Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Feb 2000
Randomized Controlled Trial Clinical TrialNeedle design does not affect the success rate of spinal anaesthesia or the incidence of postpuncture complications in children.
In adults, pencil-point spinal needles are believed to be less traumatic and therefore to be superior compared to cutting-point needles with respect to success rate and postpuncture complications. The aim of this randomised, parallel groups and prospective study was to record the success rate and to evaluate the incidence of complications following spinal anaesthesia with the two types of needles in children. ⋯ Both types of spinal needles can be used in children, and a free aspiration of CSF results in a high success rate of the spinal block. Postpuncture complications are as common in children as in adults.
-
Acta Anaesthesiol Scand · Feb 2000
Randomized Controlled Trial Clinical TrialHaemodynamic effects of intravenous clonidine on propofol or thiopental induction.
The study evaluated the effects of premedication with intravenous clonidine on thiopental or propofol requirements for induction and haemodynamic changes associated with both induction and endotracheal intubation. Clonidine administered intravenously before induction of anaesthesia reduced propofol or thiopental requirements. ⋯ Moreover, a major haemodynamic stability was registered before and after laryngoscopy in the clonidine-thiopental group. These findings might contraindicate the clonidine-propofol combination in patients with cardiovascular disease.
-
Acta Anaesthesiol Scand · Feb 2000
Comparative StudyComparison of combined spinal epidural anesthesia and epidural anesthesia for cesarean section.
Epidural anesthesia (EA) is popular for cesarean section, but has some drawbacks such as incomplete block, inadequate muscle relaxation and delayed onset. Combined spinal epidural anesthesia (CSEA) has gained increasing interest as it combines the reliability of a spinal block and the flexibility of an epidural block. We investigated the efficacy of CSEA that combines the main spinal and the supporting epidural anesthesia, comparing with pH-adjusted EA, for cesarean section. ⋯ We can conclude that, when combining the main spinal and the supporting epidural anesthesia, CSEA has greater efficacy and fewer side effects than the pH-adjusted EA in cesarean sections.
-
Acta Anaesthesiol Scand · Feb 2000
Retracted PublicationComposition of the editorial/advisory boards of major English-language anesthesia/critical care journals.
Publications represent a central part of the research process. An analysis of who is responsible for acceptance of publications in major English-language anesthesia/critical care medicine journals was carried out. ⋯ Most editors/editorial board members of important Anesthesiology, Emergency and Critical Care journals came from the USA. Other countries play a significantly less influential role even in journals which are characterised as 'International Journals'.
-
Acta Anaesthesiol Scand · Feb 2000
Randomized Controlled Trial Comparative Study Clinical TrialCost comparison between three different general anaesthetic techniques for elective arthroscopy of the knee.
We compared three anaesthetic techniques for elective knee arthroscopy with special reference to cost-effectiveness. ⋯ From a cost-minimisation point of view, anaesthesia based on sevoflurane in oxygen:nitrous oxide is the technique of choice.