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- Pikwer, Andreas, et al.
(författare)
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Complications associated with peripheral or central routes for central venous cannulation.
- 2012
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Ingår i: Anaesthesia. - : Wiley. - 1365-2044 .- 0003-2409. ; 67:1, s. 65-71
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Tidskriftsartikel (refereegranskat)abstract
- We undertook a review of studies comparing complications of centrally or peripherally inserted central venous catheters. Twelve studies were included. Catheter tip malpositioning (9.3% vs 3.4%, p = 0.0007), thrombophlebitis (78 vs 7.5 per 10,000 indwelling days, p = 0.0001) and catheter dysfunction (78 vs 14 per 10,000 indwelling days, p = 0.04) were more common with peripherally inserted catheters than with central catheter placement, respectively. There was no difference in infection rates. We found that the risks of tip malpositioning, thrombophlebitis and catheter dysfunction favour clinical use of centrally placed catheters instead of peripherally inserted central catheters, and that the two catheter types do not differ with respect to catheter-related infection rates.
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| 2. |
- Pikwer, Andreas, et al.
(författare)
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Fluid balance monitoring by cuff-occluded rate of rise of peripheral venous pressure in haemodialysis patients.
- 2012
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Ingår i: Anaesthesia. - : Wiley. - 1365-2044 .- 0003-2409. ; 67:8, s. 894-898
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Tidskriftsartikel (refereegranskat)abstract
- Cuff-occluded rate of rise of peripheral venous pressure has been proposed to reflect volume changes in experimental studies. The aim of this study was to evaluate changes in cuff-occluded rate of rise of peripheral venous pressure associated with fluid removal by haemodialysis in six adult patients with chronic renal failure on intermittent haemodialysis. Measurements were carried out before and after each haemodialysis session. The volume of fluid removed (indexed to body surface area) linearly correlated with changes in cuff-occluded rate of rise of peripheral venous pressure (r = 0.84; r(2 ) =( ) 0.70; p = 0.037). Cuff-occluded rate of rise of peripheral venous pressure may be feasible for future clinical monitoring of individual fluid balance.
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| 4. |
- Jensen, A. G., et al.
(författare)
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Note: Atelectasis and oxygenation in major surgery with either propofol with or without nitrous oxide or isoflurane anaesthesia
- 1993
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Ingår i: Anaesthesia. - : Wiley-Blackwell. - 0003-2409 .- 1365-2044. ; 48:12, s. 1094-1096
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Forty-two patients undergoing major colonic surgery were assigned at random to receive isoflurane-fentanyl anaesthesia with nitrous oxide in oxygen, propofol-fentanyl anaesthesia with air in oxygen or propofol-fentanyl anaesthesia with nitrous oxide in oxygen. The groups were comparable in demographic data. Atelectases were identified, and the area measured by computerised tomography of the chest 203±69 min after extubation. and oxygenation was determined by arterial blood gas samples taken during operation at 30, 60, 90 and 120 min after extubation and on postoperative days 1, 2 and 3. Atelectases were seen in all three groups with no differences in the mean area between groups. After operation, the effect of 4 l.min−1 of oxygen by nasal catheter on Pao2 was similar in all groups. A significant decrease in PaO2 was found during the first 3 days after surgery, and was also the same in all groups. There was no correlation between area of atelectasis and postoperative PaO2. We conclude there is no difference in the incidence of postoperative atelectasis or oxygenation when using propofol, with or without nitrous oxide or isoflurane.
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