European journal of anaesthesiology
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Comparative Study Observational Study
Reintubation in the ICU following cardiac surgery: is it more difficult than first-time intubation in the operating room?: A prospective, observational study.
After cardiac surgery, a patient's trachea is usually extubated; however, 2 to 13% of cardiac surgery patients require reintubation in the ICU. ⋯ Ethics committee of Galicia number 2015-012.
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Randomized Controlled Trial
Preventive effect of dexmedetomidine on postictal delirium after electroconvulsive therapy: A randomised controlled study.
Postictal delirium (PID) is a relatively common complication following electroconvulsive therapy (ECT). ⋯ Pretreatment with dexmedetomidine leads to a significant reduction in the incidence of PID with no respiratory depressant effect. Dexmedetomidine might be considered an effective method for the prevention of PID post-ECT.
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There is inadequate information on the association of pre-operative and postoperative peak level of lactate with mortality of surgical ICU patients. ⋯ In patients admitted postoperatively to the ICU, higher peri-operative lactate levels were associated with increased 90-day mortality. The peak level of lactate during POD 0 to 3 showed the most significant contribution to this association.