Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Jul 1999
An alternative method to intubate with laryngeal mask and see-through-bougie.
Different ways of managing the difficult airway is an important issue for the anaesthetist. We have investigated a technique with a see-through-bougie and laryngeal mask for intubation. ⋯ We conclude that intubation using a see-through-bougie and a laryngeal mask is a valuable method in the difficult intubation situation, when a temporary airway can be achieved with laryngeal mask, since it permits continuous ventilation and visual control throughout the procedure.
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Acta Anaesthesiol Scand · Jul 1999
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialEpidural ropivacaine 7.5 mg/ml for elective Caesarean section: a double-blind comparison of efficacy and tolerability with bupivacaine 5 mg/ml.
Ropivacaine is a new local anaesthetic drug known to be less cardiotoxic than bupivacaine. The aims of this comparative study with bupivacaine were to evaluate efficacy, safety and tolerability for the mother and the neonate when using ropivacaine 7.5 mg/ml for epidural anaesthesia for elective Caesarean section. ⋯ Ropivacaine 7.5 mg/ml administered epidurally resulted in equally effective anaesthesia for Caesarean section as bupivacaine 5 mg/ml. Because of the lower cardiotoxicity of ropivacaine, the new amide has a potential in replacing bupivacaine when used epidurally for Caesarean section.
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Acta Anaesthesiol Scand · Jul 1999
ReviewThe role of stress in anaesthetists' health and well-being.
Stress is an inevitable part of our personal and professional lives. When poorly managed, stress will accumulate to levels that become injurious to our health and well-being. Burnout is one such consequence. ⋯ The role of the medical marriage and dual-career relationships are scrutinized. The importance of retaining the humanistic essence of medicine is emphasized. Stress management strategies and coping responses, including self-care and humor, are discussed.
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Acta Anaesthesiol Scand · Jul 1999
Randomized Controlled Trial Clinical TrialPollution with nitrous oxide using laryngeal mask or face mask.
As environmental pollution by nitrous oxide may influence the health of the personnel working in operating theatres, the incidence and magnitude of nitrous oxide (N2O) leakage, when using a face mask or a laryngeal mask airway (LMA) for controlled ventilation, were studied in 34 patients scheduled for elective cystoscopy. ⋯ Environmental pollution was less with the LMA than the face mask, but under the conditions of the study both modes of airway management were associated with levels of N2O peak concentrations in the breathing zone of anaesthetists that are deemed to be excessively high by the Danish National Institute for Occupational Safety.
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Acta Anaesthesiol Scand · Jul 1999
Randomized Controlled Trial Comparative Study Clinical TrialTropisetron or droperidol in the prevention of postoperative nausea and vomiting. A comparative, randomised, double-blind study in women undergoing laparoscopic cholecystectomy.
Women undergoing laparoscopic cholecystectomy are susceptible to postoperative nausea and vomiting (PONV). This study was undertaken to evaluate the efficacy of tropisetron or droperidol for preventing PONV after laparoscopic cholecystectomy. ⋯ Tropisetron, when compared with droperidol, had no better efficacy on the prevention of postoperative nausea but resulted in a significantly lower incidence of vomiting after laparoscopic cholecystectomy.