesia can take 12–36 h. The addition of a regional anaesthesia before the cryoanalgesia procedure can enable analgesic protection for …

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Prevalence of life-sustaining treatment limitations in Polish very old intensive care patients (VIPs). A post-hoc analysis of two prospective observational studies

Paweł Pasieka, Anna Surówka, Jakub Fronczek, Evan Skwara et autres

PURPOSE: Several initiatives have recently focused on raising awareness about limitations of treatment in Poland. We aimed to assess if the propensity to limit LST among elderly patients in 2018-2019 increased compared to 2016-2017. METHODS: We analysed Polish cohorts from studies VIP1 …

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