Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Mar 2016
Out-of-hospital paediatric emergencies: a prospective, population-based study.
We wanted to study the incidence, distribution and characteristics of paediatric out-of-hospital emergency care on a population level. This knowledge could ameliorate the design and education of emergency medical services and their personnel. ⋯ Paediatric out-of-hospital emergencies are infrequent and have specific characteristics differing from the adult population. The design and training of emergency medical services and their personnel should focus on evaluation and management of the most frequent situations.
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Acta Anaesthesiol Scand · Mar 2016
Synchronizing thermodilution cardiac output measurements with spontaneous breathing does not improve precision.
Measuring cardiac output (CO) with the pulmonary artery catheter intermittent bolus thermodilution technique (PAC-IBTD) is less precise with spontaneous breathing compared to controlled ventilation. We aimed to test if precision could be improved in spontaneous breathing by synchronizing the measurement with respiration or using instructed respiration in 18 post-operative cardiac surgery patients. ⋯ We could not improve the precision of PAC-IBTD in spontaneously breathing patients by synchronizing the measurements with respiration.
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Acta Anaesthesiol Scand · Mar 2016
Randomized Controlled TrialThe influence of propofol and sevoflurane on intestinal motility during laparoscopic surgery.
Volatile anaesthetics have an influence on small bowel peristalsis during laparoscopic surgery. A recent study concluded that desflurane increased intestinal motility compared to sevoflurane. Hence, a desflurane-based anaesthesia protocol may reduce surgical exposure during intestinal suturing or stapling due to small bowel hyperperistalsis. The effect of propofol on intestinal motility is not well studied. We tested the hypothesis that a propofol-remifentanil anaesthesia increases intestinal contractions in comparison with a sevoflurane-remifentanil anaesthesia. ⋯ Propofol-remifentanil increases intestinal motility compared with sevoflurane-remifentanil during laparoscopic gastric bypass surgery. A sevoflurane-based protocol can help to avoid disturbing peristalsis.