Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Aug 2010
Randomized Controlled TrialCuffed endotracheal tubes in children reduce sevoflurane and medical gas consumption and related costs.
This study aims to evaluate sevoflurane and anaesthetic gas consumption using uncuffed vs. cuffed endotracheal tubes (ETT) in paediatric surgical patients. ⋯ The use of cuffed ETT in children significantly reduced the costs of sevoflurane and medical gas consumption during anaesthesia. Increased costs for cuffed compared with uncuffed ETT were completely compensated by a reduction in sevoflurane and medical gas consumption.
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Acta Anaesthesiol Scand · Aug 2010
Comparative StudyA clinical prospective comparison of anesthetics sensitivity and hemodynamic effect among patients with or without obstructive jaundice.
To compare isoflurane anesthesia in patients with or without hyperbilirubinemia undergoing hepatobiliary surgery. ⋯ Patients with obstructive jaundice have an increased sensitivity to isoflurane, more hypotension and bradycardia during anesthesia induction and maintenance and a prolonged recovery time compared with controls.
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Acta Anaesthesiol Scand · Aug 2010
Induced hypothermia in comatose survivors of asphyxia: a case series of 14 consecutive cases.
Induced hypothermia is widely used for comatose survivors of cardiac arrest. Other causes of hypoxic brain injury carry a poor prognosis when treated using traditional methods. At our hospital, hypothermia has also been used for the management of all comatose survivors of asphyxiation. The aim of the present study was to report the results of the management of these patients. ⋯ The results of this study suggest that an early abnormal CT scan of the brain in patients resuscitated after asphyxiation carries an adverse prognosis. The favorable outcome of the patients in the present study suggests that a randomized clinical trial on the use of induced hypothermia in patients exposed to severe asphyxia might be warranted.
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Acta Anaesthesiol Scand · Aug 2010
Acute kidney injury with renal replacement therapy in trauma patients.
Acute kidney injury (AKI) with renal replacement therapy (RRT) is rare in trauma patients. The primary aim of the study was to assess incidence, mortality and chronic RRT dependency in this patient group. ⋯ AKI in trauma patients requiring RRT was rare in this single-center study. More males than females were affected. Mortality was modest, and renal recovery was excellent as none of the survivors became dependent on chronic RRT.