Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Apr 2004
Randomized Controlled Trial Clinical TrialSpinal anesthesia for arthroscopic knee surgery.
The purpose of the study was to compare the effects of adding 50 microg of morphine, 25 microg of fentanyl or saline to 6 mg of hyperbaric bupivacaine on postoperative analgesia and time to urination in patients undergoing arthroscopic knee surgery under spinal anesthesia. ⋯ We conclude that during spinal anesthesia even mini-dose intrathecal morphine is not acceptable for outpatient surgery due to side-effects, especially severely prolonged time to urination.
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Acta Anaesthesiol Scand · Apr 2004
Outcome of the elderly critically ill after intensive care in an era of cost containment.
Economical constraints have, in many countries, led to a reduction in provision of health care services, including care of the critically ill, after decades of expansion. We hypothesized that elderly critically ill patients may be particularly vulnerable to these changes. The purpose of the present study was to examine survival of patients > or = 75 years between 1993 and 1999 when overall staff and ICU/HDU-beds were stepwise reduced, but the nurse/bed ratio increased. ⋯ Reduction of intensive care services led to shorter stay and lower TISS allocation for elderly critically ill without any significant increase in 180-day mortality.
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Acta Anaesthesiol Scand · Apr 2004
Randomized Controlled Trial Clinical TrialImproved application of Lidocaine/Prilocaine cream in children. A randomized and prospectively controlled study of two application regimes.
Intravenous cannulation in children aged 6-12 years is less painful after a 90-min application of a Lidocaine/ Prilocaine cream followed by a 30-min interval without cream, than cannulation immediately after a 60-min application. ⋯ i.v. cannulation after application of anaesthetic cream for 90 min followed by a 30-min interval is less painful than the widely used 60-min application directly followed by cannulation.
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Acta Anaesthesiol Scand · Apr 2004
Randomized Controlled Trial Clinical TrialThe analgesic effect of intravenous ketamine and lidocaine on pain after spinal cord injury.
Pain following spinal cord injury (SCI) is a therapeutic challenge. Only a few treatments have been assessed in randomized, controlled trials. The primary objective of the present study was to examine the analgesic effect of ketamine and lidocaine in a group of patients with neuropathic pain below the level of spinal cord injury. We also wanted to assess sensory abnormalities to see if this could help us to identify responders and if treatments resulted in changes of sensibility. ⋯ Ketamine but not lidocaine showed a significant analgesic effect in patients with neuropathic pain after spinal cord injury. The pain relief was not associated with altered temperature thresholds or other changes of sensory function.
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Acta Anaesthesiol Scand · Apr 2004
Clinical Trial Controlled Clinical TrialEffect of aminophylline on bispectral index.
The aim of the present study was to investigate the effects of aminophylline on BIS as well as clinical recovery in patients anesthetized with sevoflurane. ⋯ Recovery from sevoflurane anesthesia and BIS scores are improved in early period when aminophylline is given at emerging from anesthesia.