Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Nov 2017
Impact of systemic inflammatory response syndrome and surgical Apgar score on post-operative acute kidney injury.
Surgical Apgar Score (SAS) is relatively weakly associated with post-operative outcomes in emergency surgery, compared with elective surgery. A combination of systemic inflammatory response syndrome (SIRS) and SAS may be useful for prediction of poor outcomes after emergency surgery. ⋯ Pre-operative SIRS and SAS are independently associated with post-operative AKI. Simultaneous use of pre-operative SIRS and SAS may improve prediction of poor post-operative outcomes.
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Acta Anaesthesiol Scand · Nov 2017
Randomized Controlled TrialUltrasound-guided regional blockade for lipoma excision: a new approach to an old technique.
Local anesthesia for lipoma excision can be feasible with anesthetic injection in the fascial plane between the lipoma and the surrounding soft tissues under real-time ultrasonography [ultrasound- guided lipoma plane (ULP) block]. The advantage of targeting a single anesthetic injection plane under ultrasound guidance may allow for technically easier block placement and long-term analgesic effects. ⋯ Ultrasound-guided lipoma plane blockade reduces the number of needle passes required to complete the block and provides less procedure pain and longer pain relief compared with the traditional block in patients undergoing lipoma excision.
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Acta Anaesthesiol Scand · Nov 2017
Observational StudyRapid response team patients triaged to remain on ward despite deranged vital signs: missed opportunities?
Rapid response teams (RRTs) triage most patients to stay on ward, even though some of them have deranged vital signs according to RRTs themselves. We investigated the prevalence and outcome of this RRT patient cohort. ⋯ Patients triaged to stay on ward despite deranged vital signs are high-risk patients who could benefit from routine follow-up by RRT nurses before they deteriorate beyond salvation.
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Acta Anaesthesiol Scand · Nov 2017
Return of spontaneous circulation and long-term survival according to feedback provided by automated external defibrillators.
We aimed to investigate the effect of automated external defibrillator (AED) feedback mechanisms on survival in out-of-hospital cardiac arrest (OHCA) victims. In addition, we investigated converting rates in patients with shockable rhythms according to AED shock waveforms and energy levels. ⋯ No difference in survival after OHCA according to AED feedback mechanisms, nor any difference in converting rates according to AED waveform or energy levels was detected.