Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Mar 1997
Case Reports Clinical Trial Controlled Clinical TrialOral ketamine therapy in the treatment of postamputation stump pain.
Hyperactivity of N-methyl-D-aspartate (NMDA) receptors may be one of the factors in the maintenance of postamputation stump pain. ⋯ NMDA receptor antagonists may have a potential in the treatment of neuropathic pain, including stump pain.
-
Acta Anaesthesiol Scand · Mar 1997
Changes in pulmonary mechanics during laparoscopic gastroplasty in morbidly obese patients.
Obesity is an important respiratory risk factor after abdominal surgery. Laparoscopic surgical techniques seem beneficial in obese patients in terms of respiratory morbidity, with a faster return to normal respiratory function. However, there is little information about intraoperative respiratory mechanics and about patient tolerance to abdominal insufflation in the morbidly obese. ⋯ These alterations in pulmonary mechanics are less than those observed with comparable degrees of abdominal inflation in non-obese patients, and were well tolerated. From the point of view of intraoperative respiratory mechanics, laparoscopic surgery is safe in morbidly obese patients.
-
Acta Anaesthesiol Scand · Mar 1997
Assessment of postoperative pain: impact of clinical experience and professional role.
Unrelieved postoperative pain is still reported to be a rather common clinical problem which may be related to inadequate routines for pain assessment. Therefore, the aim of the study was to describe strategies used by experienced and less experienced nurses and physicians in their assessment of postoperative pain and to relate different approaches, clinical experience, and professional role to the accuracy of the pain ratings. ⋯ The present study emphasizes a need for definition of more precise strategies for clinical postoperative pain assessment which better take into consideration the pain experiences and needs of individual patients.
-
Acta Anaesthesiol Scand · Mar 1997
The claims of compensation for awareness with recall during general anaesthesia in Finland.
Awareness during anaesthesia has been estimated to occur in 0.2%-0.4% of patients undergoing general surgery. In Finland, according to the Patient Injury Act, compensation is paid for an injury caused by medical treatment. We have analysed the claims for compensation involving awareness under anaesthesia filed between May, 1987 and December, 1993. ⋯ Claims of compensation for awareness during anaesthesia were surprisingly few, possible reasons of which are discussed. Compensations paid were low in comparison with some other countries.
-
Acta Anaesthesiol Scand · Mar 1997
Effects of dopamine, dopexamine and dobutamine on renal excretory function during experimental sepsis in conscious rats.
Acute renal failure is a frequent complication in human sepsis. Various inotropic drugs are often used to improve central haemodynamics and renal function. The differential preservative role of the most commonly used inotropic drugs on renal function, in this condition, has previously not been extensively studied. The aim of this experimental animal study was therefore to compare the preserving effects of dopamine, dopexamine, dobutamine and saline on renal excretory function, after induction of sepsis in conscious rats. ⋯ We conclude that dopexamine, to a greater extent than dopamine and dobutamine, improves renal excretory function in experimental septic shock.