Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Feb 2020
Observational StudyPrevalence of risk -drinking in critically ill patients, screened with carbohydrate-deficient transferrin and AUDIT-C score: a retrospective study.
Background Studies demonstrate that up to one-third of intensive care unit (ICU) admissions are directly or indirectly related to alcohol. Screening for alcohol use is not routine. This study examined the prevalence of elevated %CDT (carbohydrate-deficient transferrin) and above risk-level AUDIT-C (Alcohol Use Disorders Identification Test, Consumption) in patients admitted to ICU. ⋯ Diagnosis of alcohol overconsumption though is problematic due to low sensitivity in screening. In a pilot study, a biomarker and a screening tool are compared. The finding is that multiple tools are needed to achieve an adequate sensitivity for detection.
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Acta Anaesthesiol Scand · Feb 2020
Effects of High Neuromuscular Blocking Agent Dose on Postoperative Respiratory Complications in Infants and Children.
This study evaluated the association between neuromuscular blocking agent dose and post-operative respiratory complications in infants and children. ⋯ High dose of neuromuscular blocking agents is associated with post-operative respiratory complications. We have identified subcohorts of paediatric patients who are particularly vulnerable to the respiratory side-effects of neuromuscular blocking agents: infants, paediatric patients undergoing surgeries of short duration, and those with a high ASA risk score.
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Acta Anaesthesiol Scand · Feb 2020
Comparative StudyComparing volumetric and biochemical assessment of intravasation caused by hysteroscopic surgery.
During hysteroscopic surgery intravasation of irrigation fluid occurs, leading to potentially dangerous intravascular fluid overload. Currently, intravasation is usually measured volumetrically as fluid deficit. Intravasation could also be calculated using the decrease in hemoglobin or increase in chloride ion concentration, both phenomena known to result from intravasation. We compared the values of intravasation measured volumetrically as fluid deficit versus calculated from the biochemical change in hemoglobin and chloride. We expected that these values would show strong correlation and agreement. ⋯ Our study shows significant differences and poor agreement between volumetric and biochemically assessed intravasation. Based on this study, routinely assessing intravasation by biochemical methods does not have additional benefit compared to the volumetric fluid deficit. It remains unclear which method resembles true intravasation.