Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Apr 2019
Randomized Controlled TrialThe effect of isocapnic hyperventilation on early recovery after remifentanil/sevoflurane anesthesia in O2 /air: A randomized trial.
Isocapnic hyperventilation (ICHV) may hasten emergence from general anesthesia but remains inadequately studied. We prospectively determined emergence time after sevoflurane anesthesia of variable duration with and without ICHV. ⋯ Isocapnic hyperventilation only had a small effect on emergence times after anesthesia, suggesting that isocapnic hyperventilation may have limited clinical benefits with modern potent inhaled anesthetics.
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Acta Anaesthesiol Scand · Apr 2019
Review Meta AnalysisDopamine in critically ill patients with cardiac dysfunction: A systematic review with meta-analysis and trial sequential analysis.
Dopamine has been used in patients with cardiac dysfunction for more than five decades. Yet, no systematic review has assessed the effects of dopamine in critically ill patients with cardiac dysfunction. ⋯ Evidence for dopamine in critically ill patients with cardiac dysfunction is sparse, of low quality, and inconclusive. The use of dopamine for cardiac dysfunction can neither be recommended nor refuted.
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Acta Anaesthesiol Scand · Apr 2019
Randomized Controlled TrialSupervised exercise training with multimodal pre-habilitation leads to earlier functional recovery following colorectal cancer resection.
Exercise training is a component of the pre-habilitation program. While in one previous study the training was home-based, in a subsequent investigation it was supervised in hospital. The hypothesis of this secondary analysis of the two studies was to determine whether supervised exercise further accelerates the return to baseline walking ability. ⋯ Supervised exercise training leads to meaningful changes in functional capacity thus accelerating the postoperative return to baseline activities.
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Acta Anaesthesiol Scand · Apr 2019
Review Practice GuidelineClinical practice guideline on atraumatic (pencil-point) vs conventional needles for lumbar puncture: Endorsement by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine.
The Scandinavian Society of Anaesthesiology and Intensive Care Medicine Clinical Practice Committee endorses the BMJ Rapid Recommendation clinical practice guideline on atraumatic (pencil-point) vs conventional needles for lumbar puncture. This includes the strong recommendation for the use of atraumatic needles for lumbar puncture in all patients regardless of age or indication.
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Acta Anaesthesiol Scand · Apr 2019
Randomized Controlled TrialAdductor canal block with a suture-method catheter - A parallel or perpendicular approach?
We performed a randomised blinded pilot study in 16 healthy volunteers to assess whether placing a suture-method catheter in the adductor canal is feasible with two different insertion techniques. ⋯ The suture-method catheter can be placed in the adductor canal with high success rates for initial placement with both techniques.