Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Oct 2021
Ischemic vascular disease and long-term mortality in emergency abdominal surgical patients: a population-based cohort study.
Emergency abdominal surgery carries a high mortality, as patients are often frail with significant comorbidity. We aimed to evaluate the association between co-existing ischaemic vascular disease (IVD) and long-term mortality in patients undergoing emergency abdominal surgery. ⋯ In adult major emergency abdominal surgical patients, preoperative IVD was prevalent and associated with a 10% relative increase in long-term mortality, but not in short-term mortality.
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Acta Anaesthesiol Scand · Oct 2021
Observational StudyEarly postoperative nausea and vomiting: A retrospective observational study of 2030 patients.
The overall risk of post-operative nausea and vomiting (PONV) after general anaesthesia is reportedly 20%-40%. The first episode of PONV may occur early in the post-anaesthesia care unit (PACU) or later at the ward or after discharge at home in an ambulatory setting. This study aimed to investigate and describe the risk of early PONV in a PACU, and we hypothesised that patients and perioperative factors were associated with early PONV. ⋯ We found that every 10th patient under general anaesthesia experienced early PONV. Suboptimal PONV prophylaxis and previously acknowledged risk factors for PONV were associated with early PONV.
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Acta Anaesthesiol Scand · Oct 2021
Patient perceptive focus on recovery - An exploratory study on follow-up after major emergency abdominal surgery.
Optimal recovery can be defined as the adequate in-hospital length of stay with minimal postoperative complications and readmissions. The quality of recovery beyond the immediate postoperative period after major emergency abdominal surgery is yet to be fully described. We hypothesized that long-term measures of overall recovery were affected after surgery. The study aimed to investigate patient-focused recovery-related parameters 1 year after major emergency abdominal surgery. ⋯ One in three patients reported physical functional impairment, and one in four patients reported pain 1 year after their surgical procedure.
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Acta Anaesthesiol Scand · Oct 2021
Observational StudyNo change in plasma Potassium concentration during ten minutes of apnoea: An observational study on potential organ donors.
Acute acidosis can increase the plasma potassium concentration. However, data on the effects of acute respiratory acidosis on plasma potassium concentration are conflicting. This study aimed to determine whether acute respiratory acidosis induces an immediate increase in plasma potassium concentration. ⋯ Acute respiratory acidosis does not lead to rapid changes in plasma potassium concentration during apnoea testing in potential organ donors.
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Acta Anaesthesiol Scand · Oct 2021
Post-operative hypertension during early recovery following liver tumour ablation: A retrospective study.
High-frequency jet ventilation is necessary to reduce organ movements during stereotactic liver ablation. However, post-operative hypertensive episodes especially following irreversible electroporation ablation compared with microwave ablation initiated this study. The hypothesis was that hypertensive episodes could be related to ventilation or ablation method. ⋯ Both ventilation and ablation technique had an impact on post-operative hypertensive episodes. The microwave ablation/high-frequency jet ventilation combination increased the risk as compared with irreversible electroporation/high-frequency jet ventilation and microwave ablation/conventional ventilation.