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Acta Anaesthesiologica Scandinavica

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https://read.qxmd.com/read/30891734/domain-specific-cognitive-dysfunction-after-cardiac-surgery-a-secondary-analysis-of-a-randomized-trial
#1
Anne G Vedel, Frederik Holmgaard, Volkert Siersma, Annika Langkilde, Olaf B Paulson, Hanne B Ravn, Jens Chr Nilsson, Lars S Rasmussen
BACKGROUND: Brain injury and cognitive dysfunction are serious complications after cardiac surgery. In the perfusion pressure cerebral infarcts (PPCI) trial, we allocated cardiac surgery patients to a mean arterial pressure of either 70-80 mm Hg (high-target) or 40-50 mm Hg (low-target) during cardiopulmonary bypass. In this secondary analysis, we aimed to assess potential differences in domain-specific patterns of cognitive deterioration between allocation groups and to investigate any associations of postoperative cognitive dysfunction (POCD) with diffusion-weighted magnetic resonance imaging (DWI)-detected brain lesions...
March 19, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30888059/impact-of-age-on-the-discriminative-ability-of-an-emergency-triage-system-a-cohort-study
#2
Akira Kuriyama, Tetsunori Ikegami, Takeo Nakayama
BACKGROUND: Emergency triage systems optimize resources in emergency departments (EDs) for those who need urgent care. Five-level triage systems, such as the Canadian Triage and Acuity Scale (CTAS), have been used worldwide. We examined whether the discriminative ability of an emergency triage system varies according to age group using a patient cohort triaged with the Japan Triage and Acuity Scale (JTAS), a validated system based on the CTAS. METHODS: We conducted a cohort study of 27 120 self-presenting patients aged 16 years and older who were triaged with (JTAS) between June 2013 and May 2014 at a Japanese tertiary care hospital...
March 19, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30888058/chronic-kidney-disease-and-acute-kidney-injury-in-arthroplasty-patients-over-65-years-of-age
#3
Okke Nikkinen, Teemu Nieminen, Seppo Alahuhta, Pasi Ohtonen, Merja Vakkala
BACKGROUND: The purpose of this study was to evaluate the prevalence of chronic kidney disease (CKD) and the incidence of perioperative acute kidney injury (AKI) in primary arthroplasty patients over 65 years of age. Risk factors, perioperative events and the outcome of surgery were evaluated. METHODS: This retrospective, hospital register-based study consists of patients operated in 2014 in the area of Oulu, Finland. The estimated glomerular filtration rate (eGFR) was calculated using the Chronic Kidney Disease Epidemiology Collaboration formula...
March 19, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30888057/infections-and-outcomes-after-cardiac-surgery-the-impact-of-outbreaks-traced-to-transesophageal-echocardiography-probes
#4
Edda Vesteinsdottir, Kristjan Orri Helgason, Kristinn Orn Sverrisson, Olafur Gudlaugsson, Sigurbergur Karason
BACKGROUND: Infections are a frequent complication of cardiac surgery. The intraoperative use of transesophageal echocardiography (TEE) may be an underrecognized risk factor for post-operative infections. The aim of this study was to investigate infection rates and outcomes after cardiac surgery in a nationwide cohort, especially in relation to periods where surface damaged TEE probes were used. METHODS: This was a retrospective, observational study at Landspitali University Hospital...
March 19, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30888049/effectiveness-of-isocapnic-hyperventilation-it-is-not-the-technique-it-is-the-way-you-use-it
#5
LETTER
Andy De Baerdemaeker, Andre M De Wolf, Jan Poelaert, R Ross Kennedy, Jan F A Hendrickx
No abstract text is available yet for this article.
March 19, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30888045/mechanical-chest-compressions-for-better-or-worse
#6
EDITORIAL
Sven Erik Gisvold
No abstract text is available yet for this article.
March 19, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30883686/handling-oxygenation-targets-in-the-intensive-care-unit-hot-icu-protocol-for-a-randomised-clinical-trial-comparing-a-lower-vs-a-higher-oxygenation-target-in-adults-with-acute-hypoxaemic-respiratory-failure
#7
REVIEW
Olav L Schjørring, Anders Perner, Jørn Wetterslev, Theis Lange, Frederik Keus, Jon H Laake, Marjatta Okkonen, Martin Siegemund, Matthew Morgan, Katrin M Thormar, Bodil S Rasmussen
BACKGROUND: Acutely ill adults with hypoxaemic respiratory failure are at risk of life-threatening hypoxia, and thus oxygen is often administered liberally. Excessive oxygen use may, however, increase the number of serious adverse events, including death. Establishing the optimal oxygenation level is important as existing evidence is of low quality. We hypothesise that targeting an arterial partial pressure of oxygen (PaO2 ) of 8 kPa is superior to targeting a PaO2 of 12 kPa in adult intensive care unit (ICU) patients with acute hypoxaemic respiratory failure...
March 18, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30883672/factors-related-to-delayed-intensive-care-unit-admission-from-emergency-department-a-retrospective-cohort-study
#8
Mia Aitavaara-Anttila, Janne H Liisanantti, Lasse Raatiniemi, Pasi Ohtonen, Tero Ala-Kokko
BACKGROUND: The delays in transferring patients from emergency department (ED) to intensive care unit (ICU) are known to be linked with several adverse events, including prolonged ICU stay and increased hospital mortality. The factors associated with delayed ICU admission include shortage of ICU beds, organizational factors, ED overcrowding, and patient-related factors, including sepsis as admission diagnosis. The aim of this study was to examine ED-related factors associated with prolonged ED stay...
March 18, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30883671/photoplethysmographic-evaluation-of-sympathectomy-during-lumbar-epidural-analgesia-a-randomized-comparison-of-0-125-ropivacaine-and-0-125-levobupivacaine
#9
Kresimir Reiner, Anita Lukic, Marija Martinus, Marko Cacic, Slobodan Mihaljevic
BACKGROUND: There are no data on the difference between the impact of ropivacaine and levobupivacaine on sympathetic nerve fibers during central neuraxial blocks. We hypothesized that there is no difference in the degree of sympathectomy between the two drugs during lumbar epidural analgesia for labor pain. METHODS: Sixty healthy parturients were randomized to the type of local anesthetic-opiod solution administered in the epidural space: 10 mL of 0.125% ropivacaine + 100 mcg of fentanyl or 10 mL of 0...
March 18, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30883668/pain-management-after-total-hip-arthroplasty-at-five-different-danish-hospitals-a-prospective-observational-cohort-study-of-501-patients
#10
Anja Geisler, Jørgen B Dahl, Kasper H Thybo, Tim H Pedersen, Marie L Jørgensen, Dina Hansen, Louise K Schulze, Eva I Persson, Ole Mathiesen
BACKGROUND: The available literature does not present a "gold standard" for post-operative pain treatment after total hip arthroplasty (THA). The aim of this prospective observational study was to explore and document post-operative pain treatment, including outcomes, in a large cohort of patients undergoing THA at five different Danish hospitals. METHODS: This prospective, multicentre, observational cohort study of 501 THA patients was performed at five different hospitals in the Capital Region and at the Region Zealand in Denmark, from April 2014 to April 2016...
March 18, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30883667/prehospital-cardiopulmonary-resuscitation-with-manual-or-mechanical-chest-compression-a-study-of-compression-induced-injuries
#11
Louise Milling, Birgitte Schmidt Astrup, Søren Mikkelsen
OBJECTIVE: Concerns for iatrogenic injuries associated with cardiopulmonary resuscitation led us to investigate the extent and the pattern of chest compression-related injuries in patients subjected to either mechanical and/or manual cardiac compression. METHOD: In a retrospective study, we performed a manual review of all prehospital discharge reports, in-hospital records, and autopsy reports for evidence of injuries related to chest compression. We included all patients receiving physician-administrated treatment for out-of-hospital cardiac arrest in the Region of Southern Denmark from 2015 to 2017...
March 18, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30882897/use-of-hydroxyethyl-starch-in-sepsis-research-protocol-for-a-systematic-review
#12
REVIEW
Jes R Johansen, Anders Perner, Julie H Brodtkorb, Morten H Møller
INTRODUCTION: Hydroxyethyl starch (HES) 130/0.38-0.45 is a synthetic colloid, which has been on the market since 1999. In recent years, concern about the use of HES has been raised because of serious adverse events, including acute kidney injury, bleeding and even increased mortality with its use. In the outlined systematic review, we aim to assess if the adverse effects of HES 130/0.38-0.45 in patients with sepsis could have been discovered earlier. METHODS: We will conduct a systematic review with meta-analysis of randomised clinical trials in animals and patients and observational studies in patients comparing HES 130/0...
March 18, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30882892/hospital-acquired-complications-in-intensive-care-unit-patients-with-diabetes-a-before-and-after-study-of-a-conventional-versus-liberal-glucose-control-protocol
#13
Nora Luethi, Luca Cioccari, Glenn Eastwood, Peter Biesenbach, Rhys Morgan, Stephanie Sprogis, Helen Young, Leah Peck, Christine Knee Chong, Sandra Moore, Kylie Moon, Elif I Ekinci, Adam M Deane, Rinaldo Bellomo, Johan Mårtensson
BACKGROUND: Critically ill patients with diabetes mellitus (DM) are at increased risk of in-hospital complications and the optimal glycemic target for such patients remains unclear. A more liberal approach to glucose control has recently been suggested for patients with DM, but uncertainty remains regarding its impact on complications. METHODS: We aimed to test the hypothesis that complications would be more common with a liberal glycemic target in ICU patients with DM...
March 18, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30874309/consensus-on-technical-procedures-for-simulation-based-training-in-anaesthesiology-a-delphi-based-general-needs-assessment
#14
Ebbe L Bessmann, Helle T Østergaard, Bjørn U Nielsen, Lene Russell, Charlotte Paltved, Doris Østergaard, Lars Konge, Leizl Joy Nayahangan
BACKGROUND: Anaesthesiologists are expected to master an increasing number of technical procedures. Simulation-based procedural training can supplement and, in some areas, replace the classical apprenticeship approach during patient care. However, simulation-based training is very resource-intensive and must be prioritised and optimised. Developing a curriculum for simulation-based procedural training should follow a systematic approach, eg the Six-Step Approach developed by Kern. The aim of this study was to conduct a national general needs assessment to identify and prioritise technical procedures for simulation-based training in anaesthesiology...
March 15, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30874307/neutrophil-to-lymphocyte-ratio-as-indicator-to-severe-complication-after-pancreaticoduodenectomy-or-distal-pancreatectomy
#15
Mitsuru Ida, Yuka Tachiiri, Mariko Sato, Masahiko Kawaguchi
BACKGROUND: Pancreaticoduodenectomy and distal pancreatectomy are complex procedures with high rates of post-operative complications. We evaluated the factors associated with post-operative complications, focusing on pre-operative hematologic markers such as the neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and prognostic nutritional index. METHODS: Data from patients (≥age 20) who underwent pancreaticoduodenectomy or distal pancreatectomy between January 2013 and December 2017 at a Japanese tertiary hospital were retrospectively reviewed...
March 15, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30869173/mortality-in-critical-illness-the-impact-of-asymmetric-dimethylarginine-on-survival-a-systematic-review-and-meta-analysis
#16
REVIEW
Karoline Myglegård Mortensen, Theis Skovsgaard Itenov, Marco Bo Hansen, Karen Hvid, Lars Hyldborg Lundstrøm, Morten Heiberg Bestle
INTRODUCTION: Asymmetric dimethylarginine (ADMA), an endogenous inhibitor of the nitric oxide system, may be associated with an adverse outcome in critically ill patients. The aim of the present review was to clarify if plasma ADMA and the arginine-to-ADMA ratio (arginine/ADMA) are associated with mortality in critically ill patients. METHODS: We searched PubMed, EMBASE and Web of Science/BIOSIS Previews on 31 July 2017 for studies published after 2000 including critically ill paediatric or adult patients and evaluating any association between all-cause mortality and admission ADMA and/or arginine/ADMA ratio...
March 14, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30869169/post-surgical-chronic-pain-and-quality-of-life-in-children-operated-for-congenital-heart-disease
#17
Megumi Matsuda, Hitomi Takemura, Ayahiro Yamashita, Yutaka Matsuoka, Teiji Sawa, Fumimasa Amaya
BACKGROUND: Advances in medical technology have resulted in an increased life expectancy in pediatric patients with congenital heart diseases. Assessment of health-related quality of life is crucial to improving their healthcare status. We aimed to assess post-surgical pain prevalence and its impact on health-related quality of life in pediatric patients who underwent cardiac surgery during childhood. METHODS: This cross-sectional study recruited patients aged 4 years or older who underwent cardiac surgery for congenital heart disease at least 1 year prior, during the age of 0-10 years, and were admitted for post-surgical follow-up at our institute...
March 14, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30869156/the-future-of-case-mix-and-prognostic-scores-in-icu-patients
#18
EDITORIAL
Hans Flaatten, Christian F Christiansen
No abstract text is available yet for this article.
March 14, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30860296/better-understanding-of-the-effectiveness-of-cricoid-pressure-and-the-rapid-sequence-induction
#19
LETTER
Ahed Zeidan, Zaki Al-Zaher, Munir Bamadhaj, M Ramez Salem, Arjang Khorasani
No abstract text is available yet for this article.
March 12, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/30847893/comment-on-de-baerdemaeker-et-al
#20
LETTER
Sophie Lindgren, Katarina Hallén, Sven-Erik Ricksten, Ola Stenqvist
No abstract text is available yet for this article.
March 8, 2019: Acta Anaesthesiologica Scandinavica
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