Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Sep 2011
ReviewAnaesthesia for endoscopic retrograde cholangiopancreatography.
Endoscopic Retrograde Cholangiopancreatography is used for both diagnostic and therapeutic purposes. It is relatively more complex than routine endoscopies and requires adequate patient sedation. Furthermore the patients often have co-morbidities. This article provides an overview of various anaesthetic drugs and the type of anaesthesiological support.
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Acta Anaesthesiol Scand · Sep 2011
Blood transfusion after cardiac surgery: is it the patient or the transfusion that carries the risk?
The transfusion of red blood cells (RBCs) after cardiac surgery has been associated with increased long-term mortality. This study reexamines this hypothesis by including pre-operative hemoglobin (Hb) levels and renal function in the analysis. ⋯ When pre-operative Hb levels and renal function are taken into account, moderate transfusions of RBC after CABG surgery do not seem to be associated with reduced long-term survival.
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Acta Anaesthesiol Scand · Sep 2011
The impact of pre-admission morbidity level on 3-year mortality after intensive care: a Danish cohort study.
Chronic diseases are common among intensive care unit (ICU) patients and may worsen their prognosis. We examined the prevalence and impact of pre-admission/index morbidity among ICU patients compared with a general population cohort. ⋯ A high pre-admission morbidity level was frequent among ICU patients and associated with a worsened prognosis. Morbidity had more impact on mortality among ICU patients compared with a general population cohort.
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Acta Anaesthesiol Scand · Sep 2011
Randomized Controlled TrialEffect of N-acetylcysteine on cardiac injury and oxidative stress after abdominal aortic aneurysm repair: a randomized controlled trial.
Several studies have reported that the antioxidant properties of N-acetylcysteine (NAC) can provide cardiac protection through scavenging of free radicals. The present study was aimed to assess the efficacy of NAC for cardiac protection in patients undergoing elective abdominal aortic aneurysm (AAA) repair. ⋯ NAC infusion provided cardiac protection through scavenging of oxygen free radicals.
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Acta Anaesthesiol Scand · Sep 2011
Volume kinetics of acetated Ringer's solution during experimental spinal anaesthesia.
General anaesthesia lowers the clearance of crystalloid fluid, but the volume kinetics of such fluid throughout the duration of spinal anaesthesia has not been studied. ⋯ Acetated Ringer's solution showed the same kinetics during experimental spinal anaesthesia as when the fluid was infused alone. Hence, spinal anaesthesia is not associated with the reduced fluid clearance reported for general anaesthesia.