Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Aug 2018
A combined approach for the early recognition of acute kidney injury after adult cardiac surgery.
Cardiac surgery-associated acute kidney injury (CSA-AKI) is a frequent complication. The current criteria to detect CSA-AKI rise only when organic dysfunction has occurred. The Doppler Renal Resistive Index (RRI) and the urinary G1 cell cycle arrest proteins (TIMP-2 and IGFBP7) have been advocated to predict CSA-AKI at an early stage after cardiac surgery. The primary objective was to determine the predictive value of these new markers to detect CSA-AKI after elective heart surgery in patients at risk to develop AKI. ⋯ In a population at risk of developing CSA-AKI, neither the RRI nor urinary [TIMP-2]*[IGFBP7] detect CSA-AKI occurring in the first post-operative week within the first 24 postoperative hours.
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Anaesth Crit Care Pain Med · Aug 2018
Randomized Controlled TrialEvaluation of the effect of serratus anterior plane block for pain treatment after video-assisted thoracoscopic surgery.
Analgesia following video-assisted thoracoscopic surgery (VATS) is important for the prevention of postoperative pulmonary complications. Various regional methods of anaesthesia are currently being used to achieve this goal. In our study, we aim to assess the effectiveness of SAPB on postoperative VATS analgesia in our study. ⋯ Our study results suggest that SAPB is an effective treatment option for VATS analgesia.