Chronic postsurgical pain in Europe: An observational study
The objective of this study is to evaluate the incidence and risk factors of CPSP. DESIGN: A multicentre, prospective, observational trial. SETTING: Twenty-one hospitals in 11 European countries. PATIENTS: Three thousand one hundred and twenty patients undergoing surgery and enrolled in the European registry PAIN OUT. MAIN OUTCOME MEASURES: Pain-related outcome was evaluated on the first postoperative day (D1) using a standardised pain outcome questionnaire. Review at 6 and 12 months via e-mail or telephonic interview used the Brief Pain Inventory (BPI) and the DN4 (Douleur Neuropathique four questions). Primary endpoint w...
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Pain Source Type: research

Persistent posthysterectomy pain: A prospective, observational study
CONCLUSION: Persistent posthysterectomy pain is common, but pain is mild and does not interfere with daily activities for most of the patients 6 months after surgery. Smoking is the strongest predictor for persistent pain. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT 01537731. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Pain Source Type: research

Prevalence, characteristics and risk factors of chronic postsurgical pain after laparoscopic colorectal surgery: Retrospective analysis
CONCLUSION: The incidence of CPSP after laparoscopic colorectal surgery (17%) is similar to those reported in the literature after laparotomy. Risk factors are redo surgery for postoperative peritonitis, IBD and preoperative pain. TRIAL REGISTRATION: EudraCT 2012-005712-25. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Pain Source Type: research

Preoperative glycosylated haemoglobin as a predictor of postoperative analgesic requirements in diabetic patients: A prospective observational study
The objective of this study is to evaluate the relationship between preoperative glycaemic control in diabetic individuals and the opioid requirement for postoperative pain treatment. DESIGN: A prospective observational study. SETTING: Single university hospital. PATIENTS: Fifty-two diabetic patients undergoing open nephrectomy surgery. MAIN OUTCOME MEASURES: To evaluate the effect of long-term glucose control on postoperative analgesia requirements, the patients were divided into those with good glycaemic control (HbA1c (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Pain Source Type: research

General anaesthetic agents do not influence persistent pain after breast cancer surgery: A prospective nationwide cohort study
CONCLUSION: There does not appear to be a role for the anaesthetic protocol in the occurrence of persistent postsurgical pain. Other already well established hypotheses were confirmed. TRIAL REGISTRATION: ClinicalTrials.gov (ref. NCT00812734). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Pain Source Type: research

Predictors of the variability in neuromuscular block duration following succinylcholine: A prospective, observational study
CONCLUSION: Neuromuscular blockade duration in excess of 10 min occurred in 16% of a general surgical population following a single dose of succinylcholine. The multivariable model of clinical risk factors for prolonged NMB revealed a negative predictive value of 87%, thereby indicating that absence of such risk factors may reliably predict a shorter duration of NMB. In patients with clinical risk factors for a prolonged NMB or with butyrylcholinesterase mutations, an alternative to succinylcholine should be considered. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Neuromuscular blocking agents Source Type: research

Efficacy and safety of sugammadex in the reversal of deep neuromuscular blockade induced by rocuronium in patients with end-stage renal disease: A comparative prospective clinical trial
CONCLUSION: In patients with renal failure, sugammadex (4 mg kg−1) effectively and safely reversed profound rocuronium induced neuromuscular block, but the recovery was slower than healthy patients. TRIAL REGISTRATION: Clinicaltrials.gov identifier NCT01785758. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Neuromuscular blocking agents Source Type: research

Response to rocuronium and its determinants in patients with myasthenia gravis: A case–control study
BACKGROUND: Several previous studies using univariate analysis have suggested that the pre-anaesthetic train-of-four (TOF) ratio, concentration of anti-acetylcholine receptor (AChR) antibodies and the presence of preoperative generalised muscular involvement are determinants of an increased response to neuromuscular blocking agents (NMBAs) in patients with myasthenia gravis. However, the determinants of the response of patients with myasthenia gravis to rocuronium, which is expected to be used more frequently since the advent of sugammadex, have not been studied. OBJECTIVES: To clarify whether previously suggested determin...
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Neuromuscular blocking agents Source Type: research

The kalaemic and neuromuscular effects of succinylcholine in centronuclear myopathy: A pilot investigation in a canine model
We examined the kalaemic and neuromuscular effects of succinylcholine in dogs with and without autosomal-recessive CNM. DESIGN: A prospective, experimental study. SETTING: Anaesthesiology laboratory, College of Veterinary Medicine, Cornell University, New York, USA. PATIENTS: Six dogs with autosomal-recessive CNM and six control dogs. INTERVENTIONS: Dogs received succinylcholine 0.3 mg kg−1 during isoflurane anaesthesia. MAIN OUTCOME MEASURES: Whole blood potassium concentration was measured 5 min before and after succinylcholine administration. Neuromuscular function was measured with acceleromyography and sin...
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Neuromuscular blocking agents Source Type: research

Can residual paralysis be avoided?: A critical appraisal of the use of sugammadex
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - September 2, 2015 Category: Anesthesiology Tags: Editorial Source Type: research

Oxford Specialist Handbooks in Anaesthesia: Regional Anaesthesia, Stimulation, and Ultrasound Techniques
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Book review Source Type: research

Real-time needle-tracking ultrasound facilitates needle placement in a phantom gel model: A randomised crossover trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Equivalence of postoperative quadriceps strength during 1 or 0.5 mg ml−1 levobupivacaine administration for continuous femoral nerve block following total knee arthroplasty: A double-blinded, randomised controlled trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Pudendal block in transurethral prostatectomy: A randomised trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Dose-dependency of dexamethasone on the analgesic effect of interscalene block for arthroscopic shoulder surgery using ropivacaine 0.5%: A randomised controlled trial
The objective of this study is to evaluate the effect of different doses of dexamethasone on the duration of SISB using ropivacaine 0.5%. DESIGN: A randomised, double-blind controlled trial. SETTING: Single university tertiary care centre. PATIENTS: One hundred and forty-four patients scheduled for elective arthroscopic shoulder surgery were allocated randomly to one of four groups. INTERVENTIONS: Patients received 12 ml of ropivacaine 0.5% in 0.9% saline (control group), or containing dexamethasone 2.5, 5.0 or 7.5 mg for SISB. MAIN OUTCOME MEASURES: The primary endpoint was the time to the first analgesic request. Pai...
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

Mini-fluid challenge predicts fluid responsiveness during spontaneous breathing under spinal anaesthesia: An observational study
The objective of this study was to test whether variations in stroke volume (SV) in response to a fixed mini-fluid challenge (ΔSV100) measured by thoracic impedance cardiography (ICG) can predict fluid responsiveness in spontaneously breathing patients under spinal anaesthesia. DESIGN: A prospective observational study. SETTING: Anaesthesiology department in a university hospital. PARTICIPANTS: Seventy-three patients monitored by ICG during surgery under spinal anaesthesia. INTERVENTIONS: Patients received a 100 ml fluid challenge followed by volume expansion with 500 ml of crystalloid. MAIN OUTCOMES MEASURES: Haem...
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

The median effective analgesic dose (ED50) of ropivacaine in ultrasound-guided transversus abdominis plane block for analgesia in reversal of ileostomy: A double-blind up-down dose-finding study
CONCLUSION: The ED50 of ropivacaine in TAP blocks in reversal of ileostomy is close to the toxic threshold. Anaesthesiologists should always be aware of the systemic toxicity risk and use weight-based doses when performing a TAP block. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Locoregional anaesthesia Source Type: research

Blind intubation of anaesthetised children with supraglottic airway devices AmbuAura-i and Air-Q cannot be recommended: A randomised controlled trial
CONCLUSION: Ventilation with both devices is reliable, but success of blind intubation is unacceptably low and cannot be recommended for elective or rescue purposes. If intubation through a paediatric supraglottic airway device is desired, we suggest that fibreoptic guidance is used. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT01692522. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

Best position and depth of anaesthesia for laryngeal mask airway removal in children: A randomised controlled trial
BACKGROUND: There is a wide variation in clinical practice amongst clinicians in the process of removal of the laryngeal mask airway (LMA) in children. Some of the airway complications during recovery are associated with the position of the child as well as the depth of anaesthesia and are potentially avoidable. OBJECTIVES: We wished to determine whether removal of the LMA in the lateral position reduces the incidence of airway complications, either in a deep plane of anaesthesia or awake. DESIGN: A randomised trial. SETTING: A tertiary children's hospital. PATIENTS: The study population comprised 216 American Society of A...
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

Comparison of Enk Fibreoptic Atomizer with translaryngeal injection for topical anaesthesia for awake fibreoptic intubation in patients at risk of secondary cervical injury: A randomised controlled trial
The objective of this study was to determine which system of topical anaesthesia provides the fastest and most comfortable awake FOI, using the oral approach. DESIGN: A randomised controlled study. SETTING: A single centre trial between 2009 and 2011. PATIENTS: One hundred and twenty patients (63 women, 57 men) who underwent neurosurgery of the spine at Klinikum St. Georg Leipzig were randomly allocated into two groups (groupTLI, 61 patients; groupENK-ATOMIZER, 59 patients). Inclusion criteria were an American Society of Anesthesiology (ASA) physical status of 1 to 3, age 18 to 80 years, and those who met any one of three ...
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

Simulation-based training in flexible fibreoptic intubation: A randomised study
CONCLUSION: Part-task training did not prove more effective than whole-task training when training novices in FOI skills. FOI is very suitable for simulation-based training and segmentation of the procedure during training is not necessary. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Airway management Source Type: research

Deep sedation for endoscopic cholangiopancreatography with or without pre or intraprocedural opioids: A double-blind randomised controlled trial
CONCLUSION: The addition of pre or intraprocedural opioids had no effect on propofol requirement for deep sedation, but patients who received fentanyl had less minor pain. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT01304342. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Patient comfort Source Type: research

The effect of intraoperative dexmedetomidine on postoperative catheter-related bladder discomfort in patients undergoing transurethral bladder tumour resection: A double-blind randomised study
CONCLUSION: Intraoperative dexmedetomidine administration decreased the incidence and severity of early postoperative CRBD as well as intraoperative desflurane and postoperative opioid requirements in patients undergoing TURB. TRIAL REGISTRATION IDENTIFIER: NCT01991223 (www.clinicaltrials.gov ). (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Patient comfort Source Type: research

Aprotinin: is it time to reconsider?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 31, 2015 Category: Anesthesiology Tags: Editorial Source Type: research

Complications and Mishaps in Anesthesia: Cases, Analysis, Preventative Strategies
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Book review Source Type: research

Anaesthesia and orphan disease: marked attenuation of motor evoked potentials by high-dose dexmedetomidine in a child with Angelman syndrome undergoing scoliosis surgery: A case report with pharmacokinetic analysis
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Influence of preoperative vaccination on monocytic HLA-DR expression and postoperative infection rate of patients with upper aerodigestive tract cancer: A randomised trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Epidural catheter removal for initiation of emergency anticoagulant therapy in acute coronary syndrome – when is the time right?
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Early recognition of cardiac tamponade using cerebral oximetry during ventricular tachycardia ablation
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Differential effects of phenylephrine and norepinephrine on peripheral tissue oxygenation during general anaesthesia: A randomised controlled trial
BACKGROUND: Phenylephrine and norepinephrine are two vasopressors commonly used to counteract anaesthesia-induced hypotension. Their dissimilar working mechanisms may differentially affect the macro and microcirculation, and ultimately tissue oxygenation. OBJECTIVES: We investigated the differential effect of phenylephrine and norepinephrine on the heart rate (HR), stroke volume (SV), cardiac index (CI), cerebral tissue oxygenation (SctO2) and peripheral tissue oxygenation (SptO2), and rate-pressure product (RPP). DESIGN: A randomised controlled study. SETTING: Single-centre, University Medical Center Groningen, The Nether...
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Perioperative medicine: the cardiac patient Source Type: research

Epinephrine, compared with arginine vasopressin, is associated with similar haemodynamic effects but significantly improved brain oxygenation in the early phase of anaphylactic shock in rats: An experimental study
BACKGROUND: In contrast to other types of shock, anaphylactic shock decreases cerebral blood flow more than would be expected from severe arterial hypotension, thus potentially affecting survival through brain ischaemia/hypoxia. We hypothesised that epinephrine (EPI) used as a first-line treatment of anaphylactic shock and arginine vasopressin (AVP) proposed in case of EPI refractoriness may have different effects on brain oxygenation. OBJECTIVES: To compare the effect of EPI and AVP on brain oxygenation under similar macro-haemodynamic target values in an anaphylactic shock model. DESIGN: Prospective laboratory study. SET...
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Perioperative medicine: the cardiac patient Source Type: research

Effect of glucose–insulin–potassium on hyperlactataemia in patients undergoing valvular heart surgery: A randomised controlled study
CONCLUSION: Despite its theoretical advantage, GIK did not provide beneficial effects in terms of the incidence of hyperlactataemia or outcome in patients undergoing valvular heart surgery. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT01825720. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Perioperative medicine: the cardiac patient Source Type: research

Increased tracheal cuff pressure during insertion of a transoesophageal echocardiography probe: A prospective, observational study
CONCLUSION: Insertion of a TOE probe increased tracheal cuff pressure in both the SLT and DLT groups. The increase in cuff pressure was greater in patients who received a DLT. Frequent measurement and adjustment of cuff pressure should be emphasised particularly when TOE is used in patients receiving a DLT. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT02034643. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Perioperative medicine: the cardiac patient Source Type: research

Influence of intravenous thiamine supplementation on blood lactate concentration prior to cardiac surgery: A double-blinded, randomised controlled pilot study
BACKGROUND: Stress related to surgery and critical illness depletes thiamine, essential in energy metabolism, and might result in high blood lactate concentrations and higher mortality. OBJECTIVES: We hypothesised that thiamine supplementation would increase blood concentration of thiamine and reduce blood lactate concentration postoperatively. Moreover, we aimed to identify the prevalence of, and risk factors for, high blood lactate concentrations. DESIGN: This was a double-blind, randomised controlled pilot study from February to July 2012 including 30 patients scheduled for cardiac surgery with cardiopulmonary bypass. I...
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Perioperative medicine: the cardiac patient Source Type: research

Right ventricular systolic dysfunction and vena cava dilatation precede alteration of renal function in adult patients undergoing cardiac surgery: An observational study
BACKGROUND: Several authors have suggested that right ventricular dysfunction (RVd) may contribute to renal dysfunction in nonsurgical patients. OBJECTIVES: We tested the hypothesis that RVd diagnosed immediately after cardiac surgery may be associated with subsequent development of renal dysfunction and tried to identify the possible mechanisms. DESIGN: A single-centre, prospective observational study. SETTING: Amiens University Hospital, France. PATIENTS: All adult patients undergoing cardiac surgery were considered eligible for participation. Patients who had undergone pulmonary or tricuspid valve surgery, repeat surger...
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Perioperative medicine: the cardiac patient Source Type: research

Comparison of propofol pharmacokinetic and pharmacodynamic models for awake craniotomy: A prospective observational study
CONCLUSION: When using the ‘asleep-awake-asleep’ anaesthetic technique during awake craniotomy, we advocate using the PK/PD model proposed by Schnider. Due to considerable interindividual variation, additional monitoring of anaesthetic depth is recommended. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT 01128465. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Pharmacology Source Type: research

Comparing charcoal and zeolite reflection filters for volatile anaesthetics: A laboratory evaluation
CONCLUSION: Charcoal and zeolite possess gas-reflecting properties, which can be used to conserve volatile anaesthetics. They also reflect CO2. The degree of CO2 reflection was reduced by heating and humidifying the air. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Pharmacology Source Type: research

The current place of nitrous oxide in clinical practice: An expert opinion-based task force consensus statement of the European Society of Anaesthesiology
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - July 3, 2015 Category: Anesthesiology Tags: Editorial Source Type: research

Stoelting's Handbook of Pharmacology & Physiology in Anaesthetic Practice
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Book review Source Type: research

Continuous subcostal oblique transversus abdominis plane block provides more effective analgesia than single-shot block after gynaecological laparotomy: A randomised controlled trial
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Minor complications during thoracic epidural catheter placement
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Fibreoptic airway endoscopy training: Comparison of three different trainer models
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

One day on duty: Recreating an emergency department for medical students
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Intestinal insufflation of small volume of oxygen increases systemic oxygenation in acute respiratory distress sуndrome patients
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Reply to: Statistical analysis methods for meta-analysis of times to emergence
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Statistical analysis methods for meta-analysis of times to emergence
No abstract available (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Correspondence Source Type: research

Spinal ultrasound versus palpation for epidural catheter insertion in labour: A randomised controlled trial
CONCLUSION: The use of preprocedural spinal ultrasound by a cohort of anaesthesia trainees did not improve the ease of insertion of labour epidural catheters in patients with easily palpable lumbar spines, as compared with the traditional palpation technique based on anatomical landmarks. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT00996905. (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Obstetric anaesthesia Source Type: research

Spinal anaesthesia with low-dose bupivacaine in marginally hyperbaric solutions for caesarean section: A randomised controlled trial
The objective of this study was to evaluate the clinical efficacy of marginally hyperbaric low-dose bupivacaine solutions used for spinal anaesthesia during caesarean section. DESIGN: A randomised, controlled clinical trial. SETTING: Single medical centre. PATIENTS: One hundred twenty women scheduled for elective caesarean section were randomised into four groups. INTERVENTIONS: Caesarean section after combined spinal-epidural anaesthesia using hyperbaric preparations of low-dose SAS (7.2 mg bupivacaine and 2 μg 1.6 ml–1 sufentanil in one of the following: 8%, 0.8%, 0.5% or 0.33% glucose solution. MAIN OUT...
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Obstetric anaesthesia Source Type: research

The number of in-out catheterisations is reduced by mobilising the postoperative patient with bladder needs to the toilet in the recovery room: A randomised clinical trial
BACKGROUND: Many patients are diagnosed with postoperative urine retention in the recovery room and treated with in-out catheterisation (IOC). OBJECTIVES: We hypothesised that the use of IOC could be reduced by mobilising patients to the toilet to pass urine instead of offering a bedpan or urinal. DESIGN: A randomised, controlled, nonblinded study with two groups. SETTING: University Hospital, October 2009 to June 2012. PATIENTS: One hundred and fifty-two patients scheduled for surgery for cervical or lumbar disc herniation. Inclusion criteria were a bladder volume more than 350 ml and/or the need to pass urine in the re...
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Complications and errors Source Type: research

Nonelective surgery at night and in-hospital mortality: Prospective observational data from the European Surgical Outcomes Study
CONCLUSION: In patients undergoing nonelective urgent noncardiac surgery, in-hospital mortality was associated with well known risk factors related to patients and surgery, but we did not identify any relationship with the time of day at which the procedure was performed. TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT01203605 (Source: European Journal of Anaesthesiology)
Source: European Journal of Anaesthesiology - June 6, 2015 Category: Anesthesiology Tags: Complications and errors Source Type: research