MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Acta Anaesthesiologica Scandinavica' source. Wed, 08 Feb 2012 07:39:15 +0100 http://www.medworm.com/index.php?rid=5666606&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02643.x ConclusionsOnly positive skin tests can be taken into account, and there is little safety data to provide confidence in early skin testing. A protocol of how to act if urgent surgery is necessary is suggested. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5666606 Tue, 07 Feb 2012 05:00:00 +0100 5666606 http://www.medworm.com/index.php?rid=5666605&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02646.x ConclusionsOur analysis could clearly demonstrate a decreased risk of fetal acidosis associated with phenylephrine use. In addition with our findings for BE, this suggests a favorable effect of phenylephrine on fetal outcome parameters. The mechanism of pH depression is not related to pCO2. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5666605 Tue, 07 Feb 2012 05:00:00 +0100 5666605 http://www.medworm.com/index.php?rid=5666604&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2012.02648.x ConclusionThe onset time of rocuronium is prolonged significantly by early administration of remifentanil during target‐controlled infusion of propofol and remifentanil, and it may be due to the decreased CO caused by remifentanil. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5666604 Tue, 07 Feb 2012 05:00:00 +0100 5666604 http://www.medworm.com/index.php?rid=5666603&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2012.02649.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5666603 Tue, 07 Feb 2012 05:00:00 +0100 5666603 http://www.medworm.com/index.php?rid=5666602&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2012.02651.x ConclusionsNeostigmine provides the longest post‐operative analgesia. With clonidine, the duration of analgesia is shorter and sedation is increased, but the probability for PONV could be decreased. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5666602 Wed, 01 Feb 2012 05:00:00 +0100 5666602 http://www.medworm.com/index.php?rid=5646857&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02647.x ConclusionThe EMG contamination of EEG causes BIS and Entropy values to rise during reversal of rocuronium‐induced NMB in light propofol‐remifentanil anesthesia. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5646857 Wed, 01 Feb 2012 05:00:00 +0100 5646857 http://www.medworm.com/index.php?rid=5646864&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02632.x ConclusionSevoflurane exposure has differential effects on different intracellular signalling pathways. On one hand, we observed a prolonged attenuation of acetylcholine‐induced ERK 1/2 phosphorylation that persisted even when sevoflurane concentrations close to detection level. On the other hand, basal AKT phosphorylation was increased twofold during sevoflurane exposure, with a rapid return to baseline levels after exposure. We speculate that the effects on acetylcholine‐induced intracellular signalling observed in our in vitro model could be of relevance also for cholinergic signalling in vivo following sevoflurane exposure. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5646864 Tue, 31 Jan 2012 05:00:00 +0100 5646864 http://www.medworm.com/index.php?rid=5646863&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02638.x ConclusionThe application of PEEP effectively increases the CSA of the right IJV. The PEEP giving the largest CSA is 12 cm H2O. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5646863 Tue, 31 Jan 2012 05:00:00 +0100 5646863 http://www.medworm.com/index.php?rid=5646862&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02640.x ConclusionsThese results suggest that the dose requirements of thiopental for induction of general anaesthesia and subsequent tracheal intubation are reduced in the SCI patients. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5646862 Tue, 31 Jan 2012 05:00:00 +0100 5646862 http://www.medworm.com/index.php?rid=5646861&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02639.x ConclusionsDuring stable anaesthesia and surgery, SPI may change in response to FC. The effect of FC on SPI is influenced by volaemia and CePPF through pulse wave amplitude modifications. These situations may confound the interpretation of SPI as a surrogate measure of the nociception–anti‐nociception balance. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5646861 Tue, 31 Jan 2012 05:00:00 +0100 5646861 http://www.medworm.com/index.php?rid=5646860&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02641.x ConclusionΔPP and SVVVigileo did not change as pneumoperitoneum was established, whereas PVI increased and ΔPOP tended to increase. All four dynamic variables predicted fluid responsiveness relatively poor during ongoing laparoscopic surgery. ΔPP and SVVVigileo tracked changes in stroke volume induced by fluid challenges during ongoing laparascopic surgery, whereas ΔPOP and PVI did not. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5646860 Tue, 31 Jan 2012 05:00:00 +0100 5646860 http://www.medworm.com/index.php?rid=5646859&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02642.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5646859 Tue, 31 Jan 2012 05:00:00 +0100 5646859 http://www.medworm.com/index.php?rid=5646858&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02644.x ConclusionPharmacists detected many prescription errors that may have clinical implications and could be the basis for educational measures. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5646858 Tue, 31 Jan 2012 05:00:00 +0100 5646858 http://www.medworm.com/index.php?rid=5607854&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02624.x ConclusionsThese results do not support the idea that xenon is more beneficial than isoflurane in right ventricular failure during pulmonary hypertension. Isoflurane did not compromise systolic ventricular function during acute PHT it only led to vasodilation in contrast to xenon. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607854 Fri, 20 Jan 2012 12:13:33 +0100 5607854 http://www.medworm.com/index.php?rid=5607865&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02611.x This article describes the use of a balloon catheter introduced via the femoral artery into the abdominal aorta without the use of fluoroscopy to stabilize six patients with life‐threatening post‐partum haemorrhage. The femoral artery was localized blindly or with the use of ultrasound. Immediate control of the bleeding was achieved in all patients, and the procedure was believed to be life saving for some patients. One patient with a narrow and fragile aorta had an aortic rupture necessitating surgical repair, which may have been caused by the balloon. In these six cases, the procedures were carried out by interventional radiologists. However, this procedure can also be performed by anaesthesiologists or surgeons who are trained in vascular access techniques. (Source: Acta Anaesthesio... Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607865 Thu, 19 Jan 2012 05:00:00 +0100 5607865 http://www.medworm.com/index.php?rid=5607864&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02622.x ConclusionThe results of this study show that ScvO2 reflects changes of VO2/DO2 in isovolemic anemia better than Hb alone, therefore it may be used as an additional indicator of blood transfusion in clinical practice. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607864 Thu, 19 Jan 2012 05:00:00 +0100 5607864 http://www.medworm.com/index.php?rid=5607863&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02626.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607863 Thu, 19 Jan 2012 05:00:00 +0100 5607863 http://www.medworm.com/index.php?rid=5607862&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02625.x ConclusionA continuous intravenous infusion of lidocaine has no impact on the time course of the neuromuscular blockade induced by a standard intubation dose of rocuronium. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607862 Thu, 19 Jan 2012 05:00:00 +0100 5607862 http://www.medworm.com/index.php?rid=5607861&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02628.x We report on an adult patient with Leber hereditary optic neuropathy (LHON) who developed PRIS. He was a carrier of the m.3460G>A mutation, one of the major three pathogenic point mutations associated with LHON. The propositus was blind and underwent propofol sedation after severe head injury. Five days after start of propofol infusion, the patient died. The activity of complex I of the oxidative phosphorylation (OXPHOS) system was severely deficient in skeletal muscle. Our observation indicates that fulminate PRIS can occur in an adult patient with an inborn OXPHOS defect and corroborates the hypothesis that PRIS is caused by inhibition of the OXPHOS system. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607861 Thu, 19 Jan 2012 05:00:00 +0100 5607861 http://www.medworm.com/index.php?rid=5607860&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02629.x ConclusionInterpretation of the results was difficult because of diversity of the studies. However, clinical significance was in general questionable, with only a few trials showing a small or a modest reduction in pain intensity, which was observed mainly immediately after the operation. Similarly, although more frequently observed, only a minor and probably not clinically relevant reduction in opioid consumption was shown. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607860 Thu, 19 Jan 2012 05:00:00 +0100 5607860 http://www.medworm.com/index.php?rid=5607859&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02630.x ConclusionIn obese patients, verification of endotracheal tube placement with US is as fast as auscultation alone and faster than the standard method of auscultation and capnography. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607859 Thu, 19 Jan 2012 05:00:00 +0100 5607859 http://www.medworm.com/index.php?rid=5607858&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02633.x ConclusionEarly pain within the first week after TAPP and TEP is most severe on the first post‐operative day, and the pain pattern is dominated by deep abdominal pain. Early post‐operative pain is most intense in younger patients and can be predicted by pre‐operative high pain response to experimental heat stimulation. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607858 Thu, 19 Jan 2012 05:00:00 +0100 5607858 http://www.medworm.com/index.php?rid=5607857&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02608.x ConclusionsAnaesthetists must be flexible when providing information to mothers about general anaesthesia and should provide more information to mothers if they wish it. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607857 Thu, 19 Jan 2012 05:00:00 +0100 5607857 http://www.medworm.com/index.php?rid=5607856&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02613.x The objective of this systematic review was to evaluate the current evidence of IN fentanyl in the treatment of acute pain. Reports of randomized controlled trials (RCTs) of IN fentanyl in treatment of pain were systematically sought using the PubMed database, Embase, Google scholar, Cochrane database, and Cumulative Index to Nursing and Allied Health Literature. Reports were considered for inclusion if they were double‐blinded randomized controlled trials (RCTs) of IN fentanyl in the treatment of acute pain. Thirty‐two RCTs were identified, and 16 were included in the final analysis. No significant analgesic differences between IN fentanyl and intravenous (IV) fentanyl were demonstrated in treatment of acute and post‐operative pain. Significant analgesic effect of IN fentanyl was de... Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607856 Thu, 19 Jan 2012 05:00:00 +0100 5607856 http://www.medworm.com/index.php?rid=5607855&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02617.x ConclusionsBlood pressure and flow dynamics in the popliteal vein showed similar changes during spinal anaesthesia in elderly patients taking antihypertensive medication and normotensive patients, despite differences in baseline values. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5607855 Thu, 19 Jan 2012 05:00:00 +0100 5607855 http://www.medworm.com/index.php?rid=5580800&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02549.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5580800 Fri, 13 Jan 2012 12:12:44 +0100 5580800 http://www.medworm.com/index.php?rid=5580799&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02635.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5580799 Fri, 13 Jan 2012 12:12:42 +0100 5580799 http://www.medworm.com/index.php?rid=5580797&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02598.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5580797 Fri, 13 Jan 2012 12:12:36 +0100 5580797 http://www.medworm.com/index.php?rid=5580796&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02605.x ConclusionThe times from rocuronium injection to reappearance of the first response to PTC stimulation are approximately twofold longer and more variable in older than younger patients. Hence, the dosing interval of rocuronium should be adjusted using neuromuscular monitoring when maintaining intense neuromuscular block, especially in older patients. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5580796 Fri, 13 Jan 2012 12:12:21 +0100 5580796 http://www.medworm.com/index.php?rid=5580795&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02599.x ConclusionsSelective spinal anesthesia with chloroprocaine and lidocaine for TURP yielded comparable results for clinical characteristics. Further research on transient neurological symptom and cauda equina risk with chloroprocaine is warranted. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5580795 Fri, 13 Jan 2012 12:12:15 +0100 5580795 http://www.medworm.com/index.php?rid=5580794&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02606.x ConclusionsConsidering the low need of opioids, expenses and technical problems in these patients, subacromial 5.0 mg/ml bupivacaine infusion 2 ml/h confers only moderate and probably clinically insignificant efficacy compared with placebo. This efficacy might be overweighed by the disadvantages. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5580794 Fri, 13 Jan 2012 12:12:13 +0100 5580794 http://www.medworm.com/index.php?rid=5580793&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02591.x ConclusionsNIRS monitoring is feasible in the pre‐hospital environment, opening up the possibility for further research of the role of this modality in this setting. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5580793 Fri, 13 Jan 2012 12:12:05 +0100 5580793 http://www.medworm.com/index.php?rid=5580792&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02619.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5580792 Fri, 13 Jan 2012 12:11:56 +0100 5580792 http://www.medworm.com/index.php?rid=5580791&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02616.x ConclusionThe serum levels of pro‐inflammatory marker IL‐6 and S‐100β protein increased after total hip‐replacement in elderly patients, and such increase may serve as predicting parameters for the occurrence of POCD. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5580791 Fri, 13 Jan 2012 12:11:05 +0100 5580791 http://www.medworm.com/index.php?rid=5559316&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02614.x ConclusionIntravenous DMT prolonged the duration of spinal anaesthesia and improved post‐operative analgesia. However, more profound sedation with desaturation was observed with more frequent bradycardia, and delayed recovery should be considered in elderly patients. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5559316 Wed, 04 Jan 2012 05:00:00 +0100 5559316 http://www.medworm.com/index.php?rid=5559315&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02620.x ConclusionsThe EC95 of remifentanil for preventing cough in men after nasal surgery is 2.94 ng/ml. Remifentanil target‐controlled infusion with established effect‐site concentration could suppress cough in men during emergence from sevoflurane anaesthesia after nasal surgery, though reversible respiratory depression might arise at high effect‐site concentration of remifentanil. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5559315 Wed, 04 Jan 2012 05:00:00 +0100 5559315 http://www.medworm.com/index.php?rid=5559314&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02621.x ConclusionThe adductor‐canal‐blockade significantly reduced morphine consumption and pain during 45 degrees flexion of the knee compared with placebo. In addition, the adductor‐canal‐blockade significantly enhanced ambulation ability assessed by the TUG test. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5559314 Wed, 04 Jan 2012 05:00:00 +0100 5559314 http://www.medworm.com/index.php?rid=5559313&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02623.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5559313 Sun, 01 Jan 2012 05:00:00 +0100 5559313 http://www.medworm.com/index.php?rid=5537351&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02615.x ConclusionIn a direct comparison with PAC TD, the ECOM system did not show an acceptable agreement, with wide limits of agreement, a much larger percentage error than should be expected from the precision of the two methods and a very poor trending ability. Thus, the ECOM does not replace measurements done by thermodilution using a pulmonary artery catheter in cardiac surgery patients. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5537351 Sun, 25 Dec 2011 00:45:49 +0100 5537351 http://www.medworm.com/index.php?rid=5537357&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02602.x ConclusionSmall‐bore chest tubes are feasible for treatment of iatrogenic pneumothoraces and have a better rate of success and slightly longer drainage duration than when used for spontaneous pneumothoraces. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5537357 Fri, 23 Dec 2011 05:00:00 +0100 5537357 http://www.medworm.com/index.php?rid=5537356&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02603.x ConclusionsPropofol anesthesia was associated with significantly less pain at 0.5 and 1 h after surgery in patients undergoing gynecological laparoscopies with planned opioid‐free post‐operative analgesia. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5537356 Fri, 23 Dec 2011 05:00:00 +0100 5537356 http://www.medworm.com/index.php?rid=5537355&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02604.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5537355 Fri, 23 Dec 2011 05:00:00 +0100 5537355 http://www.medworm.com/index.php?rid=5537354&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02609.x ConclusionThe PULP score accurately predicts 30‐day mortality in patients operated for PPU and can assist in risk stratification and triage. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5537354 Fri, 23 Dec 2011 05:00:00 +0100 5537354 http://www.medworm.com/index.php?rid=5537353&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02607.x ConclusionPlasma No2‐/No3‐ and TNF‐α levels were high in patients with sepsis and septic shock, which increased with severity of sepsis. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5537353 Fri, 23 Dec 2011 05:00:00 +0100 5537353 http://www.medworm.com/index.php?rid=5537352&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02610.x ConclusionResidents and nurses get reliable static and dynamic haemodynamic assessments with ODM compared to our skilled physician. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5537352 Fri, 23 Dec 2011 05:00:00 +0100 5537352 http://www.medworm.com/index.php?rid=5523866&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02601.x ConclusionResidual gastric contents volumes at a hypothetical anaesthesia start were similar for 4 and 6 h food fasting in healthy volunteer school‐age children. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5523866 Thu, 22 Dec 2011 00:45:49 +0100 5523866 http://www.medworm.com/index.php?rid=5523871&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02590.x ConclusionsOur attitude surveys demonstrate that from the OR staff's perspective, in the perioperative setting, safety‐relevant factors can be handled significantly better and with greater awareness by implementing a safety checklist as proposed by the World Health Organization. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5523871 Tue, 20 Dec 2011 05:00:00 +0100 5523871 http://www.medworm.com/index.php?rid=5523870&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02593.x ConclusionOur results indicate that age, type of surgery and medical history are appropriate predictors of perioperative complications, whereas abnormalities in laboratory tests seem to have restricted ability in predicting adverse perioperative outcome. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5523870 Tue, 20 Dec 2011 05:00:00 +0100 5523870 http://www.medworm.com/index.php?rid=5523869&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02597.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5523869 Tue, 20 Dec 2011 05:00:00 +0100 5523869 http://www.medworm.com/index.php?rid=5523868&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02592.x ConclusionsAmong the six analyzed techniques, single‐step dilatation technique appeared the most reliable in terms of safety and success rate. However, the number of available randomized trials was insufficient to confidently assess the best PDT technique. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5523868 Tue, 20 Dec 2011 05:00:00 +0100 5523868 http://www.medworm.com/index.php?rid=5523867&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02600.x Available volatile anaesthetics are safe and efficacious; however, their varying pharmacology provides small but potentially clinically important differences. Desflurane is one of the third‐generation inhaled anaesthetics. It is the halogenated inhaled anaesthetic with the lowest blood and tissue solubilities, which promotes its rapid equilibration and its rapid elimination following cessation of administration at the end of anaesthesia. The low fat solubility of desflurane provides pharmacological benefits, especially in overweight patients and in longer procedures by reducing slow compartment accumulation. A decade of clinical use has provided evidence for desflurane's safe and efficacious use as a general anaesthetic. Its benefits include rapid and predictable emergence, and early rec... Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5523867 Tue, 20 Dec 2011 05:00:00 +0100 5523867 http://www.medworm.com/index.php?rid=5494498&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02548.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494498 Tue, 13 Dec 2011 00:50:36 +0100 5494498 http://www.medworm.com/index.php?rid=5494497&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02581.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494497 Tue, 13 Dec 2011 00:50:35 +0100 5494497 http://www.medworm.com/index.php?rid=5494496&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02574.x ConclusionIntrathecal morphine supplementation to bupivacaine reduces first 24 h PCA‐morphine consumption after abdominal hysterectomy under general anesthesia, and we found no benefit from increasing the dose over 200 μg. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494496 Tue, 13 Dec 2011 00:50:27 +0100 5494496 http://www.medworm.com/index.php?rid=5494495&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02596.x ConclusionsWe evidenced strong linear correlations between the four offset time course parameters of spontaneous recovery after a single neuromuscular blocking agents (NMBAs) bolus. Such relationships open up new clinical perspectives concerning quantitative neuromuscular transmission monitoring: the scope of individual valuable anticipation of the patient's recovery. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494495 Tue, 13 Dec 2011 00:50:21 +0100 5494495 http://www.medworm.com/index.php?rid=5494494&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02594.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494494 Tue, 13 Dec 2011 00:50:08 +0100 5494494 http://www.medworm.com/index.php?rid=5494487&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02588.x ConclusionThe initial post‐operative lactate level was a predictor of mortality and need for PD in children undergoing surgery for congenital heart disease. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494487 Tue, 13 Dec 2011 00:49:29 +0100 5494487 http://www.medworm.com/index.php?rid=5494493&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02578.x ConclusionsWe found increased VAP‐1 activity and SDC‐1 content in critically ill patients with septic shock. Based on our results, the role of VAP‐1 in shock pathogenesis should be studied with semicarbazide‐sensitive amine oxidase activity blocking agents and substrate affinity testing. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494493 Mon, 12 Dec 2011 05:00:00 +0100 5494493 http://www.medworm.com/index.php?rid=5494492&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02579.x ConclusionOrgan failure scores on day 7 can predict outcome for cancer patients in the ICU. Viral infection and reactivation appear to worsen the prognosis. One‐year mortality rate is high and depends on the malignancy. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494492 Mon, 12 Dec 2011 05:00:00 +0100 5494492 http://www.medworm.com/index.php?rid=5494491&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02582.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494491 Mon, 12 Dec 2011 05:00:00 +0100 5494491 http://www.medworm.com/index.php?rid=5494490&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02586.x ConclusionIn conclusion, the results of the available controlled trials suggest that the administration of fibrinogen concentrate was effective and safe. However, because all studies identified were of inadequate quality, these findings need to be confirmed by randomised controlled trials of sufficient size and long‐term follow‐up. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494490 Mon, 12 Dec 2011 05:00:00 +0100 5494490 http://www.medworm.com/index.php?rid=5494489&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02587.x ConclusionThis validation study of the Swedish version of the m‐YPAS shows good consistency, interrater validity, and construct validity when used by experienced assessors. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494489 Mon, 12 Dec 2011 05:00:00 +0100 5494489 http://www.medworm.com/index.php?rid=5494488&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02595.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5494488 Mon, 12 Dec 2011 05:00:00 +0100 5494488 http://www.medworm.com/index.php?rid=5431256&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02570.x ConclusionIn this study, patients with coronary artery disease undergoing mitral surgery did not benefit from the cardioprotective properties of halogenated anaesthetics. Sevoflurane anaesthesia was not associated to lower cardiac troponin release when compared with propofol anaesthesia. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5431256 Mon, 21 Nov 2011 05:00:00 +0100 5431256 http://www.medworm.com/index.php?rid=5431255&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02572.x ConclusionModerate tissue hypoperfusion under aerobic conditions is associated with increased PtCO2, in contrast to metabolic parameters of ischemia (lactate, LP ratio, and glycerol) which remain low. From the onset of ischemia there is a much more rapid and pronounced increase in PtCO2, lactate, and LP ratio. PtCO2 can be used as a marker of hypoperfusion under both aerobic and anaerobic conditions; it gives an earlier warning of hypoperfusion than metabolic markers and increases concomitantly with or earlier than other markers at the onset of tissue anaerobiosis. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5431255 Mon, 21 Nov 2011 05:00:00 +0100 5431255 http://www.medworm.com/index.php?rid=5431254&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02575.x We report an unusual case of massive macroglossia that developed very rapidly after neurosurgery in the park bench position with neck flexion. A few minutes after endotracheal extubation, massive macroglossia was noticed with marked protrusion of the tongue from the oral cavity. The patient's hospital stay was prolonged due to difficulty in speaking and eating. Macroglossia is a rare complication; however, it may cause life‐threatening airway obstruction. It is important to be prepared for managing post‐operative macroglossia and keep in mind that it may develop rapidly, especially after prolonged surgery performed with sustained neck flexion. The patient should be informed of the risk of macroglossia and the associated problems prior to the operation. (Source: Acta Anaesthesiologica S... Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5431254 Mon, 21 Nov 2011 05:00:00 +0100 5431254 http://www.medworm.com/index.php?rid=5431253&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02577.x ConclusionsThese data imply PMN involvement in cardioprotection by postconditioning. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5431253 Mon, 21 Nov 2011 05:00:00 +0100 5431253 http://www.medworm.com/index.php?rid=5431252&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02580.x ConclusionSePost (1.5–3%) reduced infarct size after regional myocardial ischemia in vivo and reduced cardiac work was significantly correlated to myocardial salvage. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5431252 Mon, 21 Nov 2011 05:00:00 +0100 5431252 http://www.medworm.com/index.php?rid=5431251&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02583.x ConclusionISOPC had powerful, delayed anti‐stunning effect that was associated with an enhancement of endogenous antioxidant defenses. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5431251 Mon, 21 Nov 2011 05:00:00 +0100 5431251 http://www.medworm.com/index.php?rid=5431250&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02584.x ConclusionThe combination of a COX‐2 inhibitor and dexamethasone results in better pain relief 24 h after surgery in patients undergoing outpatient ACL surgery, compared to COX‐2 inhibitor alone or dexamethasone alone. With a dedicated multimodal pain regime, most ACL patients may be discharged within 3 h. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5431250 Mon, 21 Nov 2011 05:00:00 +0100 5431250 http://www.medworm.com/index.php?rid=5431249&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02585.x ConclusionThus, RIPC during isoflurane but not during propofol anesthesia decreased myocardial damage in patients undergoing CABG surgery. Accordingly, effects of RIPC evoked by upper limb ischemia/reperfusion depend on background anesthesia, with combined RIPC/isoflurane exerting greater beneficial effects under conditions studied. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5431249 Mon, 21 Nov 2011 05:00:00 +0100 5431249 http://www.medworm.com/index.php?rid=5431248&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02589.x ConclusionsThe time to reach a TOF ratio of 0.9 following sugammadex is dependent on CO in elderly patients. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5431248 Tue, 01 Nov 2011 04:00:00 +0100 5431248 http://www.medworm.com/index.php?rid=5384196&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02576.x Conclusion Laparoscopic gynecologic surgery increases the incidence of PCI compared with non‐laparoscopic gynecologic surgery. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5384196 Tue, 01 Nov 2011 04:00:00 +0100 5384196 http://www.medworm.com/index.php?rid=5334877&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02573.x ConclusionThere were no clinically apparent differences between MH triggered by sevoflurane and isoflurane, and thus no evidence to support the postulate that sevoflurane is a weak or weaker MH triggering agent. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334877 Fri, 21 Oct 2011 23:48:54 +0100 5334877 http://www.medworm.com/index.php?rid=5334889&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02540.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334889 Wed, 19 Oct 2011 04:00:00 +0100 5334889 http://www.medworm.com/index.php?rid=5334888&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02558.x Myasthenia gravis (MG) is a disease affecting the nicotinic acetylcholine receptor of the post‐synaptic membrane of the neuromuscular junction, causing muscle fatigue and weakness. The myasthenic patient can be a challenge to anesthesiologists, and the post‐surgical risk of respiratory failure has always been a matter of concern. The incidence and prevalence of MG have been increasing for decades and the disease is underdiagnosed. This makes it important for the anesthesiologist to be aware of possible signs of the disease and to be properly updated on the optimal perioperative anesthesiological management of the myasthenic patient. The review is based on electronic searches on PubMed and a review of the references of the articles. The following keywords were used: myasthenia gravis AN... Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334888 Wed, 19 Oct 2011 04:00:00 +0100 5334888 http://www.medworm.com/index.php?rid=5334887&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02561.x ConclusionsGeneral anaesthesia with propofol is associated with a global metabolic and vascular depression in the human brain, with significant shifts in regional blood flow and metabolism indicating marked metabolic and vascular responsiveness in some cortical areas and thalamus. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334887 Wed, 19 Oct 2011 04:00:00 +0100 5334887 http://www.medworm.com/index.php?rid=5334886&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02562.x ConclusionThe present study did not demonstrate an advantage of therapeutic hypothermia in adult cardiac arrest after drowning compared with previous studies treated with conventional therapy. Further prospective studies are needed to evaluate the effects of therapeutic hypothermia. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334886 Wed, 19 Oct 2011 04:00:00 +0100 5334886 http://www.medworm.com/index.php?rid=5334885&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02563.x ConclusionTAVI is associated with a substantial amount of cerebral microemboli. The microembolic load correlates to the degree of post‐procedural release of a marker of cerebral injury. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334885 Wed, 19 Oct 2011 04:00:00 +0100 5334885 http://www.medworm.com/index.php?rid=5334884&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02564.x ConclusionsAlthough the application of our protocol results in a substantial reduction in the recovery of patients in the ICU and in hospital costs, there was no substantial difference in mortality and morbidity between patients admitted to the surgical ward or to ICU. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334884 Wed, 19 Oct 2011 04:00:00 +0100 5334884 http://www.medworm.com/index.php?rid=5334883&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02565.x ConclusionsThe results showed that TEMS integrated to daily EMS services including safe zone working only was a feasible, rapid and efficient way to provide medical support to law enforcement operations. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334883 Wed, 19 Oct 2011 04:00:00 +0100 5334883 http://www.medworm.com/index.php?rid=5334882&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02566.x ConclusionsElderly lay people are capable of performing chest compressions with acceptable quality for ten minutes in a realistic cardiac arrest simulation. Ventilation quality and hands‐off time were not adequate in either group. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334882 Wed, 19 Oct 2011 04:00:00 +0100 5334882 http://www.medworm.com/index.php?rid=5334881&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02567.x ConclusionsEarly initiation of treatment and fine‐tuning of the RRT technique may improve outcome. Consensus regarding AKI definitions, renal function measurement and standardised follow‐up regimens are required. Further long‐term studies are needed. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334881 Wed, 19 Oct 2011 04:00:00 +0100 5334881 http://www.medworm.com/index.php?rid=5334880&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02568.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334880 Wed, 19 Oct 2011 04:00:00 +0100 5334880 http://www.medworm.com/index.php?rid=5334879&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02569.x ConclusionsOur findings highlight the need of a comprehensive training period and reporting of data quality before findings with SDF imaging can be accepted as surrogate end points in interventional studies or as guidance in clinical practice. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334879 Wed, 19 Oct 2011 04:00:00 +0100 5334879 http://www.medworm.com/index.php?rid=5334878&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02571.x Continuous renal replacement therapy (CRRT) is the preferred renal replacement therapy modality in the critically ill. We aimed to reveal the literature on the pharmacokinetic studies in critically ill patients receiving CRRT with special reference to quality assessment of these studies and the CRRT dose. We conducted a systematic review by searching the MEDLINE, EMBASE, and the Cochrane databases to December 2009 and bibliographies of relevant review articles. We included original studies reporting from critically ill adult subjects receiving CRRT because of acute kidney injury with a special emphasis on drug pharmacokinetics. We used the minimum reporting criteria for CRRT studies by Acute Dialysis Quality Initiative (ADQI) and, second, the Downs and Black checklist to assess the quality... Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5334878 Wed, 19 Oct 2011 04:00:00 +0100 5334878 http://www.medworm.com/index.php?rid=5313738&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02547.x ConclusionThe increasing rate of relative ETI success and the decreasing rate of necessary attempts for successful airway management suggest a steadily increasing gain in ETI experience. The complications that developed during the first 200 ETI procedures justify supervision by a specialist in the field or a senior physician. Moreover, these results may influence the minimum requirement for qualification in anaesthesiology and emergency medicine. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5313738 Fri, 14 Oct 2011 23:49:48 +0100 5313738 http://www.medworm.com/index.php?rid=5313744&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02537.x ConclusionThree years after introduction, 0.4% of the Norwegian population had been dispensed LD‐TD‐BUP. Only one‐fifth had become long‐term users. Those who used opioids before the first dispension of LD‐TD‐BUP co‐medicated with other potentially addictive drugs to a much higher degree compared with those who were opioid naive. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5313744 Fri, 14 Oct 2011 04:00:00 +0100 5313744 http://www.medworm.com/index.php?rid=5313743&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02538.x ConclusionsThe pre‐operative risk prediction model for prolonged ventilation with easily obtainable variables in routine clinical work performed well and was only slightly improved by inclusion of intraoperative variables. Performance was better than with the EuroSCORE. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5313743 Fri, 14 Oct 2011 04:00:00 +0100 5313743 http://www.medworm.com/index.php?rid=5313742&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02539.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5313742 Fri, 14 Oct 2011 04:00:00 +0100 5313742 http://www.medworm.com/index.php?rid=5313741&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02541.x ConclusionsAll VLSs considered were safer for the patient than was the Macintosh blade in terms of the forces applied to the maxillary teeth, time, number of insertion attempts, and view achieved of the glottic arch. There is a small, but significant, difference in the time and number of insertion attempts required during laryngoscopy with the different VLSs. There was no difference in the forces applied. The geometry of the respective blades may be an important component in the ease of laryngoscopy. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5313741 Fri, 14 Oct 2011 04:00:00 +0100 5313741 http://www.medworm.com/index.php?rid=5313740&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02542.x ConclusionsA tapered‐shaped tube cuff considerably improves air‐sealing characteristics of PVC tube cuffs and allows thereby reducing cuff pressure required for sufficient ventilation. In tube cuffs made of PU that exhibits superior sealing characteristics compared with PVC, a tapered shape failed to result in a further reduction of air leakage. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5313740 Fri, 14 Oct 2011 04:00:00 +0100 5313740 http://www.medworm.com/index.php?rid=5313739&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02543.x ConclusionConcurrently with the implementation of TH, hospital mortality of OHCA patients treated in Finnish ICUs decreased. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5313739 Fri, 14 Oct 2011 04:00:00 +0100 5313739 http://www.medworm.com/index.php?rid=5303933&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02350.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5303933 Tue, 11 Oct 2011 23:51:05 +0100 5303933 http://www.medworm.com/index.php?rid=5303932&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02521.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5303932 Tue, 11 Oct 2011 23:51:02 +0100 5303932 http://www.medworm.com/index.php?rid=5303931&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02536.x ConclusionTreatment of established PONV comprising ondansetron and droperidol, with or without dexamethasone, reduced PONV in both treatment groups. In those reporting PONV without active prophylaxis, the addition of dexamethasone resulted in a significant amplification of the PONV, reducing effects of ondansetron and droperidol. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5303931 Tue, 11 Oct 2011 23:50:39 +0100 5303931 http://www.medworm.com/index.php?rid=5303930&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02534.x ConclusionThere is currently weak evidence to support the use of TEG/ROTEM as a tool to guide transfusion in patients with severe bleeding. Further studies need to address other clinical settings and with larger blood losses. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5303930 Tue, 11 Oct 2011 23:50:35 +0100 5303930 http://www.medworm.com/index.php?rid=5259920&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02535.x ConclusionThe type of pneumonia (i.e. SCAP, HAP or VAP) had no significant association with hospital mortality, whereas the SCAP patients had the lowest 1‐year mortality. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259920 Wed, 28 Sep 2011 23:48:25 +0100 5259920 http://www.medworm.com/index.php?rid=5259922&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02523.x ConclusionsThe PMQ may assist physicians in addiction risk assessment and stratification when treating chronic pain patients with opioids. PMQ is not a diagnostic tool and should only be used as an indicator for possible addiction problems. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259922 Tue, 27 Sep 2011 04:00:00 +0100 5259922 http://www.medworm.com/index.php?rid=5259921&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02530.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259921 Tue, 27 Sep 2011 04:00:00 +0100 5259921 http://www.medworm.com/index.php?rid=5259932&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02520.x Electroconvulsive therapy (ECT) is the transcutaneous application of small electrical stimuli to the brain to induce generalised seizures for the treatment of selected psychiatric disorders. The clinical indications for ECT as an effective therapeutic modality have been considerably expanded since its introduction. Anaesthesia and neuromuscular blocking agents (NMBAs) are required to ensure patients’ safety during ECT. The optimal dose of muscle relaxant for ECT reduces muscle contractions without inducing complete paralysis. Slight residual motor convulsive activity is helpful in ascertaining that a seizure has occurred, while total paralysis prolongs the procedure unnecessarily. Suxamethonium is commonly used, but nondepolarising NMBAs are indicated in patients with certain comorbiditi... Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259932 Mon, 26 Sep 2011 04:00:00 +0100 5259932 http://www.medworm.com/index.php?rid=5259931&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02525.x ConclusionsThe checklist increased OR teams’ awareness of patient‐related issues, the procedure and expected risks. It also enhanced team communication and prevented communication failures. Our findings support use of the WHO checklist in various surgical fields. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259931 Mon, 26 Sep 2011 04:00:00 +0100 5259931 http://www.medworm.com/index.php?rid=5259930&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02524.x ConclusionsPotential factors which may improve sedation and pain management of mechanically ventilated patients in Norwegian ICUs are more systematic assessments of pain and sedation, and the use of written protocols. Strategies which reduce side effects should be addressed. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259930 Mon, 26 Sep 2011 04:00:00 +0100 5259930 http://www.medworm.com/index.php?rid=5259929&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02526.x ConclusionsDexmedetomidine is capable of attenuating remote lung injury induced by renal IRvia both α2 adrenoceptors dependent and independent mechanisms. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259929 Mon, 26 Sep 2011 04:00:00 +0100 5259929 http://www.medworm.com/index.php?rid=5259928&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02527.x ConclusionsAnalysis of raw signals during open abdominal surgery documents that the variance of ΔPOP is larger than of ΔPP, with wide limits of agreement between ΔPP and ΔPOP. The diagnostic values of ΔPP and ΔPOP are relatively poor. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259928 Mon, 26 Sep 2011 04:00:00 +0100 5259928 http://www.medworm.com/index.php?rid=5259927&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02528.x ConclusionsSmall branch vessels from the subclavian artery and vein were frequently evident, on ultrasound imaging, in close association with the nerve elements of the brachial plexus in the supraclavicular and interscalene regions. Appreciation of the presence of these vessels and their likely origin and course will aid the anesthesiologist in planning a safe nerve block. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259927 Mon, 26 Sep 2011 04:00:00 +0100 5259927 http://www.medworm.com/index.php?rid=5259926&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02529.x ConclusionsFentanyl suppressed cough in a dose‐related manner during recovery from general sevoflurane anesthesia, and 2 mcg/kg may be considered as a proper dose. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259926 Mon, 26 Sep 2011 04:00:00 +0100 5259926 http://www.medworm.com/index.php?rid=5259925&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02531.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259925 Mon, 26 Sep 2011 04:00:00 +0100 5259925 http://www.medworm.com/index.php?rid=5259924&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02532.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259924 Mon, 26 Sep 2011 04:00:00 +0100 5259924 http://www.medworm.com/index.php?rid=5259923&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02533.x ConclusionsOur results demonstrated sustained increases in tissue rSO2 values following peripheral nerve block placement, in addition to higher initial rSO2 values in operative limbs prior to block placement. Further investigations are necessary to define the expected baseline rSO2 values in operative and control limbs. Future efforts utilizing NIRS‐based detection of tissue ischemia should consider the small but significant changes in rSO2 resulting from a successful nerve block. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5259923 Mon, 26 Sep 2011 04:00:00 +0100 5259923 http://www.medworm.com/index.php?rid=5250078&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02349.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5250078 Sun, 25 Sep 2011 07:49:13 +0100 5250078 http://www.medworm.com/index.php?rid=5250077&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02560.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5250077 Sun, 25 Sep 2011 07:49:12 +0100 5250077 http://www.medworm.com/index.php?rid=5250075&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02507.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5250075 Sun, 25 Sep 2011 07:49:09 +0100 5250075 http://www.medworm.com/index.php?rid=5207609&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02497.x ConclusionsThese findings suggest that the induction dose requirements of propofol are increased in alcoholic patients anaesthetized with propofol and remifentanil administered by target controlled infusion. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207609 Thu, 08 Sep 2011 04:00:00 +0100 5207609 http://www.medworm.com/index.php?rid=5207607&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02498.x ConclusionIntubation of morbidly obese patients with GS was slightly slower than with DL. The increased intubation time was of no clinical consequence as no patients became hypoxemic. Both devices generally performed well in the studied population, but the GS provided better laryngoscopic views and decreased IDS scores. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207607 Thu, 08 Sep 2011 04:00:00 +0100 5207607 http://www.medworm.com/index.php?rid=5207606&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02499.x ConclusionsThis study indicates that it is possible to predict and keep alveolar N2 concentration at a desired level and, thus, alveolar O2 concentration at a non‐toxic level during apnoeic oxygenation. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207606 Thu, 08 Sep 2011 04:00:00 +0100 5207606 http://www.medworm.com/index.php?rid=5207605&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02500.x ConclusionsCognitive impairments are common after critical illness and may be caused by the critical illness in itself. Incidences are high after ICU discharge (64%) but drops rapidly during the first 3 months after discharge. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207605 Thu, 08 Sep 2011 04:00:00 +0100 5207605 http://www.medworm.com/index.php?rid=5207604&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02501.x ConclusionsVerification of endotracheal tube placement with ultrasound is as fast as auscultation alone and faster than the standard method of auscultation and capnography. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207604 Thu, 08 Sep 2011 04:00:00 +0100 5207604 http://www.medworm.com/index.php?rid=5207603&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02503.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207603 Thu, 08 Sep 2011 04:00:00 +0100 5207603 http://www.medworm.com/index.php?rid=5207602&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02504.x We present the case of a spina bifida patient with a known latex allergy, where EO was found to be the cause of an anaphylactic reaction during general anaesthesia. In addition, we describe measures taken during preparation of a subsequent general anaesthesia to minimise exposure to EO.Spina bifida patients seem to be at increased risk of sensitisation against EO due to repeated exposure, but only limited literature is available. To ensure that EO is considered as a cause in these cases, we recommend that testing for latex and EO go hand in hand following an anaphylactic reaction in this high‐risk population. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207602 Thu, 08 Sep 2011 04:00:00 +0100 5207602 http://www.medworm.com/index.php?rid=5207601&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02505.x ConclusionsAlthough in a pilot study, a late increase in plasma tau protein seems to be associated with a worse outcome after hypothermia treatment after CA, although more studies are needed. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207601 Thu, 08 Sep 2011 04:00:00 +0100 5207601 http://www.medworm.com/index.php?rid=5207600&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02506.x ConclusionsIn case of sudden onset of MH, the Avance or Amingo CarestationTM can stay in place, if the fresh gas flow is increased to 10 l/min or more. To prepare these machines for MH‐susceptible patients, the ABSTM should be substituted by a laundered component. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207600 Thu, 08 Sep 2011 04:00:00 +0100 5207600 http://www.medworm.com/index.php?rid=5207624&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02502.x ConclusionsChanges of body position resulted in marked changes in CVP but not in HVPs. Head down or head up tilt to reduce venous pressures in the liver may therefore not be effective measures to reduce blood loss during liver surgery. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207624 Wed, 07 Sep 2011 04:00:00 +0100 5207624 http://www.medworm.com/index.php?rid=5207623&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02509.x ConclusionIsoflurane increased hESC‐derived Nkx2.5+CPC survival under oxidative stress, and mitoKATP channels may be involved in the protective effect. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207623 Wed, 07 Sep 2011 04:00:00 +0100 5207623 http://www.medworm.com/index.php?rid=5207621&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02510.x ConclusionMovement‐evoked BTP was a major clinical problem throughout the study month despite otherwise successful ITA. Improving the quality of life of patients with intractable cancer‐related pain should include developing strategies to better deal with movement‐evoked BTP. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207621 Wed, 07 Sep 2011 04:00:00 +0100 5207621 http://www.medworm.com/index.php?rid=5207620&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02511.x ConclusionsWe conclude that spirometric measurements of inspiratory–expiratory tidal volumes agree well with impedance changes monitored by EIT and can be used bedside to estimate PEEP‐induced changes in EELV. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207620 Wed, 07 Sep 2011 04:00:00 +0100 5207620 http://www.medworm.com/index.php?rid=5207619&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02512.x ConclusionsIn addition to decreased level of consciousness on admission, renal failure during the ICU stay is an independent risk factor for 1‐year mortality in nontraumatic SAH as well as ICH. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207619 Wed, 07 Sep 2011 04:00:00 +0100 5207619 http://www.medworm.com/index.php?rid=5207618&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02513.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207618 Wed, 07 Sep 2011 04:00:00 +0100 5207618 http://www.medworm.com/index.php?rid=5207617&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02514.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207617 Wed, 07 Sep 2011 04:00:00 +0100 5207617 http://www.medworm.com/index.php?rid=5207616&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02515.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207616 Wed, 07 Sep 2011 04:00:00 +0100 5207616 http://www.medworm.com/index.php?rid=5207614&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02516.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207614 Wed, 07 Sep 2011 04:00:00 +0100 5207614 http://www.medworm.com/index.php?rid=5207613&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02517.x ConclusionsNeuromuscular blockade with rocuronium and conversion from spontaneous breathing to positive pressure ventilation does not decrease the barrier pressure during anesthesia induction. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207613 Wed, 07 Sep 2011 04:00:00 +0100 5207613 http://www.medworm.com/index.php?rid=5207612&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02518.x In this study, it is described how to use ultrasonography (US) for real‐time imaging of the airway from the mouth, over pharynx, larynx, and trachea to the peripheral alveoli, and how to use this in airway management. US has several advantages for imaging of the airway – it is safe, quick, repeatable, portable, widely available, and it must be used dynamically for maximum benefit in airway management, in direct conjunction with the airway management, i.e. immediately before, during, and after airway interventions. US can be used for direct observation of whether the tube enters the trachea or the esophagus by placing the ultrasound probe transversely on the neck at the level of the suprasternal notch during intubation, thus confirming intubation without the need for ventilation or circ... Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207612 Wed, 07 Sep 2011 04:00:00 +0100 5207612 http://www.medworm.com/index.php?rid=5207611&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02519.x ConclusionsEVLWI and GEDVI measurements are possibly influenced by prone positioning. In spite of statistical significance, the differences in EVLWI and GEDVI are low and presumably of no clinical relevance. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207611 Wed, 07 Sep 2011 04:00:00 +0100 5207611 http://www.medworm.com/index.php?rid=5207610&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02522.x ConclusionsThe ventilator mode NAVA seems to be well tolerated in a heterogeneous group of critically ill patients. Pre‐setting of the NAVA level during PSV can result in an overestimation of the required ventilator support. An additional titration of the NAVA level ads valuable information although difficult to interpret in some cases. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207610 Wed, 07 Sep 2011 04:00:00 +0100 5207610 http://www.medworm.com/index.php?rid=5207599&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02508.x ConclusionsIn addition to publication record, h‐index sensitively indicates grant funding and mentoring in highly productive US academic anaesthesiologists. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5207599 Thu, 01 Sep 2011 04:00:00 +0100 5207599 http://www.medworm.com/index.php?rid=5169864&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02348.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5169864 Sun, 28 Aug 2011 17:07:30 +0100 5169864 http://www.medworm.com/index.php?rid=5169863&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02492.x ConclusionNAC infusion provided cardiac protection through scavenging of oxygen free radicals. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5169863 Sun, 28 Aug 2011 17:07:16 +0100 5169863 http://www.medworm.com/index.php?rid=5169862&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02490.x ConclusionBlood loss and need for blood transfusion were significantly reduced in the aprotinin group. No allergic or other possible aprotinin‐specific complications were registered in the aprotinin group. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5169862 Sun, 28 Aug 2011 17:07:09 +0100 5169862 http://www.medworm.com/index.php?rid=5169861&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02493.x ConclusionAcetated Ringer's solution showed the same kinetics during experimental spinal anaesthesia as when the fluid was infused alone. Hence, spinal anaesthesia is not associated with the reduced fluid clearance reported for general anaesthesia. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5169861 Sun, 28 Aug 2011 17:06:49 +0100 5169861 http://www.medworm.com/index.php?rid=5169860&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02491.x ConclusionsThe majority of H1N1 patients in ICUs received ventilatory support. Corticosteroids were administered to more than half of the patients. Despite being more severely ill, patients given corticosteroids had comparable hospital outcome with patients not given corticosteroids. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5169860 Sun, 28 Aug 2011 17:06:28 +0100 5169860 http://www.medworm.com/index.php?rid=5169859&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02452.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5169859 Sun, 28 Aug 2011 17:06:22 +0100 5169859 http://www.medworm.com/index.php?rid=5169858&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02482.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5169858 Sun, 28 Aug 2011 17:06:17 +0100 5169858 http://www.medworm.com/index.php?rid=5063212&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02484.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5063212 Tue, 26 Jul 2011 14:38:50 +0100 5063212 http://www.medworm.com/index.php?rid=5052244&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02488.x Conclusion: We conclude that COS extracted from the pressure and flow signal reflect the compliance of the respiratory system and could potentially allow estimating respiratory system mechanics during spontaneous breathing. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5052244 Sat, 23 Jul 2011 14:32:04 +0100 5052244 http://www.medworm.com/index.php?rid=5052252&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02479.x Conclusion: Sufentanil preserves hemodynamic parameters as well as echocardiographic indices of LV systolic and diastolic function in patients with ischemic heart disease (IHD). (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5052252 Tue, 19 Jul 2011 23:00:00 +0100 5052252 http://www.medworm.com/index.php?rid=5052251&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02480.x Conclusion: A high pre‐admission morbidity level was frequent among ICU patients and associated with a worsened prognosis. Morbidity had more impact on mortality among ICU patients compared with a general population cohort. (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5052251 Tue, 19 Jul 2011 23:00:00 +0100 5052251 http://www.medworm.com/index.php?rid=5052250&cid=s_28810_5_f&fid=28810&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1399-6576.2011.02481.x (Source: Acta Anaesthesiologica Scandinavica) Acta Anaesthesiologica Scandinavica journals http://www.medworm.com/rss/comments.php?id=5052250 Tue, 19 Jul 2011 23:00:00 +0100 5052250