Bakgrund: Kejsarsnitt har blivit vanligare, orsaken kan vara medicinska indikationer, men också förlossningsrädsla. Att kvinnor som föder barn vaginalt får en bättre upplevelse om de får stöd av en medmänniska är välkänt. Studier av kvinnor som föder barn med planerade kejsarsnitt visar att de också behöver stöd. Detta stöd ges framför allt av anestesisjuksköterskor eftersom barnmorskan är sterilklädd.Syfte: Syftet var att beskriva hur anestesisjuksköterskan ger stöd till den födande kvinnan vid planerat kejsarsnitt i spinalanestesi.Metod: En empirisk, deskriptiv studie med kvalitativ ansats genomfördes. Fem anestesisjuksköterskor intervjuades.

The anatomy and physiology of reptiles and mammals are in many ways different, and will therefore possibly complicate anesthetic administration. Lizards are ectothermic and one should keep in mind that a decrease in the lizard?s environmental temperature may result in reductions in anesthetic metabolism. Respiratory depression is a profound problem because lizards lack a diaphragm, making inhalation and expiration completely active processes. This, in combination with cardiac shunting and breath holding makes the effects of anesthesia unpredictable.

Pigs kept for meatproduction are often surgically castrated to prevent aggression and boartainted meat. Castration without analgesia and anesthesia is painful and causes a lot of stress to the pig. There are alternatives such as to surgically castrate the male pigs with analgesia and/or with anesthesia, immunocastrate or keep them as intact males. In Sweden the most common practice is to surgically castrate the pigs before they are seven days old. The impact on the pig is that the incision causes pain and stress, which may lead to changes in behaviour, reduced appetite, reduced growth and a higher risk of infections.

Background: An increasing number of operations on children are performed as day surgery and this experience of health care may affect future hospital stays. The aim of this qualitative study was to describe children´s experiences in connection with day surgery. Method: Ten children aged six to fifteen who had gone through general anesthesia at examinations or surgery were interviewed and the content was analyzed by systematic text condensation. Result: The core category ?From uncertainty to relief with newly acquired experience? could summarize the result of this interview study.

Aim Developmental Coordination Disorder Questionnaire 2007 (DCDQ'07) is an international survey tool based on parents' estimation of their child's motor coordination skills. The purpose of this study was to investigate the validity of a Swedish version of DCDQ'07 by finding out how the classification of Developmental Coordination Disorder (DCD) via DCDQ'07 is consistent with the classification of DCD via the motor impairment test, Movement ABC.MethodIn the context of a larger study, a Swedish translated version of the parent survey DCDQ'07 were sent to 4000 randomly selected families with children aged 8 - 10 years in Stockholm County. The classifications "DCD" or "NOT DCD" with cut-off values ??of 56 (9 years) and 57 (10 years) were applied. Forty families were selected from 410 registered responses.

Children are a group of patients that require special knowledge from the anesthesia staff, both general and specific. Theoretical knowledge and practical experience is necessary to adequately care for the child as it anatomically, physiologically and mentally may differ from adult patients.A growing problem in the pediatric population is overweight and obesity. From a stagnation in the early 2000s the prevalence of overweight and obesity among children in the world are again increasing.The purpose of this study was to examine peri-operative care of overweight and obese children.Systematic searches were done in PubMed, CINAHL and Scopus. After the quality audit according to SBU, twelve articles were included for analysis.Results suggest that overweight and obese children have a higher risk of respiratory peri-operative complications. The risk of hospital admission after outpatient surgery was also greater in this group as well as higher costs for health care.Overweight and obese children are complex subjects with more frequent peri-operative risk factors than normal-weight children.

Background. Anesthetic-related death in small animal anesthesia is about ten times more common than in human anesthesia. Recent research identifies the early postoperative period as particularly risky and highlights the need for regular and careful monitoring of the veterinary patient during this period. Objective. The aims of this study were to investigate whether there are standard procedures in terms of regulated routine patient observations and record-keeping during the early postoperative period at Swedish veterinary clinics, and if there are any guidelines for monitoring the veterinary patient during recovery. Methods. A small survey including ten Swedish veterinary clinics was carried out as well as a literature review. Results.

Bakgrund: Immobilisering a?r en vedertagen omva?rdnadsa?tga?rd inom dagens prehospitala traumava?rd, detta trots att det inte finns na?gra randomiserade kontrollerade studier anga?ende a?tga?rden. Ma?nga studier har dock visat att riskerna med immobilisering a?r ma?nga varfo?r det a?r viktigt att underso?ka omva?rdnadshandlingen na?rmare.Syfte: Syftet med studien var att underso?ka fo?rekomsten av radiologiskt faststa?llda spinala skador hos patienter som immobiliserats prehospitalt efter trauman, samt pa? vilka indikationer denna immobilisering gjordes.Metod: En kvantitativ retrospektiv studie da?r 288 journaler granskades i ambulansens journalsystem MobiMed 3.0 och i sjukhusets journalsystem Cosmic. Da?refter analyserades resultaten i SPSS deskriptivt och grafiskt, med chi2-test samt med oberoende t-test.Resultat: Resultatet visade att av de 246 patienter som genomga?tt en radiologisk underso?kning fanns en konstaterad spinal skada hos 48 patienter, vilket motsvarade cirka 17 %.

En ständig utveckling av den operativa miljön och krav på ökad produktivitet gjorde det angeläget att studera patienters upplevelser i samband med operationer. Allt fler operationer görs idag i spinalanestesi. Syftet med denna studie var att beskriva patienters upplevelse i samband med att genomgå en TUR-p operation i spinal anestesi. Studien genomfördes som en intervjustudie med kvalitativ ansats och bygger på åtta deltagare. En tematisk innehållsanalys genomfördes och resulterade i två övergripande teman: Att den långa väntetiden var en besvikelse och att stämning och miljö ingav trygghet och fyra underliggande kategorier: Att ha det jobbigt med prostatabesvär under den långa väntetiden, att få information var avgörande för att känna trygghet, att stämningen var bra gjorde att man kände tillit och förtroende och att den tekniska miljön var som förväntat.

The canine population has during it?s time with humans gone through at least 2 major genetic bottlenecks, the first when it was separated from the wolf, and the second when it was divided into different breeds. Among other things, this has lead to the accumulation of unwanted genes, such as genes causing disease in dogs. One such inherited disease is syringomyelia, which has proven to be more common than expected, especially in certain smaller breeds such as the Cavalier King Charles Spaniel. Syringomyelia in dogs is often a secondary condition caused by the malformation called occipital hypoplasia.

Every spring you can see newborn foals running on fields among the mare. But some unfortunate end up visiting the equine hospital requiring surgery. This is a challenge for the anesthetist because of the neonatal foal?s unique physiology. Therefore you need to take these differences under consideration when you anesthetize foals.

Vid operation av primär total höftplastik finns det olika metoder för postoperativ smärtlindring. En tidigare genomförd studie på ett mellansvenskt sjukhus (nedan kallad ?höftprojektet?) visade att ?Local infiltration analgesia? (LIA) initialt minskade postoperativ smärta, underlättade mobilisering samt förkortade vårdtiden, jämfört med spinalt morfin. I denna studie genomfördes en långtidsuppföljning av höftprojektet med mätningar efter 6 respektive 12 veckor. Studiegruppen hade fått LIA vid operationsslutet och kontrollgruppen spinalt morfin.

Background: Patients with cervical spinal cord injuries are often dependent on a mechanical ventilator due to the damage on the innervation to breathing musculature. During rehabilitation they have to be trained to regain own breathing. This unweaning process may give respiratory complications, which are main causes to morbidity and death. These respiratory complications are traditionally treated in an intensive care unit (ICU), which means that the patients have to return back to these emergency units.Aim: To investigate number, length and causes of returns to intensive care units and the length of the weaning process. Further, to compare if a multidisciplinary approach to the weaning process may reduce ICU returns and to shorten the weaning process.

The aim of this study was to investigate for how long patients fast before thoracic surgery, plastic surgery and ear, nose and throat surgery, at the University hospital of  Uppsala, and what knowledge patients have about fasting and how they get affected by it. 30 patients were interviewed, 10 patients at each ward, according to a questionnaire. Data processing was performed with SPSS. There was no difference in fasting time for solids between the wards but the mean fasting time was 14 hours. In the thoracic ward patients fasted from liquids considerably longer than in the other wards.

Trauma tillhör en av de vanligaste dödsorsakerna i västvärlden och patientgruppen är relativt ung. Både prehospitalt och hospitalt har det skett en genomgående utveckling i omhändertagandet av traumapatienter. Det har utvecklats olika konceptutbildningar med syfte att snabbt och korrekt kunna bedöma patientens fysiska status, avgöra om patienten är allvarligt skadad och utifrån det avgöra hur snabbt patienten ska transporteras till sjukhus.Trauma mot ryggkotpelaren med akut ryggmärgsskada som följd är förödande mot den enskilde individen. Det är viktigt att i ett tidigt skede misstänka en spinal skada för att så korrekt som möjligt behandla patienten utan att förvärra tillståndet. En av de viktigaste behandlingsstrategierna är att med immobilisering förhindra överrörlighet i kotpelaren och därmed motverka ytterligare trauma mot ryggmärgen.