European journal of anaesthesiology
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Outcome prediction and evaluation of intensive care unit (ICU) performance using severity of illness scoring is a tool for the estimation of effectiveness and quality of intensive care. We used the simplified acute physiology score (SAPS) II system to evaluate ICU performance. ⋯ The SAPS II system is a useful tool for the assessment of ICU performance. This system demonstrated a good ability of discrimination, but an under-prediction of the actual mortality rate, in Lithuanian ICUs.
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Letter Case Reports
Inadvertent epidural administration of cisatracurium.
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Randomized Controlled Trial Clinical Trial
Perioperative effects of melatonin and midazolam premedication on sedation, orientation, anxiety scores and psychomotor performance.
To compare the perioperative effects of melatonin and midazolam given in premedication, on sedation, orientation, anxiety scores and psychomotor performance. ⋯ Melatonin premedication was associated with preoperative anxiolysis and sedation without postoperative impairment of psychomotor performance.
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Randomized Controlled Trial Clinical Trial
The effect of remifentanil on the middle latency auditory evoked response and haemodynamic measurements with and without the stimulus of orotracheal intubation.
Changes in the middle latency auditory evoked response following the administration of opioids have been shown. However, it remains unclear as to whether these changes are due to a direct depressant effect of opioids on the middle latency auditory evoked response itself, or an indirect effect on account of their action in attenuating central nervous system arousal associated with noxious stimuli. By comparing changes in the middle latency auditory evoked response in intubated and non-intubated patients, receiving saline or remifentanil in different doses, this study attempts to answer this question. ⋯ We demonstrated an effect of remifentanil on both the middle latency auditory evoked response and haemodynamic changes to endotracheal intubation. For the non-intubated patients there was only an effect of remifentanil on the haemodynamic measurements. This suggests that remifentanil has an effect on the middle latency auditory evoked response in attenuating the arousal associated with intubation of the trachea but has no effect in the absence of a stimulus.
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Comparative Study
Comparative incidence of venous air embolism and associated hypotension in adults and children operated for neurosurgery in the sitting position.
Venous air embolism is a constant threat during neurosurgery performed in the sitting position. No large prospective study has compared the incidence of venous air embolism and associated hypotension between adults and children. ⋯ The incidence of venous air embolism and consequent hypotension is similar in adults and children.