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Source: Acta Anaesthesiologica Scandinavica
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Total 29 results found since Jan 2013.
Stroke identification by criteria based dispatch – a register based study
ConclusionThe sensitivity for identification of stroke patients by the dispatch guidelines is modest, while the specificity is high. The 113 telephone line was initial EMCC access point for less than half of the stroke patients.
Source: Acta Anaesthesiologica Scandinavica - November 1, 2017 Category: Anesthesiology Authors: E. N. Ellensen, H. Naess, T. Wisborg, S. Hunskaar, E. Zakariassen Tags: Original Article Source Type: research
Assessment of acute stroke cerebral CT examinations by anaesthesiologists
ConclusionsThis study suggests that anaesthesiologists who are experienced in pre‐hospital care may be quickly trained to assess cerebral CT examinations in acute stroke patients with regard to radiological contraindications for thrombolytic therapy.
Source: Acta Anaesthesiologica Scandinavica - May 1, 2015 Category: Anesthesiology Authors: M. R. Hov, T. Nome, E. Zakariassen, D. Russell, J. Røislien, H. M. Lossius, C. G. Lund Tags: Original Article Source Type: research
Stroke volume‐directed administration of hydroxyethyl starch or Ringer's acetate in sitting position during craniotomy
ConclusionFluid filling with HES boluses resulted in a positive response in CI and SVI during the sitting position. The 34% smaller volume of HES than crystalloid and less positive fluid balance in the HES group might be important in craniotomy patients with decreased brain compliance.
Source: Acta Anaesthesiologica Scandinavica - April 3, 2013 Category: Anesthesiology Authors: A.‐C. B. LINDROOS, T. NIIYA, M. SILVASTI‐LUNDELL, T. RANDELL, J. HERNESNIEMI, T. T. NIEMI Tags: Original Article Source Type: research
Anaesthesia practices for endovascular therapy of acute ischaemic stroke: a Nordic survey
ConclusionsThis survey indicates that the majority of Nordic anaesthesia departments who manage anaesthesia for EVT are able to provide immediate 24‐h response to an EVT request. Most of these departments have institutional guidelines for EVT anaesthesia and haemodynamic management. Conscious sedation appears to be the preferred method of anaesthetic care.
Source: Acta Anaesthesiologica Scandinavica - July 1, 2017 Category: Anesthesiology Authors: M. Rasmussen, C. Z. Simonsen, L. H. S ørensen, S. Dyrskog, D. A. Rusy, D. Sharma, N. Juul Tags: Original Article Source Type: research
Agreement between Pleth Variability Index and oesophageal Doppler to predict fluid responsiveness
ConclusionPVI‐ and Doppler‐based stroke volume optimisations agreed poorly, which did not affect the amount of fluid administered. None of the algorithms showed a good ability to predict fluid responsiveness. Our results do not support the fluid responsiveness concept.
Source: Acta Anaesthesiologica Scandinavica - September 16, 2015 Category: Anesthesiology Authors: H. Bahlmann, R. G. Hahn, L. Nilsson Tags: Original Article Source Type: research
Assessment of changes in cardiac index and fluid responsiveness: a comparison of Nexfin and transpulmonary thermodilution
ConclusionsThe Nexfin cannot be used to measure rapid changes in cardiac index following fluid challenge and to predict fluid responsiveness after cardiac surgery.
Source: Acta Anaesthesiologica Scandinavica - March 25, 2013 Category: Anesthesiology Authors: M. ‐O. FISCHER, J. COUCORAVAS, J. TRUONG, L. ZHU, J. ‐L. GÉRARD, J. ‐L. HANOUZ, J. ‐L. FELLAHI Tags: Original Article Source Type: research
Dynamic variables and fluid responsiveness in patients for aortic stenosis surgery
ConclusionsThe arterial pressure‐based variables had moderate predictive values before valve replacement, but it predicted fluid responsiveness well postoperatively. Pleth variability index did not predict fluid responsiveness preoperatively, and it had a moderate predictive value postoperatively. These results indicate that arterial pressure‐based dynamic variables have limited potential to guide fluid therapy in patients with aortic stenosis. Their ability to guide fluid therapy after aortic valve replacement seems better.
Source: Acta Anaesthesiologica Scandinavica - April 29, 2014 Category: Anesthesiology Authors: L. Ø. HØISETH, I. E. HOFF, O. A. HAGEN, S. A. LANDSVERK, K. A. KIRKEBØEN Tags: Original Article Source Type: research
Patient fear of anesthesia complications according to surgical type: potential impact on informed consent for anesthesia
ConclusionAwareness by anesthesia providers of those fears that patients report may allow for a more personalized approach to providing information that may better allay anxiety. Further, these results may better tailor the informed consent process to one that meets particular patient concerns.
Source: Acta Anaesthesiologica Scandinavica - October 13, 2014 Category: Anesthesiology Authors: C. M. BURKLE, C. E. MANN, J. R. STEEGE, J. S. STOKKE, A. K. JACOB, J. J. PASTERNAK Tags: GENERAL ANAESTHESIA Source Type: research
Low vs. high haemoglobin trigger for transfusion in vascular surgery: protocol for a randomised trial
DiscussionThis trial is expected to determine whether a RBC transfusion triggered by hb < 9.7 g/dl compared with hb < 8 g/dl results in adequate separation of postoperative hb levels, transfusion of more RBC units and maintains a higher tissue oxygenation. The results will inform the design of a multicentre trial for evaluation of important postoperative outcomes.
Source: Acta Anaesthesiologica Scandinavica - August 6, 2017 Category: Anesthesiology Authors: A. M øller, H. B. Nielsen, J. Wetterslev, O. B. Pedersen, D. Hellemann, S. Shahidi Tags: Special Article Source Type: research
Accidental hypothermia and local cold injury: physiological and epidemiological studies on risk
ConclusionsHypothermia and cold injury continue to cause injury and hospitalisation in the northern region of Sweden. Assessment and management is not standardised across hospitals. With the identification of groups at high risk for fatal hypothermia, it should be possible to reduce the incidence, particularly for highest risk subjects: rural, living alone, alcohol imbibing, and psychiatric diagnosis‐carrying citizens. Long‐term cold‐weather training may affect hand‐rewarming patterns after a cold provocation, and a warmer baseline hand temperature with faster rewarming after a cold provocation may be associated wi...
Source: Acta Anaesthesiologica Scandinavica - January 7, 2013 Category: Anesthesiology Authors: HELGE BRÄNDSTRÖM Tags: PhD Abstract Source Type: research
Upper thoracic epidural anaesthesia: effects of age on neural blockade and cardiovascular parameters
ConclusionWe were unable to demonstrate an effect of age on the maximal number of spinal segments blocked after TEA; however, the caudad spread of analgesia increased with advancing age. In addition, reduction of heart rate was greater in the youngest group.
Source: Acta Anaesthesiologica Scandinavica - February 20, 2013 Category: Anesthesiology Authors: J. WINK, R. WOLTERBEEK, L. P. H. J. AARTS, S. C. E. KOSTER, M. I. M. VERSTEEGH, B. T. H. VEERING Tags: Original Article Source Type: research
Cerebral energy metabolism during mitochondrial dysfunction induced by cyanide in piglets
ConclusionMitochondrial dysfunction is characterised by an increased LP ratio signifying a shift in cytoplasmatic redox state at normal or elevated PbtO2. The condition is biochemically characterised by a marked increase in cerebral lactate with a normal or elevated pyruvate level. The metabolic pattern is different from cerebral ischemia, which is characterised by simultaneous decreases in intracerebral pyruvate and PbtO2. The study supports the hypothesis that cerebral ischemia and mitochondrial dysfunction may be identified and separated at the bedside by utilising intracerebral microdialysis.
Source: Acta Anaesthesiologica Scandinavica - March 18, 2013 Category: Anesthesiology Authors: T. H. NIELSEN, N. V. OLSEN, P. TOFT, C. H. NORDSTRÖM Tags: Original Article Source Type: research
Central venous oxygen saturation and carbon dioxide gap as resuscitation targets in a hemorrhagic shock
ConclusionsIn this SV‐guided bleeding and fluid resuscitation model, both ScvO2 and dCO2 correlated well with changes in SV, but only the dCO2 returned to its baseline, normal value, while ScvO2 remained significantly lower than at baseline. These results suggest that dCO2 may be a good hemodynamic endpoint of resuscitation, while ScvO2 is not strictly a hemodynamic parameter, but rather an indicator of the balance between oxygen delivery and consumption.
Source: Acta Anaesthesiologica Scandinavica - March 19, 2014 Category: Anesthesiology Authors: M. NÉMETH, K. TÁNCZOS, G. DEMETER, D. ÉRCES, J. KASZAKI, A. MIKOR, Z. MOLNÁR Tags: Original Article Source Type: research
In‐hospital C‐reactive protein predicts outcome after aneurysmal subarachnoid haemorrhage treated by endovascular coiling
ConclusionEarly CRP values can perhaps be used as a prognostic factor for long‐term neurological outcome prediction after endovascular treatment of aSAH.
Source: Acta Anaesthesiologica Scandinavica - January 18, 2015 Category: Anesthesiology Authors: L. Z. CSAJBOK, K. NYLÉN, M. ÖST, H. SONANDER, B. NELLGÅRD Tags: ORIGINAL ARTICLE Source Type: research
Impact of a β‐blocker and/or acute hemodilution on cerebral oxygenation during apneic hypoxia
ConclusionsLandiolol reduces cerebral tissue oxygenation during apneic hypoxia. β‐blockers increase the risk for cerebral hypoxia when apneic hypoxia occurs, especially during acute hemodilution.
Source: Acta Anaesthesiologica Scandinavica - October 8, 2015 Category: Anesthesiology Authors: T. Kurita, K. Morita, S. Sato Tags: Original Article Source Type: research
