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  • 1.
    Abad-Gurumeta, A.
    et al.
    Dept Anaesthesia, Hosp Univ la Paz, Madrid, Spain.
    Ripolles-Melchor, J.
    Dept Anaesthesia, Hosp Univ Infanta Leonor, Univ Complutense Madrid, Madrid, Spain.
    Casans-Frances, R.
    Dept Anaesthesia, Hosp Clin Univ Lozano Blesa, Zaragoza, Spain.
    Espinosa, A.
    Dept Anaesthesia, Örebro University Hospital, Örebro, Sweden.
    Martinez-Hurtado, E.
    Dept Anaesthesia, Hosp Univ Infanta Leonor, Univ Complutense Madrid, Madrid, Spain.
    Fernandez-Perez, C.
    Dept Consultant Prevent Med & Publ Hlth, Univ Complutense Madrid, Madrid, Spain.
    Ramirez, J. M.
    Dept Colorectal Surg, Univ Zaragoza, Zaragoza, Spain.
    Lopez-Timoneda, F.
    Hosp Clin San Carlos, Dept Anaesthesia, Univ Complutense Madrid, Madrid, Spain.
    Calvo-Vecino, J. M.
    Hosp Univ Infanta Leonor, Dept Anaesthesia, Univ Complutense Madrid, Madrid, Spain.
    A systematic review of sugammadex vs neostigmine for reversal of neuromuscular blockade2015Ingår i: Anaesthesia, ISSN 0003-2409, E-ISSN 1365-2044, Vol. 70, nr 12, s. 1441-1452Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    We reviewed systematically sugammadex vs neostigmine for reversing neuromuscular blockade. We included 17 randomised controlled trials with 1553 participants. Sugammadex reduced all signs of residual postoperative paralysis, relative risk (95% CI) 0.46 (0.29-0.71), p=0.0004 and minor respiratory events, relative risk (95% CI) 0.51 (0.32-0.80), p=0.0034. There was no difference in critical respiratory events, relative risk (95% CI) 0.13 (0.02-1.06), p=0.06. Sugammadex reduced drug-related side-effects, relative risk (95% CI) 0.72 (0.54-0.95), p=0.02. There was no difference in the rate of postoperative nausea or the rate of postoperative vomiting, relative risk (95% CI) 0.94 (0.79-1.13), p=0.53, and 0.87 (0.65-1.17), p=0.36 respectively.

  • 2.
    Bowyer, A.
    et al.
    Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, Parkville Vic, Australia.
    Jakobsson, J.
    Department for Anaesthesia and Intensive Care, Institution of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden.
    Ljungqvist, Olle
    Region Örebro län. Department of Surgery; Institution of Molecular medicine and Surgery, Karolinska Insitutet, Stockholm, Sweden.
    Royse, C.
    Department of Surgery, The University of Melbourne, Parkville Vic, Australia.
    A review of the scope and measurement of postoperative quality of recovery2014Ingår i: Anaesthesia, ISSN 0003-2409, E-ISSN 1365-2044, Vol. 69, nr 11, s. 1266-1278Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    To date, postoperative quality of recovery lacks a universally accepted definition and assessment technique. Current quality of recovery assessment tools vary in their development, breadth of assessment, validation, use of continuous vs dichotomous outcomes and focus on individual vs group recovery. They have progressed from identifying pure restitution of physiological parameters to multidimensional assessments of postoperative function and patient-focused outcomes. This review focuses on the progression of these tools towards an as yet unreached ideal that would provide multidimensional assessment of recovery over time at the individual and group level. A literature search identified 11 unique recovery assessment tools. The Postoperative Quality of Recovery Scale assesses recovery in multiple domains, including physiological, nociceptive, emotive, activities of daily living, cognition and patient satisfaction. It addresses recovery over time and compares individual patient data with base line, thus describing resumption of capacities and is an acceptable method for identification of individual patient recovery.

  • 3.
    Nilsson, Ulrica
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Anaesthesiology and Intensive Care, Örebro University Hospital, Sweden;Örebro, Department of Clinical Medicine, Division of Anaesthesiology, Örebro University Hospital, Örebro,Sweden..
    Rawal, Narinder
    Department of Clinical Medicine, Division of Anaesthesiology, Örebro University Hospital,Örebro, Sweden.
    Unosson, Mitra
    Department of Anaesthesiology and Intensive Care, Örebro University Hospital, Örebro, Sweden.
    A comparison of intra-operative or postoperative exposure to music: a controlled trial of the effects on postoperative pain2003Ingår i: Anaesthesia, ISSN 0003-2409, E-ISSN 1365-2044, Vol. 58, nr 7, s. 699-703Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The effect of intra-operative compared to postoperative music on postoperative pain was evaluated in a controlled trial. In all, 151 patients undergoing day case surgery for inguinal hernia repair or varicose vein surgery under general anaesthesia were randomly allocated to three groups: group 1. listened to music intra-operatively, group 2 listened to music postoperatively and group 3, the control group, listened to ‘white noise’. The anaesthetic and postoperative analgesic techniques were standardised. Pain was assessed using a numeric rating scale (0–10) and patients requirements for postoperative morphine, paracetamol and ibuprofen was recorded. The effect of music on nausea, fatigue and anxiety was also investigated. The results showed that patients exposed to music intra-operatively or postoperatively reported significantly lower pain intensity at 1 and 2 h postoperatively and patients in the postoperative music group required less morphine at 1 h compared to the control group. No differences were noted in the other variables. This study demonstrates that there is a short-term pain-reducing effect of music therapy however, the beneficial ffects do not differ if the patient is exposed to music intra-operatively or postoperatively.

     

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