Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Sep 2020
Multicenter Study Observational StudyLimiting treatment in prehospital care: A prospective, observational multicentre study.
Data are scarce on the withdrawal of life-sustaining therapies and limitation of care orders (LCOs) during physician-staffed Helicopter Emergency Medical Service (HEMS) missions. We investigated LCOs and the quality of information available when physicians made treatment decisions in pre-hospital care. ⋯ Making LCOs or treating patients with pre-existing LCOs is an integral part of HEMS physicians' work, with every twentieth mission involving LCO patients. The new LCOs mostly concerned withholding or withdrawal of cardiopulmonary resuscitation and intensive care.
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Acta Anaesthesiol Scand · Sep 2020
Multicenter StudyBarriers and aidsto routine neuromuscular monitoring and consistent reversal practice -a qualitative study.
Neuromuscular monitoring is recommended whenever a neuromuscular blocking agent is administered, but surveys have demonstrated inconsistent monitoring practices. Using qualitative methods, we aimed to explore barriers and aids to routine neuromuscular monitoring and consistent reversal practice. ⋯ Using qualitative methods, we found that though Danish anaesthetists generally apply objective neuromuscular monitoring routinely and residents at the US institution often apply subjective neuromuscular monitoring, barriers to consistent and correct use still exist.