Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Aug 2021
Observational StudyTwo months quality of life of COVID-19 invasively ventilated survivors; an Italian single-center study.
COVID-19 disease can lead to severe functional impairments after discharge. We assessed the quality of life of invasively ventilated COVID-19 ARDS survivors. ⋯ Invasively ventilated COVID-19 ARDS survivors have an overall good recovery at a 2-months follow-up which is better than what was previously reported in non-COVID-19 ARDS patients.
-
Acta Anaesthesiol Scand · Aug 2021
Clinical alarms and alarm fatigue in a university hospital emergency department. A retrospective data analysis.
Alarm fatigue is hypothesized to be caused by vast amount of patient monitor alarms. Objectives were to study the frequency and types of patient monitor alarms, to evaluate alarm fatigue, and to find unit specific alarm threshold values in a university hospital emergency department. ⋯ Alarm sound load, from individual alarm sounds, was nearly continuous in an emergency department observation room equipped with nine monitors. Intervention by the staff to the alarms was infrequent. More than half of the alarms were momentary.
-
Acta Anaesthesiol Scand · Aug 2021
Randomized Controlled TrialMidazolam versus dexamethasone-ondansetron in preventing postoperative nausea-vomiting in patients undergoing laparoscopic surgeries.
Midazolam reduces post-operative nausea and vomiting (PONV) when compared to a placebo or when used as an adjuvant to other antiemetics. The present study was designed to compare midazolam with a combination of dexamethasone-ondansetron in preventing PONV. ⋯ Midazolam does not result in significantly different frequency of PONV than a combination of dexamethasone-ondansetron.
-
Acta Anaesthesiol Scand · Aug 2021
A systematic approach to weaning from extracorporeal membrane oxygenation in patients with refractory cardiac failure.
Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) is commonly used to provide haemodynamic support for patients with severe cardiac failure. However, timing ECMO weaning remains challenging. We aimed to examine if an integrative weaning approach based on predefined haemodynamic, respiratory and echocardiographic criteria is associated with successful weaning. ⋯ An integrative weaning approach based on haemodynamic, respiratory and echocardiographic criteria may strengthen the clinical decision process in predicting successful weaning in patients receiving ECMO for refractory cardiac failure.
-
Acta Anaesthesiol Scand · Aug 2021
Randomized Controlled TrialDesflurane consumption with automated vapor control systems in two different anaesthesia machines. A randomized controlled study.
In general anaesthesia practice a fresh gas flow (FGF) of ≥0.5 L/min is usually applied. Automated gas delivery devices are developed to reduce volatile anaesthetic consumption by limiting gas flow. This study aimed to compare desflurane consumption between automated gas control devices compared to conventional low flow anaesthesia in the Flow-I and Aisys anaesthesia machines, and to compare desflurane consumption between the two automated gas delivery devices. We hypothesised that desflurane consumption would be lower with automated gas delivery compared to conventional low flow anaesthesia, and that desflurane consumption could differ between the different gas delivery devices. ⋯ Under clinical conditions, we found a reduction in desflurane consumption when using automated gas delivery devices compared to conventional low flow anaesthesia. Both devices were reliable in use.