Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Oct 2020
Clinical and ethical aspects of palliative sedation with propofol - a retrospective quantitative and qualitative study.
The anesthetic propofol is often mentioned as a drug that can be used in palliative sedation. The existing literature of how to use propofol in palliative sedation is scarce, with lack of information about how propofol could be initiated for palliative sedation, doses and treatment outcomes. ⋯ In palliative care, some patients at the end of life can reach a stage where there have been maximal analgesic and or anxiolytic treatments though without achieving comfort in the awake state. This report describes and discusses use of propofol in these infrequent cases to relieve suffering as part of palliative care.
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Acta Anaesthesiol Scand · Oct 2020
Cerebral ischemia detection using artificial intelligence (CIDAI) - a study protocol.
The onset of cerebral ischemia is difficult to predict in patients with altered consciousness using the methods available. We hypothesize that changes in Heart Rate Variability (HRV), Near-Infrared Spectroscopy (NIRS), and Electroencephalography (EEG) correlated with clinical data and processed by artificial intelligence (AI) can indicate the development of imminent cerebral ischemia and reperfusion, respectively. This study aimed to develop a method that enables detection of imminent cerebral ischemia in unconscious patients, noninvasively and with the support of AI. ⋯ Early signs of cerebral ischemia could be detected more rapidly by identifying patterns in integrated, continuously collected physiological data processed by AI. Clinicians could then be alerted, and appropriate actions could be taken to improve patient outcomes.
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Acta Anaesthesiol Scand · Oct 2020
ReviewTreatment strategies for new-onset atrial fibrillation in critically ill patients: protocol for a systematic review.
New-onset atrial fibrillation is frequent in critically ill patients and associated with poorer outcomes in these patients. Numerous interventions are used for the management of new-onset atrial fibrillation, but it is unknown if these interventions improve patient-important outcomes as compared with placebo or no active intervention in adult critically ill patients. ⋯ Submitted to PROSPERO (CRD42020187178 ). Status: accepted.