Anaesthesiology intensive therapy
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Anaesthesiol Intensive Ther · Jan 2015
Randomized Controlled TrialBalanced hydroxyethyl starch solution and hyperglycaemia in non diabetics - a prospective, randomized and controlled study.
There are very few studies that have examined the effect of hydroxyethyl starch (HES) solutions on blood glucose level. The study was aimed to compare the effects on blood glucose levels in patients undergoing lower limb surgeries under neuraxial block, receiving HES with those receiving 0.9% saline. ⋯ A balanced HES solution administered intravenously did not cause an increase in blood glucose concentrations compared to those who received 0.9% saline.
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Anaesthesiol Intensive Ther · Jan 2015
Cooled radiofrequency system relieves chronic knee osteoarthritis pain: the first case-series.
Knee osteoarthritis is a frequent cause of chronic knee pain. Therapeutic solutions include intra-articular injections with short-term pain relief and surgical therapy. Radiofrequency (RF) of genicular nerves has been previously reported with varying success. Cooling tissue adjacent to the electrode (cooled RF) increases the radius of lesion. We present here the first retrospective data on pain relief and changes in function after such cooled RF denervation. ⋯ The majority of patients with chronic knee pain experienced a clinically relevant degree of pain relief and improved function following cooled RF of genicular nerves at one, three, six and 12 months follow-up.
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Anaesthesiol Intensive Ther · Jan 2015
Randomized Controlled TrialThe use of sugammadex for the reversal of vecuronium-induced neuromuscular block following intracranial surgery.
Total intravenous anaesthesia with propofol and remifentanil is widely used in neuroanaesthesiology and enables the quick recovery and early neurological assessment of patients. The administration of muscle relaxants carries a risk of residual relaxation following surgery. The administration of a suitable dose of sugammadex reverses the neuromuscular block irrespective of its depth and has none of the side effects associated with acetylcholinesterase inhibitors. The aim of the present study was to evaluate the usefulness of sugammadex for the reversal of vecuronium-induced effects following intracranial surgery. ⋯ The use of sugammadex following craniotomy accelerates the achievement of optimal extubation conditions.