Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Feb 2020
Randomized Controlled TrialLevosimendan or milrinone for right ventricular inotropic treatment? - a secondary analysis of a randomised trial.
The aim of the present study was to compare the effects of milrinone and levosimendan on right ventricular (RV) inotropy and lusitropy in patients after aortic valve replacement (AVR) for aortic stenosis, a procedure in which an abnormal postoperative RV function may be seen. ⋯ The direct RV inotropic and lusitropic effects of levosimendan and milrinone were comparable at clinically relevant infusion rates.
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Acta Anaesthesiol Scand · Feb 2020
Comparative Study Observational StudyAssessment of spontaneous neuromuscular recovery: A comparison of the TOF-Cuff® with the TOF Watch SX®.
TOF-Cuff® is a modified blood pressure cuff used to monitor neuromuscular block. We compared the assessment of spontaneous neuromuscular recovery between TOF-Cuff® (test device) and TOF Watch SX® (reference device). ⋯ When compared with the TOF Watch SX® , TOF-Cuff® overestimates spontaneous recovery of a rocuronium-induced neuromuscular block.
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Acta Anaesthesiol Scand · Feb 2020
APACHE II score validation in emergency abdominal surgery. A post-hoc analysis of the InCare trial.
Patients undergoing emergency abdominal surgery are at high risk of morbidity and mortality. Accurate identification of high-risk patients is important. The Acute Physiology and Chronic Health Evaluation (APACHE) II score needs to be validated in a larger heterogeneous population before implementation. We aimed to assess the predictive value of the APACHE II score in emergency abdominal surgical patients. Furthermore, we compared the APACHE II score with the American Society of Anesthesiologists (ASA) physical status score and the Charlson Comorbidity Index (CCI). ⋯ The APACHE II score predicted mortality moderately and admission to intensive care unit poorly in emergency abdominal surgical patients.