9,780 results match your criteria Acta anaesthesiologica Scandinavica[Journal]


The Cornell Assessment of Pediatric Delirium: Translation and inter-rater reliability in a Danish pediatric intensive care unit.

Acta Anaesthesiol Scand 2019 Apr 17. Epub 2019 Apr 17.

Department of Anesthesiology and Intensive Care, East Section, Aarhus University Hospital, Aarhus, Denmark.

Background: Delirium is a serious medical problem and recognized as a common syndrome in critically ill children. Without routine screening, delirium diagnosis is often missed by the medical providers. Internationally, there are tools to assess pediatric delirium (PD), but none currently available in Danish. Read More

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http://dx.doi.org/10.1111/aas.13369DOI Listing
April 2019
1 Read

Waiting for ICU admission may increase the risk of death-A plea for better resource organization.

Acta Anaesthesiol Scand 2019 Apr 15. Epub 2019 Apr 15.

Intensive Care Unit, Emergency and Intensive Care Department, Faro Hospital, Algarve University Hospital Center, Faro, Portugal.

Background: Mortality is high in critically ill patients. In order to study the risk factors associated with mortality in these patients, we conducted an observational retrospective study in the general Intensive Care Unit (ICU) of Faro Hospital.

Methods: All patients discharged from the general ICU in the year 2015 were evaluated for inclusion. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/aas.13375
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http://dx.doi.org/10.1111/aas.13375DOI Listing
April 2019
1 Read

Iatrogenic subglottic tracheal stenosis after tracheostomy and endotracheal intubation: A cohort observational study of more severity in keloid phenotype.

Acta Anaesthesiol Scand 2019 Apr 14. Epub 2019 Apr 14.

Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Imperial College London, Chelsea & Westminster Hospital, London, UK.

Background: Tracheostomy and endotracheal intubation can result in subglottic tracheal stenosis, and predisposition to keloid scar formation can increase stenosis risk after tracheal injury. This study aims to compare the incidence and severity of subglottic tracheal stenosis in keloid and non-keloid patients following iatrogenic tracheal injury, in particular tracheostomy.

Methods: From 2012 to 2017, 218 573 patients were intubated for surgery; 2276 patients received tracheostomy in People's Hospital of Zhengzhou University, China. Read More

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http://dx.doi.org/10.1111/aas.13371DOI Listing
April 2019
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Determination of the 90% effective dose of intranasal dexmedetomidine for sedation during electroencephalography in children.

Acta Anaesthesiol Scand 2019 Apr 14. Epub 2019 Apr 14.

Department of Anesthesiology, Children's Hospital of Chongqing Medical University, Chongqing, China.

Background: The intranasal route of dexmedetomidine (DEX) administration is becoming increasingly popular for providing adequate sedation during short examinations in infants and children. However, data on the 90% effective dose (ED90) of intranasal DEX are rare in children under 3 years old.

Methods: This is a double-blind trial using a biased coin design up-and-down sequential method (BCD-UDM). Read More

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http://dx.doi.org/10.1111/aas.13372DOI Listing
April 2019
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Chronic pain among the hospitalized patients after the 22 July 2011 terror attacks in Oslo and at Utøya Island.

Acta Anaesthesiol Scand 2019 Apr 9. Epub 2019 Apr 9.

Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Background: On 22 July 2011, 48 people were hospitalized due to physical injuries from gun shots or explosion, following 2 terror attacks in the Oslo area, Norway. In this study, we have investigated the occurrence of chronic pain, the severity and consequences of chronic pain in these patients, 3 to 4 years after the incidents.

Methods: Totally 43 eligible terror trauma patients were invited to participate in the study, 30 patients were included. Read More

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http://dx.doi.org/10.1111/aas.13373DOI Listing

Chronic post-surgical pain after colon surgery in patients included in an enhanced recovery program.

Acta Anaesthesiol Scand 2019 Apr 9. Epub 2019 Apr 9.

Department of Abdominal Surgery and Transplantation, Colorectal Surgery Unit, Saint-Luc University Hospital, Université catholique de Louvain (UCL), Brussels, Belgium.

Background: Enhanced recovery after surgery (ERAS) program improves immediate recovery. Beyond immediate benefits, long-term impact of ERAS implementation is not yet evident. This retrospective single-center cohort study investigates prevalence and characteristics of chronic post-surgical pain (CPSP) in patients who underwent colon surgery. Read More

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http://dx.doi.org/10.1111/aas.13370DOI Listing

Venovenous extracorporeal membrane oxygenation treatment in a low-volume and geographically isolated cardiothoracic centre.

Acta Anaesthesiol Scand 2019 Apr 2. Epub 2019 Apr 2.

Cardiothoracic Surgery, Landspitali University Hospital, Reykjavik, Iceland.

Background: Extracorporeal membrane oxygenation (ECMO) treatment is generally offered in large tertiary cardiothoracic referral centres. Here we present the indications and outcome of venovenous-ECMO (VV-ECMO) treatment in a low-volume, geographically isolated single-centre in Iceland, a country of 350 000 inhabitants. Our hypothesis was that patient survival in such a centre can be similar to that at high-volume centres. Read More

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http://dx.doi.org/10.1111/aas.13367DOI Listing
April 2019
4 Reads

Optimal cut-off for hourly lactate reduction in ICU-treated patients with septic shock.

Acta Anaesthesiol Scand 2019 Apr 2. Epub 2019 Apr 2.

Division of Anaesthesia and Intensive Care, Department of Clinical Science Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.

Background: A decrease in lactate concentration over time during septic shock is associated with favourable outcomes. However, if this applies to hourly intervals during the initial time period in the ICU is unknown. The aim of this study was to investigate whether there is an early hourly reduction rate of lactate that is related to clinical outcome in septic shock patients treated in the ICU. Read More

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http://dx.doi.org/10.1111/aas.13366DOI Listing
April 2019
3 Reads

Glucocorticosteroids for sepsis in children. A protocol for a systematic review.

Acta Anaesthesiol Scand 2019 Mar 28. Epub 2019 Mar 28.

Copenhagen Trial Unit, Department 7812, Rigshospitalet, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Background: Sepsis is the primary diagnosis in more than 8% of all critically ill children and sepsis is among the ten leading causes of death in children <10 years. Glucocorticosteroids are currently recommended in septic children with fluid or catecholamine resistant refractory shock. Glucocorticosteroids are widely used for severe sepsis in paediatric intensive care units worldwide. Read More

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http://dx.doi.org/10.1111/aas.13358DOI Listing
March 2019
1 Read
2.322 Impact Factor

Restrictive vs liberal oxygen for trauma patients-the TRAUMOX1 pilot randomised clinical trial.

Acta Anaesthesiol Scand 2019 Mar 25. Epub 2019 Mar 25.

Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Introduction: Hyperoxaemia is commonly observed in trauma patients but has been associated with pulmonary complications and mortality in some patient populations. The objectives of this study were to evaluate whether maintenance of normoxia is feasible using a restrictive oxygen strategy in the initial phase after trauma and to evaluate the incidence of 30-day mortality and/or major pulmonary complications.

Methods: Forty-one adult trauma patients admitted to our trauma centre were randomised to 24 hours of restrictive oxygen therapy (no supplemental oxygen if the arterial oxyhaemoglobin saturation (SpO ) was at least 94%, n = 21) or liberal oxygen therapy (intubated patients: FiO 1. Read More

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http://dx.doi.org/10.1111/aas.13362DOI Listing
March 2019
1 Read

Sevoflurane EC50 for intravenous cannulation attempt and movement in children.

Acta Anaesthesiol Scand 2019 Mar 25. Epub 2019 Mar 25.

Department of Anaesthesia and Critical Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Background: Intravenous cannulation at lighter planes of anaesthesia can lead to adverse respiratory and haemodynamic events. So far, there is no consensus on optimum end tidal sevoflurane concentration required for intravenous cannulation in children. We aimed to evaluate the optimum end tidal concentration at which an intravenous cannulation can be successfully attempted without movements in paediatric patients after inhalational induction of general anaesthesia. Read More

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http://dx.doi.org/10.1111/aas.13363DOI Listing
March 2019
2 Reads

Stress ulcer prophylaxis in critically ill children: Protocol for a systematic review.

Acta Anaesthesiol Scand 2019 Mar 25. Epub 2019 Mar 25.

Department of Intensive Care, 4131, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Background: Stress ulcer prophylaxis is the considered standard of care in many critically ill patients in the intensive care unit (ICU). Whether there is overall benefit or harm of stress ulcer prophylaxis in critically ill children is unknown. Accordingly, we aim to assess patient-important benefits and harms of stress ulcer prophylaxis versus placebo or no treatment in critically ill children in the ICU. Read More

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http://dx.doi.org/10.1111/aas.13361DOI Listing
March 2019
1 Read

Reply to Li, J "The Fick principle remains accurate to calculate cardiac output under hyperoxia".

Acta Anaesthesiol Scand 2019 Mar 25. Epub 2019 Mar 25.

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts.

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http://dx.doi.org/10.1111/aas.13364DOI Listing

The Fick principle remains accurate to calculate cardiac output under hyperoxia.

Authors:
Jia Li

Acta Anaesthesiol Scand 2019 Mar 22. Epub 2019 Mar 22.

The Heart Clinical and Research Center, Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangdong Province, China.

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http://dx.doi.org/10.1111/aas.13365DOI Listing

Comparison of Pentax Airway Scope and Macintosh laryngoscope for orotracheal intubation in children: A randomised non-inferiority trial.

Acta Anaesthesiol Scand 2019 Mar 22. Epub 2019 Mar 22.

Department of Anaesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Korea.

Background: Pentax Airway Scope (AWS) is a recently developed videolaryngoscope for use in both normal and difficult airways, yet its use in paediatric patients has not been established. The purpose of this study was to evaluate the efficacy of the Pentax AWS regarding intubation time, laryngeal view and ease of intubation in paediatric patients with normal airway, compared to Macintosh laryngoscope.

Method: A total of 136 paediatric patients aged 1-10 with American Society of Anaesthesiologists physical status I or II undergoing general anaesthesia were randomly allocated into two groups: Macintosh laryngoscope (n = 68) and Pentax Airway Scope (n = 68). Read More

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http://dx.doi.org/10.1111/aas.13368DOI Listing

Impact of anesthesiologist's fellowship status on the risk of general anesthesia for unplanned cesarean delivery.

Acta Anaesthesiol Scand 2019 Mar 21. Epub 2019 Mar 21.

New York Presbyterian Hospital/Weill Cornell, New York, New York.

Background: Neuraxial analgesia is preferred over general anesthesia for cesarean delivery (CD), particularly in the presence of a labor epidural catheter. We hypothesize that care by a non-obstetric anesthesiologist as compared to care by an obstetric anesthesiologist is associated with a higher risk for use of general anesthesia for CD for patients with a preexisting labor epidural catheter.

Methods: To determine whether fellowship status of the covering anesthesiologist was a risk factor for general anesthesia, we retrospectively investigated the rate of general anesthesia use in patients with epidural catheters placed for labor analgesia who subsequently required CD. Read More

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http://dx.doi.org/10.1111/aas.13350DOI Listing

Domain-specific cognitive dysfunction after cardiac surgery. A secondary analysis of a randomized trial.

Acta Anaesthesiol Scand 2019 Mar 19. Epub 2019 Mar 19.

Department of Anaesthesia, Centre of Head and Orthopedics, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Background: Brain injury and cognitive dysfunction are serious complications after cardiac surgery. In the perfusion pressure cerebral infarcts (PPCI) trial, we allocated cardiac surgery patients to a mean arterial pressure of either 70-80 mm Hg (high-target) or 40-50 mm Hg (low-target) during cardiopulmonary bypass. In this secondary analysis, we aimed to assess potential differences in domain-specific patterns of cognitive deterioration between allocation groups and to investigate any associations of postoperative cognitive dysfunction (POCD) with diffusion-weighted magnetic resonance imaging (DWI)-detected brain lesions. Read More

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http://dx.doi.org/10.1111/aas.13343DOI Listing

Impact of age on the discriminative ability of an emergency triage system: A cohort study.

Acta Anaesthesiol Scand 2019 Mar 19. Epub 2019 Mar 19.

Department of Health Informatics, Kyoto University Graduate School of Medicine and Public Health, Kyoto, Japan.

Background: Emergency triage systems optimize resources in emergency departments (EDs) for those who need urgent care. Five-level triage systems, such as the Canadian Triage and Acuity Scale (CTAS), have been used worldwide. We examined whether the discriminative ability of an emergency triage system varies according to age group using a patient cohort triaged with the Japan Triage and Acuity Scale (JTAS), a validated system based on the CTAS. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/aas.13342
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http://dx.doi.org/10.1111/aas.13342DOI Listing
March 2019
7 Reads
2.322 Impact Factor

Chronic kidney disease and acute kidney injury in arthroplasty patients over 65 years of age.

Acta Anaesthesiol Scand 2019 Mar 19. Epub 2019 Mar 19.

Department of Anaesthesiology, Medical Research Center Oulu, University of Oulu, Oulu University Hospital, Oulu, Finland.

Background: The purpose of this study was to evaluate the prevalence of chronic kidney disease (CKD) and the incidence of perioperative acute kidney injury (AKI) in primary arthroplasty patients over 65 years of age. Risk factors, perioperative events and the outcome of surgery were evaluated.

Methods: This retrospective, hospital register-based study consists of patients operated in 2014 in the area of Oulu, Finland. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/aas.13352
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http://dx.doi.org/10.1111/aas.13352DOI Listing
March 2019
4 Reads

Infections and outcomes after cardiac surgery-The impact of outbreaks traced to transesophageal echocardiography probes.

Acta Anaesthesiol Scand 2019 Mar 19. Epub 2019 Mar 19.

Department of Anaesthesia and Intensive Care, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.

Background: Infections are a frequent complication of cardiac surgery. The intraoperative use of transesophageal echocardiography (TEE) may be an underrecognized risk factor for post-operative infections. The aim of this study was to investigate infection rates and outcomes after cardiac surgery in a nationwide cohort, especially in relation to periods where surface damaged TEE probes were used. Read More

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http://dx.doi.org/10.1111/aas.13360DOI Listing
March 2019
2 Reads

Effectiveness of isocapnic hyperventilation: It is not the technique, it is the way you use it.

Acta Anaesthesiol Scand 2019 Mar 19. Epub 2019 Mar 19.

Department of Anesthesiology/CCM, OLV Hospital, Aalst, Belgium.

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http://dx.doi.org/10.1111/aas.13357DOI Listing

Mechanical chest compressions-For better or worse?

Acta Anaesthesiol Scand 2019 Mar 19. Epub 2019 Mar 19.

Department of Anaesthesiology, St. Olavs Hospital, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

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http://dx.doi.org/10.1111/aas.13359DOI Listing

Handling Oxygenation Targets in the Intensive Care Unit (HOT-ICU)-Protocol for a randomised clinical trial comparing a lower vs a higher oxygenation target in adults with acute hypoxaemic respiratory failure.

Acta Anaesthesiol Scand 2019 Mar 18. Epub 2019 Mar 18.

Department of Anaesthesia and Intensive Care Medicine, Aalborg University Hospital, Aalborg, Denmark.

Background: Acutely ill adults with hypoxaemic respiratory failure are at risk of life-threatening hypoxia, and thus oxygen is often administered liberally. Excessive oxygen use may, however, increase the number of serious adverse events, including death. Establishing the optimal oxygenation level is important as existing evidence is of low quality. Read More

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http://dx.doi.org/10.1111/aas.13356DOI Listing
March 2019
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Factors related to delayed intensive care unit admission from emergency department-A retrospective cohort study.

Acta Anaesthesiol Scand 2019 Mar 18. Epub 2019 Mar 18.

Division of Intensive Care Medicine, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland.

Background: The delays in transferring patients from emergency department (ED) to intensive care unit (ICU) are known to be linked with several adverse events, including prolonged ICU stay and increased hospital mortality. The factors associated with delayed ICU admission include shortage of ICU beds, organizational factors, ED overcrowding, and patient-related factors, including sepsis as admission diagnosis. The aim of this study was to examine ED-related factors associated with prolonged ED stay. Read More

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http://dx.doi.org/10.1111/aas.13355DOI Listing

Photoplethysmographic evaluation of sympathectomy during lumbar epidural analgesia: A randomized comparison of 0.125% ropivacaine and 0.125% levobupivacaine.

Acta Anaesthesiol Scand 2019 Mar 18. Epub 2019 Mar 18.

Clinic for Anesthesiology, Reanimatology and Intensive Care Medicine, University Clinical Hospital Center Zagreb, Zagreb, Croatia.

Background: There are no data on the difference between the impact of ropivacaine and levobupivacaine on sympathetic nerve fibers during central neuraxial blocks. We hypothesized that there is no difference in the degree of sympathectomy between the two drugs during lumbar epidural analgesia for labor pain.

Methods: Sixty healthy parturients were randomized to the type of local anesthetic-opiod solution administered in the epidural space: 10 mL of 0. Read More

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http://dx.doi.org/10.1111/aas.13351DOI Listing

Pain management after total hip arthroplasty at five different Danish hospitals: A prospective, observational cohort study of 501 patients.

Acta Anaesthesiol Scand 2019 Mar 18. Epub 2019 Mar 18.

Department of Anaesthesiology, Zealand University Hospital, Køge, Denmark.

Background: The available literature does not present a "gold standard" for post-operative pain treatment after total hip arthroplasty (THA). The aim of this prospective observational study was to explore and document post-operative pain treatment, including outcomes, in a large cohort of patients undergoing THA at five different Danish hospitals.

Methods: This prospective, multicentre, observational cohort study of 501 THA patients was performed at five different hospitals in the Capital Region and at the Region Zealand in Denmark, from April 2014 to April 2016. Read More

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http://dx.doi.org/10.1111/aas.13349DOI Listing

Prehospital cardiopulmonary resuscitation with manual or mechanical chest compression: A study of compression-induced injuries.

Acta Anaesthesiol Scand 2019 Mar 18. Epub 2019 Mar 18.

Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

Objective: Concerns for iatrogenic injuries associated with cardiopulmonary resuscitation led us to investigate the extent and the pattern of chest compression-related injuries in patients subjected to either mechanical and/or manual cardiac compression.

Method: In a retrospective study, we performed a manual review of all prehospital discharge reports, in-hospital records, and autopsy reports for evidence of injuries related to chest compression. We included all patients receiving physician-administrated treatment for out-of-hospital cardiac arrest in the Region of Southern Denmark from 2015 to 2017. Read More

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http://dx.doi.org/10.1111/aas.13347DOI Listing
March 2019
1 Read

Use of hydroxyethyl starch in sepsis research: Protocol for a systematic review.

Acta Anaesthesiol Scand 2019 Mar 18. Epub 2019 Mar 18.

Department of Intensive Care 4131, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Introduction: Hydroxyethyl starch (HES) 130/0.38-0.45 is a synthetic colloid, which has been on the market since 1999. Read More

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http://dx.doi.org/10.1111/aas.13345DOI Listing
March 2019
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Hospital-acquired complications in intensive care unit patients with diabetes: A before-and-after study of a conventional versus liberal glucose control protocol.

Acta Anaesthesiol Scand 2019 Mar 18. Epub 2019 Mar 18.

Department of Intensive Care, Austin Hospital, Heidelberg, Victoria, Australia.

Background: Critically ill patients with diabetes mellitus (DM) are at increased risk of in-hospital complications and the optimal glycemic target for such patients remains unclear. A more liberal approach to glucose control has recently been suggested for patients with DM, but uncertainty remains regarding its impact on complications.

Methods: We aimed to test the hypothesis that complications would be more common with a liberal glycemic target in ICU patients with DM. Read More

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http://dx.doi.org/10.1111/aas.13354DOI Listing
March 2019
1 Read

Consensus on technical procedures for simulation-based training in anaesthesiology: A Delphi-based general needs assessment.

Acta Anaesthesiol Scand 2019 Mar 15. Epub 2019 Mar 15.

Copenhagen Academy for Medical Education and Simulation, Copenhagen, Denmark.

Background: Anaesthesiologists are expected to master an increasing number of technical procedures. Simulation-based procedural training can supplement and, in some areas, replace the classical apprenticeship approach during patient care. However, simulation-based training is very resource-intensive and must be prioritised and optimised. Read More

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http://dx.doi.org/10.1111/aas.13344DOI Listing

Neutrophil-to-lymphocyte ratio as indicator to severe complication after pancreaticoduodenectomy or distal pancreatectomy.

Acta Anaesthesiol Scand 2019 Mar 15. Epub 2019 Mar 15.

Department of Anaesthesiology, Nara Medical University, Kashihara, Japan.

Background: Pancreaticoduodenectomy and distal pancreatectomy are complex procedures with high rates of post-operative complications. We evaluated the factors associated with post-operative complications, focusing on pre-operative hematologic markers such as the neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and prognostic nutritional index.

Methods: Data from patients (≥age 20) who underwent pancreaticoduodenectomy or distal pancreatectomy between January 2013 and December 2017 at a Japanese tertiary hospital were retrospectively reviewed. Read More

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http://dx.doi.org/10.1111/aas.13341DOI Listing

Mortality in critical illness: The impact of asymmetric dimethylarginine on survival-A systematic review and meta-analysis.

Acta Anaesthesiol Scand 2019 Mar 14. Epub 2019 Mar 14.

Department of Anaesthesiology and Intensive Care, Nordsjaellands Hospital, University of Copenhagen, Copenhagen, Denmark.

Introduction: Asymmetric dimethylarginine (ADMA), an endogenous inhibitor of the nitric oxide system, may be associated with an adverse outcome in critically ill patients. The aim of the present review was to clarify if plasma ADMA and the arginine-to-ADMA ratio (arginine/ADMA) are associated with mortality in critically ill patients.

Methods: We searched PubMed, EMBASE and Web of Science/BIOSIS Previews on 31 July 2017 for studies published after 2000 including critically ill paediatric or adult patients and evaluating any association between all-cause mortality and admission ADMA and/or arginine/ADMA ratio. Read More

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http://dx.doi.org/10.1111/aas.13339DOI Listing

Post-surgical chronic pain and quality of life in children operated for congenital heart disease.

Acta Anaesthesiol Scand 2019 Mar 14. Epub 2019 Mar 14.

Department of Pain Management and Palliative Care Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Background: Advances in medical technology have resulted in an increased life expectancy in pediatric patients with congenital heart diseases. Assessment of health-related quality of life is crucial to improving their healthcare status. We aimed to assess post-surgical pain prevalence and its impact on health-related quality of life in pediatric patients who underwent cardiac surgery during childhood. Read More

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http://dx.doi.org/10.1111/aas.13346DOI Listing
March 2019
2 Reads

The future of case mix and prognostic scores in ICU patients.

Acta Anaesthesiol Scand 2019 Mar 14. Epub 2019 Mar 14.

Klinisk Epidemiologisk Afdeling, Aarhus University Hospital, Aarhus, Denmark.

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http://dx.doi.org/10.1111/aas.13353DOI Listing

Better understanding of the effectiveness of cricoid pressure and the rapid sequence induction.

Acta Anaesthesiol Scand 2019 Mar 12. Epub 2019 Mar 12.

Department of Anesthesiology, Advocate Illinois Masonic Medical Center Chicago, Chicago, Illinois.

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http://doi.wiley.com/10.1111/aas.13348
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http://dx.doi.org/10.1111/aas.13348DOI Listing
March 2019
9 Reads

Comment on De Baerdemaeker et al.

Acta Anaesthesiol Scand 2019 Mar 8. Epub 2019 Mar 8.

Department of Anaesthesiology and Intensive Care Medicine, Institute of Clinical Sciences, The Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.

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http://dx.doi.org/10.1111/aas.13340DOI Listing
March 2019
1 Read

Post-extubation continuous positive airway pressure improves oxygenation after pediatric laparoscopic surgery: A randomized controlled trial.

Acta Anaesthesiol Scand 2019 May 14;63(5):620-629. Epub 2019 Feb 14.

Anesthesia and Intensive Care Department, Faculty of Medicine, Assiut University, Assiut, Egypt.

Background: Effects of intraoperative recruitment maneuvers (RMs) on oxygenation and pulmonary compliance are lost during recovery if high inspired oxygen and airway suctioning are used. We investigated the effect of post-extubation noninvasive CPAP mask application on the alveolar arterial oxygen difference [(A-a) DO ] after pediatric laparoscopic surgery.

Methods: Sixty patients (1-6 years) were randomly allocated to three groups of 20 patients, to receive zero end-expiratory pressure (ZEEP group), RM with decremental PEEP titration only (RM group), or followed with post-extubation CPAP for 5 minutes (RM-CPAP group). Read More

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http://dx.doi.org/10.1111/aas.13324DOI Listing
May 2019
1 Read

Multivariable models using administrative data and biomarkers to adjust for case mix in the ICU.

Acta Anaesthesiol Scand 2019 Feb 8. Epub 2019 Feb 8.

Section of Anaesthesiology and Intensive Care, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Background: Routinely collected laboratory biomarkers could improve control of confounding from disease severity in non-interventional studies of general intensive care unit (ICU) patients. Their ability to predict both short- and long-term mortality was evaluated.

Methods: The performance of age, sex, Charlson co-morbidity index, and baseline values of ten predefined blood biomarkers as predictors of 30-day and 1-year mortality was evaluated in 5505 general ICU stays. Read More

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http://dx.doi.org/10.1111/aas.13338DOI Listing
February 2019

Endotracheal tube cuff pressure changes during manual cuff pressure control manoeuvres: A call for continuous cuff pressure regulation?

Acta Anaesthesiol Scand 2019 May 6;63(5):700-701. Epub 2019 Feb 6.

Department of Internal Medicine, Ghent University, Ghent, Belgium.

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http://dx.doi.org/10.1111/aas.13325DOI Listing

Response to the letter by Drs. Bothma and Schlimp regarding our manuscript "Iatrogenic cerebral gas embolism - a systematic review of case reports".

Acta Anaesthesiol Scand 2019 Feb 6. Epub 2019 Feb 6.

Hyperbaric Medical Unit, Department of Occupational Medicine, Haukeland University Hospital, Bergen, Norway.

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http://dx.doi.org/10.1111/aas.13328DOI Listing
February 2019
2 Reads

Incidence of severe critical events in paediatric anaesthesia in Scandinavia: Secondary analysis of Anaesthesia PRactice In Children Observational Trial (APRICOT).

Acta Anaesthesiol Scand 2019 May 6;63(5):601-609. Epub 2019 Feb 6.

Department of Anaesthesiology and Intensive Care Medicine, Queen Silvia Children Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.

Background: The Anaesthesia PRactice In Children Observational Trial (APRICOT) in 261 European hospitals revealed a 5.2% incidence of severe critical events in the perioperative period and wide variability in practice.

Methods: A sub-analysis of the Scandinavian data was undertaken to investigate differences from the rest of Europe in the incidence and nature of perioperative severe critical events and to attempt to identify areas for quality improvement. Read More

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http://dx.doi.org/10.1111/aas.13333DOI Listing
May 2019
1 Read

Empirical metronidazole for patients with severe bacterial infection: A systematic review with meta-analysis and trial sequential analysis.

Acta Anaesthesiol Scand 2019 Feb 6. Epub 2019 Feb 6.

Department of Intensive Care 4131, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.

Background: Metronidazole is the preferred empirical anti-anaerobic agent for patients with suspected anaerobic infection. The balance between benefits and harms of empirical metronidazole is unclear. We aimed to assess patient-important benefits and harms of empirical metronidazole vs placebo/no treatment in adult patients with severe bacterial infection of any origin. Read More

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http://dx.doi.org/10.1111/aas.13327DOI Listing
February 2019

Measuring pain-Physiological and self-rated measurements in relation to pain stimulation and anxiety.

Acta Anaesthesiol Scand 2019 May 31;63(5):668-675. Epub 2019 Jan 31.

Department of Psychology and Social work, Mid Sweden University, Östersund, Sweden.

Introduction: The aim of the present study was to investigate how emotions influence pain, measured by one subjective self-rated measure, the numeric rating scale (NRS), and one objective physiological measure, the number of skin conductance responses (NSCR).

Method: Eighteen volunteers were exposed to conditions with pictorial emotional stimuli (neutral, positive, negative), authentic ICU-sound (noise, no-noise) and electrical stimulation (pain, no-pain) individually titrated to induce moderate pain. When using all combinations of picture inducing emotions, sound, and pain, each of these conditions (12 conditions lasting for 60 seconds each) were followed by pain ratings. Read More

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http://dx.doi.org/10.1111/aas.13323DOI Listing

Reporting and interpreting missing health-related quality of life data in intensive care trials: Protocol for a systematic review.

Acta Anaesthesiol Scand 2019 Jan 30. Epub 2019 Jan 30.

Department of Intensive Care, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Background: Health-related quality of life is often used as a patient-important outcome in randomized clinical trials in the intensive care unit setting. Missing data are a challenge in randomized clinical trials as they hamper the interpretation of the results, but the extent and handling of missing health-related quality of life data are unknown. Therefore, we aim to describe and evaluate the extent, pattern, and handling of missing health-related quality of life data in randomized clinical trials conducted in the intensive care unit setting. Read More

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http://dx.doi.org/10.1111/aas.13326DOI Listing
January 2019

Dexmedetomidine for the management of delirium in critically ill patients-A protocol for a systematic review.

Acta Anaesthesiol Scand 2019 Apr 31;63(4):549-557. Epub 2019 Jan 31.

Copenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.

Background: Delirium is a common complication in critically ill patients and carries an increased risk of mortality and morbidity. Dexmedetomidine can potentially treat delirium by diminishing predisposing factors. The evidence regarding the use of dexmedetomidine in the management of delirium is conflicting. Read More

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http://dx.doi.org/10.1111/aas.13329DOI Listing
April 2019
2 Reads

Diaphragm-sparing effect of the infraclavicular subomohyoid block vs low volume interscalene block. A randomized blinded study.

Acta Anaesthesiol Scand 2019 May 30;63(5):653-658. Epub 2019 Jan 30.

Anesthesia Department, Ain Shams University, Cairo, Egypt.

Background: Both low volume interscalene and infraclavicular-subomohyoid blocks were suggested to provide shoulder analgesia with low risk of phrenic nerve block. The aim of this study was to compare the frequency of the phrenic nerve block between these two techniques.

Method: Seventy-two patients scheduled for shoulder arthroscopy were included in this randomized controlled blind study. Read More

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http://dx.doi.org/10.1111/aas.13322DOI Listing

Predictive performance of a new pharmacokinetic model for propofol in underweight patients during target-controlled infusion.

Acta Anaesthesiol Scand 2019 Apr 28;63(4):448-454. Epub 2019 Jan 28.

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Background: In a previous study, the modified Marsh and Schnider models respectively showed negatively- and positively-biased predictions in underweight patients. To overcome this drawback, we developed a new pharmacokinetic propofol model-the Choi model-for use in underweight patients. In the present study, we evaluated the predictive performance of the Choi model. Read More

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http://dx.doi.org/10.1111/aas.13335DOI Listing
April 2019
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Trustworthy systematic reviews-Can journals do more?

Acta Anaesthesiol Scand 2019 Apr 24;63(4):558-559. Epub 2019 Jan 24.

Intensive Care Unit, Liverpool Hospital, Liverpool, New South Wales, Australia.

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http://dx.doi.org/10.1111/aas.13330DOI Listing
April 2019
1 Read
2.322 Impact Factor

Target-controlled-infusion for special populations: How different is different enough?

Acta Anaesthesiol Scand 2019 Apr 24;63(4):422-423. Epub 2019 Jan 24.

Department of Anesthesiology, University of Groningen, University Medical Center Groningen, Groningen, Groningen, The Netherlands.

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http://dx.doi.org/10.1111/aas.13334DOI Listing

Can we trust power analysis on post hoc studies? A paradigm from out of hospital cardiac arrest.

Acta Anaesthesiol Scand 2019 Jan 24. Epub 2019 Jan 24.

Department of Anaesthesia and Intensive Care, University Hospital of Limerick, Dooradoyle, Limerick, Ireland.

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http://dx.doi.org/10.1111/aas.13332DOI Listing
January 2019
2.322 Impact Factor