Acta anaesthesiologica Scandinavica
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In order to reduce comsumption of inhalational anaesthetsics during high-flow anaesthesia, a system open in regard to oxygen, nitrogen and nitrous oxide, but closed to inhalational anaesthetics, was developed. This was achieved by a reflecting filter for inhalational anaesthetics made of active carbon. ⋯ The ACD can be used for administering the inhalational agents isoflurane and sevoflurane as an alternative to low-flow anaesthesia systems during surgery. It can also be used in intensive care units to administer sedation using isoflurane or sevoflurane to critically ill patients.
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Acta Anaesthesiol Scand · Oct 2013
Randomized Controlled Trial Comparative StudyEpidural vs. intravenous fentanyl during colorectal surgery using a double-blind, double-dummy design.
Epidural fentanyl has direct neuraxial analgesic effects distinct from systemic analgesic effects.
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Acta Anaesthesiol Scand · Oct 2013
Multicenter Study Comparative Study Observational StudyReversal of rocuronium induced neuromuscular block with sugammadex or neostigmine: a large observational study.
This 'real-life' study aimed to analyze the time from the start of neostigmine or sugammadex administration to recovery to a train of four ratio (TOFr) of 0.9 in a real-life in patients receiving rocuronium. The secondary aims were to assess the proportion of patients: presenting TOFr < 0.9 after 5, 10, and 20 min from reversal agent administration, receiving opioids for intraoperative analgesia and extubated in the post-anesthesia care unit (PACU). ⋯ This real-life study confirms that reversal time is faster in patients receiving sugammadex than in those receiving neostigmine. TOFr < 0.9 20 min after reversal was only present in patients treated with neostigmine.
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Acta Anaesthesiol Scand · Oct 2013
Current use of nitrous oxide in public hospitals in Scandinavian countries.
The use of nitrous oxide in modern anaesthesia has been questioned. We surveyed changes in use of nitrous oxide in Scandinavia and its justifications during the last two decades. ⋯ The use of nitrous oxide has decreased in the Scandinavian countries, apparently because many now prefer other agents. Difference in practices between the five countries were unexpected and apparently not justified on anticipated evidence only.
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Acta Anaesthesiol Scand · Oct 2013
Review Meta AnalysisIs general anaesthesia for caesarean section associated with postpartum haemorrhage? Systematic review and meta-analysis.
Although general anaesthesia was associated with greater blood loss than regional anaesthesia in this meta-analysis (only ~100 mL), this is of questionable significance, and meta-analysis of RCTs showed there was no greater risk of blood transfusion.
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