Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · May 2020
Impact of deep breathing on predictability of stroke volume variation in spontaneous breathing patients.
This study investigated the ability of stroke volume variation (SVV) during deep breathing to discriminate fluid responders among spontaneously breathing patients. ⋯ Deep breathing could improve the reliability of dynamic indices in spontaneously breathing patients.
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Acta Anaesthesiol Scand · May 2020
Observational StudyCoagulation tests on admission correlate with mortality and morbidity in general ICU-patients: an observational study.
It is well known that low platelet count on admission to intensive care units (ICU) is associated with increased mortality. However, it is unknown whether prothrombin time (PT-INR) and activated partial thromboplastin time (APTT) on admission correlate with mortality and organ failure. Therefore, the aim of this study was to investigate whether PT-INR and APTT at admission can predict outcome in the critically ill patient after adjusting for severity of illness measured with Simplified Acute Physiology Score 3 (SAPS 3). ⋯ Activated partial thromboplastin time prolongation was associated with mortality and all morbidity outcomes except the DAF ventilator. PT-INR increase at admission was associated with DAF vasopressor and DAF ventilator. APTT and PT-INR at admission correlate with morbidity, which is not accounted for in the SAPS 3 model.
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Acta Anaesthesiol Scand · May 2020
A prospective journey of the peripherally inserted Central Catheter service, at a Tertiary Paediatric centre in Western Australia.
To document the evolution of the Peripherally Inserted Central Catheter service at Princess Margaret Hospital, now Perth Children's Hospital. ⋯ The evolution of the Peripherally Inserted Central Catheter service at our free standing Tertiary Paediatric Hospital is well documented following these 2 audits. The introduction of a dedicated Anaesthesia led Peripherally Inserted Central Catheter service at our centre has resulted in improved insertion success rates and a reduction in complications.