Anaesthesiology intensive therapy
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Anaesthesiol Intensive Ther · Jan 2019
Comparative StudySupraclavicular block vs. intravenous regional anaesthesia for forearm surgery.
The purpose of this study was to compare the analgesic effect between intravenous regional anesthesia (IVRA) and supraclavicular block in forearm surgery. ⋯ IVRA had shorter onset time and needed less additional anesthetics during surgery, but induced more tourniquet pain and shorter duration of postoperative analgesia than supraclavicular block when 1% lidocaine 20 mL was used for forearm surgery.
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Anaesthesiol Intensive Ther · Jan 2019
Randomized Controlled Trial Comparative StudyPerformance of first and second generation supraglottic airway devices in patients with simulated difficult airway: a randomised controlled trial.
Guidelines for management of unanticipated difficult intubation recommend the use of supraglottic airway devices (SADs) in cases of failed intubation. How-ever, there is a lack of comparative studies for different type of devices. In this randomised controlled trial, the performance of 1st and 2nd generation supraglottic airway devices was compared in patients with a simulated difficult airway. ⋯ First and second generation of supraglottic airway devices provided similar clinical performance for patients with difficult airway and trauma due to limited cervical motion.
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Anaesthesiol Intensive Ther · Jan 2019
ReviewThe Jehovah's Witness obstetric patient - a literature review.
The patient's right to refuse blood transfusion must be honoured in case of its clear expression. Some special pharmacologic and/or surgical procedures can be useful in a Jehovah Witness (JW) parturient. ⋯ Only a few hospitals have equipment for blood salvage, and alternative oxygen carriers have potentially lethal side effects. Findings suggest that obstetric facilities should develop special algo-rithms of management in the case of the JW obstetric patient, with written declaration of which elements of blood are not acceptable for the patient, early diagnosis and intensive treatment of anaemia in pregnancy, administration of antifibrinolytic agents before surgery, use of electric surgical tools to restore haemostasis, early detection and aggressive treatment of excessive blood loss and, last but not least, close cooperation between obstetricians and anaesthesiologists, including sharing the information about the patient's refusal of blood transfusion.