Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Oct 2021
Ischemic vascular disease and long-term mortality in emergency abdominal surgical patients: a population-based cohort study.
Emergency abdominal surgery carries a high mortality, as patients are often frail with significant comorbidity. We aimed to evaluate the association between co-existing ischaemic vascular disease (IVD) and long-term mortality in patients undergoing emergency abdominal surgery. ⋯ In adult major emergency abdominal surgical patients, preoperative IVD was prevalent and associated with a 10% relative increase in long-term mortality, but not in short-term mortality.
-
Acta Anaesthesiol Scand · Oct 2021
Patient perceptive focus on recovery - An exploratory study on follow-up after major emergency abdominal surgery.
Optimal recovery can be defined as the adequate in-hospital length of stay with minimal postoperative complications and readmissions. The quality of recovery beyond the immediate postoperative period after major emergency abdominal surgery is yet to be fully described. We hypothesized that long-term measures of overall recovery were affected after surgery. The study aimed to investigate patient-focused recovery-related parameters 1 year after major emergency abdominal surgery. ⋯ One in three patients reported physical functional impairment, and one in four patients reported pain 1 year after their surgical procedure.
-
Acta Anaesthesiol Scand · Oct 2021
Controlled Clinical TrialA new Situation Awareness model decrease clinical deterioration in the emergency departments - a controlled intervention study.
Studies have suggested that adding subjective parameters to early warning score (EWS) systems might prompt more proactive treatment and positively affect clinical outcomes. Hence, the study aimed to investigate effect of a situation awareness model consisting of objective and subjective parameters on clinical deterioration in adult emergency department (ED) patients. ⋯ The situation awareness model reduces odds of clinical deterioration, defined as a clinically relevant increase in EWS, in an unselected adult population of ED patients. However, there was no effect on secondary outcomes.
-
Acta Anaesthesiol Scand · Oct 2021
COVID-19 versus influenza A/B supeRInfectionS in the IntenSive care unit (CRISIS): Protocol for a Danish nationwide cohort study.
Superinfection following viral infection is a known complication, which may lead to longer hospitalisation and worse outcome. Empirical antibiotic therapy may prevent bacterial superinfections, but may also lead to overuse, adverse effects and development of resistant pathogens. Knowledge about the incidence of superinfections in intensive care unit (ICU) patients with severe Coronavirus Disease 2019 (COVID-19) is limited. ⋯ This study will provide important knowledge about superinfections in ICU patients with severe COVID-19.
-
Acta Anaesthesiol Scand · Oct 2021
Model-predicted capillary leakage in graded hypotension: Extended analysis of experimental spinal anesthesia.
Crystalloid fluid infused during the induction of spinal anesthesia is involved in a complex set of physiological responses, including vasodilatation, reactive vasoconstriction, and changes in mean arterial pressure (MAP). The present evaluation compares the modeled capillary leakage in anesthetized versus nonanesthetized body regions. ⋯ Graded hypotension during spinal anesthesia reduced the capillary filtration of fluid as determined by volume kinetic analysis. The effect was twice as great when venous blood was sampled from a nonanesthetized body region than from an anesthetized body region.