Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Mar 2017
Multicenter StudyPain prevalence in hospitalized children: a prospective cross-sectional survey in four Danish university hospitals.
Pain management in hospitalized children is often inadequate. The prevalence and main sources of pain in Danish university hospitals is unknown. ⋯ This study reveals high pain prevalence in children across all age groups admitted to four Danish university hospitals. The majority of children in moderate to severe pain did not have a documented pain assessment, and evidence-based pharmacological and/or integrative ('non-pharmacological') measures were not systematically administered to prevent or treat pain. Thus, practice changes are needed.
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In Denmark, organ donation-rates are below the average in the western countries. We investigated the donor potential and identified barriers toward organ donation in a Danish university hospital. ⋯ It would be possible to raise the donation rate considerably if patients with donation potential are intubated and admitted to the ICU. When active treatment is considered withdrawn, possibility of organ donation should be evaluated, and the next of kin be approached by experienced staff.
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Acta Anaesthesiol Scand · Mar 2017
ReviewA systematic review of the analgesic efficacy of cannabinoid medications in the management of acute pain.
Cannabinergic medications have been postulated to demonstrate efficacy in the management of pain. The aim of this systematic review was to assess the analgesic efficacy and adverse effects of cannabinoids when used for the management of acute pain. ⋯ On the basis of the available randomized controlled trial evidence, cannabinoids have no role in the management of acute pain.
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Acta Anaesthesiol Scand · Mar 2017
Operating unit time use is associated with anaesthesia type in below-knee surgery in adults.
Peripheral nerve blocks could reduce the operating unit and theatre time spent on high-risk patients who are particularly vulnerable to complications of general anaesthesia or have medications that prevent application of central neuraxial blocks. ⋯ Peripheral nerve block anaesthesia reduces time spent in the operating unit and can reduce time spent in the operating theatre if induced in holding area outside of theatre.