European journal of anaesthesiology
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Early identification of patients at high risk of prolonged mechanical ventilation is important in critical care. Sarcopenia, the loss of muscle mass and function, has been reported to be associated with extended mechanical ventilation and prolonged ICU stay. Although ultrasound is noninvasive and widely used in critical care, there is no standard method of using it to assess sarcopenia. ⋯ The BMI-RA thickness ratio is related to the outcomes of patients transferred to ICU after major abdominal surgery. Measuring the thickness of rectus abdominis by ultrasound is well tolerated and easy to perform in surgical ICU. Larger prospective studies are required to confirm current findings.
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Randomized Controlled Trial
Bilateral mid-axillary transversus abdominis plane block does not attenuate stress response to total abdominal hysterectomy: A randomised controlled placebo trial.
The hormonal response to surgical trauma can have detrimental effects on patients. Transversus abdominis plane (TAP) block, which can improve analgesia after total abdominal hysterectomy (TAH) might attenuate the peri-operative stress response. ⋯ ClinicalTrial.gov identifier: NCT03443271.
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Randomized Controlled Trial
Which is good for pre-operative anxiety? Midazolam, video games or teaching with cartoons: A randomised trial.
Pre-operative anxiety in children has been associated with adverse clinical outcomes such as difficulty in anaesthesia induction, emergence delirium and negative postoperative behavioural changes. Therefore, pre-operative anxiety should be alleviated in both children and clinicians. ⋯ The passive teaching technique of watching a video for reducing anxiety levels was not effective. However, active distraction with videogames was found to be a valuable method to reduce pre-operative anxiety.
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Letter Randomized Controlled Trial
SonoSim ultrasound simulator training for novice residents: A randomised study.
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Letter Randomized Controlled Trial
Characteristics of a single versus multiple-injection axillary brachial plexus block: A single-blinded randomised, clinical trial.