Acta anaesthesiologica Scandinavica
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Acta Anaesthesiol Scand · Feb 1998
Perioperative transoesophageal echocardiography with low-dose dobutamine stress for evaluation of myocardial viability: a feasible approach?
The feasibility of low-dose dobutamine stress combined with transoesophageal echocardiography (TEE) to detect viable left ventricular myocardium was evaluated in 22 anaesthetised patients prior to sternotomy for elective coronary artery bypass grafting (CABG). ⋯ Since we regard the visual assessment of LVWM as being more applicable for this protocol than the semiautomatic analysis, we conclude that low-dose dobutamine stress echocardiography seems to be a feasible method for detecting viable myocardium in the anaesthetised patient scheduled for elective CABG surgery. However, the semiautomatic analysis complemented our findings, since the variations in pre- and afterload did not significantly change the size of the left ventricle, which hereby would imply LVWM changes.
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Acta Anaesthesiol Scand · Feb 1998
Randomized Controlled Trial Comparative Study Clinical TrialPrevention of nausea and vomiting in female patients undergoing breast surgery: a comparison with granisetron, droperidol, metoclopramide and placebo.
Breast surgery is associated with a relatively high incidence of postoperative nausea and vomiting (PONV). This study was undertaken to evaluate the efficacy of granisetron, droperidol and metoclopramide for preventing PONV after breast surgery. ⋯ Granisetron is highly effective for reducing the incidence of PONV in female patients undergoing breast surgery. Droperidol and metoclopramide are ineffective in this population.
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Acta Anaesthesiol Scand · Jan 1998
Randomized Controlled Trial Comparative Study Clinical TrialMidazolam-flumazenil versus propofol anaesthesia for scoliosis surgery with wake-up tests.
Wake-up tests may be necessary during scoliosis surgery to ensure that spinal function remains intact. ⋯ Wake-up tests can be conducted faster and better with midazolam-flumazenil sequence compared with propofol.
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Acta Anaesthesiol Scand · Jan 1998
Randomized Controlled Trial Comparative Study Clinical TrialHaemolysis following rapid experimental red blood cell transfusion--an evaluation of two infusion pumps.
The vast majority of infusion pumps used for rapid transfusion of large amounts of blood have never been properly examined regarding their influence on the quality of the red blood cells (RBCs) infused. In this study, we evaluated the effect of two different infusion pumps on the degree of RBC destruction following rapid experimental blood transfusion. ⋯ Both the pumps used in this study are safe alternatives for rapid transfusion of RBCs; however, with MRP this can be accomplished approximately twice as fast as with the PIP.
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Acta Anaesthesiol Scand · Jan 1998
Meta Analysis Comparative StudyComparing analgesic efficacy of non-steroidal anti-inflammatory drugs given by different routes in acute and chronic pain: a qualitative systematic review.
To test the evidence for a difference in analgesic efficacy and adverse effects of non-steroidal anti-inflammatory drugs (NSAIDs) given by different routes. ⋯ In renal colic there is evidence that NSAIDs act quickest when given intravenously. This may be clinically relevant. In all other pain conditions there is a lack of evidence of any difference between routes. In pain conditions other than renal colic, there is, therefore, a strong argument to give oral NSAIDs when patients can swallow.