Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Nov 2015
Review Meta AnalysisThe efficacy of propofol on emergence agitation - a meta-analysis of randomized controlled trials.
Emergence agitation (EA) is a common, post-anesthetic complication in pediatric patients following sevoflurane and desflurane anesthesia. The aim of this meta-analysis was to assess the effects of an adjunctive dose of propofol to reduce the incidence of EA in pediatric patients. ⋯ Future studies on the benefits of adjunct propofol in reducing the incidence of EA are required.
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Acta Anaesthesiol Scand · Nov 2015
Case ReportsIntraosseous access in neonates and infants: risk of severe complications - a case report.
Gaining vascular access in a neonate during cardiopulmonary resuscitation is crucial and challenging. Intraosseous (IO) access can offer a fast and reliable method for achieving emergency access for fluids and drugs when venous access fails in a critically ill child. IO access can however result in rare, but serious adverse events including compartment syndrome and amputation. ⋯ Regular observation of the circulation and possible swelling of the leg should be performed. The IO administration of inotropic infusions should also be avoided after the initial resuscitation phase. When treating with therapeutic hypothermia, it may be wise to remove the IO needle much earlier than the currently recommended 24 h because of the problems in peripheral circulation and its monitoring.
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Kim SY, Huh KH, Roh YH, Oh YJ, Park J, Choi YS. Nefopam as an adjunct to intravenous patient-controlled analgesia after renal transplantation: a randomised trial. Acta Anaesthesiologica Scandinavica, 59(8), 1068-1075. ⋯ In the article "Nefopam as an adjunct to intravenous patient-controlled analgesia after renal transplantation: a randomised trial", the published title of vertical axis B in Figure 2 which is 'Pain at rest' was incorrect. The correct title of the vertical axis B is 'Pain on coughing.' The correct figure 2 has been reproduced here for clarity. We apologize for any inconvenience caused.
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Acta Anaesthesiol Scand · Nov 2015
Effect-site concentration of remifentanil for attenuating QTc interval prolongation following intubation in hypertensive female patients.
Haemodynamic changes after sympathetic stimuli like tracheal intubation are more pronounced in hypertensive patients than in normotensive patients. Heart rate (HR)-corrected QT (QTc) interval changes related to intubation may also be more prominent in hypertensive patients. We hypothesised that there would be a difference in the effect-site concentration (Ce) of remifentanil to attenuate QTc interval prolongation in normotensive and hypertensive patients following intubation. ⋯ The Ce of remifentanil required to attenuate QTc interval prolongation following intubation was significantly higher in hypertensive patients than it was in normotensive patients. Thus, more caution should be taken related to QTc interval prolongation when intubating hypertensive patients.
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Acta Anaesthesiol Scand · Nov 2015
ReviewEnhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 1: pathophysiological considerations.
The present article has been written to convey concepts of anaesthetic care within the context of an Enhanced Recovery After Surgery (ERAS) programme, thus aligning the practice of anaesthesia with the care delivered by the surgical team before, during and after surgery. ⋯ Evidence-based strategies aimed at controlling the disruption of homoeostasis need to be evaluated in the context of ERAS programmes. Anaesthesiologists could, therefore, play a crucial role in facilitating the recovery process.