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Acta Anaesthesiologica Scandinavica

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https://www.readbyqxmd.com/read/30328110/patterns-of-cerebral-tissue-oxygen-tension-and-cytoplasmic-redox-state-in-bacterial-meningitis
#1
Lykke Larsen, Troels H Nielsen, Carl-Henrik Nordström, Aase B Andersen, Jens Schierbeck, Mette K Schulz, Frantz R Poulsen
BACKGROUND: Compromised cerebral energy metabolism is common in patients with bacterial meningitis. In this study, simultaneous measurements of cerebral oxygen tension and lactate/pyruvate ratio were compared to explore whether disturbed energy metabolism was usually caused by insufficient tissue oxygenation or compromised oxidative metabolism of pyruvate indicating mitochondrial dysfunction. SUBJECT AND METHODS: Ten consecutive patients with severe streptococcus meningitis were included in this prospective cohort study...
October 17, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30328095/is-connecting-tubing-the-culprit-while-measuring-cuff-pressure
#2
LETTER
Summit Dev Bloria
No abstract text is available yet for this article.
October 17, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30328094/remote-real-time-supervision-via-tele-ultrasound-in-focused-cardiac-ultrasound-a-single-blinded-cluster-randomized-controlled-trial
#3
Stig H Jensen, Jesper Weile, Rasmus Aagaard, Kåre M Hansen, Troels B Jensen, Morten C Petersen, Jacob J Jensen, Poul Petersen, Hans Kirkegaard
BACKGROUND: Supervision via tele-ultrasound presents a remedy for lacking on-site supervision in focused cardiac ultrasound, but knowledge of its impact is largely absent. We aimed to investigate tele-supervised physicians' cine-loop quality compared to that of non-supervised physicians and compared to that of experts. METHODS: We conducted a single-blinded cluster randomized controlled trial in an emergency department in western Denmark. Physicians with basic ultrasound competence scanned admitted patients twice...
October 17, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30324653/delirium-assessment-in-neuro-critically-ill-patients-a-validation-study
#4
Laura Krone Larsen, Vibe G Frøkjaer, Jette Stub Nielsen, Yoanna Skrobik, Yvonne Winkler, Kirsten Møller, Marian Petersen, Ingrid Egerod
BACKGROUND: Delirium is underinvestigated in the neuro-critically ill, although the harmful effect of delirium is well established in patients in medical and surgical intensive care units (ICU).To detect delirium, a valid tool is needed. We hypothesized that delirium screening would be feasible in patients with acute brain injury and we aimed to validate and compare the Confusion Assessment Method for the ICU and the Intensive Care Delirium Screening Checklist against clinical International Classification of Diseases-10 criteria as reference...
October 16, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30324626/effects-of-deep-vs-moderate-neuromuscular-block-on-the-quality-of-recovery-after-robotic-gastrectomy
#5
Hyun J Kim, Ki-Young Lee, Myoung H Kim, Hyoung-Il Kim, Sun J Bai
BACKGROUND: It remains unclear whether deep neuromuscular blockade results in better postoperative recovery than does moderate neuromuscular blockade. Therefore, in this study, we aimed to compare the effects of deep neuromuscular blockade and moderate neuromuscular blockade on the quality of postoperative recovery in patients undergoing robotic gastrectomy. METHODS: In this prospective, double-blind, single-center randomized controlled superiority trial with two parallel groups, 56 adult patients (19-80 years) scheduled for elective robotic gastrectomy were randomly assigned to a moderate neuromuscular blockade group or a deep neuromuscular blockade group in a 1:1 ratio...
October 15, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30318587/aerosolized-corticosteroids-to-prevent-postoperative-sore-throat-in-adults-a-systematic-review-and-meta-analysis
#6
REVIEW
Akira Kuriyama, Hirokazu Maeda, Rao Sun
BACKGROUND: Postoperative sore throat negatively affects patient recovery and satisfaction levels. We conducted a systematic review and meta-analysis to assess the efficacy and safety of aerosolized corticosteroids in the prevention of postoperative sore throat in adults undergoing tracheal intubation for surgery. METHODS: We searched Medline, EMBASE, China National Knowledge Infrastructure, and the Cochrane Central Register of Controlled Trials for eligible studies from inception to 13 May 2018...
October 14, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30318586/speckle-tracking-vs-conventional-echocardiography-for-the-detection-of-myocardial-injury-a-study-on-patients-with-subarachnoid-haemorrhage
#7
Keti Dalla, Odd Bech-Hanssen, Jonatan Oras, Silvana Naredi, Sven-Erik Ricksten
BACKGROUND: Myocardial injury with regional wall motion abnormalities (RWMA) is common in subarachnoid haemorrhage (SAH). We hypothesized that the diagnostic performance of left ventricular (LV) global and regional longitudinal strain (GLS and RLS, respectively), assessed with speckle tracking echocardiography is superior to standard echocardiography for the detection of myocardial injury in SAH. METHODS: Seventy-one unselected patients with verified SAH were included...
October 14, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30318584/indications-for-fluid-resuscitation-in-patients-with-septic-shock-post-hoc-analyses-of-the-classic-trial
#8
Mads Rye Bjerregaard, Peter Buhl Hjortrup, Anders Perner
BACKGROUND: Fluid resuscitation is recommended in septic shock, but the specific indications for fluids have not been established. Our aim was to investigate the indications currently used for fluid resuscitation and the effect of fluid on these indications in patients with septic shock admitted to the intensive care unit (ICU). METHODS: This was a post-hoc analysis of the CLASSIC trial, where patients with septic shock were randomized to fluid restriction or standard care...
October 14, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30318583/no-association-with-cardiac-death-after-sepsis-a-nationwide-observational-cohort-study
#9
Lina De Geer, Anna Oscarsson Tibblin, Mats Fredrikson, Sten M Walther
BACKGROUND: Cardiac dysfunction is a well-known complication of sepsis, but its long-term consequences and implications for patients remain unclear. The aim of this study was to investigate cardiac outcome in sepsis by assessing causes of death up to 2 years after treatment in an Intensive Care Unit (ICU) in a nationwide register-based cohort collected from the Swedish Intensive Care Registry. METHODS: A cohort of 13 669 sepsis and septic shock ICU patients from 2008 to 2014 was collected together with a non-septic control group, matched regarding age, sex and severity of illness (n = 6582), and all without preceding severe cardiac disease...
October 14, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30318582/bleeding-and-thrombosis-in-intensive-care-patients-with-thrombocytopenia-protocol-for-a-topical-systematic-review
#10
REVIEW
Andreas Bender Jonsson, Sofie Louise Rygård, Lene Russell, Anders Perner, Morten Hylander Møller
BACKGROUND: Thrombocytopenia is a common condition in critically ill patients in the intensive care unit (ICU). It is associated with prolonged stay in the ICU, increased transfusion requirements, risk of bleeding and mortality. The evidence regarding the use of prophylactic platelet transfusion and thrombosis prophylaxis in patients with thrombocytopenia in the ICU is unknown. To direct future research, we aim to assess the current evidence regarding prophylactic platelet transfusion and thrombosis prophylaxis on patient-important benefits and harms in the ICU population...
October 14, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30311209/foresight-over-hindsight-mandatory-publication-of-clinical-research-protocols-prior-to-conduct
#11
Thomas Kaufmann, Anders Granholm, Frederik Keus, John Myburgh, Anders Perner, Morten Hylander Møller, Iwan C C van der Horst
No abstract text is available yet for this article.
October 11, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30238969/fluid-deficits-during-prolonged-overnight-fasting-in-young-healthy-adults
#12
Erik J D Danielsson, Ilja Lejbman, Jonas Åkeson
BACKGROUND: Overnight fasting is often prolonged before scheduled surgery, and the extent of perioperative fluid replacement may influence outcome. In clinical practice, basic requirements are estimated at 1.2-2.0 mL·kg-1 ·h-1 , but there is little contemporary clinical data on what deficits result from complete fasting. This prospective preclinical study was designed to determine total fluid loss during overnight fasting, prolonged during daytime. METHODS: Twenty (10 female) healthy adult volunteers, aged 24 (range 21-46) years, fasted from 22:00 until 16:00, and had their body weight and urine output measured at predefined time intervals...
September 21, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30238963/coffee-consumption-and-work-satisfaction-among-scandinavian-anaesthesiologists-a-survey
#13
Hien Q Do, Anders Granholm, Karen L Ellekjaer, Ulrik W Iepsen, Stine Estrup, Søren Marker, Morten Hylander Møller
BACKGROUND: It is a common prejudice that anaesthetic doctors are believed to have high coffee consumption. In this study, we aimed to assess the association between coffee drinking and work satisfaction among Scandinavian anaesthesiologists. We hypothesised that coffee consumption was positively correlated with work satisfaction. METHODS: We invited anaesthesiologists attending the 34th congress of The Scandinavian Society of Anaesthesiology and Intensive Care Medicine in Malmö, Sweden, September 2017 to participate in a paper-based survey...
September 21, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30238449/risk-factors-of-acute-kidney-injury-after-pediatric-cardiac-surgery
#14
LETTER
Liujiazi Shao, Fu Shan Xue, He Yang
No abstract text is available yet for this article.
September 20, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30238445/the-effects-of-general-anaesthesia-on-oxygen-consumption-a-meta-analysis-guiding-future-studies-on-perioperative-oxygen-transport
#15
REVIEW
Julia Jakobsson, Sofia Vadman, Eva Hagel, Sigridur Kalman, Erzsébet Bartha
BACKGROUND: Increased oxygen extraction, the ratio of consumption to delivery, has been associated with poor outcome after surgery. Oxygen consumption (VO2) can change in several ways in the perioperative period, but is seldom monitored directly in routine care. This study investigates the effects of general anaesthesia on VO2. METHODS: We searched PubMed, EMBASE, and Cochrane Library 1946-2018 for studies including VO2 measurements before and after anaesthesia induction...
September 20, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30238437/risk-factors-of-acute-kidney-injury-in-children-after-cardiac-surgery-reply
#16
LETTER
Ji-Hyun Lee, Jin-Tae Kim
No abstract text is available yet for this article.
September 20, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30229857/oropharyngeal-leak-pressure-of-the-lma-protector%C3%A2-vs-the-lma-supreme%C3%A2-a-prospective-randomized-controlled-clinical-trial
#17
Berthold Moser, Christian Keller, Laurent Audigé, Heinz R Bruppacher
BACKGROUND: Clinical characteristics such as oropharyngeal leak pressure (OLP) and ventilation peak pressure are important factors for successful use of supraglottic airway devices in general anaesthesia. We hypothesized that the LMA Protector™ compared to the LMA Supreme™ may develop a higher OLP, which could be of clinical significance. METHODS: Ninety-six patients were randomized to the LMA Protector™ or LMA Supreme™ groups. We measured oropharyngeal leak pressure within 5 minutes after insertion of the supraglottic airway device with a standardized cuff pressure at 60 cm H2 O...
September 19, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30203611/response-to-the-opioid-and-pain-intensity-index-a-proposal
#18
LETTER
Luis Romundstad, Marianne Myhre, Audun Stubhaug
No abstract text is available yet for this article.
September 10, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30203610/the-opioid-and-pain-intensity-index-a-proposal
#19
LETTER
Emmanuel Bäckryd
No abstract text is available yet for this article.
September 10, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/30203538/hydroxyethyl-starch-a-half-century-enigma
#20
LETTER
Federico Bilotta, Giovanni Giordano, Fabrizio Caroletti, Francesco Pugliese
No abstract text is available yet for this article.
September 10, 2018: Acta Anaesthesiologica Scandinavica
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