Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Jan 2013
ReviewContinuous evaluation of neurological prognosis after cardiac arrest.
Post-resuscitation care has changed in the last decade, and outcome after cardiac arrest has improved, thanks to several combined measures. Induced hypothermia has shown a treatment benefit in two randomized trials, but some doubts remain. General care has improved, including the use of emergency coronary intervention. ⋯ Based on our expert opinion, we suggest a multimodal approach with a continuous evaluation of prognosis based on repeated neurological examinations and electroencephalography. Somatosensory-evoked potential is an established method to help determine a poor outcome and is recommended, whereas biomarkers and magnetic resonance imaging are promising adjuncts. We recommend that a decisive evaluation of prognosis is performed at 72 h after normothermia or later in a patient free of sedative and analgetic drugs.
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The following article from Acta Anaesthesiologica Scandinavica "Haemodynamics and cerebral oxygenation during arthroscopic shoulder surgery in beach chair position under general anaesthesia" by Jeong H, Lee SH, Jang EA, Chung SS, Lee J, Yoo KY. Acta Anaesthesiol Scand. 56 (7): 872–9(August 2012). DOI: 10.1111/j.1399-6576.2012.02716.x. and published online on 10 May 2012 in Wiley Online Library (wileyonlinelibrary.com) has been retracted at the request of the Editor-in-Chief Lars S. ⋯ Anesthesiology; 116 (5): 1047–56 (May 2012) from the same institution. The two articles do not cite each other. The corresponding author has acknowledged that data from some patients appear in both articles and the study design was misrepresented.
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Acta Anaesthesiol Scand · Jan 2013
Review Meta AnalysisMaternal and foetal effects of remifentanil for general anaesthesia in parturients undergoing caesarean section: a systematic review and meta-analysis.
Remifentanil has been suggested for the induction of general anaesthesia for caesarean section. We aimed to define remifentanil effects on maternal stress response as well as neonatal effects. ⋯ Remifentanil was found to attenuate the maternal circulatory response to intubation and surgery. Higher base excess and pH suggest a beneficial effect on the neonatal acid-base status. A trial with adequate power is warranted that addresses neonatal side-effects of remifentanil.
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Acta Anaesthesiol Scand · Jan 2013
The LMA-Supreme™ as an intubation conduit in patients with known difficult airways: a prospective evaluation study.
Many extraglottic airway devices allow the direct passage of an adult-sized tracheal tube, but this is not possible with the LMA-Supreme(TM) . We evaluated the feasibility of using the LMA-Supreme(TM) as a conduit for intubation in patients with known difficult airways. ⋯ We conclude that the LMA-Supreme(TM) is a successful conduit for bronchoscopic/Aintree Intubation Catheter-guided intubation in patients with known difficult airway.
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Acta Anaesthesiol Scand · Jan 2013
Randomized Controlled Trial Comparative StudyEmergence agitation in children undergoing adenotonsillectomy: a comparison of sevoflurane vs. sevoflurane-remifentanil administration.
Sevoflurane is widely used in paediatric anaesthesia but frequently causes emergence agitation (EA). This study evaluated whether limiting the sevoflurane concentration by combining remifentanil with sevoflurane reduced the incidence of EA. ⋯ The incidence of EA was lower in children undergoing adenotonsillectomy who received a lower concentration of sevoflurane combined with remifentanil than in those given a higher concentration of sevoflurane without remifentanil.