Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Sep 2019
Review Comparative StudyRoutine vs on-demand blood sampling in critically ill patients-Protocol for a scoping review.
In intensive care units, blood sampling is done commonly as part of daily routine. It remains unknown whether this practice is associated with harms or benefits, as not all routine blood tests may be clinically indicated, and blood sampling done without specific indications may be problematic. Accordingly, we aim to assess the body of evidence regarding the usage of routine vs on-demand blood sampling in critically ill patients in a scoping review. ⋯ The outlined scoping review will provide an important overview on the current body of evidence regarding the use of daily routine vs on-demand blood sampling in critical care settings. The findings of this scoping review will guide further research.
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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.
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Acta Anaesthesiol Scand · Sep 2019
Multicenter Study Observational StudyAge-associated outcomes after survived out-of-hospital cardiac arrest and subsequent target temperature management.
The registry of the German Society of Intensive Care and Emergency Medicine was founded to analyze outcome of modern post-resuscitation care. ⋯ Increasing age was associated with a higher mortality, but not with an unfavorable neurological outcome. The majority of survivors had a favorable neurologic outcome 6 months after cardiac arrest.
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Acta Anaesthesiol Scand · Sep 2019
Fluid balance after continuous renal replacement therapy initiation and outcome in paediatric multiple organ failure.
Patients with multiple organ failure (MOF) often receive large amounts of resuscitation fluid, making them at high risk of fluid overload (FO). Our main objective was to investigate if the ability to achieve a negative fluid balance during the first 3 continuous renal replacement therapy (CRRT) days was associated with mortality in children with MOF. ⋯ Our results suggest that early fluid removal is associated with improved patient outcome in critically ill children receiving CRRT, and that prompt measures should be taken to prevent fluid overload in critical illness. These results need to be verified in further, prospective studies.
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Life saving measures is the main focus in the initial treatment of major trauma. In surviving patients, chronic pain may be a serious problem, but the long term incidence and potential risk factors are not very well studied. ⋯ Two thirds of the trauma patients had chronic pain 6 y after injury and one out of four had severe pain. The initial pain treatment was focused on opioids.