Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Aug 2013
Randomized Controlled Trial Comparative StudyChloroprocaine 40 mg produces shorter spinal block than articaine 40 mg in day-case knee arthroscopy patients.
Articaine and chloroprocaine have recently gained interest as short-acting spinal anaesthetics. Based on previous work comparing articaine 60 mg with chloroprocaine 40 mg, we hypothesised that articaine 40 mg and chloroprocaine 40 mg would produce similar spinal anaesthesa regarding block onset, maximal spread, and recovery. ⋯ Both A40 and C40 provided mainly adequate spinal anaesthesia for day-case knee arthroscopy. While onset and maximal spread were comparable, the recovery from motor block was clearly faster with chloroprocaine after equivalent doses of spinal articaine and chloroprocaine.
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Acta Anaesthesiol Scand · Aug 2013
Multicenter Study Comparative Study Clinical TrialPlasma neutrophil gelatinase-associated lipocalin and adverse outcome in critically ill patients with ventilatory support.
Plasma neutrophil gelatinase-associated lipocalin (pNGAL) has been introduced as an early and sensitive biomarker of acute kidney injury (AKI), with an increased risk for renal replacement therapy (RRT) and adverse outcome in selected critically ill patient groups. Acute respiratory failure is the most common organ dysfunction in critically ill patients with an increased risk for AKI. Accordingly, we hypothesized that pNGAL would independently predict adverse outcome in a heterogeneous group of critically ill adult patients with acute respiratory failure. ⋯ Baseline pNGAL gives no additional value into prediction of hospital and 90-day mortality compared with RIFLE or SAPS II, and has only moderate predictive power regarding RRT in critically ill adult patients with acute respiratory failure.
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Acta Anaesthesiol Scand · Aug 2013
Case ReportsLaryngeal spasm after general anaesthesia due to Ascaris lumbricoides.
Postoperative upper airway obstruction during recovery from general anaesthesia may have several causes. This is a report of a young girl who developed laryngeal spasm as a result of an ectopic roundworm Ascaris lumbricoides.