European journal of anaesthesiology
-
Multicenter Study Observational Study
Development and validation of a score to predict postoperative respiratory failure in a multicentre European cohort: A prospective, observational study.
Postoperative respiratory failure (PRF) is the most frequent respiratory complication following surgery. ⋯ A risk score based on seven objective, easily assessed factors was able to predict which patients would develop PRF. The score could potentially facilitate preoperative risk assessment and management and provide a basis for testing interventions to improve outcomes.The study was registered at ClinicalTrials.gov (identifier NCT01346709).
-
Randomized Controlled Trial
The number of in-out catheterisations is reduced by mobilising the postoperative patient with bladder needs to the toilet in the recovery room: A randomised clinical trial.
Many patients are diagnosed with postoperative urine retention in the recovery room and treated with in-out catheterisation (IOC). ⋯ Patients were mobilised early after disc herniation intervention to permit toilet visits in the recovery room. This strategy decreased the number of IOCs, duration of stay in the recovery room and time from arrival to first mobilisation in the general ward.
-
Randomized Controlled Trial Comparative Study
Spinal ultrasound versus palpation for epidural catheter insertion in labour: A randomised controlled trial.
Ultrasound imaging of the spine is thought to reduce failed and traumatic neuraxial procedures. Most of the evidence supporting this assumption has been produced in the context of an expert sonographer performing the ultrasound assessment, and it remains unknown whether this technique is useful when used by multiple individual operators. ⋯ The use of preprocedural spinal ultrasound by a cohort of anaesthesia trainees did not improve the ease of insertion of labour epidural catheters in patients with easily palpable lumbar spines, as compared with the traditional palpation technique based on anatomical landmarks.
-
Randomized Controlled Trial
Spinal anaesthesia with low-dose bupivacaine in marginally hyperbaric solutions for caesarean section.
Conventional hyperbaric spinal anaesthesia solution (SAS) with 8% glucose and low-dose bupivacaine may reduce the incidence of hypotension in caesarean section compared to standard doses, and marginally hyperbaric SAS (≤0.8% glucose) can induce a lower block level and a lower incidence of hypotension in nonobstetric patients than conventional 8% glucose SAS. ⋯ Compared with conventional 8% glucose hyperbaric SAS, marginally hyperbaric (0.5 or 0.33% glucose) low-dose bupivacaine solutions led to a significantly lower height of cephalad spread and incidence of hypotension with no impact on the efficacy of spinal anaesthesia for caesarean section.