Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Jan 2008
Multicenter Study Clinical TrialChoice reaction time in patients with post-operative cognitive dysfunction.
Post-operative cognitive dysfunction (POCD) is detected by administration of a neuropsychological test battery. Reaction time testing is at present not included as a standard test. Choice reaction time (CRT) data from the first International Study of Post-operative Cognitive Dysfunction study were collected, but the association between POCD and reaction time has not been presented before. We hypothesized that CRT could be used as a screening tool for POCD. ⋯ Post-operative cognitive dysfunction is associated with impaired performance in the CRT test but the test is a poor predictor of POCD.
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Acta Anaesthesiol Scand · Jan 2008
Multicenter StudyPain management of opioid-treated cancer patients in hospital settings in Denmark.
To evaluate the performance and quality of cancer pain management in hospital settings. ⋯ Cancer pain was prevalent in opioid-treated patients in hospital settings: however, focussing on average pain intensity, the outcome seems favourable compared with other countries. Pain mechanisms were seldom examined and adjuvant drugs were not specifically used for neuropathic pain. Opioid dosing intervals and supplemental opioid doses were most often adequate. However, opioid side effects were highly prevalent and most side effects were left untreated.
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Acta Anaesthesiol Scand · Jan 2008
Multicenter StudyClinical practice and routines for day surgery in Sweden: results from a nation-wide survey.
Day surgery has expanded considerably during the last decades. Routines and standards have developed but differ between and within countries. ⋯ In Sweden, a high degree of standardised regime for day surgical practice was found. Post-operative pain is the most common complaint after discharge.
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Acta Anaesthesiol Scand · May 2007
Multicenter StudyTransfusion of red blood cells: no impact on length of hospital stay in moderately anaemic parturients.
In a search for information to improve decision making on red blood cell (RBC) transfusion, we examined the impact of RBC transfusion on the length of hospital stay for delivery in moderately anaemic women (haemoglobin, 7-10 g/dl). ⋯ The duration of admission for delivery in moderately anaemic parturients was longer than the average length of hospital stay in Finnish parturients. However, 1-2 RBC units had no impact on the length of stay, suggesting that unnecessary RBCs are transfused after delivery. Thus, transfusion practices in obstetrics are not always optimal.
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Acta Anaesthesiol Scand · Feb 2007
Randomized Controlled Trial Multicenter StudyDoes esomeprazole prevent post-operative nausea and vomiting?
Esomeprazole is a potent proton pump inhibitor (PPI), reducing acid production as well as gastric juice volume. This study evaluated the possible beneficial effect of esomeprazole on reducing post-operative nausea and vomiting (PONV). ⋯ Esomeprazole had no clinically relevant effect on the overall 24-h incidence of PONV. However, esomeprazole significantly reduced the total amount of vomit during 24-h post-operatively. This may be of value in patients with an increased risk of pulmonary aspiration.