Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Apr 2021
Retraction Of PublicationRetraction: Boldt J, Papsdorf M, Piper S, Padberg W, Hempelmann G. Influence of dopexamine hydrochloride on haemodynamics and regulators of circulation in patients undergoing major abdominal surgery. Acta Anaesthesiol Scand. 1998;42(8):941-7. https://doi.org/10.1111/j.1399-6576.1998.tb05354.x.
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Acta Anaesthesiol Scand · Apr 2021
ReviewAntioxidant treatment to reduce mortality and serious adverse events in adult surgical patients: A systematic review with meta-analysis and trial sequential analysis.
Hyperoxia during anesthesia can increase cellular oxidative stress, and perioperative antioxidant treatment may reduce the resulting damage. The aim of this review was to evaluate risks and benefits of antioxidant treatment in surgical patients. We hypothesized that antioxidant treatment reduced mortality compared to placebo/no intervention. ⋯ We found a 26% relative risk reduction of mortality in surgical patients treated with antioxidants but the quality of evidence supporting our findings is low and influenced by clinical heterogeneity and high risk of systematic- and random errors.
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Acta Anaesthesiol Scand · Apr 2021
ReviewFluid escapes to the "third space" during anesthesia, a commentary.
The "third fluid space" is a concept that has caused much confusion for more than half a century, dividing anesthesiologists into believers and non-believers. ⋯ During anesthesia and surgery one third of the infused crystalloid fluid is at least temporarily unavailable for excretion, which probably contributes to postoperative weight increase and edema.
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Acta Anaesthesiol Scand · Apr 2021
ReviewClinical practice guideline on gastrointestinal bleeding prophylaxis for critically ill patients: Endorsement by the Scandinavian Society of Anaesthesiology and Intensive Care Medicine.
The Scandinavian Society of Anaesthesiology and Intensive Care Medicine Clinical practice Committee endorses the BMJ Rapid Recommendation Gastrointestinal bleeding prophylaxis for critically ill patients-a clinical practice guideline. The guideline serves as a useful decision aid for clinicians caring for critically ill patients, and can be used together with clinical experience to decide whether a specific critically ill patient may benefit from gastrointestinal bleeding prophylaxis.
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Increased bleeding and blood product transfusions during cardiac surgery are associated with poor outcomes. The patient's ABO blood group is related to hemostatic balance, although it is unclear whether this influences bleeding during cardiac surgery. This study aimed to evaluate whether ABO blood group is related to bleeding during cardiac surgery. ⋯ The patient's ABO group appears to be related to volumes of chest tube drainage and transfused blood products during cardiac surgery.