Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Apr 2014
Review Meta AnalysisThe analgesic effect of wound infiltration with local anaesthetics after breast surgery: a qualitative systematic review.
Local anaesthetic wound infiltration for breast surgery has only modest effects on early post-surgical pain.
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Acta Anaesthesiol Scand · Apr 2014
Medical emergency team activation: performance of conventional dichotomised criteria versus national early warning score.
To activate the hospital's medical emergency team (MET), either conventional dichotomised activation criteria or an early warning scoring system may be used. The relative performance of these different activation patterns to discriminate high risk patients in a heterogenic general ward population after adjustment for multiple confounding factors has not been evaluated. We aimed to evaluate the dichotomised activation criteria used at our institution and the recently published national early warning score (NEWS, United Kingdom). ⋯ NEWS discriminates high risk patients in a heterogenic general ward population independently of multiple confounding factors. The conventional dichotomised activation criteria were not able to detect high risk patients.
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Acta Anaesthesiol Scand · Apr 2014
Randomized Controlled TrialMyocardial protection by remote ischaemic pre-conditioning is abolished in sulphonylurea-treated diabetics undergoing coronary revascularisation.
Remote ischaemic pre-conditioning attenuates myocardial injury. Because sulphonylurea drugs interfere with ischaemic and anaesthetic pre-conditioning, we assessed whether remote ischaemic pre-conditioning effects are altered in sulphonylurea-treated diabetics. ⋯ Cardioprotection by remote ischaemic pre-conditioning during isoflurane anaesthesia is abolished in sulphonylurea-treated diabetics.
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Acta Anaesthesiol Scand · Apr 2014
Persistent opioid use and socio-economic factors: a population-based study in Norway.
A growing proportion of the population is using opioids for longer time periods, but little is known about the characteristics of patients who are persistent opioid users. We therefore studied the association between socio-economic factors and persistent vs. short-term opioid use 4 years later. ⋯ Disability pension, not working, divorce, low income and low education in 2001 were associated with persistent opioid use in 2005.