European journal of anaesthesiology
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Letter Case Reports
A failure in a Datex Aestiva/5 anaesthetic machine.
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Randomized controlled trials have shown several beneficial effects of intraoperative bispectral index monitoring. We conducted a prospective audit to determine whether these could be replicated in everyday clinical practice. ⋯ In a prospective audit, benefits of intraoperative bispectral index monitoring in our district general hospital were not seen to the same degree as in randomized controlled trials elsewhere.
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An increasing number of studies suggest that anaesthesia information management systems (AIMS) improve clinical care. The purpose of this web survey study was to assess the prevalence of AIMS in European university-affiliated anaesthesia departments and to identify the motivations for and barriers to AIMS adoption. ⋯ At least 44 (or 15%) of the 294 university-affiliated departments surveyed in this study have already implemented, are implementing, or are currently selecting an AIMS. The main barrier identified by AIMS nonadopters is lack of funds.
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Long waiting times are a problem often encountered at the preoperative assessment clinic (PAC). To tackle this problem, we redesigned our appointment system using a multifactor approach. Waiting times and patients' experiences before and after implementation of the new appointment system were compared. ⋯ The new appointment system reduced the waiting time at the PAC, and patients' experiences were more positive after implementation of the new system. All efforts should be made to avoid unpunctuality from physicians and patients.
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Randomized Controlled Trial Comparative Study
Effectiveness of combined haloperidol and dexamethasone versus dexamethasone only for postoperative nausea and vomiting in high-risk day surgery patients: a randomized blinded trial.
To examine whether prophylactic use of haloperidol in addition to dexamethasone decreased the incidence of postoperative nausea and vomiting in high-risk patients undergoing ambulatory surgery. ⋯ To combine 1.5 mg of haloperidol and 8 mg of dexamethasone reduces the cumulative incidence of postoperative vomiting at 6 and 24 h postoperatively in day patients at high risk of postoperative nausea and vomiting.