Acta anaesthesiologica Scandinavica
-
Acta Anaesthesiol Scand · Feb 2021
Randomized Controlled TrialThe effect of mannitol on oxidation-reduction potential in patients undergoing deceased donor renal transplantation - A randomized controlled trial.
Mannitol, an osmotic diuretic, is proposed to be an oxygen radical scavenger. Mannitol is often used in renal transplantation to attenuate oxidative stress and thus to protect renal graft function. We tested the hypothesis that mannitol reduces overall oxidative stress during deceased donor renal transplantation. ⋯ Mannitol showed no systemic redox scavenging effects during deceased donor renal transplantation. To evaluate the direct effect of mannitol on the renal graft further studies are needed.
-
Acta Anaesthesiol Scand · Feb 2021
Development of a comprehensive Percutaneous Dilatational Tracheostomy process model for procedural training: a Delphi-based experts consensus.
Deconstructing a complex procedure improves skills learning, but no model has covered all relevant Percutaneous Dilatational Tracheostomy (PDT) procedural aspects. Moreover, the heterogeneity of techniques described may hinder trainees' competency acquisition. Our objective was to develop a PDT model for procedural training that includes a comprehensive step-by-step design. ⋯ We have presented a PDT model that includes necessary competence dimensions to be considered complete. The model was validated by an experts' consensus, allowing to improve procedural training to promote safer patient care.
-
Acta Anaesthesiol Scand · Feb 2021
Estimation of changes in cyclic lung strain by electrical impedance tomography: Proof of concept study.
Cyclic strain may be a determinant of ventilator-induced lung injury. The standard for strain assessment is the computed tomography (CT), which does not allow continuous monitoring and exposes to radiation. Electrical impedance tomography (EIT) is able to monitor changes in regional lung ventilation. In addition, there is a correlation between mechanical deformation of materials and detectable changes in its electrical impedance, making EIT a potential surrogate for cyclic lung strain measured by CT (StrainCT ). ⋯ The change in electrical impedance may provide a noninvasive assessment of global cyclic strain, without radiation at bedside.
-
Acta Anaesthesiol Scand · Feb 2021
Randomized Controlled TrialEffects of thermal softening of endotracheal tubes on postoperative sore throat: A randomized double-blinded trial.
Postoperative throat complications after intubation are undesirable but frequent outcomes. A randomized, double-blinded study was performed to determine whether thermal softening of endotracheal tubes reduced throat complications after intubation. ⋯ Intubation using endotracheal tubes with thermal softening significantly decreased the incidence of sore throat 1 hour after extubation when compared with endotracheal tubes without thermal softening.
-
Acta Anaesthesiol Scand · Feb 2021
Prior statin therapy and 30-day mortality in South Korean patients with acute respiratory distress syndrome.
The effect of prior statin therapy on mortality in patients with acute respiratory distress syndrome (ARDS) remains controversial. This study aimed to investigate whether prior statin therapy was associated with lower 30-day mortality compared to non-statin use. ⋯ This population-based cohort study in South Korea showed that prior statin therapy was not significantly associated with 30-day mortality in patients with ARDS. Our findings should be confirmed in future prospective studies.