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Acta Anaesthesiologica Scandinavica

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https://www.readbyqxmd.com/read/30520017/adductor-canal-block-with-a-suture-method-catheter-a-parallel-or-perpendicular-approach
#1
Tobias S Lyngeraa, Christian Rothe, Ulrik Grevstad, Lars H Lundstrøm, Kai H W Lange
BACKGROUND: We performed a randomised blinded pilot study in 16 healthy volunteers to assess whether placing a suture-method catheter in the adductor canal is feasible with two different insertion techniques. METHODS: Each volunteer had a suture-method catheter placed approximately halfway between the superior anterior iliac spine and base of the patella in both legs. Catheters were placed using a parallel technique in one leg and a perpendicular technique in the other leg, according to randomisation...
December 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30520014/supplemental-oxygen-and-hyperoxemia-in-trauma-patients-a-prospective-observational-study
#2
Trine G Eskesen, Josefine S Baekgaard, Rasmus Ejlersgaard Christensen, Jae Moo Lee, George C Velmahos, Jacob Steinmetz, Lars S Rasmussen
BACKGROUND: Supplemental oxygen is recommended during the initial treatment of trauma patients according to several guidelines, but the supporting evidence is sparse. We aimed to describe the use of supplemental oxygen and occurrence of hyperoxemia in the initial phase of trauma management at two level 1 trauma centers, TC1 and TC2. METHODS: In this prospective, observational study we included trauma patients ≥16 years of age. Data on pre- and in-hospital supplemental oxygen, arterial oxygen tension (PaO2 ), and outcomes (in-hospital mortality, hospital- and intensive care unit length of stay) were collected...
December 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30515766/dopamine-in-critically-ill-patients-with-cardiac-dysfunction-a-systematic-review-with-meta-analysis-and-trial-sequential-analysis
#3
REVIEW
Bart Hiemstra, Geert Koster, Jørn Wetterslev, Christian Gluud, Janus C Jakobsen, Thomas W L Scheeren, Frederik Keus, Iwan C C van der Horst
BACKGROUND: Dopamine has been used in patients with cardiac dysfunction for more than five decades. Yet, no systematic review has assessed the effects of dopamine in critically ill patients with cardiac dysfunction. METHODS: This systematic review was conducted following The Cochrane Handbook for Systematic Reviews of Interventions. We searched for trials including patients with observed cardiac dysfunction published until 19 April 2018. Risk of bias was evaluated and Trial Sequential Analyses were conducted...
December 4, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30511469/endorsement-of-clinical-practice-guidelines-by-the-scandinavian-society-of-anaesthesiology-and-intensive-care-medicine
#4
REVIEW
Marius Rehn, Michelle S Chew, Klaus T Olkkola, Kristinn Örn Sverrison, Arvi Yli-Hankala, Morten Hylander Møller
Clinical practice guidelines from other organizations or societies with assumed clinical and contextualized relevance for Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) members, may trigger a formal evaluation by The Clinical Practice Committee (CPC) for possible SSAI endorsement. This avoids unnecessary duplicate processes and minimizes resource-waste. Identified guidelines are assessed for endorsement using the Appraisal of Guidelines for REsearch and Evaluation (AGREE) II instrument...
December 3, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30511415/influence-of-anxiolytic-premedication-on-vasovagal-reactions-and-home-readiness-following-outpatient-intrathecal-anaesthesia-a-retrospective-analysis
#5
Volker Gebhardt, Kevin Kiefer, Christel Weiss, Marc D Schmittner
BACKGROUND: Vasovagal reactions during application of intrathecal anaesthesia (IA) are associated with high anxiety levels. A high percentage of patients undergoing outpatient surgery suffer from anxiety. Anxiolytic premedication in day-surgery is suspected to delay recovery and discharge and is, therefore, not routinely used. The aim of this retrospective analysis was to detect the influence of anxiolytic premedication on the incidence of vasovagal reactions and time until discharge home...
December 3, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30511411/is-there-a-relationship-between-anaesthesia-and-dementia
#6
Anna-Karin Strand, Fredrik Nyqvist, Anne Ekdahl, Gun Wingren, Christina Eintrei
BACKGROUND: Long-term cognitive problems are common among elderly patients after surgery, and it has been suggested that inhalation anaesthetics play a role in the development of dementia. This study aims to investigate the hypothesis that patients with dementia have been more exposed to surgery and inhalational anaesthetics than individuals without dementia. METHODS: Using 457 cases from a dementia-registry and 420 dementia-free controls, we performed a retrospective case-control study...
December 3, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30511392/lower-short-term-mortality-in-icu-patients-on-chronic-dialysis-than-in-those-requiring-acute-dialysis
#7
Robin Lohse, Michael Ibsen, Jørgen Wiis, Anders Perner, Theis Lange, Mette Brimnes Damholt
BACKGROUND: In ICU patients, we aimed to describe the outcomes of those with end-stage renal disease (ESRD) as compared to those requiring acute renal replacement therapy (RRT). METHODS: Retrospective analysis of all adult patients admitted to a general, university hospital ICU from 2005 to 2012. ESRD was defined as use of chronic RRT >90 days prior to admission. RESULTS: We included 5927 patients of whom 1004 (17%) received acute RRT and 161 (3%) had pre-existing ESRD requiring RRT...
December 3, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30511386/intracranial-pressure-during-hemodialysis-in-patients-with-acute-brain-injury
#8
Anton Lund, Mette B Damholt, Jørgen Wiis, Jesper Kelsen, Ditte G Strange, Kirsten Møller
BACKGROUND: Because osmotic fluid shifts may occur over the blood-brain barrier, patients with acute brain injury are theoretically at risk of surges in intracranial pressure (ICP) during hemodialysis. However, this remains poorly investigated. We studied changes in ICP during hemodialysis in such patients. METHODS: We performed a retrospective study of patients with acute brain injury admitted to Rigshospitalet (Copenhagen, Denmark) from 2012 to 2016 who received intermittent hemodialysis (IHD) or continuous renal replacement therapy (CRRT) while undergoing ICP monitoring...
December 3, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30511382/effects-of-fibrinogen-and-platelet-transfusion-on-coagulation-and-platelet-function-in-bleeding-cardiac-surgery-patients
#9
Caroline Shams Hakimi, Sukhi Singh, Camilla Hesse, Anders Jeppsson
BACKGROUND: Excessive bleeding is a significant problem in cardiac surgery. Fibrinogen and platelet concentrate transfusion are used clinically to improve haemostasis and reduce bleeding but little is known about their functional effects on coagulation and platelet function in patients with ongoing bleeding. METHODS: Forty-two patients with ongoing bleeding after cardiac surgery were included in an observational study. Patients received either fibrinogen concentrate (n = 16), platelet concentrate (n = 12), or both fibrinogen and platelets (n = 14), median doses 2 g fibrinogen and 2 units platelets given at one occasion...
December 3, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30426479/pre-hospital-emergency-anaesthesia-in-awake-hypotensive-trauma-patients-beneficial-or-detrimental
#10
LETTER
Brian Burns, Cliff Reid, Karel Habig, Matt Miller, Geoff Healy
No abstract text is available yet for this article.
November 14, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30426474/pre-hospital-thrombolysis-of-ischemic-stroke-in-the-emergency-service-system-a-case-report-from-the-treat-naspp-trial
#11
Karianne Larsen, Kristi G Bache, Eirik Franer, Lars H Tveit, Maren R Hov, Christian G Lund, Volker Solyga, Hans Morten Lossius
No abstract text is available yet for this article.
November 14, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30411316/supervised-exercise-training-with-multimodal-pre-habilitation-leads-to-earlier-functional-recovery-following-colorectal-cancer-resection
#12
Rashami Awasthi, Enrico M Minnella, Vanessa Ferreira, Agnihotram V Ramanakumar, Celena Scheede-Bergdahl, Francesco Carli
BACKGROUND: Exercise training is a component of the pre-habilitation program. While in one previous study the training was home-based, in a subsequent investigation it was supervised in hospital. The hypothesis of this secondary analysis of the two studies was to determine whether supervised exercise further accelerates the return to baseline walking ability. METHODS: Data from two consecutive randomized control trials (RCT) comparing pre-habilitation to the rehabilitation of cancer patients scheduled for colorectal surgery were pooled for analysis...
November 8, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30411313/rebound-pain-following-peripheral-nerve-block-anaesthesia-in-acute-ankle-fracture-surgery-an-exploratory-pilot-study
#13
Rune Sort, Stig Brorson, Ismail Gögenur, Jesper K Nielsen, Ann M Møller
BACKGROUND: Peripheral nerve blocks (PNB) are increasingly used for anaesthesia and postoperative pain control in acute orthopaedic limb surgery but rebound pain upon cessation of PNBs may challenge the benefits on the pain profile. We aimed to explore the pain profile following acute ankle fracture surgery under PNB anaesthesia and investigate if rebound pain could pose a clinical problem. METHODS: Exploratory, observational study of adults scheduled for acute primary internal fixation of an ankle fracture under ultrasound-guided popliteal sciatic and saphenous ropivacaine block anaesthesia...
November 8, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30397914/long-term-mortality-and-cause-of-death-for-patients-treated-in-intensive-care-units-due-to-poisoning
#14
Elin Lindqvist, Gunnar Edman, Jacob Hollenberg, Per Nordberg, Sune Forsberg
BACKGROUND: Poisoned patients treated in the Intensive Care Unit are common, representing up to 6% of all ICU admissions. The in-hospital mortality is generally low but little is known about the long-term mortality in these patients. The aim of this study was to describe long-term mortality and cause of death in patients treated in the ICU for poisoning. METHOD: A national observational study based on three registers: the National Patient Register, the Swedish Intensive Care Register and the Cause of Death Register...
November 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30397911/impaired-mobility-is-associated-with-risk-of-icu-admission-but-not-outcome-after-icu-treatment
#15
LETTER
Søren K Nissen, Mikkel Brabrand, Christian H Nickel, John Kellett, Tim Cooksley
No abstract text is available yet for this article.
November 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30397908/comment-on-pre-hospital-emergency-anaesthesia-in-awake-hypotensive-trauma-patients-beneficial-or-detrimental-by-crewdson-et-al-acta-anaesthesiol-scand-2018-62-504-14
#16
LETTER
Wolfgang G Voelckel, Philipp Schwaiger, Herbert Schöchl
No abstract text is available yet for this article.
November 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30397906/the-effect-of-isocapnic-hyperventilation-on-early-recovery-after-remifentanil-sevoflurane-anesthesia-in-o-2-air-a-randomized-trial
#17
Andy De Baerdemaeker, Jan Poelaert, R Ross Kennedy, Andre M De Wolf, Jan F A Hendrickx
BACKGROUND: Isocapnic hyperventilation (ICHV) may hasten emergence from general anesthesia but remains inadequately studied. We prospectively determined emergence time after sevoflurane anesthesia of variable duration with and without ICHV. METHODS: In 25 ASA I-II patients, general anesthesia was maintained with one age-adjusted MAC sevoflurane in O2 /air and target-controlled remifentanil delivery. At the start of skin closure, the remifentanil effect-site concentration was reduced to 1...
November 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30397904/randomized-trial-of-acupuncture-with-antiemetics-for-reducing-postoperative-nausea-in-children
#18
Christine S Martin, Sarah E Deverman, Daniel C Norvell, Jordan C Cusick, Angela Kendrick, Jeffrey Koh
BACKGROUND: Postoperative nausea and vomiting (PONV) is common after tonsillectomy in children. There is evidence that perioperative acupuncture at the pericardium 6 (P6) point is effective for preventing PONV in adults. Our goal was to determine if intraoperative acupuncture at the P6 point, in addition to usual antiemetics, is more effective than antiemetics alone in preventing PONV in children. METHODS: In a randomized double-blind trial, 161 children age 3 through 9 years undergoing tonsillectomy with or without adenoidectomy were randomized to either bilateral acupuncture at P6 plus antiemetics (n = 86) or antiemetics only (n = 75)...
November 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30397903/energy-expenditure-of-patients-on-ecmo-a-prospective-pilot-study
#19
Elisabeth De Waele, Joop Jonckheer, Joeri J Pen, Joy Demol, Kurt Staessens, Luc Puis, Mark La Meir, Patrick M Honoré, Manu L N G Malbrain, Herbert D Spapen
BACKGROUND: An optimal nutritional approach sustained by convenient monitoring of metabolic status and reliable assessment of energy expenditure (EE) may improve the outcome of critically ill patients on extracorporeal membrane oxygenation (ECMO). We previously demonstrated the feasibility of indirect calorimetry (IC)-the standard of care technique to determine caloric targets-in patients undergoing ECMO. This study aims to compare measured with calculated EE during ECMO treatment. We additionally provide median EE values for use in settings where IC is not available...
November 6, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30374959/response-to-burns-et-al
#20
LETTER
Kate Crewdson, Marius Rehn, Karim Brohi, David J Lockey
No abstract text is available yet for this article.
October 30, 2018: Acta Anaesthesiologica Scandinavica
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