Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Feb 2022
Effect of the COVID-19 pandemic at a major Danish trauma center in 2020 compared with 2018-2019: a retrospective cohort study.
The COVID-19 pandemic demanded changes in societal behavior and health care worldwide. Previous studies have compared trauma patient admissions in COVID-19-related lockdowns to prior years. This study describes the COVID-19 impact on trauma patient admissions during entire 2020 at a major trauma center in Denmark. ⋯ The incidence of minor injuries increased, but the incidence of severe injuries was similar in 2020 compared with 2018-2019. Societal restrictions might alter the mechanism of injuries. The first lockdown indicated an association with reduced traffic injuries.
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Acta Anaesthesiol Scand · Feb 2022
Gelatin and the risk of acute kidney injury after cardiac surgery.
Gelatin has been used as a plasma volume expander because of its ability to preserve intravascular volume more effectively than crystalloids. However, gelatin may have detrimental effects on kidney function and increase the risk of acute kidney injury (AKI). ⋯ Gelatin was not associated with AKI after cardiac surgery.
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Acta Anaesthesiol Scand · Feb 2022
Indications and Diagnosis-Specific Features of Maternal and Neonatal Peripartum Intensive Care Unit Admissions: A Retrospective Study.
Although peripartum intensive care unit admission indications are well-reported, clinical and laboratory details rarely are. We described admission indications and categorised laboratory values and vital signs according to admission diagnosis. ⋯ We report differences in laboratory values and vital signs, according to intensive care unit admission diagnosis. Recognising these differences might help individualise patient assessment and care.
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Acta Anaesthesiol Scand · Feb 2022
Digital clock drawing test metrics in older patients before and after endoscopy with sedation: An exploratory analysis.
In the postoperative period, clinically feasible instruments to monitor elderly patients' neurocognitive recovery and discharge-readiness, especially after short-stay procedures, are limited. Cognitive monitoring may be improved by a novel digital clock drawing test (dCDT). We screened for cognitive impairment with the 4 A Test (4AT) and then administered the dCDT pre and post short-stay procedure (endoscopy). The primary aim was to investigate whether the dCDT was sensitive to a change in cognitive status postendoscopy. We also investigated if preoperative cognitive status impacted postendoscopy dCDT variables. ⋯ Postoperative dCDT time-based variables slowed in those with baseline cognitive impairment detected by the 4AT, but not for those without cognitive impairment. Our results suggest the dCDT, using the command mode, may help detect cognitive impairment in patients aged >65 years after elective endoscopy.
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Acta Anaesthesiol Scand · Feb 2022
Review Meta AnalysisAlpha2 -receptor agonists as adjuvants for brachial plexus nerve blocks - a systematic review with meta-analyses.
We review the efficacy and safety of dexmedetomidine and clonidine as perineural or systemic adjuvants for brachial plexus blocks (BPB). ⋯ Alpha2-receptor agonists used as adjuvants for BPBs lead to a prolonged duration of analgesia, with dexmedetomidine as the most efficient. Alpha2-receptor agonists were associated with increased risk of cardiovascular adverse events. The quality of evidence was low to very low.