Acta anaesthesiologica Belgica
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Acta Anaesthesiol Belg · Jan 2014
Randomized Controlled Trial Comparative StudyA comparison of the effects of lidocaine or magnesium sulfate on hemodynamic response and QT dispersion related with intubation in patients with hypertension.
The aim of this study was to investigate the effect of magnesium administered before induction on the hemodynamic response and QT dispersion (QTd) related with intubation in hypertensive patients and to compare it with lidocaine. ⋯ QTd is not increased during tracheal intubation in hypertensive patients so there is no need for magnesium sulfate for these patients. But as QTd has been shown to increase during tracheal intubation for coronary artery disease patients, magnesium sulfate might be useful for those patients although future studies are required to confirm this statement.
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Acta Anaesthesiol Belg · Jan 2014
Ultrasound guided femoral nerve block and lateral femoral cutaneous nerve block for postoperative pain control after primary hip arthroplasty: a retrospective study.
The purpose of this study was to evaluate the use of an ultrasound guided femoral nerve (FN) block together with an ultrasound guided lateral femoral cutaneous nerve (LFCN) block in addition to a patient controlled intravenous analgesia (PCIA) pump with piritramide as a strategy for postoperative pain-management after primary hip arthroplasty. ⋯ This retrospective study indicates that a FN block in combination with a LFCN block as supplementary postoperative analgesia after primary hip arthroplasty, can reduce the piritramide consumption. Furthermore, patients receiving the peripheral nerve block report lower pain scores at rest and during movement compared with the patients who did not receive a peripheral block. However, as this is a retrospective study, conclusions have to be drawn cautiously.
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Acta Anaesthesiol Belg · Jan 2014
Retention of CPR skills and the effect of instructor expertise one year following reciprocal learning.
Although Basic Life Support (BLS) and Cardiopulmonary Resuscitation (CPR) education is mandatory in secondary schools in Flanders, many schools do not programme this content because they lack teachers with expertise in this matter. This study aimed at investigating CPR skill performance and skill decay following reciprocal learning with task cards taught by an expert versus a non-expert teacher. Teacher expertise was asserted by European Resuscitation Council (ERC) certification. ⋯ No clinically relevant skill decay was detected. Instructors with no certification and expertise in BLS can achieve equal learning outcomes as certified instructors when applying reciprocal learning with task cards. The model seems resistant for skill decay since no clinical deterioration of skill was found after 12 months.
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Acta Anaesthesiol Belg · Jan 2014
A comparison of the effects of lidocaine or magnesium sulfate on hemodynamic response and QT dispersion related with intubation in patients with hypertension.
The aim of this study was to investigate the effect of magnesium administered before induction on the hemodynamic response and QT dispersion (QTd) related with intubation in hypertensive patients and to compare it with lidocaine. ⋯ QTd is not increased during tracheal intubation in hypertensive patients so there is no need for magnesium sulfate for these patients. But as QTd has been shown to increase during tracheal intubation for coronary artery disease patients, magnesium sulfate might be useful for those patients although future studies are required to confirm this statement.
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Acta Anaesthesiol Belg · Jan 2014
Case ReportsExtracorporeal cardiopulmonary resuscitation for refractory ventricular fibrillation. A rescue bridge to reperfusion.
Accumulating evidence suggests benefit of extracorporeal cardiopulmonary resuscitation (E-CPR) in patients with refractory cardiac arrest by using venoarterial extracorporeal membrane oxygenation. Appropriate patient selection for E-CPR is cumbersome and still debated. We describe a 56-year-old male who developed refractory ventricular fibrillation upon arrival at the emergency department and was successfully treated by urgent E-CPR. Patient selection, complications and the need to adapt the chain of survival are discussed.