Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Feb 2013
The frequency and nature of drug administration error during anaesthesia in a Chinese hospital.
Throughout the world, drug administration error remains a known and significant threat to patients undergoing anaesthesia. Estimates of the extent of the problem vary, but few are based on large prospectively collected datasets. Furthermore, little is known about whether differences in work culture are important in error rates. ⋯ Our results are comparable with other international prospective estimates indicating that drug administration error is of concern in China as elsewhere. These results will form a baseline from which to detect the effects of countermeasures.
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Acta Anaesthesiol Scand · Feb 2013
Randomized Controlled TrialHaemodynamic optimisation in lower limb arterial surgery: room for improvement?
Goal-directed therapy has been proposed to improve outcome in high-risk surgery patients. The aim of this study was to investigate whether individualised goal-directed therapy targeting stroke volume and oxygen delivery could reduce the number of patients with post-operative complications and shorten hospital length of stay after open elective lower limb arterial surgery. ⋯ Perioperative individualised goal-directed therapy may reduce post-operative complications in open elective lower limb arterial surgery.
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Acta Anaesthesiol Scand · Feb 2013
Body image and psychological outcome after severe skin and soft tissue infection requiring intensive care.
Patients with severe skin and soft tissue infection (SSTI) requiring intensive care unit (ICU) stay are commonly treated with antibiotics, surgery and in some centers also with hyperbaric oxygen therapy. Long-term follow-up of body image and psychological outcome has not been described despite extensive surgery, potentially altered body image and subsequent psychological problems. The aim was to describe perceived body image and its relation to anxiety, depression and post-traumatic stress disorder (PTSD)-related symptoms in patients with severe SSTI 1 year after ICU stay. Specifically, we aimed to assess potential differences related to gender and anatomic site of infection. ⋯ One year after severe SSTI requiring intensive care, women and patients with abdominoperineal SSTI reported significantly more body image problems. Negative body image was associated with anxiety, depression and PTSD-related symptoms. Specific follow-up for SSTI patients is warranted.