Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Apr 2001
Randomized Controlled Trial Comparative Study Clinical TrialTotal knee replacement: a comparison of ropivacaine and bupivacaine in combined femoral and sciatic block.
Femoral and sciatic nerve block may improve post-operative analgesia following total knee replacement. ⋯ Femoral and sciatic blockade following intrathecal bupivacaine/diamorphine provided superior analgesia when compared with intrathecal bupivacaine/diamorphine alone. There were no significant clinical differences between the group receiving bupivacaine 7.5 mg x ml(-1) and the group receiving ropivacaine 7.5 mg x ml(-1).
-
Acta Anaesthesiol Scand · Apr 2001
Randomized Controlled Trial Clinical TrialEtomidate and thiopental inhibit platelet function in patients undergoing infrainguinal vascular surgery.
Postoperative platelet hyperaggregability following general anesthesia has been reported in patients undergoing major vascular surgery. In contrast, since anesthetic agents inhibited platelet function both in vitro and in vivo, an increased risk for postoperative bleedings due to prolonged platelet dysfunction has been discussed. Nevertheless, data describing platelet-affecting properties of induction agents such as etomidate and thiopental in patients undergoing major vascular surgery are lacking. ⋯ In the present study, etomidate and, to a minor extent, thiopental offered significant platelet inhibitory properties. Anesthetic-induced platelet inhibition may lead to higher transfusion rates and prolonged operation times. Therefore, anesthetic-related platelet inhibitory properties should be considered when searching for the anesthetic agent of choice, especially in patients with compromised hemostasis and co-existing bleeding disorders.
-
The management of postoperative pain is suboptimal world-wide. This survey was carried out to determine current management in Spanish hospitals. ⋯ The survey shows that the management of postoperative pain in hospitals with >200 beds in Spain is suboptimal and this is associated with dissatisfaction among many anaesthesiologists.
-
Acta Anaesthesiol Scand · Apr 2001
Retracted PublicationRetracted: Price development in important anesthesia and critical care medicine journals in comparison to journals of other disciplines.
In today's climate of financial restrictions, libraries and individual subscribers complain about the price increase of scientific journals. The development in prices of anesthesia/critical care journals was analysed over the past 6 years and compared to prices of some journals of other disciplines. ⋯ A disproportionate rise in journal prices was seen over the past 6 years. The large increase in cost may have multiple reasons. The rapidly increasing cost of research journals may affect research quality because economic pressure may result in reduction in availibility of information due to cancellation of subscriptions to journals.