Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Jan 1999
Randomized Controlled Trial Comparative Study Clinical TrialPatient-controlled analgesia with oxycodone in the treatment of postcraniotomy pain.
Moderate to severe pain occurs after craniotomy in 60% of patients. We evaluated the feasibility and safety of patient-controlled analgesia (PCA) with oxycodone in neurosurgical patients, and compared the efficacy of paracetamol with ketoprofen. ⋯ PCA with oxycodone is a suitable method for pain control after craniotomy. No progressive hypoventilation, desaturation or excessive sedation were encountered. Ketoprofen appeared to be more effective than paracetamol.
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Acta Anaesthesiol Scand · Jan 1999
Case ReportsAirway obstruction due to arytenoid prolapse in a child.
In paediatric patients, obstruction of the upper airway is still a common problem during general anaesthesia. This case report documents the susceptibility of arytenoids to prolapse in paediatric patients during halothane anaesthesia. The use of video endoscopy provides an excellent tool for visualizing this type of airway obstruction; and continuous positive airway pressure is an effective treatment for clearing the airway.
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Acta Anaesthesiol Scand · Jan 1999
Comparative StudyEffect of experience with spinal anaesthesia on the development of post-dural puncture complications.
This clinical study was conducted in order to investigate the effect of operator experience with spinal anaesthesia (SA) on development of postural post-dural puncture headache (PPDPH) and postoperative backache. ⋯ We could not demonstrate an effect of experience and training on development of complications after SA with regard to PPDPH and backache.
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Acta Anaesthesiol Scand · Jan 1999
Comparative StudyIntact proprioception and control of labour pain during epidural analgesia.
Accurate proprioception is critical while walking, yet an ambulatory epidural regimen that provides adequate analgesia for labour while simultaneously preserving proprioceptive input has not been described. ⋯ This study confirms that the addition of lumbar epidural fentanyl 100 micrograms to 15 mg of epidural bupivacaine provides good control of labour pain with no motor block and establishes that this combination preserves dorsal column sensory function.
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Acta Anaesthesiol Scand · Jan 1999
Historical ArticleFinland's first anaesthesia revealed by newspapers.
According to the literature on the history of anaesthesia, Finland's first anaesthesia was given on March 8, 1847 for a ligature of an aneurysm of the subclavian artery. It has, however, not been possible to verify the date with certainty. We therefore wanted to find out whether newspapers might give additional information and how this exceptionally important medical invention had been received by the Finnish newspapers. ⋯ Finland's first anaesthesia was given on February 16, 1847, which is three weeks earlier than had been previously assumed.