当前位置： SCI文献检索 > ACTA ANAESTHESIOLOGICA SCANDINAVICA期刊下所有文献 > Trends in practice and safety measures of epidural analgesia: Report of a national survey.

Trends in practice and safety measures of epidural analgesia: Report of a national survey.

Abstract：

BACKGROUND:The clinical use of epidural analgesia has changed over past decades. Minimally invasive surgery and emergence of alternative analgesic techniques have led to an overall decline in its use. In addition, there is increasing awareness of the patient-specific risks for complications such as spinal haematoma and abscess. Local guidelines for management of severe neurological complications during or after epidural analgesia, ie, "epidural alert systems", have been introduced in hospitals to coordinate and potentially streamline early diagnosis and treatment. How widely such protocols have been implemented in daily practice is unknown. METHODS:We conducted a survey to analyse trends in practice, key indications, safety measures, safety reporting, and management of complications of epidural analgesia in the Netherlands. Data were gathered using a web-based questionnaire and analysed using descriptive statistics. RESULTS:Questionnaires from 85 of all 94 Dutch hospitals performing epidural analgesia were collected and analysed, a 90% response rate. Fifty-five percent reported a trend towards decreased use of perioperative epidural analgesia, while 68% reported increasing use of epidural analgesia for labour. Reported key indications for epidural analgesia were thoracotomy, upper abdominal laparotomy, and abdominal cancer debulking. An epidural alert system for neurological complications of epidural analgesia was available in 45% of hospitals. CONCLUSIONS:This national audit concerning use and safety of epidural analgesia demonstrates that a minority of Dutch hospitals have procedures to manage suspected neurological complications of epidural analgesia, whereas in the remaining hospitals responsibilities and timelines for management of epidural emergencies are determined on an ad hoc basis.

journal_name

Acta Anaesthesiol Scand

journal_title

Acta anaesthesiologica Scandinavica

authors

Bos EME,Schut ME,de Quelerij M,Kalkman CJ,Hollmann MW,Lirk P

doi

10.1111/aas.13219

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

1466-1472

issue

10

eissn

0001-5172

issn

1399-6576

journal_volume

62

pub_type

杂志文章

相关文献

ACTA ANAESTHESIOLOGICA SCANDINAVICA文献大全
  • Bupivacaine does not suppress cardiac sympathetic nerve activity during halothane anesthesia in the cat.

    abstract：BACKGROUND:The finding that i.v. lidocaine suppresses cardiac sympathetic nerve activity during 1 MAC halothane, but not during 2 MAC or 3 MAC halothane, suggests that the neurally mediated circulatory effects of i.v. local anesthetics may vary with background autonomic activity. This study aimed to compare the effects...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1997.tb04749.x

    authors： Nishikawa K,Terai T,Morimoto O,Yukioka H,Asada A

    更新日期：1997-05-01 00:00:00

  • Neostigmine vs. sugammadex: observational cohort study comparing the quality of recovery using the Postoperative Quality Recovery Scale.

    abstract：BACKGROUND:Quality of postoperative recovery is an important outcome after surgery. An observational cohort study was designed to assess the quality of postoperative recovery using the Portuguese version of the Postoperative Quality Recovery Scale (PQRS) in patients treated with neostigmine vs. sugammadex as neuromuscu...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aas.12389

    authors： Amorim P,Lagarto F,Gomes B,Esteves S,Bismarck J,Rodrigues N,Nogueira M

    更新日期：2014-10-01 00:00:00

  • Anaesthesia for abdominal aortic surgery in patients with coronary artery disease, Part II: Effects of nitrous oxide on systemic and coronary haemodynamics, regional ventricular function and incidence of myocardial ischaemia.

    abstract：:This study examines the effects of nitrous oxide on haemodynamics, anterior left ventricular (LV) function and incidence of myocardial ischaemia in abdominal vascular surgical patients with coronary artery disease. Forty-seven patients were randomly assigned to isoflurane-fentanyl anaesthesia with nitrous oxide-oxygen...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.1994.tb04007.x

    authors： Hohner P,Backman C,Diamond G,Friedman A,Häggmark S,Johansson G,Karp K,Reiz S

    更新日期：1994-11-01 00:00:00

  • The redistribution of granulocytes following E. coli endotoxin induced sepsis.

    abstract：:Infusion of endotoxin elicits granulocytopenia followed by increased numbers of granulocytes in peripheral blood. The purpose of this study was to investigate the redistribution and sequestration of granulocytes in the tissues following E. coli endotoxin induced sepsis. From 16 rabbits granulocytes were isolated, labe...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1994.tb04017.x

    authors： Toft P,Lillevang ST,Tønnesen E,Nielsen CH,Rasmussen JW

    更新日期：1994-11-01 00:00:00

  • An increased body mass index is no risk factor for postoperative nausea and vomiting. A systematic review and results of original data.

    abstract：BACKGROUND:An increased Body Mass Index (BMI) is almost always mentioned as a fundamental risk factor for postoperative nausea (PN), vomiting (PV) or both (PONV). However, multivariate analyses were unable to detect any correlation. Therefore, we asked whether an increased BMI is really a risk factor for PONV. METHODS...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,meta分析

    doi：

    authors： Kranke P,Apefel CC,Papenfuss T,Rauch S,Löbmann U,Rübsam B,Greim CA,Roewer N

    更新日期：2001-02-01 00:00:00

  • Wireless high-frequency dorsal root ganglion stimulation for chronic low back pain: A pilot study.

    abstract：OBJECTIVE:Evaluation of the efficacy of a wireless high-frequency stimulator placed over selected DRG of exiting nerve roots for the treatment of chronic low back pain. DESIGN:Feasibility. SUBJECTS:Six subjects with chronic, intractable back pain refractory to standard medical treatment. METHODS:Four stimulators (Fr...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aas.13138

    authors： Billet B,Hanssens K,De Coster O,Nagels W,Weiner RL,Wynendaele R,Vanquathem N

    更新日期：2018-04-19 00:00:00

  • Changes of endothelin concentration in cerebrospinal fluid and plasma of patients with aneurysmal subarachnoid hemorrhage.

    abstract：:To investigate the clinical significance of endothelin (ET), a potent vasoconstrictor peptide, in subarachnoid hemorrhage (SAH) and SAH-related cerebral vasospasm, we measured the ET-like immunoreactivity (ET-LI) in plasma and cerebrospinal fluid (CSF) obtained serially from patients with SAH due to ruptured cerebral ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1994.tb03929.x

    authors： Shirakami G,Magaribuchi T,Shingu K,Kim S,Saito Y,Nakao K,Mori K

    更新日期：1994-07-01 00:00:00

  • Cardiac complications after elective major vascular surgery.

    abstract：:Cardiac complications are the major cause of perioperative and late mortality and morbidity in patients undergoing elective major vascular surgery. This review focuses on the pathophysiology of perioperative complications, risk assessment and risk reduction strategies, all related to cardiovascular disease. Patients w...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,评审

    doi：10.1034/j.1399-6576.2003.00149.x

    authors： Kertai MD,Klein J,van Urk H,Bax JJ,Poldermans D

    更新日期：2003-07-01 00:00:00

  • Mortality and complications after emergency laparotomy in patients above 80 years.

    abstract：:Emergency laparotomy (EL) is a high-risk procedure. However, available evidence regarding outcome after emergency surgery in very old patients is limited. The aim of this observational study was to investigate outcome following EL in patients ≥80 years of age. METHODS:This single-center retrospective study was undert...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aas.13594

    authors： Aakre EK,Ulvik A,Hufthammer KO,Jammer I

    更新日期：2020-08-01 00:00:00

  • Prediction of post-operative pain by an electrical pain stimulus.

    abstract：BACKGROUND:Treatment of post-operative pain is still a significant problem. Recently, interest has focused on pre-operative identification of patients who may experience severe post-operative pain in order to offer a more aggressive analgesic treatment. The nociceptive stimulation methods have included heat injury and ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2007.01271.x

    authors： Nielsen PR,Nørgaard L,Rasmussen LS,Kehlet H

    更新日期：2007-05-01 00:00:00

  • Can remifentanil be a better choice than propofol for colonoscopy during monitored anesthesia care?

    abstract：BACKGROUND AND OBJECTIVE:This prospective, randomized trial was designed to test the hypothesis that continuous infusion of low-dose remifentanil can provide effective analgesia, sedation, amnesia, patient comfort and stable recovery profile without respiratory depression when compared with propofol infusion during col...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.2006.01047.x

    authors： Akcaboy ZN,Akcaboy EY,Albayrak D,Altinoren B,Dikmen B,Gogus N

    更新日期：2006-07-01 00:00:00

  • Clinical effects of carticaine, a new local anesthetic. A survey and a double-blind investigation comparing carticaine with lidocaine in epidural analgesia.

    abstract：:Carticaine, a new local anesthetic of the amide type, differs from those previously known in that it contains a thiophene ring. The physico-chemical properties of the compound, its pharmacology and its toxicology are reviewed from the litererture. A controlled, double-blind investigation in which carticaine was compar...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章

    doi：10.1111/j.1399-6576.1977.tb01186.x

    authors： Brinklov MM

    更新日期：1977-01-01 00:00:00

  • Efficacy and safety of intravenous fentanyl administered by ambulance personnel.

    abstract：BACKGROUND:Management of pain in the pre-hospital setting is often inadequate. In 2011, ambulance personnel were authorized to administer intravenous fentanyl in the Central Denmark Region. The aim of this study was to evaluate the efficacy and safety of intravenous fentanyl administered by ambulance personnel. METHOD...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aas.12662

    authors： Friesgaard KD,Nikolajsen L,Giebner M,Rasmussen CH,Riddervold IS,Kirkegaard H,Christensen EF

    更新日期：2016-04-01 00:00:00

  • Recovery from sevoflurane and isoflurane anaesthesia after outpatient gynaecological laparoscopy.

    abstract：:As the low blood solubility (blood gas partition coefficient 0.69) of sevoflurane suggests a rapid emergence from anaesthesia, recovery from sevoflurane anaesthesia was compared to isoflurane in outpatient gynaecological laparoscopy. Fifty ASA I or II, consenting women participated in a randomised, controlled and sing...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.1995.tb04081.x

    authors： Eriksson H,Haasio J,Korttila K

    更新日期：1995-04-01 00:00:00

  • The influence of naloxone infusion on the action of intrathecal diamorphine: low-dose naloxone and neuroendocrine responses.

    abstract：:The influence of an intravenous infusion of naloxone 1 microgram kg-1 h-1, in combination with intrathecal diamorphine, on analgesia and hormonal stress responses after laminectomy was assessed in a blinded, randomized, placebo-controlled study. Twenty-seven patients undergoing laminectomy with postoperative analgesia...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1111/j.1399-6576.1992.tb03455.x

    authors： Wright PM,O'Toole DP,Barron DW

    更新日期：1992-04-01 00:00:00

  • Biochemical markers for brain damage after carbon monoxide poisoning.

    abstract：BACKGROUND:Carbon monoxide poisoning is associated with high mortality and a substantial risk for brain damage in survivors. Evidence for acute brain dysfunction may be obtained by measuring concentrations of suitable biochemical markers. We hypothesized that increased serum concentrations of Neuron-specific enolase (N...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2004.00362.x

    authors： Rasmussen LS,Poulsen MG,Christiansen M,Jansen EC

    更新日期：2004-04-01 00:00:00

  • DEX-2-TKA-DEXamethasone twice for pain treatment after Total Knee Arthroplasty: A protocol for a randomized, blinded, three-group multicentre clinical trial.

    abstract：BACKGROUND:Multimodal analgesia is considered the leading principle for post-operative pain treatment, but no gold standard after total knee arthroplasty (TKA) exists. AIM:To investigate the beneficial and harmful effects of one or two doses of 24 mg intravenous dexamethasone (DXM) as part of a multimodal analgesic re...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aas.13481

    authors： Gasbjerg KS,Hägi-Pedersen D,Lunn TH,Jakobsen JC,Overgaard S,Pedersen NA,Bagger J,Lindholm P,Brorson S,Schrøder HM,Thybo KH,Mathiesen O

    更新日期：2020-02-01 00:00:00

  • Albumin treatment following major surgery. II. Effects on postoperative lung function and circulatory adaptation.

    abstract：:The effects of i.v. infusion of 5% albumin and balanced salt solutions were investigated in a prospective study on 18 patients subjected to reconstruction of the abdominal aorta. The same schedules for blood replacement and intraoperative fluid therapy were followed for all patients. Postoperatively, the amounts of fl...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1981.tb01623.x

    authors： Zetterström H

    更新日期：1981-04-01 00:00:00

  • Atelectasis and lung function in the postoperative period.

    abstract：:Thirteen patients with healthy hearts and lungs, and with a mean age of 68 years, who were scheduled for lower abdominal surgery during isoflurane anaesthesia with muscular paralysis, were investigated with arterial blood gases, spirometry, pulmonary x-ray and computed tomography (CT) of the chest before and during an...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1992.tb03516.x

    authors： Lindberg P,Gunnarsson L,Tokics L,Secher E,Lundquist H,Brismar B,Hedenstierna G

    更新日期：1992-08-01 00:00:00

  • Extremely prolonged neuromuscular blockade after rocuronium: a case report.

    abstract：:It is known that the duration of rocuronium action can be prolonged in elderly patients and that such action shows important interindividual variability. We report a case of prolonged neuromuscular block lasting 11 h, in a woman subjected to kidney transplantation. The possible causes of such prolonged action, inheren...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.2009.01977.x

    authors： Morales Martín AC,Vaquero Roncero LM,Muriel Villoria C

    更新日期：2009-08-01 00:00:00

  • Changes in the auditory evoked potentials index by induction doses of four different intravenous anesthetics.

    abstract：BACKGROUND:Many studies have investigated the electroencephalographic changes during the induction and maintenance of anesthesia. However, no comparative studies have been performed on the effects of intravenous anesthetics on the auditory evoked potentials index (AAI). The present study was performed to compare the ch...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章

    doi：10.1111/j.1399-6576.2005.00820.x

    authors： Nishiyama T

    更新日期：2005-10-01 00:00:00

  • Disturbing post-operative symptoms are not reduced by prophylactic antiemetic treatment in patients at high risk of post-operative nausea and vomiting.

    abstract：BACKGROUND:To give prophylactics or timely treatment for post-operative nausea and vomiting (PONV) is the question. We compared the intensity and number of disturbing post-operative symptoms (i.e. pain, PONV, headache, fatigue, etc.) after prophylactic antiemetic treatment in a group of patients with >30% risk for post...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1111/j.0001-5172.2004.00403.x

    authors： Alkaissi A,Gunnarsson H,Johnsson V,Evertsson K,Ofenbartl L,Kalman S

    更新日期：2004-07-01 00:00:00

  • Repeated episodes of myocardial ischaemia during combined thoracic epidural-isoflurane anaesthesia.

    abstract：:A patient with a history of coronary artery diseases developed new ST segment depressions in the ECG registration during a low dose (0.7%) isoflurane anaesthesia that was combined with a continuous thoracic epidural analgesia. Simultaneously a small decrease in mean arterial blood pressure (MAP) was noted. During the ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1994.tb03941.x

    authors： Sigurdsson GH,Brouwer RP,Thomson D

    更新日期：1994-07-01 00:00:00

  • Spondylitis without epidural abscess formation following short-term use of an epidural catheter.

    abstract：:A 42-year-old patient had undergone total hip replacement for aseptic femoral head necrosis 9 years previously. He now presented with loosening of the prosthesis and pseudoarthrosis sustained following a femoral shaft fracture 7 months earlier. A total hip replacement was carried out in general anaesthesia combined wi...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1990.tb03064.x

    authors： Lynch J,Zech D

    更新日期：1990-02-01 00:00:00

  • Survival of female geriatric patients after hip fracture surgery. A comparison of 5 anesthetic methods.

    abstract：:Female geriatric patients (mean age 80.9 years; n = 169) undergoing surgery for hip fracture were given epidural, neurolept analgesia, ketamine, enflurane or halothane anesthesia. The rate of survival in the different groups was studied up to 4 years after the operation and compared with the expected survival of norma...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1982.tb01825.x

    authors： Wickström I,Holmberg I,Stefánsson T

    更新日期：1982-12-01 00:00:00

  • Effect of adding midazolam to bupivacaine during rectus sheath block: a randomised controlled trial.

    abstract：BACKGROUND:Various adjuvants have been tried to improve quality and increase duration of local anaesthetics during various nerve blocks. We aimed to evaluate the effect of adding midazolam to bupivacaine on rectus sheath (RS) block in patients undergoing umbilical or epigastric hernia repair. METHODS:In all, 60 adult ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,随机对照试验

    doi：10.1111/aas.13090

    authors： Ammar A,Mahmoud K,Kasemy Z

    更新日期：2018-07-01 00:00:00

  • An observational study of community-acquired severe sepsis comparing intensive care and non-intensive care patients.

    abstract：BACKGROUND:Most studies of sepsis are from intensive care units (ICUs). We aimed to investigate community-acquired severe sepsis in a broader population, in order to compare patients treated in or outside an ICU . METHODS:We performed a 1-year prospective observational study with enrollment of patients from three unit...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/aas.12848

    authors： Nygård ST,Skrede S,Langeland N,Flaatten HK

    更新日期：2017-02-01 00:00:00

  • Haemodynamic effects of intravenous procaine as a supplement to general anaesthesia in patients with valvular heart disease.

    abstract：:The effect of intravenous procaine, 2 mg/kg/min, on the cardiovascular function of nine patients scheduled for cardiac valve replacement was studied under enflurane-pancuronium anaesthesia. Procaine infusion was started after intubation during steady-state anaesthesia, and continued until start of cardiopulmonary by-p...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1984.tb02005.x

    authors： Waaben J,Sørensen O,Wiberg-Jørgensen F,Flachs H,Skovsted P

    更新日期：1984-02-01 00:00:00

  • Ultrasound-guided peripheral nerve blocks: what are the benefits?

    abstract：BACKGROUND:Use of ultrasound by anaesthesiologists performing regional blocks is rapidly gaining popularity. The aims of this review were to summarize and update accumulating evidence on ultrasound-guided nerve blocks, with an emphasis on the clinical relevance of the results and to critically appraise changing standar...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章,评审

    doi：10.1111/j.1399-6576.2008.01666.x

    authors： Koscielniak-Nielsen ZJ

    更新日期：2008-07-01 00:00:00

  • Aerosolized surfactant reverses respiratory failure in lung-lavaged rats.

    abstract：:The effects of surfactant replacement by aerosol inhalation and by bolus instillation were compared in rats with respiratory failure induced by repeated lung lavage. The rats were anesthetized with pentobarbital sodium and mechanically ventilated with 100% oxygen. The PaO2 of control rats not given surfactant (n = 9) ...

    journal_title：Acta anaesthesiologica Scandinavica

    pub_type： 杂志文章

    doi：10.1111/j.1399-6576.1994.tb03842.x

    authors： Li WZ,Chen WM,Kobayashi T

    更新日期：1994-01-01 00:00:00