ABSTRACTIntroduction: An increasing number of patients in Sweden receive epidural anaesthesia (EDA) in connection to surgery. Caring for patients with acute pain is a responsibility that is strongly established within the profession of the nurse anaesthetist. If the care provided by the nurse anaesthetist for patients who receive epidural anaesthesia is to evolve then further insight and knowledge is required regarding the individual´s experience.Aim: To describe patients' experiences in receiving epidural anaesthesia based on an earlier perioperative start-up of the EDA.Method: Based on a qualitative approach, the aim is to conduct semi-structured interviews with patients who receive EDA in connection to abdominal or gynaecological surgery. Research subjects' statements in the context of the interviews will be transcribed and then analysed using qualitative content analysis. In order to evaluate the chosen method regarding data collection and analysis model an exploratory pilot study was conducted.

Health care is increasingly complex, which increases the demand for knowledge and expertise. Despite this, the share of specialized nurses, including anaesthesia nurses, has decreased from 65% to 48% from year 1995 to year 2008, according to statistics from the National Board of Health and Welfare (Socialstyrelsen) in 2010. Studies indicate that there may be various factors in the work environment that anaesthesia nurses, choose to leave the anaesthesia profession. The purpose of this study was to examine how anaesthesia nurses experienced the physical and psychosocial work. The study was conducted as a descriptive study with qualitative approach.

The reasons for hypothermia during general anaesthesia are many and varied. The lowered body temperature causes negative physiological effects and leads to discomfort for the animal during the recovery period. This student report is a combination of field study and literature review. In the field study the changes in ambient temperature and the rectal temperature of dogs were monitored during general anaesthesia. The purpose of the study was to see if the body temperature of dogs was reduced during general anaesthesia.

Post-anaesthetic myopathy (PAM) is a serious occasional complication of general anaesthesia in horses. It causes not only pain and suffering to the horse, but also suffering (trauma) to the owner with increased veterinary costs. In the worst case PAM can be fatal. The anaesthetic nurse must know which parameters have to be taken into consideration in the prevention of PAM, to be able to prevent it, and use that knowledge for the animals safety. The aim of this literature review was to investigate and make a presentation of the factors and measurements associated with PAM, with focus on how to monitor these measurements to prevent it from happening, and the advice a Veterinary nurse can give to the horse owner regarding this condition. According to literature there a few factors that greatly increase the risk of PAM, these include- hypotension, periods less than 60 mmHg significantly increases the risk.

An overwhelming majority of all male piglets are castrated without anaesthesia when they are very young. In Sweden this means that approximately one and a half million piglets are castrated every year. The reason the piglets are castrated is the strong and unpleasant smell and taste, the ?boar taint? that the meat from intact boars sometimes exhibits. Boar taint is chiefly cause by androstenone and skatole, two compounds that are mostly produced by sexually mature boars and are accumulated in the subcutaneous fat.

This work is a combination of a literature study and a practical pilotstudy. In the literature study essential physiological reasons of why anaesthesia of horses is so risky are explained. Diffrent methods of induction and recovery are brought up, together with significant aspects of positioning the horse on the operating table and perianaesthetic complications such as myopathy, neuropathy and limb fractures. The pilotstudy had the purpose of examine the bodytemperature of horses undergoing general anaesthesia and to control the perianaesthetic temperature measurements performed in Swedish horseclinics and veterinary hospitals. Our hypothesis was that the bodytemperature of the horses would decrease but not enough to cause a problem. The purpose of this work has been to gather more profound knowledges in the subject of perianaesthetic nursing of horses which is an important part of the assignment of a veterinary nurse..

Patients who undergo surgery receive general anaesthesia or any form of conduction anaesthesia during the operation. For most people it is strange, unexpected and for many something completely new to be a patient and undergo surgery. Awake conduction anaesthetic patients? experiences from the intraoperative period were little studied. The purpose of this study was to examine awake conduction anaesthesia patients? experiences.

Patients who undergo surgery receive general anaesthesia or any form of conduction anaesthesia during the operation. For most people it is strange, unexpected and for many something completely new to be a patient and undergo surgery. Awake conduction anaesthetic patients? experiences from the intraoperative period were little studied. The purpose of this study was to examine awake conduction anaesthesia patients? experiences.

This retrospective study reviews and investigates type of dementia, related to co morbidity, symptoms of dementia, previus anaesthesia/surgery, intraoperative events and postoperative cognitive symptoms. The patient co morbidity was compared to occurrence in an age-matched population of 1095 individuals. Fifty-two patients with different types of dementia participated. Data was collected from patient journals.Compared to population, heredity for dementia, heart insufficiency, hypertension, depression and B12- deficiency was more frequent in the patients. B12- deficiency was common in vascular dementias and "burn-out syndrome" in early-onset AD.

In 2012, about 1.3 million boars were surgically castrated, most of them without anaesthesia. Castration is performed to avoid the occurrence of boar taint and aggressive and sexual behaviour. There is a growing concern about the welfare of the piglets and the Swedish Board of Agriculture is working to find efficient and functional alternatives to castration without anaesthesia. The aim of this study was to obtain an overall picture of the latest research about the alternatives to castration without anaesthesia, with focus on vaccination against boar taint, and how they affect the welfare of the pigs. The alternative methods that are available today are surgical castration with anaesthesia and/or analgesia, rearing entire males and vaccination against boar taint.

The castration of piglets is performed routinely all around the world. Most castrations are done without anaesthesia and analgesia, despite the fact that this procedure has been proved to induce acute pain and stress for the piglets. The procedure regarding castration of piglets is currently a hot topic of debate and an important political issue. The underlying issue is the boar taint which are highlighted in the heating of the meat after slaughter, which in turn can lead to reduced meat sales as it can be perceived as unpleasant for many consumers. The purpose of this study is to examine alternative drugs which may be selected in order to replace the practice of castration of piglets without anaesthesia, in light of improved animal welfare.

The aim of the present study was to evaluate if pulsed inhaled nitric oxide (PiNO) could be used as a treatment for hypoxemia during general anaesthesia in colic horses. Previous studies have shown a positive response in horses receiving PiNO in comparison to controls, but these studies have only included healthy individuals. A total of 30 horses were included in this present study, they all underwent abdominal surgery because of acute colic that could not be medically treated. Fifteen of the horses received PiNO and 15 horses served as a control group. Arterial oxygenation was improved in all horses receiving PiNO.

Background: The education for becoming a registered nurse in Sweden includes compulsory time for clinical practice. The clinical education means an essential part in the students? personal development. According to regulation for nurses, a registered nurse has the responsibility to supervise nurse students during their clinical placement.Aim:. The aim of the examination was to describe nurse students´ experiences of supervision during clinical education.Method: The study was an empirical examination based on interviews with seven nurse students.Results: The result showed that nurse students wanted to be seen and treated as colleagues, but not used as labour.

The number of HIV- positive is increasing all over the world and it's very likely to meet these patients as a nurse. The interaction between the nurse and the patient is characterized by experience and knowledge and at the same time the nurse is expected to act professionally. The purpose of this literature review is to investigate the nurse's complex of problems regarding the treatment of the HIV- positive patient by exploring the attitudes against HIV among nurses and how the nurse can maintain the integrity of the HIV- positive patient. Antonovsky's salutoqenic model, sense of coherence, has been used as theoretical frame. From 14 articles five topics have been found that influence the nurse's attitudes against HIV-positive patients.

Ten colic horses and seven healthy horses were included in a prospective study aiming to evaluate acid-base disturbances in colic horses. Traditional acid-base methods and measurements of lactate were used to study prognosis and changes before, during and after surgery. Strong ion gap, anion gap and base excess were compared to evaluate their ability to predict lactate. Of the ten colic horses that went through surgery, seven survived, two were euthanised and one died. Significant differences in plasma lactate levels were seen between the group of survivals and non-survivals, p=0,000025. No differences were seen in pH and base excess between the two groups.