Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Apr 2012
Smooth emergence in men undergoing nasal surgery: the effect site concentration of remifentanil for preventing cough after sevoflurane-balanced anaesthesia.
Suppression of cough during emergence after nasal surgery is practical to avoid bleeding from the surgical site. Previously recommended effect-site concentration of remifentanil for preventing cough during emergence is restricted to female patients undergoing thyroid surgery, so we evaluated effective effect-site concentration of remifentanil for preventing cough during emergence for men undergoing nasal surgery. ⋯ The EC(95) of remifentanil for preventing cough in men after nasal surgery is 2.94 ng/ml. Remifentanil target-controlled infusion with established effect-site concentration could suppress cough in men during emergence from sevoflurane anaesthesia after nasal surgery, though reversible respiratory depression might arise at high effect-site concentration of remifentanil.
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Acta Anaesthesiol Scand · Apr 2012
Lactate levels predict mortality and need for peritoneal dialysis in children undergoing congenital heart surgery.
The purpose of this study was to investigate whether an initial post-operative lactate level is a predictor of mortality, need for peritoneal dialysis (PD), duration of intubation or length of stay (LOS) in the intensive care unit (ICU) in children undergoing cardiac surgery. ⋯ The initial post-operative lactate level was a predictor of mortality and need for PD in children undergoing surgery for congenital heart disease.
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Acta Anaesthesiol Scand · Apr 2012
Residents and ICU nurses get reliable static and dynamic haemodynamic assessments with aortic oesophageal Doppler.
Aortic oesophageal Doppler (ODM) allows continuous non-invasive haemodynamic monitoring. We tested to confirm if residents and nurses were able to reposition oesophageal probe (OP), obtain aortic blood flow of good quality and so perform reliable static and dynamic haemodynamic assessments. ⋯ Residents and nurses get reliable static and dynamic haemodynamic assessments with ODM compared to our skilled physician.
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Acta Anaesthesiol Scand · Apr 2012
Outcome of spontaneous and iatrogenic pneumothoraces managed with small-bore chest tubes.
Little is known about the efficacy of management of iatrogenic pneumothoraces with small-bore chest tubes. The aim of this study was to assess the outcome of iatrogenic pneumothoraces requiring drainage managed with a small-bore chest tube and to compare the results to spontaneous pneumothoraces treated in the same unit with the same device. The primary outcome was requirement of video-assisted thoracoscopic surgery for drainage failure; secondary outcomes were length of drainage and number of inserted chest tubes. ⋯ Small-bore chest tubes are feasible for treatment of iatrogenic pneumothoraces and have a better rate of success and slightly longer drainage duration than when used for spontaneous pneumothoraces.