European journal of anaesthesiology
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Cardiac complications are a major cause of perioperative morbidity and mortality. These are caused by either myocardial ischaemia or acute coronary thrombosis. ⋯ This assessment allows measures to be taken that aim to reduce such risks. The present review summarizes the current state of knowledge on the preoperative assessment of the cardiac patient scheduled for noncardiac surgery.
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Comparative Study
Effects of temperature gradient reduction in three different carbon dioxide absorbents.
Temperature gradients in CO2 absorbents may locally increase the water content by condensation. We hypothesized that temperature gradient reduction (TGR) would prevent increased water content, thus preserving the reactivity of the CO2 absorbent and thereby increasing its time to exhaustion (longevity). The purpose of this study was to compare the effects of TGR on the longevity of CO2 absorbent with three different types of CO2 absorbents. ⋯ TGR is a useful method to prevent local increase in water content and improve the longevity of CO2 absorbent. The effectiveness of TGR on longevity and water content changes varied in the different types of CO2 absorbent.
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Randomized Controlled Trial
Efficacy of cuff inflation media to prevent postintubation-related emergence phenomenon: air, saline and alkalinized lignocaine.
We wished to examine the efficacy of different media used for inflation of tracheal tube cuffs. ⋯ We found that alkalinized 2% lignocaine and saline are better cuff inflation media, than air.
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To evaluate plasma levels of soluble TREM-1 (sTREM-1) in patients with systemic inflammatory response syndrome (SIRS), severe sepsis, and septic shock and to determine whether plasma sTREM-1 could be used as a diagnostic and prognostic marker in sepsis in the surgical ICU. ⋯ In this study in patients with SIRS, severe sepsis, or septic shock, plasma sTREM-1 levels were not elevated as compared with healthy controls. Measurement of plasma sTREM-1 did not distinguish between patients with SIRS, severe sepsis, or septic shock or between survivors and nonsurvivors. The suggested role of sTREM-1 as a diagnostic and prognostic marker in sepsis should be carefully verified.