European journal of anaesthesiology
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Comparative Study
Incidence and impact of distracting events during induction of general anaesthesia for urgent surgical cases.
Distractions and interruptions during clinical activities can decrease performance and increase the risk of error. The incidence and impact of distracting events on anaesthetic teams during the critical phases of general anaesthesia are unknown. The purpose of this study was to quantify and analyse the frequency, the source and the impact of these events during the period of induction of general anaesthesia. ⋯ During the induction phase of general anaesthesia, distracting events are frequent and affect significantly the task at hand. Future research should design and implement preventive strategies to minimize the occurrence of unnecessary distracting events during this critical phase of anaesthesia when calm and vigilance should prevail.
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Comparative Study
Postconditioning by xenon and hypothermia in the rat heart in vivo.
Hypothermia protects against myocardial reperfusion injury. However, inducing hypothermia takes time, which makes it unsuitable as an emergency treatment. Combining mild hypothermia with low-dose xenon, applied either simultaneously or one after the other, protects the neonatal rat brain against reperfusion injury. We investigated whether xenon, administered prior to hypothermia or simultaneously with hypothermia, also protects the rat heart from reperfusion injury. ⋯ The combination of xenon 20% and hypothermia of 34 degrees C, applied during early reperfusion, reduces infarct size in the rat heart in vivo.
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Comment Letter Comparative Study
Comparison of safety and efficacy of Supreme laryngeal mask airway and ProSeal laryngeal mask airway.
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Comparative Study Clinical Trial
The PediaSat continuous central SvO2 monitoring system does not reliably indicate state or course of central venous oxygenation.
The present study compares the accuracy of a new continuous venous oxygenation monitoring system (PediaSat Oximetry Catheter) with laboratory blood oximetry in paediatric surgical patients. ⋯ In paediatric and adolescent patients undergoing major surgery, the PediaSat system did not reliably reflect SCO-OXcvO2 values and cannot replace repeated invasive ScvO2 assessments in the clinically relevant range of ScvO2.