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T : 목차정보

Acta anaesthesiologica Scandinavica 22건

  1. [해외논문]   Issue Information  


    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 877 - 877 , 2018 , 0001-5172 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  2. [해외논문]   Predicting outcome in the seriously ill—A new approach   SCI SCIE

    Hillman, K. M. (Liverpool Hospital and the Simpson Centre for Health Services Research, South West Sydney Clinical School, University of New South Wales: Ingham Institute for Applied Medical Research, Liverpool BC, NSW, Australia)
    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 878 - 879 , 2018 , 0001-5172 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  3. [해외논문]   Vasopressin and nitroglycerine may reduce bleeding during liver resection surgery   SCI SCIE

    Haugaa, H. (Department of Anesthesiology, Oslo University Hospital –) , Ytrebø, L. M. (Rikshospitalet, Oslo, Norway)
    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 880 - 881 , 2018 , 0001-5172 ,

    초록

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  4. [해외논문]   Effect of pre‐operative methylprednisolone on orthostatic hypotension during early mobilization after total hip arthroplasty   SCI SCIE

    Lindberg‐ (Section for Surgical Pathophysiology 7621, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark) , Larsen, V. (Section for Surgical Pathophysiology 7621, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark) , Petersen, P. B. (The Lundbeck Foundation Centre for Fast‐Track Hip and Knee Arthroplasty, Copenhagen, Denmark) , Jans, Ø. (Department of Orthopaedic Surgery, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Copenhagen, Denmark) , Beck, T. (Section for Surgical Pathophysiology 7621, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark) , Kehlet, H.
    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 882 - 892 , 2018 , 0001-5172 ,

    초록

    Background Orthostatic hypotension (OH) and intolerance (OI) are common after total hip arthroplasty (THA) and may delay early mobilization. The pathology of OH and OI includes a dysregulated post‐operative vasopressor response, by a hitherto unknown mechanism. We hypothesized that OI could be related to the inflammatory stress response which is inhibited by steroid administration. Consequently, this study evaluated the effect of a pre‐operative high‐dose methylprednisolone on OH and OI early after THA. Methods Randomized, double‐blind, placebo‐controlled study in 59 patients undergoing elective unilateral THA with spinal anesthesia and a standardized multimodal analgesic regime. Patients were allocated (1 : 1) to pre‐operative intravenous (IV) methylprednisolone (MP) 125 mg or isotonic saline (C). OH, OI and cardiovascular responses to sitting and standing were evaluated using a standardized mobilization protocol pre‐operatively, 6, and 24 h after surgery. Systolic and diastolic arterial pressure and heart rate were measured non‐invasively (Nexfin ? ). The systemic inflammation was monitored by the C‐reactive protein (CRP) response. Results At 6 h post‐operatively, 11 (38%) versus 11 (37%) patients had OH in group MP and group C, respectively (RR 1.02 (0.60 to 1.75; P = 1.00)), whereas OI was present in 9 (31%) versus 13 (43%) patients (RR 0.76 (0.42 to 1.36; P = 0.42)), respectively. At 24 h post‐operatively, the prevalence of OH and OI did not differ between groups, though CRP levels were significantly reduced in group MP ( P Conclusion Pre‐operative administration of 125 mg methylprednisolone IV did not reduce OH or OI compared with placebo despite a reduced inflammatory response.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  5. [해외논문]   Validation of the Swedish version of Quality of Recovery score ‐15: a multicentre, cohort study   SCI SCIE

    Lyckner, S. (Department of Anaesthesia, Mälarsjukhuset, Eskilstuna, Sweden) , Bö (Department of Anaesthesia, Södertälje Hospital AB, Södertälje, Sweden) , regå (Department of Medical and Health Sciences, Department of Anaesthesia and Intensive Care, Linköping University, Linköping, Sweden) , rd, I.‐ (Department of Medical and Health Sciences, Department of Anaesthesia and Intensive Care, Linköping University, Linköping, Sweden) , L. , Zetterlund, E.‐ , L. , Chew, M. S.
    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 893 - 902 , 2018 , 0001-5172 ,

    초록

    Background Quality of recovery (QoR) after surgery is often focused on morbidity, mortality and physiological changes, while well‐being and emotional state are other important aspects that are often ignored. QoR is poorly investigated in clinical settings and a psychometrically tested questionnaire, QoR‐15, has recently been developed. QoR‐15 has not been validated for Swedish conditions. The aim of this study was to translate, adapt and validate QoR‐15 to Swedish conditions (QoR‐15swe). Methods A translation and cultural adaption was performed resulting in a Swedish version of the instrument, QoR‐15swe. Patients answered the QoR‐15swe before surgery, 24 and 48 h after surgery. Feasibility, validity, reliability and responsiveness of the QoR‐15swe were evaluated. Results The QoR‐15swe was feasible in 85.5% of the eligible patients. Construct validity was good, with significant correlations between QoR‐15swe score and, ASA‐PS class, grade of surgery, length of surgery and time in the post‐anaesthesia care unit. The instrument demonstrated good internal consistency with an inter‐item Cronbach's α of 0.83–0.87, and inter‐dimension Cronbach's α was acceptable 0.71–0.76. Test‐retest repeatability was also good with Cronbach′s alpha > 0.99 and an interclass correlation coefficient of 0.992 (CI: 0.981–0.997). There were no floor and ceiling effects. Responsiveness assessed by Cliff's effect size was −0.23 indicating a moderate ability to detect change at 24 h postoperatively. Conclusion We have translated and culturally adapted the QoR‐15 into Swedish. The score demonstrated acceptable validity, reliability and responsiveness. The QoR‐15swe is a clinically acceptable and feasible outcome measure after surgery in a Swedish population.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  6. [해외논문]   Effect of goal‐directed haemodynamic therapy in free flap reconstruction for head and neck cancer   SCI SCIE

    Kim, H. J. (Department of Anaesthesiology and Pain Medicine, Anaesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea) , Kim, E. J. (Department of Anaesthesiology and Pain Medicine, Anaesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea) , Lee, H. J. (Department of Anaesthesiology and Pain Medicine, Anaesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea) , Min, J. Y. (Department of Anaesthesiology and Pain Medicine, Anaesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea) , Kim, T. W. (Department of Anaesthesiology and Pain Medicine, Anaesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea) , Choi, E. C. (Department of Otorhinolaryngology–Head and Neck Surgery, Seoul National University) , Kim, W. S. , Koo, B.‐ , N.
    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 903 - 914 , 2018 , 0001-5172 ,

    초록

    ConclusionCompared to conventional haemodynamic therapy, goal-directed haemodynamic therapy does not reduce hospitalization periods; it may, however, reduce the length of intensive care unit stays and increase flap survival rates. Further studies including multi-centre trials with larger sample sizes are warranted.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  7. [해외논문]   Impact of upper respiratory tract infections on perioperative outcomes of children undergoing therapeutic cardiac catheterisation   SCI SCIE

    Zhang, S. (Pediatric Clinical Pharmacology Laboratory, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China) , Ding, S. (Department of Anesthesiology, The People's Hospital of Gansu Province, Lanzhou, China) , Cai, M. (Pediatric Clinical Pharmacology Laboratory, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China) , Bai, J. (Department of Anesthesiology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China) , Zhang, M. (Pediatric Clinical Pharmacology Laboratory, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China) , Huang, Y. (Pediatric Clinical Pharmacology Laboratory, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai,) , Zheng, J.
    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 915 - 923 , 2018 , 0001-5172 ,

    초록

    Background Recent upper respiratory tract infection (URI) is associated with increased incidence of perioperative complications in children undergoing open heart surgery. As a result, surgery is often postponed. However, the effect of recent URI on the incidence of perioperative complications in children undergoing therapeutic cardiac catheterisation is unknown. We investigated the perioperative outcomes of congenital heart disease (CHD) children with recent URI who underwent elective therapeutic catheterisation. Methods We prospectively included children treated for CHD. Before surgery, parents or legal guardians were interviewed to complete a questionnaire on the child's demographics, history of asthma and passive smoking, and URI symptoms. Recorded perioperative respiratory adverse events (PRAEs) included laryngospasm, bronchospasm, breath holding, oxygen desaturation, and severe cough. Information on postoperative dysphoria, fever, copious sputum, and vomiting was obtained by telephone 24 h after surgery. Results Of 363 included children, 169 had recently (within 2 weeks) had a URI. The URI did not affect the incidence of laryngospasm, bronchospasm, breath holding, fever, or vomiting. The incidence of desaturation, severe cough, dysphoria, and copious sputum were significantly increased. Independent risk factors for PRAEs in children with a recent URI included age, passive smoking, and presence of rhinorrhoea or moist cough. The lengths of stay in the hospital and intensive care unit were not significantly different between groups. Conclusion Although recent URI increased the incidence of PRAEs in children undergoing therapeutic cardiac catheterisation, most CHD patients with recent URI can undergo elective therapeutic cardiac catheterisation without serious adverse events or prolonged hospitalisation.

    원문보기

    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  8. [해외논문]   Preoperative vitamin D deficiency increases the risk of postoperative cognitive dysfunction: a predefined exploratory sub‐analysis   SCI SCIE

    Zhang, Y. (Department of Anaesthesiology and Critical Care Medicine, Peking University First Hospital, Beijing, China) , Shan, G.‐ (Department of Anaesthesiology and Critical Care Medicine, Peking University First Hospital, Beijing, China) , J. (Department of Anaesthesiology and Critical Care Medicine, Peking University First Hospital, Beijing, China) , Zhang, Y.‐ (Department of Anaesthesiology and Critical Care Medicine, Peking University First Hospital, Beijing, China) , X. (Department of Biostatics, Peking University First Hospital, Beijing, China) , Cao, S.‐ (Peking University Clinical Research Institute, Beijing, China) , J. (Section of Anaesthetics, Pain Medicine and Intensive Care, Department of Surgery and Cancer, Faculty of Medicine, Chelsea and Westminster Hospital, Imperial College London, London, UK) , Zhu, S.‐ , N. , Li, H.‐ , J. , Ma, D. , Wang, D.‐ , X.
    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 924 - 935 , 2018 , 0001-5172 ,

    초록

    Background Vitamin D is important for maintaining physiological functions including cognition and its deficiency is associated with the occurrence of cognitive impairment. This study was to explore the association between preoperative vitamin D status and the occurrence of postoperative cognitive dysfunction (POCD) in elderly patients undergoing major surgery. Methods This was a predefined exploratory sub‐analysis of one‐centre data from a randomized controlled trial. In all, 123 elderly (≥ 65 years) patients who were scheduled to undergo major cancer surgery were recruited. Serum 25‐hydroxyvitamin D concentration was measured before surgery. In total, 59 nonsurgical control subjects with comparable age and education level were also enrolled. A battery of neuropsychological tests was administered the day before and the 7th day after surgery in patients or at the same time interval in control subjects. POCD was diagnosed according to the ISPOCD1 definition. Results 71.5% (88/123) of elderly patients had vitamin D deficiency (serum 25‐hydroxyvitamin D concentration P =< 0.020), whereas preoperative vitamin D deficiency was associated with an increased risk of POCD (OR: 8.427, 95% CI: 1.595–44.511; P =< 0.012). Conclusions Vitamin D deficiency is prevalent in elderly patients undergoing major cancer surgery and increases the risk of early POCD development. Whether prophylactic vitamin D supplementation can reduce POCD in the elderly deserves further study.

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    원문보기
    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  9. [해외논문]   Forced fluid removal in intensive care patients with acute kidney injury: The randomised FFAKI feasibility trial   SCI SCIE

    Berthelsen, R. E. (Department of Anaesthesiology and Intensive Care, Nordsjaellands Hospital, Hilleroed, Denmark) , Perner, A. (Department of Intensive Care 4131, Rigshospitalet, Copenhagen, Denmark) , Jensen, A. K. (Department of Clinical Research, Nordsjaellands Hospital, Hilleroed, Denmark) , Rasmussen, B. S. (Department of Anaesthesiology and Intensive Care, Aalborg University Hospital, Aalborg, Denmark) , Jensen, J. U. (CHIP & PERSIMUNE, Department of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark) , Wiis, J. (Department of Intensive Care 4131, Rigshospitalet, Copenhagen, Denmark) , Behzadi, M. T. (Department of Anaesthesiology and Intensive Care, Aalborg University Hospital, Aalborg, Denmark) , Bestle, M. H. (Department of Anaesthesiology and Intensive Care, Nordsjaellands Hospital, Hilleroed, Denmark)
    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 936 - 944 , 2018 , 0001-5172 ,

    초록

    Background Accumulation of fluids is frequent in intensive care unit (ICU) patients with acute kidney injury and may be associated with increased mortality and decreased renal recovery. We present the results of a pilot trial assessing the feasibility of forced fluid removal in ICU patients with acute kidney injury and fluid accumulation of more than 10% ideal bodyweight. Methods The FFAKI‐trial was a pilot trial of forced fluid removal vs standard care in adult ICU patients with moderate to high risk acute kidney injury and 10% fluid accumulation. Fluid removal was done with furosemide and/or continuous renal replacement therapy aiming at net negative fluid balance > 1 mL/kg ideal body weight/hour until cumulative fluid balance calculated from ICU admission reached less than 1000 mL. Results After 20 months, we stopped the trial prematurely due to a low inclusion rate with 23 (2%) included patients out of the 1144 screened. Despite the reduced sample size, we observed a marked reduction in cumulative fluid balance 5 days after randomisation (mean difference −5814 mL, 95% CI −2063 to −9565, P = .003) with forced fluid removal compared to standard care. While the trial was underpowered for clinical endpoints, no point estimates suggested harm from forced fluid removal. Conclusions Forced fluid removal aiming at 1 mL/kg ideal body weight/hour may be an effective treatment of fluid accumulation in ICU patients with acute kidney injury. A definitive trial using our inclusion criteria seems less feasible based on our inclusion rate of only 2%.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

    이미지

    Fig. 1 이미지
  10. [해외논문]   Should impaired mobility on presentation be a vital sign?   SCI SCIE

    Brabrand, M. (Department of Emergency Medicine, Hospital of South West Jutland, Esbjerg, Denmark) , Kellett, J. (Department of Emergency Medicine, Hospital of South West Jutland, Esbjerg, Denmark) , Opio, M. (Department of Medicine, Kitovu Hospital, Kitovu, Uganda) , Cooksley, T. (Department of Acute Medicine, University Hospital of South Manchester, Manchester, UK) , Nickel, C. H. (Emergency Department, University Hospital Basel, Basel, Switzerland)
    Acta anaesthesiologica Scandinavica v.62 no.7 ,pp. 945 - 952 , 2018 , 0001-5172 ,

    초록

    Introduction Vital signs are routinely used to assess acutely ill patients, but they do not detect all patients at risk of death. This retrospective multicenter cohort study compares the prediction of death by impaired mobility with age, co‐morbidities, and vital sign changes. Methods On first assessment, patients from a combined cohort of 9684 Danish and Irish patients and a separate cohort of 1010 Ugandan patients were stratified by impaired mobility on presentation (IMOP), vital sign changes assessed by the National Early Warning Score (NEWS), the Charlson Co‐morbidity Index, and age. Results Fourteen percent of Danish and Irish patients had IMOP compared with 42% of Ugandan patients. The odds ratios of IMOP for 7‐day mortality were similar for both cohorts (i.e. 11.8, 95% CI 5.8–24.0 for Ugandan patients versus 6.7, 95% CI 5.0–9.0 for Danish and Irish patients). Univariate analysis of Ugandan patients showed that none of the parameters tested (i.e. low blood pressure, pulse, elevated respiratory rate, hypothermia, low oxygen saturation, old age, and coma) had a statistically higher odds ratio for either 7‐day mortality than IMOP. Multivariate logistic regression analysis of Danish and Irish patients also showed that none of these parameters or the Charlson Co‐morbidity Index had a statistically higher odds ratio than IMOP for either 7‐day or 30‐day mortality. Conclusion Immobility on presentation is a vital sign and predicts mortality for acutely ill patients independently of the traditional vital signs, age, and co‐morbidities.

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    무료다운로드 유료다운로드

    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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