Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Feb 1999
Clinical TrialIn-hospital cardiopulmonary resuscitation. 5 years' incidence and survival according to the Utstein template.
Direct comparison of survival rates from in-hospital cardiopulmonary resuscitation (CPR) remains difficult. The objective of this study was to report outcome according to the Utstein template for in-hospital cardiac arrest and to evaluate the Utstein template itself as applied to a retrospective material. ⋯ More than 90% of in-hospital deaths in this hospital are handled without CPR being initiated. Overall survival was 17%, and almost all survivors made a favourable outcome. The Utstein template for in-hospital cardiac arrest performed acceptably as a framework for reporting outcome in this retrospective study.
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Acta Anaesthesiol Scand · Feb 1999
Meta Analysis Comparative StudyA review of recovery from sevoflurane anaesthesia: comparisons with isoflurane and propofol including meta-analysis.
Sevoflurane has a lower blood:gas partition coefficient than isoflurane and thus should be associated with a more rapid recovery from anaesthesia. ⋯ The observed differences between sevoflurane and isoflurane or propofol anaesthesia support the postulate that the use of sevoflurane is associated with a more rapid recovery from anaesthesia than either isoflurane or propofol.
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Acta Anaesthesiol Scand · Feb 1999
Randomized Controlled Trial Clinical TrialPostoperative nausea and vomiting in children using patient-controlled analgesia: the effect of prophylactic intravenous dixyrazine.
Although patient-controlled analgesia (PCA) with morphine provides a high degree of satisfactory postoperative analgesia in children, it is often associated with a high incidence of postoperative nausea and vomiting (PONV). Our aim in this study was to evaluate the prophylactic effect of dixyrazine, a phenothiazine with proven anti-emetic properties. ⋯ A significant number of children using PCA with morphine after major surgery experience PONV. Although prophylactic dixyrazine reduces the incidence and severity of vomiting, the incidence still remains high.
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Acta Anaesthesiol Scand · Feb 1999
Randomized Controlled Trial Clinical TrialTopical wound anaesthesia in children--a temporary postoperative pain relief.
Administration of local anaesthetics into the surgical wound may modulate pain at the peripheral level. A previous study in adults has shown good analgesic effects of topical lidocaine in wounds after herniorrhaphy. ⋯ A very short and clinically insignificant pain relief is obtained following the administration of a lidocaine aerosol in the surgical wound. A low pain level in this model may limit the possibility to detect an effect of lidocaine.
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Acta Anaesthesiol Scand · Feb 1999
Randomized Controlled Trial Clinical TrialLack of pre-emptive analgesic effect of (R)-ketamine in laparoscopic cholecystectomy.
This study evaluated the pre-emptive analgesic effect of intravenous (i.v.) (R)-ketamine in laparoscopic cholecystectomy. (R)-ketamine was used due to the lower incidence of side-effects. ⋯ In this study a 1 mg/kg dose of (R)-ketamine given at the end of surgery exerted a short-lasting hypnotic and analgesic effect. The same dose given preoperatively did not show postoperative analgesic effect or pre-emptive effect.