European journal of anaesthesiology
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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.
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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.
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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.
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Observational Study
Assessing preoperative anxiety using a questionnaire and clinical ratings: A prospective, observational study.
Preoperative anxiety and need for information can be detected during preoperative consultation via structured and standardised screening by the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. ⋯ The APAIS is a useful instrument to assess the level of patients' preoperative anxiety and the need for information. Given the relationship between preoperative anxiety and postoperative outcome, it seems justified to incorporate this approach into the preoperative consultation.
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Letter Case Reports
Anaesthesia and orphan disease: a 26-year-old patient with achondroplasia.