| 1. |
|
|
| 2. |
- Brattwall, Metha, 1952, et al.
(author)
-
Safe Perioperative Practice, How Can We Further Improve Clinical Every Day Work?
- 2016
-
In: Journal of Perioperative & Critical Intensive Care Nursing. - : OMICS Publishing Group. - 2471-9870. ; 1:2, s. 1-4
-
Journal article (peer-reviewed)abstract
- Anaesthesia has become reassuringly safe. All modern anaesthetic agents are effective and associated to only minor side effects, anaesthetic machines and monitors helps delivery and closely in real time observation of vital signs. Anaesthesia practice has expanded and includes today perioperative care, preoperative assessment and optimisation, anaesthesia and postoperative care. Following the postoperative course up to day 30 after surgery is today of increasing interest and importance to document value based perioperative. Interprofessional care where the perioperative nurse has a major commitment will help to further improve the perioperative process.
|
|
| 3. |
- Brattwall, Metha, 1952, et al.
(author)
-
Upper extremity nerve block: how can benefit, duration, and safety be improved? An update
- 2016
-
In: F1000Research. - : F1000 Research Ltd. - 2046-1402. ; 5:907, s. 1-9
-
Journal article (peer-reviewed)abstract
- Upper extremity blocks are useful as both sole anaesthesia and/or a supplement to general anaesthesia and they further provide effective postoperative analgesia, reducing the need for opioid analgesics. There is without doubt a renewed interest among anaesthesiologists in the interscalene, supraclavicular, infraclavicular, and axillary plexus blocks with the increasing use of ultrasound guidance. The ultrasound-guided technique visualising the needle tip and solution injected reduces the risk of side effects, accidental intravascular injection, and possibly also trauma to surrounding tissues. The ultrasound technique has also reduced the volume needed in order to gain effective block. Still, single-shot plexus block, although it produces effective anaesthesia, has a limited duration of postoperative analgesia and a number of adjuncts have been tested in order to prolong analgesia duration. The addition of steroids, midazolam, clonidine, dexmedetomidine, and buprenorphine has been studied, all being off-label when administered by perineural injection, and the potential neurotoxicity needs further study. The use of perineural catheters is an effective option to improve and prolong the postoperative analgesic effect. Upper extremity plexus blocks have an obvious place as a sole anaesthetic technique or as a powerful complement to general anaesthesia, reducing the need for analgesics and hypnotics intraoperatively, and provide effective early postoperative pain relief. Continuous perineural infusion is an effective option to prolong the effects and improve postoperative quality.
|
|
| 4. |
- Sellbrant, I, et al.
(author)
-
Anaesthetics and analgesics; neurocognitive effects, organ protection and cancer reoccurrence an update.
- 2016
-
In: International journal of surgery (London, England). - : Ovid Technologies (Wolters Kluwer Health). - 1743-9159 .- 1743-9191. ; 34, s. 41-46
-
Journal article (peer-reviewed)abstract
- Available general and local anaesthetics, third generation inhaled anaesthetics, propofol and amide class local anaesthetics are effective and reassuringly safe. They are all associated to low incidence of toxicology and or adverse-effects. There is however a debate whether anaesthetic drug and technique could exhibit effects beyond the primary effects; fully reversible depression of the central nervous system, dose dependent anaesthesia. Anaesthetics may be involved in the progression of neurocognitive side effects seen especially in the elderly after major surgery, so called Postoperative Cognitive Dysfunction. On the other hand anaesthetics may exhibit organ protective potential, reducing ischemia reperfusion injury and improving survival after cardiac surgery. Anaesthetics and anaesthetic technique may also have effects of cancer reoccurrence and risk for metastasis. The present paper provides an update around the evidence base around anaesthesia potential contributing effect on the occurrence of postoperative cognitive adverse-effects, organ protective properties and influence on cancer re-occurrence/metastasis.
|
|
| 5. |
- Warrén Stomberg, Margareta, et al.
(author)
-
At-home monitoring after surgery/anaesthesia - a challenge.
- 2016
-
In: Journal of evaluation in clinical practice. - : Wiley. - 1365-2753 .- 1356-1294. ; 22:6, s. 886-890
-
Journal article (peer-reviewed)abstract
- Day surgery is evolving, with a majority of recoveries occurring at home. There is, in parallel, an evolution in telemedical technology. The aim of the present project was to identify patients' willingness to use predefined follow-up techniques and to clinically test preferred techniques at home using a two-step study.┅ METHODS: In Part I, a paper-based questionnaire study of identified patients' attitudes with three follow-up techniques was used. In Part II, a feasibility test of a mobile (smart-phone) application for follow-up at home was used.
|
|
