Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Jan 2020
Observational StudyNear-Infrared Spectroscopy Monitoring in a Prehospital Trauma Patient Cohort: an analysis of successful signal collection.
Noninvasive monitoring of cerebral physiology could potentially guide pre-hospital management of patients with traumatic injuries. Near-infrared spectroscopy (NIRS) is one such modality but the consistency of monitoring performance remains unclear. This study assessed the proportion of successful signal collection during pre-hospital care. ⋯ In this pre-hospital observational feasibility study with dedicated personnel an acceptable proportion of measurement time was achieved in over 90% of monitored subjects. Addition of NIRS monitoring did not alter pre-hospital scene or transport times in this research setting.
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Acta Anaesthesiol Scand · Jan 2020
Randomized Controlled Trial Comparative StudyCombined epidural-general anaesthesia vs. general anaesthesia in neonatal gastrointestinal surgery: A randomised controlled trial.
Post-operative ileus is a frequent complication of gastrointestinal surgery under general anaesthesia. The aim of this study was to investigate whether combined epidural-general anaesthesia is associated with expedited gastrointestinal function recovery in neonates undergoing elective gastrointestinal surgery. ⋯ Combined epidural-general anaesthesia is associated with expedited gastrointestinal function recovery and a lower infection risk after gastrointestinal surgery in neonates.
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Acta Anaesthesiol Scand · Jan 2020
The association between epidural analgesia and mortality in emergency abdominal surgery: A population-based cohort study.
Emergency abdominal surgery carries a considerable risk of mortality and post-operative complications, including pulmonary complications. In major elective surgery, epidural analgesia reduces mortality and pulmonary complications. We aimed to evaluate the association between epidural analgesia and mortality in emergency abdominal surgery. ⋯ In this population-based cohort study of adult patients undergoing emergency abdominal surgery, we found that the use of epidural analgesia perioperatively was associated with a decreased risk of mortality in the adjusted analysis.
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Acta Anaesthesiol Scand · Jan 2020
Observational StudyRisk factors for shivering during caesarean section under spinal anaesthesia. A prospective observational study.
Shivering during caesarean section (CS) under spinal anaesthesia is a common phenomenon. It could not only alter patient's physiology by increasing oxygen consumption but also affect the parturient's experience of childbirth. Shivering is thought to be associated with intraoperative hypothermia, but the risk factors and exact mechanism remain unclear. ⋯ We failed to prove a strong correlation between the measured variables and shivering. Our findings, however, support the hypothesis, that to a limited extent, anxiety promotes shivering during CS.
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Acta Anaesthesiol Scand · Jan 2020
Observational StudyClinical Examination Findings As Predictors Of Acute Kidney Injury In Critically Ill Patients.
Acute Kidney Injury (AKI) in critically ill patients is associated with a markedly increased morbidity and mortality. The aim of this study was to establish the predictive value of clinical examination for AKI in critically ill patients. ⋯ Clinical examination findings were able to predict AKI with moderate accuracy in a large cohort of critically ill patients. Findings of clinical examination on ICU admission may trigger further efforts to help predict developing AKI.