European journal of anaesthesiology
-
Randomized Controlled Trial
Cardiopulmonary resuscitation guidance improves medical students' adherence to guidelines in simulated cardiac arrest: A prospective, randomised, cross-over study.
The 2010 Resuscitation Guidelines require high-quality chest compression and rapid defibrillation for patients with ventricular fibrillation with rhythm analysis and defibrillation repeated every 2 min. A lack of adherence to the guidelines by medical students was observed during simulated resuscitation training. ⋯ Real-time cardiopulmonary resuscitation guidance significantly increased adherence to the guidelines by medical students treating simulated out-of-hospital cardiac arrest. Using a simple tool such as a countdown timer makes it possible to reduce the number of inappropriate shock intervals and time without chest compression.
-
Randomized Controlled Trial
A multidisciplinary approach to improve preoperative understanding and reduce anxiety: A randomised study of informed consent for anaesthesia.
Emotional factors may influence reception of information provided during informed consent leading to incomplete understanding and reduced satisfaction. ⋯ In breast cancer surgical patients with high levels of preoperative anxiety, a multidisciplinary approach with psycho-oncological intervention proved to be useful at the preoperative anaesthesiology interview.
-
Randomized Controlled Trial
Lorazepam does not improve the quality of recovery in day-case surgery patients: A randomised, placebo-controlled clinical trial.
In day-case surgery, the effects of the anxiolytic lorazepam as premedication on the quality of postoperative recovery are unknown. ⋯ In day-case surgery, lorazepam as a premedication did not improve quality of recovery. Furthermore, this premedication may delay the decrease in postoperative anxiety and aggression.
-
Hepatopulmonary syndrome (HPS) is a pulmonary complication observed in patients with chronic liver disease and/or portal hypertension, attributable to an intrapulmonary vascular dilatation that induces severe hypoxaemia. Considering the favourable long-term survival of HPS patients as well as the reversal of the syndrome with a functional liver graft, HPS is now an indication for orthotopic liver transplantation (OLT). Consequently, blood gas analysis and imaging techniques should be performed when cirrhotic patients present with shortness of breath as well as when OLT candidates are placed on the transplant waiting list. ⋯ Mechanical ventilation is often prolonged with an extended stay in the ICU. A high postoperative mortality (mostly within 6 months) is observed in this group of patients in comparison to non-HPS patients. However, the recovery of an adequate PaO2 within 12 months after OLT explains the similar outcome of HPS and non-HPS patients following OLT over a longer time period.
-
Letter Case Reports
Anaesthesia and orphan disease: a 26-year-old patient with achondroplasia.