Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Nov 2010
Maize- or potato-derived hydroxyethyl starches: is there any thromboelastometric difference?
Hydroxyethyl starches (HES) could differ with regard to the origin, and the influence on the coagulation of the raw material is unknown. This study compared the effects of a new potato-derived HES with a maize-derived HES and two crystalloid solutions. ⋯ Maize- and potato-derived HES have similar effects on coagulation. Both the starch preparations tested lead to more severe haemostatic defects than crystalloids, and impairment of fibrin polymerization appears to be a leading determinant of this coagulopathy.
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Acta Anaesthesiol Scand · Nov 2010
Randomized Controlled TrialThe effect of remifentanil on cough suppression after endoscopic sinus surgery: a randomized study.
Excessive coughing may increase the risk of complications after sinus surgery. We hypothesized that remifentanil would decrease the incidence and severity of coughing after endoscopic sinus surgery with propofol and remifentanil anaesthesia. ⋯ Maintaining anaesthesia with remifentanil to the end of the surgery, until after extubation, can suppress coughing without prolonging the recovery from anaesthesia. This effect is dose dependent and is more pronounced at higher concentrations of remifentanil (2.0 or 2.5 ng/ml).
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Acta Anaesthesiol Scand · Nov 2010
Outcome of drowned hypothermic children with cardiac arrest treated with cardiopulmonary bypass.
There is a lack of data on the outcome of cardiopulmonary bypass (CPB) rewarming of hypothermic children with cardiac arrest following drowning. ⋯ Large numbers of submerged children can be primarily resuscitated with CPB. Unfortunately, many of them will decease from severe hypoxic brain injury. Slow rewarming with CPB may improve the likelihood of a better neurological outcome.