Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Sep 2017
Anaesthesia practices for endovascular therapy of acute ischaemic stroke: a Nordic survey.
The optimal method of anaesthesia for endovascular therapy (EVT) in acute ischaemic stroke (AIS) has not been identified. Nordic departments of anaesthesiology may handle EVT cases for AIS differently. The aim of this survey was to describe the current practice patterns of Nordic anaesthesia departments in anaesthetic management of EVT in AIS. ⋯ This survey indicates that the majority of Nordic anaesthesia departments who manage anaesthesia for EVT are able to provide immediate 24-h response to an EVT request. Most of these departments have institutional guidelines for EVT anaesthesia and haemodynamic management. Conscious sedation appears to be the preferred method of anaesthetic care.
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Acta Anaesthesiol Scand · Sep 2017
Takotsubo syndrome in hemodynamically unstable patients admitted to the intensive care unit - a retrospective study.
Takotsubo syndrome (TS) is an acute cardiac condition that is often triggered by critical illness but that has rarely been studied in the intensive care unit (ICU) setting. The aim of this study was to (i) estimate the incidence of TS in a hemodynamically unstable ICU-population; (ii) identify predictors of TS in this population; (iii) study the impact of TS on prognosis and course of hospitalization. ⋯ TS was not an uncommon cause of LV dysfunction in hemodynamically unstable ICU-patients. Furthermore, TS was associated with a more complex disease. TS is a complication to take in consideration in the critically ill.
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Acta Anaesthesiol Scand · Sep 2017
Comparative StudyMortality rates for Finnish anaesthesiologists and paediatricians are lower than those for the general population.
Previous studies on mortality among anaesthesiologists in the Nordic countries have reported inconsistent results. In an effort to examine mortality patterns among Finnish anaesthesiologists, we compared anaesthesiologists and paediatricians with the general population. ⋯ We found no evidence of increased mortality for anaesthesiologists or paediatricians. The number of suicides among anaesthesiologists was higher than among paediatricians and the general population.
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Acta Anaesthesiol Scand · Sep 2017
Effects of scalp nerve block on pain and emergence agitation after paediatric nevus surgery: a clinical trial.
Pain is considered as being one cause of post-operative emergence agitation (EA) from sevoflurane anaesthesia. The purpose of this study was to investigate the pure effect of post-operative pain on EA after sevoflurane anaesthesia in preschool children undergoing excision of scalp nevi. ⋯ The scalp nerve block decreased the early post-operative pain after paediatric nevus excision, but it did not decrease the incidence of EA with sevoflurane anaesthesia.