Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Mar 2015
Review Practice GuidelineScandinavian clinical practice guideline on mechanical ventilation in adults with the acute respiratory distress syndrome.
The objective of the Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) task force on mechanical ventilation in adults with the acute respiratory distress syndrome (ARDS) is to formulate treatment recommendations based on available evidence from systematic reviews and randomised trials. ⋯ We strongly recommend pressure- and volume limitation and suggest using higher PEEP and prone ventilation in patients with severe respiratory failure.
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Acta Anaesthesiol Scand · Mar 2015
Randomized Controlled Trial Comparative StudyTotal intravenous general anaesthesia vs. spinal anaesthesia for total hip arthroplasty: a randomised, controlled trial.
The choice of anaesthetic technique for patients undergoing joint arthroplasty is debatable. The hypothesis of this study was that general anaesthesia would generate a more favourable recovery profile than spinal anaesthesia. ⋯ General anaesthesia resulted in a more favourable recovery profile compared with spinal anaesthesia.
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Acta Anaesthesiol Scand · Mar 2015
Online breath analysis of propofol during anesthesia: clinical application of membrane inlet-ion mobility spectrometry.
Breath analysis of propofol is a potential noninvasive method for approximating the plasma propofol concentration. There have been various reported techniques for measuring the exhaled propofol concentration at steady state; however, the propofol concentration undergoes marked changes during clinical anesthesia. Therefore, this study investigated the use of membrane inlet-ion mobility spectrometry (MI-IMS) to monitor exhaled propofol discontinuously and continuously during propofol anesthesia. ⋯ MI-IMS may be a suitable method to predict plasma propofol concentration online during propofol anesthesia. Monitoring exhaled propofol may improve the safety of propofol anesthesia.
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Acta Anaesthesiol Scand · Mar 2015
Side of pupillary mydriasis predicts the cognitive prognosis in patients with severe traumatic brain injury.
Pupils' abnormalities are associated to bad prognosis in traumatic brain injury. We investigated the association between the side of pupil mydriasis and the long-term cognitive performance of patients with severe traumatic brain injury (TBI). ⋯ Side of admission pupil abnormalities may be a useful variable to improve prognostic models for long-term cognitive performance in severe TBI patients.