Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Sep 2022
Establishing a sustainable training programme in anaesthesia in Ethiopia.
Lack of qualified staff is a major hindrance for quality and safety improvements in anaesthesia and critical care in many low-income countries. Support in specialist training may enhance perioperative treatment and have a positive downstream impact on other hospital services, which may improve the overall standard of care. ⋯ Nearly 11 years after establishment of the programme, locally trained highly qualified anaesthetists work in Ethiopia's major hospitals throughout the country.
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Acta Anaesthesiol Scand · Sep 2022
Long term cognitive and functional status in Danish ICU patients with COVID-19.
ICU admission due to COVID-19 may result in cognitive and physical impairment. We investigated the long-term cognitive and physical status of Danish ICU patients with COVID-19. ⋯ Long-term cognitive, functional impairment was found in up to one in four of patients surviving intensive care for COVID-19. Fatigue was present in nearly half the survivors at both 6 and 12 months. However, pre-ICU admission status of the patients was unknown.
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Acta Anaesthesiol Scand · Sep 2022
A novel technique of ultrasound-guided lateral cutaneous branch of the iliohypogastric nerve block: a cadaveric study.
The lateral cutaneous branch of the iliohypogastric nerve (LCBIN) block combined with the lateral femoral cutaneous, superior cluneal and subcostal nerve blocks has been shown to provide complete anaesthetic coverage for the incisions used for hip arthroplasty. Successful ultrasound-guided selective nerve blocks have been described for these nerves, except for the LCBIN. The objective of this cadaveric study was to determine the position of the LCBIN in order to provide the anatomical basis for an ultrasound-guided nerve block approach. Furthermore, we aimed to evaluate the spread of injected dye after using the ultrasound-guided nerve block approach. ⋯ The present study showed that the LCBIN has a constant location and is sonographically easy visualized in a well-defined anatomical space. Thus, the ultrasound guided LCBIN block may be an alternative to the blind injection technique.