Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Apr 2004
Practices of anaesthesiologists with regard to withholding and withdrawal of life support from the critically ill in Turkey.
To determine practices of Turkish anaesthesiologists with regard to withholding and withdrawal of life support from the critically ill. ⋯ While a number of similarities were found between Turkish anaesthesiologists and those from other countries, some specific differences could be identified, particularly related to consensus decision-making and sharing information with other providers and the value of Ethics Committees in the decision-making process.
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Acta Anaesthesiol Scand · Apr 2004
Changes in diaphragm structure following prolonged mechanical ventilation in piglets.
Prolonged mechanical ventilation and inactivity negatively affect muscle function. The mechanisms for this dysfunction are unclear and clinical studies of respiratory muscle are difficult to carry out. An animal model simulating the critical care environment was used to investigate the effects of 5 days' mechanical ventilation and diaphragm inactivity on diaphragm muscle morphology. ⋯ Five days' mechanical ventilation with sedation and complete diaphragm inactivity resulted in changes in muscle fiber structure. A causal relationship can not be concluded but the acute changes in fiber type distribution and structure suggest that previously reported diaphragm contractile impairment occurs at the level of muscle fibers.
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Acta Anaesthesiol Scand · Apr 2004
Randomized Controlled Trial Clinical TrialImproved application of Lidocaine/Prilocaine cream in children. A randomized and prospectively controlled study of two application regimes.
Intravenous cannulation in children aged 6-12 years is less painful after a 90-min application of a Lidocaine/ Prilocaine cream followed by a 30-min interval without cream, than cannulation immediately after a 60-min application. ⋯ i.v. cannulation after application of anaesthetic cream for 90 min followed by a 30-min interval is less painful than the widely used 60-min application directly followed by cannulation.