Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Nov 2016
ReviewScandinavian SSAI clinical practice guideline on choice of first-line vasopressor for patients with acute circulatory failure.
Adult critically ill patients often suffer from acute circulatory failure, necessitating use of vasopressor therapy. The aim of the Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) task force for Acute Circulatory Failure was to present clinically relevant, evidence-based treatment recommendations on this topic. ⋯ We recommend using norepinephrine rather than other vasopressors as first-line treatment for the majority of adult critically ill patients with acute circulatory failure.
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Acta Anaesthesiol Scand · Nov 2016
Increased need for interventions predicts mortality in the critically ill.
The aim of this study was to determine the association of early treatment intensity with hospital mortality of intensive care unit (ICU) patients. ⋯ Early increase in TISS scores was associated with increased risk of death, especially in patients with a lower initial severity of illness.
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Acta Anaesthesiol Scand · Nov 2016
Randomized Controlled TrialTransversus abdominis plane block or intravenous lignocaine in open prostate surgery: a randomized controlled trial.
Transversus abdominis plane block (TAP) and intravenous lignocaine are two analgesic techniques frequently used after abdominal surgery. We hypothesized that these two techniques improve post-operative analgesia after open prostate surgery and sought to compare their efficacy on immediate post-operative outcome after open prostate surgery. ⋯ Our study suggests that TAP block and intravenous lignocaine do not improve the post-operative analgesia provided by systematic administration of paracetamol after open prostatectomy.