Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Aug 2013
Randomized Controlled Trial Comparative StudyThe disposable Ambu aScope vs. a conventional flexible videoscope for awake intubation -- a randomised study.
A new disposable flexible videoscope, the Ambu® aScope, has several potential advantages compared with reusable devices, but it is a prerequisite for its widespread use that it functions sufficiently well in the management of patients in whom difficulty with airway management is anticipated and awake intubation is indicated. ⋯ Both the disposable aScope and the reusable Olympus videoscope allowed safe awake intubation in our elective patients with severely difficult, but uncompromised, airways. The occasional need to employ a spare scope because of malfunctioning would make the disposable aScope less suitable in patients with acutely compromised airways.
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Acta Anaesthesiol Scand · Aug 2013
Randomized Controlled Trial Comparative StudySevoflurane has no adverse effects on renal function in cirrhotic patients: a comparison with propofol.
Cirrhotic patients are prone to developing renal dysfunction after anaesthesia and surgery. However, no consensus has been reached whether sevoflurane could have adverse effects on renal function in cirrhotic patients. We hypothesised that the use of sevoflurane for general anaesthesia would lead to post-operative renal dysfunction in cirrhotic patients undergoing liver resection. ⋯ Sevoflurane does not seem to impair post-operative renal function in cirrhotic patients undergoing liver resection.
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Acta Anaesthesiol Scand · Aug 2013
Employment status 1 year after out-of-hospital cardiac arrest in comatose patients treated with therapeutic hypothermia.
Therapeutic hypothermia for comatose survivors of out-of-hospital cardiac arrest (OHCA) has improved survival and neurologic outcome. This study focused on return to work 1 year after therapeutic hypothermia. ⋯ The majority of patients employed, or able to work prior to OHCA, had returned to work at one year follow-up. Predictors of return to work in comatose patients treated with hypothermia have to be identified in a larger-scale study.
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Acta Anaesthesiol Scand · Aug 2013
High incidence of post-injury pneumonia in intensive care-treated trauma patients.
Trauma patients are susceptible to post-injury infections. We investigated the incidence, as well as risk factors for development of pneumonia in intensive care unit (ICU)-treated trauma patients. In addition, we report pathogens identified in patients that developed pneumonia. ⋯ Pneumonia is a common complication among ICU-treated trauma patients. Reduced consciousness is an independent risk factor for development of pneumonia after severe injury.
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Acta Anaesthesiol Scand · Aug 2013
Chronic pain and the development of a symptom checklist: a pilot study.
There is currently no instrument to systematically assess the range of symptoms/problems and their bothersomeness in patients with chronic non-cancer pain (CNPN). Systematic assessment and prioritizing may target treatments and improve outcomes. ⋯ Patients prioritized pain and fatigue as the most burdensome symptoms, but reduction in physical activity and sleep problems were also highly ranked. Patients were positive to the idea of symptom reporting; however, the 53-item number in this version of CSC is larger than may be necessary.