Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · May 2021
Multicenter StudyRapid Response Team Nurses' Attitudes and Barriers to the Rapid Response System: A Multicentre Survey.
Despite wide implementation of rapid response teams (RRTs), no published data exist on RRT nurses' attitudes and barriers to the rapid response system (RRS). ⋯ RRT nurses consider their work important and believe it fosters improved critical care skills; these beliefs are emphasized among those with more frequent RRT participation. Infrequent RRT participation, feeling overworked and/or undercompensated and conflicts between RRT and ward doctors may present barriers for successful RRS among RRT nurses.
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Acta Anaesthesiol Scand · May 2021
Discharge Prediction for Patients Undergoing Inpatient Surgery: Development and Validation of the DEPENDENSE Score.
A substantial proportion of patients undergoing inpatient surgery each year is at risk for postoperative institutionalization and loss of independence. Reliable individualized preoperative prediction of adverse discharge can facilitate advanced care planning and shared decision making. ⋯ Using preoperatively available data, we developed and validated a prediction instrument for adverse discharge following inpatient surgery. Reliable prediction of this patient centered outcome can facilitate individualized operative planning to maximize value of care.
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Acta Anaesthesiol Scand · May 2021
Observational StudyCharacteristics, management and survival of ICU patients with coronavirus disease-19 in Norway, March - June 2020. A prospective observational study.
Norwegian hospitals have operated within capacity during the COVID-19 pandemic. We present patient and management characteristics, and outcomes for the entire cohort of adult (>18 years) COVID-19 patients admitted to Norwegian intensive care units (ICU) from 10 March to 19 June 2020. ⋯ In this national cohort of COVID-19 patients, mortality was low and attributable to known risk factors. Importantly, prolonged length-of-stay must be taken into account when planning for resource allocation for any next surge.
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Acta Anaesthesiol Scand · May 2021
Observational StudySupraclavicular ultrasonographic real-time guidance of peripherally inserted central catheters - a feasibility study.
Mispositioning is common during insertion of peripherally inserted central catheters. Ultrasonographic visualization of anatomical structures may enable continuous guidance during insertion. The aim was to investigate the feasibility of ultrasonographic real-time guidance of peripherally inserted central catheter placement using the supraclavicular fossa view. ⋯ Supraclavicular ultrasonographic real-time guidance for peripherally inserted central catheter placement was feasible and enabled successful placement together with detection and redirection of mispositioned catheters without delay.