Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Apr 2021
Outcomes of catheter-directed interventions in high-risk pulmonary embolism-a retrospective analysis.
First-line treatment of high-risk pulmonary embolism with persistent hypotension and/or signs of shock is intravenous thrombolysis. However, if thrombolysis is contraindicated due to risk of serious bleeding, or if it yields insufficient effect, surgical thrombectomy or catheter-directed intervention (CDI) plus anticoagulation is recommended. The aim of this study was to assess the outcomes of the CDI modality introduced in a tertiary referral centre in 2013. ⋯ In patients with high-risk pulmonary embolism, 90-day survival was similar after treatment with CDI plus anticoagulation compared to anticoagulation only. The mean reduction in RV/LV ratio was larger in the CDI group. Our results support the use of CDI in selected patients, respecting the limitations and potential side effects of each technical device used.
-
Acta Anaesthesiol Scand · Apr 2021
Arterial and end-tidal carbon dioxide partial pressure difference during prehospital anaesthesia in critically ill patients.
Normoventilation is crucial for many critically ill patients. Ventilation is routinely guided by end-tidal capnography during prehospital anaesthesia, based on the assumption of the gap between arterial partial pressure of carbon dioxide (PaCO2 ) and end-tidal carbon dioxide partial pressure (PetCO2 ) of approximately 0.5 kPa (3.8 mmHg). ⋯ Our results suggest that end-tidal capnography alone might not be an adequate method to achieve normoventilation for critically ill patients intubated and mechanically ventilated in prehospital setting. Thus, an arterial blood gas analysis might be useful to recognize patients with an increased gap between PaCO2 and PetCO2 .
-
Acta Anaesthesiol Scand · Apr 2021
Sepsis after elective surgery - incidence, aetiology and outcome.
Sepsis requiring admission to intensive care (ICU) is a rare complication of elective surgery, but is associated with high morbidity and mortality. The aim of this study was to describe the incidence and outcome of sepsis following elective surgery. ⋯ Incidence of sepsis following elective surgery is low in Iceland but mortality is high. Initial antimicrobial therapy needs careful consideration in these hospital-acquired, often polymicrobial infections.
-
Acta Anaesthesiol Scand · Apr 2021
Retraction Of PublicationRetraction: Boldt J, Maleck WH, Fent T. Price development in important anesthesia and critical care medicine journals in comparison to journals of other disciplines. Acta Anaesthesiol Scand. 2001;45(4):458-64. https://doi.org/10.1034/j.1399-6576.2001.045004458.x.
-
Acta Anaesthesiol Scand · Apr 2021
Retraction Of PublicationRetraction: Röhm KD, Riechmann J, Boldt J, Schöllhorn T, Piper SN. Do patients profit from physostigmine in recovery from desflurane anaesthesia? Acta Anaesthesiol Scand. 2007;51(3):278-83. https://doi.org/10.1111/j.1399-6576.2006.01238.x.