Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Dec 2018
Randomized Controlled Trial Comparative StudyComparison of 3 techniques in percutaneous tracheostomy: Traditional landmark technique; ultrasonography-guided long-axis approach; and short-axis approach - Randomised controlled study.
The aim of this study is to compare the reliabilities of the traditional landmark method, ultrasonography-guided long-axis in-plane application, and ultrasonography-guided short-axis out-of-plane application in percutaneous dilatational tracheostomy. ⋯ In this randomised controlled study, it was found that ultrasonography-guided out-of-plane application had lower number of punctures, higher first entry success rate, and less complications. It was observed that advanced age negatively affected the first entry success and as number of punctures increased, the complication rate increased. ClinicalTrials.gov ID: NCT02855749.
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Anaesth Crit Care Pain Med · Dec 2018
Comparative StudySevoflurane for procedural sedation in critically ill patients: A pharmacokinetic comparative study between burn and non-burn patients.
Sevoflurane has anti-inflammatory proprieties and short lasting effects making it of interest for procedural sedation in critically ill patients. We evaluated the pharmacokinetics of sevoflurane and metabolites in severely ill burn patients and controls. The secondary objective was to assess potential kidney injury. ⋯ We observed an increased volume of distribution, slower elimination rate, and altered metabolism of sevoflurane in burn patients compared to controls. Repeated use for procedural sedation in burn patients needs further evaluation. No renal toxicity was detected.
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Anaesth Crit Care Pain Med · Dec 2018
GuidelineDifficult intubation and extubation in adult anaesthesia.
To provide an update to French guidelines about "Difficult intubation and extubation in adult anaesthesia 2006". ⋯ Substantial agreement exists among experts regarding many strong recommendations for the best care of patients with difficult intubation and extubation in adult anaesthesia.
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Anaesth Crit Care Pain Med · Dec 2018
Preoperative risk factors for unexpected postoperative intensive care unit admission: A retrospective case analysis.
The purpose of this retrospective case-control study was to investigate preoperative risk factors for unexpected postoperative intensive care unit (ICU) admissions in patients undergoing non-emergent surgical procedures in a tertiary medical centre. ⋯ CHF, acute/chronic kidney injury, PVD and valve disease were significantly associated with increased unexpected ICU admission; patients with CVA suffered increased mortality when admitted to the ICU.