Journals Acta Anaesthesiologica Scandin...

Acta Anaesthesiologica Scandinavica
Tak Kyu Oh, In-Ae Song
BACKGROUND: The effect of prior statin therapy on mortality in patients with acute respiratory distress syndrome (ARDS) remains controversial. This study aimed to investigate whether prior statin therapy was associated with lower 30-day mortality compared to non-statin use. METHODS: This population-based cohort study used nationwide data procured from the National Health Insurance service in South Korea, and included all the adult patients admitted to a hospital for ARDS treatment between January 1, 2013 and December 31, 2017...
September 26, 2020: Acta Anaesthesiologica Scandinavica
Sirkka-Liisa Lauronen, Marja-Tellervo Mäkinen, Päivi Annila, Heini Huhtala, Arvi Yli-Hankala, Maija-Liisa Kalliomäki
BACKGROUND: Inadvertent intraoperative hypothermia is a common occurrence in surgical patients. A thermal suit is an option for passive insulation. However, active warming is known to be more effective. Therefore, we hypothesised a forced-air warming unit connected to the thermal suit is superior to a commercial forced-air warming blanket and a warming mattress in breast cancer surgery. METHODS: Forty patients were randomised to this prospective, clinical trial to wear either the thermal suit or conventional hospital clothes under general anaesthesia...
September 25, 2020: Acta Anaesthesiologica Scandinavica
Christian Reiterer, Karin Hu, Samir Sljivic, Markus Falkner von Sonnenburg, Edith Fleischmann, Barbara Kabon
BACKGROUND: Mannitol, an osmotic diuretic, is proposed to be an oxygen radical scavenger. Mannitol is often used in renal transplantation to attenuate oxidative stress and thus to protect renal graft function. We tested the hypothesis that mannitol reduces overall oxidative stress during deceased donor renal transplantation. METHODS: We randomly assigned 34 patients undergoing deceased donor renal transplantation to receive a solution of mannitol or placebo shortly before graft reperfusion until the end of surgery...
September 23, 2020: Acta Anaesthesiologica Scandinavica
Tor Damén, Sofia Saadati, Eva Forssell-Aronsson, Camilla Hesse, Peter Bentzer, Sven-Erik Ricksten, Andreas Nygren
BACKGROUND: Arterial haematocrit (Hct) has been shown to decrease after anaesthesia induction, most probably because of an increased plasma volume (PV). The primary objective was to quantify change in PV if mean arterial pressure (MAP) was kept at baseline level or allowed to decrease to 60 mmHg. Our secondary objective was to evaluate underlying mechanisms of this response. METHODS: Twenty-four coronary artery bypass patients were randomised to a higher (90 mmHg, intervention group) or lower (60 mmHg, control group) MAP by titration of norepinephrine...
September 23, 2020: Acta Anaesthesiologica Scandinavica
Alison Holten Pind, Christina Cleveland Laursen, Cheme Andersen, Mathias Maagaard, Ole Mathiesen
BACKGROUND: Postoperative pain treatment with ketamine has been demonstrated to have postoperative opioid-sparing and anti-hyperalgesic effects. However, evidence regarding the beneficial and harmful effects and the optimal dose and timing of perioperative treatment with ketamine for patients undergoing spinal surgery is unclear. The objective of this systematic review is to assess the analgesic, serious, and non-serious adverse effects of perioperative pain treatment with ketamine for patients undergoing spinal surgery...
September 23, 2020: Acta Anaesthesiologica Scandinavica
P S Rasmussen, E K Aasvang, R M Olsen, C Haahr-Raunkjaer, M Elvekjaer, Hbd Sørensen, C S Meyhoff
INTRODUCTION: Risk patients admitted to hospital wards may quickly develop heamodynamic deterioration and early recognition has high priority to allow preventive intervention. The peripheral perfusion index (PPI) may be an indicator of circulatory distress by assessing peripheral perfusion non-invasively from photoplethysmography. We aimed to describe the characteristics of PPI in hospitalised patients since this is not well studied. MATERIALS AND METHODS: Patients admitted due to either acute exacerbation of chronic obstructive pulmonary disease (AECOPD) or after major abdominal cancer surgery were included in this study...
September 21, 2020: Acta Anaesthesiologica Scandinavica
Gitte Boier Tygesen, Hans Kirkegaard, Nikolaj Raaber, Mette Trøllund Rask, Marianne Lisby
The study aim was to determine relevance and applicability of generic predictors of clinical deterioration in emergency departments based on consensus among clinicians. METHODS: Thirty-three predictors of clinical deterioration identified from literature were assessed in a modified two-stage Delphi-process. Sixty-eight clinicians (physicians and nurses) participated in the first round and 48 in the second round; all treating hospitalised patients in Danish emergency departments, some with prehospital experience...
September 17, 2020: Acta Anaesthesiologica Scandinavica
Niels D Nielsen, Thomas F Bendtsen
We would like to thank Endersby et al. for sharing their experience with the PENG block for pain related to hip surgery and the risk of associated motor blockade.1,2 The authors of the PENG block claim that it anaesthetizes the hip articular branches from both the femoral, obturator and accessory obturator nerves without motor blockade.3,4 Unfortunately, no high-quality prospective blinded randomized studies have been published to back this claim. The evidence base is a plethora of lower quality case reports and letters, trying to assess the clinical effect, spread of injectate and frequency of motor blockade of the PENG block...
September 16, 2020: Acta Anaesthesiologica Scandinavica
Ryan Vincent William Endersby, Joanna J Moser, Esther Ching Yee Ho, Hai Chuan Yu, Adam Oscar Spencer
We read with interest the article by Nielson et al.1 describing the iliopsoas plane block (IPB), targeting the sensory hip articular branches of the femoral nerve without causing motor blockade. We applaud this group on the development2,3 of this clinically relevant technique. The authors also discuss the pericapsular nerve group (PENG) block as a reasonable alternative.1,4 In our clinical practice we have utilized PENG blocks extensively and have observed excellent analgesia for various hip surgeries. We have previously reported several cases of inadvertent motor blockade using the PENG block in patients undergoing total hip arthroplasty...
September 16, 2020: Acta Anaesthesiologica Scandinavica
Alessandro Beda, Tilo Winkler, Tyler J Wellman, Nicolas De Prost, Mauro Tucci, Marcos F Vidal Melo
BACKGROUND: We aimed to investigate the physiological mechanism and spatial distribution of increased physiological dead-space, an early marker of ARDS mortality, in the initial stages of ARDS. We hypothesized that: increased dead-space results from spatial redistribution of pulmonary perfusion, not ventilation; such redistribution is not related to thromboembolism (i.e., areas with perfusion=0 and infinite ventilation-perfusion ratio, <mml:math xmlns:mml=""> <mml:mrow> <mml:mover> <mml:mi>V</mml:mi> <mml:mo>˙</mml:mo> </mml:mover> <mml:mtext>/</mml:mtext> <mml:mover> <mml:mi>Q</mml:mi> <mml:mo>˙</mml:mo> </mml:mover> </mml:mrow> </mml:math> ), but rather to moderate shifts of perfusion increasing <mml:math xmlns:mml="http://www...
September 15, 2020: Acta Anaesthesiologica Scandinavica
Nicolai Haase, Ronni Plovsing, Steffen Christensen, Lone Musaeus Poulsen, Anne Craveiro Brøchner, Bodil Steen Rasmussen, Marie Helleberg, Jens Ulrik Staehr Jensen, Lars Peter Kloster Andersen, Hanna Siegel, Michael Ibsen, Vibeke Jørgensen, Robert Winding, Susanne Iversen, Henrik Planck Pedersen, Jacob Madsen, Christoffer Sølling, Ricardo Sanchez Garcia, Jens Michelsen, Thomas Mohr, Anne Mannering, Ulrick Skipper Espelund, Helle Bundgaard, Lynge Kirkegaard, Margit Smitt, David Levarett Buck, Niels-Erik Ribergaard, Helle Scharling Pedersen, Birgitte Viebaek Christensen, Anders Perner
BACKGROUND: Most data on ICU patients with COVID-19 originate in selected populations from stressed healthcare systems with shorter-term follow-up. We present characteristics, interventions and longer-term outcomes of the entire, unselected cohort of all ICU patients with COVID-19 in Denmark where the ICU capacity was not exceeded. METHODS: We identified all patients with SARS-CoV-2 admitted to any Danish ICU from March 10th to May 19th 2020 and registered demographics, chronic comorbidities, use of organ support, length of stay and vital status from patient files...
September 15, 2020: Acta Anaesthesiologica Scandinavica
Eun Jung Oh, Jeong Jin Min, Chung Su Kim, Ji Yun Hwang, Joonhee Gook, Jong-Hwan Lee
BACKGROUND: Although ultrasound guidance has significantly improved the success rate of radial artery catheterization, the failure rate in children is still high. For the further improvement of success rate, we prospectively evaluated the factors that make ultrasound-guided radial artery catheterization difficult in children under two years old. METHODS: From October 2018 to September 2019, patients who required radial artery catheterization for surgery were enrolled...
September 14, 2020: Acta Anaesthesiologica Scandinavica
Karen Louise Ellekjaer, Anders Perner, Praleene Sivapalan, Morten Hylander Møller
BACKGROUND: buffered crystalloid solutions are increasingly recommended as first-line resuscitation fluids. However, guidelines do not distinguish between different types of buffered solutions. The aim of the outlined systematic review is to summarise and assess the effects of acetate- vs lactate-buffered crystalloid solutions on patient-important outcomes. METHODS: we will conduct a systematic review of randomised clinical trials (RCTs) with meta-analysis and trial sequential analysis (TSA) comparing the use of acetate- vs lactate-buffered crystalloid solutions in hospitalised patients...
September 14, 2020: Acta Anaesthesiologica Scandinavica
Je Hyuk Yu, Hye-Sun Paik, Ho Geol Ryu, Hannah Lee
BACKGROUND: Postoperative throat complications after intubation are undesirable but frequent outcomes. A randomized, double-blinded study was performed to determine whether thermal softening of endotracheal tubes reduced throat complications after intubation. METHODS: Patients (n= 196) undergoing nasal surgery were randomly allocated into the control group and thermal softening groups. Sore throat and hoarseness were evaluated 1 hour and 24 hours after extubation...
September 14, 2020: Acta Anaesthesiologica Scandinavica
Antonija Petosic, Marit Follsund Viravong, Anna Margreta Martin, Cecilie Braein Nilsen, Kjell Olafsen, Helene Berntzen
INTRODUCTION: Patients in intensive care frequently suffer from not being able to communicate verbally. The aim of this scoping review was to study safety and effectiveness of above cuff vocalisation (ACV) on speech and quality of life (QOL) in patients dependent on a cuffed tracheostomy. METHODS: A scoping review was conducted. The databases Ovid Medline, Cochrane Library and Embase were systematically searched in May 2020. We included clinical studies with patients exposed to ACV where speech, QOL or safety issues were assessed...
September 12, 2020: Acta Anaesthesiologica Scandinavica
Jee-Eun Chang, Hyerim Kim, Yoomin Oh, Jin-Young Hwang
BACKGROUND: To test a hypothesis that the dural sac dimension would be correlated with the spinal block level, we evaluated the correlation between the lumbar dural sac dimension and the spread of spinal anesthesia in elderly women. METHODS: In 40 women over the age of 65 years, the lumbar dural sac dimensions were measured at the L2-L3, L3-L4, L4-L5, and L5-S1 intervertebral spaces using ultrasonography in the lateral decubitus position, followed by administration of spinal anesthesia...
September 12, 2020: Acta Anaesthesiologica Scandinavica
Andreas Bender Jonsson, Sofie Louise Rygård, Thomas Hildebrandt, Anders Perner, Morten Hylander Møller, Lene Russell
BACKGROUND: Thrombocytopenia is frequent in intensive care unit (ICU) patients and may be associated with adverse outcome. We aimed to assess the incidence, risk factors and outcomes associated with thrombocytopenia in adult ICU patients. METHODS: We conducted a scoping review in accordance with the Preferred Reporting Items for Systematic Review and Meta-analyses extension for Scoping Reviews (PRISMA-ScR) and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach...
September 11, 2020: Acta Anaesthesiologica Scandinavica
Christian Fenger-Eriksen, Mads Rasmussen, Niels Juul, Jan Krog, Anne-Mette Hvas
BACKGROUND: Tranexamic acid (TXA) reduces blood loss and transfusion requirements during craniosynostosis surgery in small children. Possible interaction from TXA on the inflammatory system is unknown. OBJECTIVE: To evaluate the effect of TXA on a wide range of inflammatory markers in children receiving TXA in a randomized, blinded and placebo controlled study design. METHODS: Thirty children undergoing craniosynostosis surgery with significant blood loss received TXA (bolus dose of 10 mg kg-1 followed by 8 hours continuous infusion of 3 mg kg-1 h-1 ) or placebo in a randomized, double-blinded study design...
September 9, 2020: Acta Anaesthesiologica Scandinavica
Emma Larsson, Olof Brattström, Christina Agvald-Öhman, Jonathan Grip, Francesca Campoccia Jalde, Kristoffer Strålin, Pontus Nauclér, Anders Oldner, David Konrad, Björn P Persson, Lars I Eriksson, Johan Mårtensson
BACKGROUND: Information on characteristics and outcomes of intensive care unit (ICU) patients with COVID-19 remains limited. We examined characteristics, clinical course and early outcomes of patients with COVID-19 admitted to ICU. METHODS: We included all 260 patients with COVID-19 admitted to 9 ICUs at the Karolinska University Hospital (Stockholm, Sweden) between March 9 and April 20, 2020. Primary outcome was in-hospital mortality among patients with definite outcomes (discharged from ICU or death), as of April 30, 2020 (study end point)...
September 6, 2020: Acta Anaesthesiologica Scandinavica
Ebbe L Bessmann, Lars S Rasmussen, Lars Konge, Michael S Kristensen, Mikael Rewers, Alexandros Kotinis, Charlotte V Rosenstock, Karin Graeser, Peter Pfeiffer, Torsten Lauritsen, Doris Østergaard
BACKGROUND: Failure in airway management continues to cause preventable patient harm, and the recommended continuing education is challenged by anaesthesiologists´ unknown knowledge gaps. This study aimed to identify anaesthesiologists´ subjective and objective knowledge gaps as well as areas where anaesthesiologists are incorrect and unaware. METHODS: An adaptive E-learning programme with 103 questions on adult airway management was used for subjective and objective assessment of anaesthesiologists´ knowledge...
September 5, 2020: Acta Anaesthesiologica Scandinavica
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"