Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Apr 2017
Randomized Controlled Trial Multicenter StudyEffects of fluid restriction on measures of circulatory efficacy in adults with septic shock.
The haemodynamic consequences of fluid resuscitation in septic shock have not been fully elucidated. Therefore, we assessed circulatory effects in the first 24 h of restriction of resuscitation fluid as compared to standard care in intensive care unit (ICU) patients with septic shock. ⋯ We observed no indications of worsening of measures of circulatory efficacy in the first 24 h of restriction of resuscitation fluid as compared with standard care in adults with septic shock who had received initial resuscitation.
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Acta Anaesthesiol Scand · Apr 2017
Randomized Controlled Trial Comparative StudyA comparison of sugammadex and neostigmine for reversal of rocuronium-induced neuromuscular blockade in children.
Sugammadex is designed to be a reversal agent for steroidal muscle relaxants. The current trial was aimed to compare between sugammadex and neostigmine concerning the recovery time from neuromuscular blockade. We hypothesised that sugammadex might have shorter recovery time than neostigmine. ⋯ Sugammadex administration in children resulted in faster recovery and extubation times and lower incidence of adverse events compared with neostigmine.
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Acta Anaesthesiol Scand · Apr 2017
Randomized Controlled Trial Comparative StudyThe novel video-assisted intubating laryngeal mask Totaltrack compared to the intubating laryngeal mask Fastrach - a controlled randomized manikin study.
The novel Totaltrack combines a supraglottic airway device with video laryngoscopic tracheal intubation. The intubation laryngeal mask Fastrach is an established device without visual control of intubation. We hypothesized that supraglottic ventilation success with Totaltrack would be similar to Fastrach, but intubation would be performed faster due to visual control of the procedure. ⋯ In this manikin-based study the novel Totaltrack did not prove superior to Fastrach despite a similar design. Video laryngoscopic control of supraglottic ventilation and endotracheal intubation was prolonged using the Totaltrack. Clinical trials are mandatory to evaluate the role of the Totaltrack in airway management.