Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Feb 2008
Controlled Clinical TrialHaemodilution induced by hydroxyethyl starches 130/0.4 is similar in septic and non-septic patients.
Fluid therapy induces haemodilution related to plasma volume expansion. The aim of our study was to compare haemodilution after a single hydroxyethyl starches (HES) 130/0.4 infusion in two groups of patients, one with and one without sepsis. We hypothesized that a single HES challenge would induce similar sustained haemodilution in both groups. ⋯ We found that a starch-based compound was as effective in inducing haemodilution in patients with sepsis as in controls without sepsis, suggesting that HES may remain within the intravascular space even in patients with sepsis. Haemodilution parameters such as haematocrit, serum albumin and serum protein are useful for assessing the duration of plasma volume expansion induced by fluid therapy in critically ill patients.
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Acta Anaesthesiol Scand · Feb 2008
Randomized Controlled TrialLow-dose haloperidol prevents post-operative nausea and vomiting after ambulatory laparoscopic surgery.
We evaluated the prophylactic effect of low-dose haloperidol (1 mg) on post-operative nausea and vomiting (PONV) in women undergoing ambulatory laparoscopic surgery. Droperidol (0.625 mg) and saline were controls. ⋯ Like droperidol (0.625 mg), prophylactic intravenous haloperidol (1 mg) significantly reduced the incidence of PONV in women undergoing ambulatory laparoscopic surgery.
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Acta Anaesthesiol Scand · Feb 2008
Clinical TrialLateral sagittal infraclavicular block: clinical experience in 380 patients.
The purpose of this study was to evaluate the clinical utility and block success rate of 'lateral sagittal infraclavicular block (LSIB)' in a large-scale clinical study. ⋯ LSIB provided a clinically acceptable success rate and our results are in agreement with other studies assessing this approach.
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Acta Anaesthesiol Scand · Feb 2008
Induction of mild hypothermia in cardiac arrest survivors presenting with cardiogenic shock syndrome.
Induction of mild hypothermia (MH) in patients resuscitated from cardiac arrest improves their outcome. However, benefits and risks of MH in patients who remain in cardiogenic shock after the return of spontaneous circulation (ROSC) are unclear. We analysed all cardiac arrest survivors who were treated with MH in our intensive coronary care unit (CCU) and compared the outcome of patients with cardiogenic shock syndrome (CSS) with those who were circulatory stable. ⋯ While in-hospital mortality in cardiac arrest survivors treated by MH was expectably higher in those with cardiogenic shock than in stable patients, the favourable neurological outcome during hospitalization was comparable in both groups. Therefore, induction of MH should be considered in cardiac arrest survivors with CSS after ROSC.