Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Nov 2014
Intercostobrachial nerve handling and pain after axillary lymph node dissection for breast cancer.
Moderate to severe pain in the first week after axillary lymph node dissection (ALND) for breast cancer is experienced by approximately 50% of the patients. Damage to the intercostobrachial nerve (ICBN) has been proposed as a risk factor for the development of persistent pain following breast cancer surgery but with limited information on acute post-operative pain. The aim of the present study was to examine the influence of ICBN handling on pain during the first week after ALND. ⋯ The type of ICBN handling during ALND may not influence acute post-operative pain in the first week after surgery.
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Acta Anaesthesiol Scand · Nov 2014
Clinical TrialDehydration and fluid volume kinetics before major open abdominal surgery.
Assessment of dehydration in the preoperative setting is of potential clinical value. The present study uses urine analysis and plasma volume kinetics, which have both been validated against induced changes in body water in volunteers, to study the incidence and severity of dehydration before open abdominal surgery begins. ⋯ The degree of dehydration before major surgery was modest as evidenced both by urine sampling and volume kinetic analysis.
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Acta Anaesthesiol Scand · Nov 2014
Patient fear of anesthesia complications according to surgical type: potential impact on informed consent for anesthesia.
Past research has explored patients' expectations about the informed consent process. However, it is currently unknown if the complexity of the surgical procedure influences the type of anesthesia-related risks that patients wish disclosed. This study explored fears of anesthesia-related complications and whether these changed based on severity of surgery classification. ⋯ Awareness by anesthesia providers of those fears that patients report may allow for a more personalized approach to providing information that may better allay anxiety. Further, these results may better tailor the informed consent process to one that meets particular patient concerns.
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Acta Anaesthesiol Scand · Nov 2014
Lower incidence of post-dural puncture headache with spinal catheterization after accidental dural puncture in obstetric patients.
Accidental dural puncture (ADP) and post-dural puncture headache (PDPH) are important complications of obstetric regional anesthesia. Inserting the catheter intrathecally after ADP to prevent PDPH has gained popularity. Nonetheless, data on the effect of an intrathecal catheter on PDPH and epidural blood patch (EBP) rates are mixed. Our primary objective was to examine if spinal catheterization reduces the incidence of PDPH after ADP in obstetric patients. ⋯ The incidence of ADP, PDPH and blood patching is similar with previously published studies. After witnessed ADP, inserting the epidural catheter intrathecally significantly reduced the incidence of PDPH.