Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Sep 2019
Frequency distribution of modified Cormack-Lehane views-A retrospective audit of tracheal intubation in children with normal airways.
Paediatric patients with an unanticipated poor grade of laryngoscopic view during tracheal intubation represent a challenging situation potentially associated with increased morbidity and mortality. The aim of this study was to investigate the frequency of modified Cormack-Lehane (MCL) views and to elucidate variables for poor views in a large collective of children without anticipated airway difficulties. ⋯ The incidence of a poor grade of laryngoscopic view was found to be very low in children with a normal airway. They mainly occurred in infants and adolescent patients and were more common in male patients.
-
An urine tract infection developed in a serious way with shivering and other signs of septicaemia when the author was planning going skiing. After being admitted to his teaching hospital, the condition got worse with mental confusion. The author thought that he was to be executed due to a new law, giving the relatives of patients who have died during his care, a right to demand his assignation in the most cruel way. This is the thoughts and observations made during the illness.
-
Acta Anaesthesiol Scand · Sep 2019
Dental injuries in relation to general anaesthesia-A retrospective study.
Dental injuries may occur during general anaesthesia, especially during airway management. The aim of this study was to describe cases of dental injury related to general anaesthesia, focusing on the type and extent of the injuries as well as the timing of recognition. ⋯ The most commonly reported dental injury related to general anaesthesia in the Danish Patient Compensation Association database was a fracture. Claims were more frequently approved if more than two intubation attempts were used and if the injury was recognized in-hospital.
-
Acta Anaesthesiol Scand · Sep 2019
Multicenter Study Observational StudyAssessment of volume status and volume responsiveness in the ICU: Protocol for an observational, multicentre cohort study.
Expansion of the intravascular compartment is common to treat haemodynamic instability in ICU patients. The most useful and accurate variables to guide and evaluate a fluid challenge remain debated and incompletely investigated resulting in significant variability in practice. The analogue mean systemic pressure has been reported as a measure of the intravascular volume state. ⋯ This study investigating 2 cohorts that encompass a wide variety of reasons for haemodynamic instability will illustrate the applicability of the analogue mean systemic pressure and derived variables to assess the volume state and responsiveness. The results may guide the rationale and design of interventional studies.
-
Acta Anaesthesiol Scand · Sep 2019
Risk factors for post-operative pulmonary complications in lung cancer patients after video-assisted thoracoscopic lung resection: Results of the German Thorax Registry.
Post-operative pulmonary complications (PPCs) represent the most frequent complications after lung surgery. The aim of this study was to identify the modifiable risk factors for PPCs after video-assisted thoracoscopic surgery (VATS) in lung cancer patients. ⋯ Intraoperative amount of crystalloid fluids should be kept below 6 mL/kg/h and duration of surgery should be below 2 hours to avoid an increased risk for PPCs.