Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Sep 2013
ICU personnel have inaccurate perceptions of their patients' experiences.
Intensive care unit (ICU) patient care bases - among others - upon the staff's assumptions about each patient's subjective preferences and experiences. However, these assumptions may be skewed and thus result in client-professional gaps (cp-gaps), which occur in two subtypes, hyperattention and blind spots to certain burdens. cp-gaps typically reduce quality of care. We investigated whether cp-gaps of either subtype exist in a 36-bed ICU of a university hospital. ⋯ cp-gaps in ICUs can be identified using analogue questionnaires for patients and staff. Both subtypes of cp-gap occur. cp-gaps are substantially influenced by self-attributional bias.
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Acta Anaesthesiol Scand · Sep 2013
ReviewTest-retest studies in quantitative sensory testing: a critical review.
Quantitative sensory testing (QST) investigates the graded psychophysical response to controlled thermal, mechanical, electrical or chemical stimuli, allowing quantification of clinically relevant perception and pain thresholds. The methods are ubiquitously used in experimental and clinical pain research, and therefore, the need for uniform assessment procedures has been emphasised. ⋯ A considerable heterogeneity in the statistical evaluations of test-retest data was demonstrated. The authors, using a secondary analysis of published data for didactic purposes, propose and present minimal requirements for reporting of test-retest QST data.
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Acta Anaesthesiol Scand · Sep 2013
Does chronic pre-operative pain predict severe post-operative pain after thoracotomy? A prospective longitudinal study.
Despite advances in pain research, many patients still experience moderate to severe post-operative pain that needs to be alleviated. The primary aim of this study was to identify predictive factors for severe post-operative pain after thoracotomy. Secondary, we investigated the levels of post-operative pain in this group of patients. ⋯ In contrast to previous studies, which have reported pre-operative chronic pain to be a strong predictor of moderate to severe post-operative pain, we have in our study not been able to replicate these findings.
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Acta Anaesthesiol Scand · Sep 2013
Randomized Controlled Trial Clinical TrialImpact of Bispectral Index for monitoring propofol remifentanil anaesthesia. A randomised clinical trial.
Previous research has shown that the use of the bispectral index (BIS) monitor to measure the depth of anaesthesia reduces the amount of anaesthetics administered and the recovery time from general anaesthesia. The effect of BIS on recovery from anaesthesia and consumption of anaesthetics in a paediatric population receiving total intravenous anaesthesia (TIVA) with propofol and remifentanil has not been studied. ⋯ BIS monitoring for guidance of propofol-remifentanil anaesthesia does not result in reduced consumption of anaesthetics and does not reduce time to extubation in adult and children compared with conventional practice.