Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Mar 2018
Randomized Controlled Trial Multicenter StudyFactors associated with non-response at health-related quality of life follow-up in a septic shock trial.
Follow-up of intensive care unit (ICU) patients often includes health-related quality of life (HRQoL) surveying, but non-responders hamper the interpretation. Our aim was to assess factors for non-response to HRQoL survey in ICU patients with septic shock at follow-up in a clinical trial. ⋯ Being younger, spending more days in hospital and living alone were all associated with non-response at 1-year HRQoL follow-up among ICU patients with septic shock.
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Acta Anaesthesiol Scand · Mar 2018
4218T/C polymorphism associations with post-cesarean patient-controlled epidural fentanyl consumption and pain perception.
The utilization of intrathecal opioids is an efficacious component of post-cesarean section pain management. Given that growing evidence indicates that calcitonin gene-related peptide (CGRP) plays a key role in the development of peripheral sensitization and is associated with enhanced pain, we hypothesized that CGRP 4218T/C polymorphism is associated with the variability in fentanyl consumption for post-cesarean analgesia. ⋯ These results indicated that patients with C/C genotype may have reduced sensitivity to fentanyl analgesia and/or increased pain perception, and were more willing to use PCEA fentanyl to manage their pain.
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Acta Anaesthesiol Scand · Mar 2018
Implementation and effectiveness of a video-based debriefing programme for neonatal resuscitation.
Approximately 5%-10% of newly born babies need intervention to assist transition from intra- to extrauterine life. All providers in the delivery ward are trained in neonatal resuscitation, but without clinical experience or exposure, training competency is transient with a decline in skills within a few months. The aim of this study was to evaluate whether neonatal resuscitations skills and team performance would improve after implementation of video-assisted, performance-focused debriefings. ⋯ Implementation of video-assisted, performance-focused debriefings improved adherence to best practice guidelines for neonatal resuscitation skill and team performance.
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Acta Anaesthesiol Scand · Mar 2018
Randomized Controlled Trial Comparative StudyA comparison between McGrath MAC videolaryngoscopy and Macintosh laryngoscopy in children.
This prospective, randomised, controlled study was performed to evaluate the usefulness of the McGrath VL compared with Macintosh laryngoscopy in children with expected normal airway during endotracheal intubation, by comparing the time to intubation and difficulty of intubation. ⋯ McGrath VL provides better laryngeal views and lower IDS but similar intubation times and success rates compared with the Macintosh laryngoscope in children with normal airway.