September 2016 Highlights from Acta Anaesthesiologica Scandinavica
Highlights – September 2016 (with article hyperlinks):
Read an editorial about treatment of local anesthetic toxicity (P. H. Rosenberg. Current evidence is not in support of lipid rescue therapy in local anaesthetic systemic toxicity (pages 1029–1032), DOI: 10.1111/aas.12743
In an article by Munk et al., (L. Munk, G. Andersen and A. M. Møller Post-anaesthetic emergence delirium in adults: incidence, predictors and consequences (pages 1059–1066) DOI: 10.1111/aas.12717), emergence delirium was assessed in this report from a large hospital practice. It was found to be relatively common and related to male sex, use of endotracheal tube and volatile anaesthetics. This delirium was usually of short duration and the clinical consequences were minimal.
In an article by Karhu et al. (J. M. Karhu, T. I. Ala-Kokko, L. K. Ahvenjärvi, E. Rauvala, P. Ohtonen and H. P. T Syrjälä. Early chest computed tomography in adult acute severe community-acquired pneumonia patients treated in the intensive care unit (pages 1102–1110) DOI: 10.1111/aas.12749), in a retrospective study, X-ray and chest computed tomography were performed early after admittance to the ICU for 65 patients with severe community-acquired pneumonia. Chest computed tomography provided new findings for the majority which were not identified on X-ray, mostly for pleural fluid and atelectasis, and which often led to clinical interventions.
In article by Duce et al. (N. A. Duce, L. Gillett, J. Descallar, M. T. Tran, S. C. M. Siu and A. Chuan Visuospatial ability and novice brachial plexus sonography performance (pages 1161–1169).DOI: 10.1111/aas.12757), the authors present how the use of ultrasound in anaesthesia requires the ability to transform two-dimensional pictures into a mental perception of a three-dimensional relationship between structures. The study examined learning patterns among ultrasound novices. Better appreciation of individual student visual learning strengths and weaknesses should enable more effective teaching and learning.
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