Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Sep 2013
Randomized Controlled Trial Comparative StudyComparison of ProSeal LMA with Supreme LMA in paediatric patients.
Supreme laryngeal mask airway (S-LMA) has been improved in recent years, but comparative studies with a sizeable number of paediatric patients are limited in number. In this study, oropharyngeal leak pressures (OLPs) were compared between S-LMA and ProSeal laryngeal mask airway (P-LMA) in paediatric patients. ⋯ Our findings suggest that S-LMA has OLPs similar to those of P-LMA in paediatric patients and that S-LMA provides successful positive pressure ventilation.
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Acta Anaesthesiol Scand · Sep 2013
ICU personnel have inaccurate perceptions of their patients' experiences.
Intensive care unit (ICU) patient care bases - among others - upon the staff's assumptions about each patient's subjective preferences and experiences. However, these assumptions may be skewed and thus result in client-professional gaps (cp-gaps), which occur in two subtypes, hyperattention and blind spots to certain burdens. cp-gaps typically reduce quality of care. We investigated whether cp-gaps of either subtype exist in a 36-bed ICU of a university hospital. ⋯ cp-gaps in ICUs can be identified using analogue questionnaires for patients and staff. Both subtypes of cp-gap occur. cp-gaps are substantially influenced by self-attributional bias.
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Acta Anaesthesiol Scand · Sep 2013
Does chronic pre-operative pain predict severe post-operative pain after thoracotomy? A prospective longitudinal study.
Despite advances in pain research, many patients still experience moderate to severe post-operative pain that needs to be alleviated. The primary aim of this study was to identify predictive factors for severe post-operative pain after thoracotomy. Secondary, we investigated the levels of post-operative pain in this group of patients. ⋯ In contrast to previous studies, which have reported pre-operative chronic pain to be a strong predictor of moderate to severe post-operative pain, we have in our study not been able to replicate these findings.
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Acta Anaesthesiol Scand · Sep 2013
Neurocognitive effects following an overnight call shift on faculty anesthesiologists.
The impact of sleep deprivation on neurocognitive performance is a significant concern to both the health of patients and to the physicians caring for them, as demonstrated by the Accreditation Council for Graduate Medical Education enforced resident work hours. This study examined the effects of an overnight call at a level 1 trauma hospital on neurocognitive performance of faculty anesthesiologists. ⋯ Following a night call shift, performance on learning and memory was significantly reduced. Other areas were not significantly affected, which may have been due to certain possibilities, such as practice effect or variability in the call shifts. The real-world relevance of the decline in performance on these measures remains unclear.