Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Mar 2005
EEG spectral entropy, heart rate, photoplethysmography and motor responses to skin incision during sevoflurane anaesthesia.
Analgesia is a part of balanced anaesthesia, but direct indicators of nociception do not exist. We examined the relationship between motor reactions and physiological variables during skin incision in sevoflurane anaesthesia and hypothesized that nociception could be detected and graded by significant changes in these variables. ⋯ Combination of information from different sources may be required for monitoring the adequacy of analgesia during anaesthesia.
-
Acta Anaesthesiol Scand · Mar 2005
Vasodilatory shock in severe acute pancreatitis without sepsis: is there any place for hydrocortisone treatment?
Hydrocortisone (HC) has been reported to rapidly improve hemodynamics and reduce the time to vasopressor cessation in septic shock, but none has focused on this effect in acute pancreatitis. We therefore performed a study to assess the effects of hydrocortisone on catecholamine-dependent shock among patients with severe acute pancreatitis. ⋯ According to our data it seems reasonable to formulate a hypothesis that low doses of HC shorten the time to vasopressor cessation and rapidly reduce the need for norepinephrine support in patients with shock associated with severe acute pancreatitis without sepsis.