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Anaesthesia and Intensive Care

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https://www.readbyqxmd.com/read/30189830/parasitic-infections-in-the-intensive-care-unit
#1
S L Becker, T K Becker
No abstract text is available yet for this article.
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189829/time-for-a-collaborative-approach-to-airway-training
#2
N C Chrimes
No abstract text is available yet for this article.
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189828/evaluation-of-a-new-bougie-design-for-the-difficult-airway-a-manikin-crossover-trial
#3
T L Brunckhorst, W Grimmett, M M Mun-San Kwan
No abstract text is available yet for this article.
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189827/potential-consequences-of-high-dose-infusion-of-ketamine-for-refractory-status-epilepticus-case-reports-and-systematic-literature-review
#4
D Golub, A Yanai, K Darzi, J Papadopoulos, B Kaufman
Our goal was to provide comprehensive data on the effectiveness of ketamine in refractory status epilepticus (RSE) and to describe the potential consequences of long-term ketamine infusion. Ketamine, an N-methyl D-aspartate (NMDA) receptor antagonist, blocks excitatory pathways contributing to ongoing seizure. While ketamine use is standard in anaesthetic induction, no definitive protocol exists for its use in RSE, and little is known about its adverse effects in long-term, high-dose administration. We present two cases of RSE that responded rapidly to ketamine infusion, both with fatal outcomes secondary to metabolic acidosis and cardiovascular collapse...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189826/a-survey-of-the-impact-of-patient-adverse-events-and-near-misses-on-anaesthetists-in-australia-and-new-zealand
#5
R Harrison, H Lee, A Sharma
We conducted a cross-sectional online survey of members of the Australian and New Zealand College of Anaesthetists to investigate their experiences of adverse patient safety events and near misses, including their use of incident reporting systems and the organisational support available. There were 247 respondents. Of the 243 anaesthetists whose patients had an adverse event or near miss, 199 reported this had affected them personally or professionally; 177 reported stress, 153 anxiety, 109 sleep disturbance, and 127 lower professional confidence...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189825/introduction-of-a-mandatory-pre-block-safety-checklist-into-a-regional-anaesthesia-block-room-service-a-quality-improvement-project
#6
E J McLellan, A D Hade, A Pelecanos, S Okano
Wrong-side block is an uncommon yet potentially preventable complication of regional anaesthesia. One strategy for reducing the incidence of wrong-side block is to introduce an additional check into the pre-block workflow in the form of a block 'time out' or 'stop before you block'. In the aftermath of a wrong-side block incident at our institution, the mandatory use of a pre-block safety checklist was successfully introduced into the workflow of the block room. Compliance with the checklist rose from 31% in the six-month pre-intervention phase to over 90% in the six-month post-intervention phase...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189824/an-audit-of-perioperative-blood-transfusions-in-a-regional-hospital-to-rationalise-a-maximum-surgical-blood-ordering-schedule
#7
R M Blank, S P Blank, H E Roberts
Appropriate preoperative blood typing and cross-matching is an important quality improvement target to minimise costs and rationalise the use of blood bank resources. This can be facilitated using a maximum surgical blood ordering schedule (MSBOS) for specific operations. It is recommended that individual hospitals develop a site-specific MSBOS based on institutional data, but this is challenging in non-tertiary centres without electronic databases. Our aim was to audit our perioperative blood transfusions to develop a site-specific MSBOS...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189823/attitudes-and-self-reported-end-of-life-care-of-australian-and-new-zealand-intensive-care-doctors-in-the-context-of-organ-donation-after-circulatory-death
#8
Y Y Lee, K Ranse, W Silvester, A Mehta, Fmp Van Haren
The incidence of organ donation after circulatory death (DCD) in Australia and New Zealand (ANZ) has steadily increased in recent years. Intensive care doctors are vital to the implementation of DCD and healthcare professionals' attitudes to DCD can influence their participation. In order to determine ANZ intensive care doctors' attitudes to DCD, to explore if demographic characteristics influence attitude to DCD and to assess if attitude to DCD can predict palliative prescription rationale at the end of life of DCD donors, a cross-sectional online survey was distributed to ANZ intensive care doctors and responses collected between 29 April and 10 June 2016...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189822/inhalational-versus-propofol-based-total-intravenous-anaesthesia-practice-patterns-and-perspectives-among-australasian-anaesthetists
#9
A Lim, S Braat, J Hiller, B Riedel
Increasing evidence suggests that total intravenous anaesthesia (TIVA) may be the preferred anaesthetic for cancer resection surgery. To assist the preparation of a randomised controlled trial (RCT) examining Volatile (versus TIVA) Anaesthesia and Perioperative Outcomes Related to Cancer (VAPOR-C) we developed an 18-question electronic survey to investigate practice patterns and perspectives (emphasising indications, barriers, and impact on cancer outcomes) of TIVA versus inhalational general anaesthesia in Australasia...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189821/a-randomised-controlled-trial-comparing-fibreoptic-guided-tracheal-intubation-through-two-supraglottic-devices-ambu%C3%A2-auragain%C3%A2-laryngeal-mask-and-lma%C3%A2-fastrach%C3%A2
#10
G Preece, I Ng, K Lee, P Mezzavia, R Krieser, D L Williams, O Stewart, R Segal
The Ambu®AuraGain™ laryngeal mask (LM) (Ambu A/S, Ballerup, Denmark) is one of the few readily available second-generation supraglottic airway devices (SADs) that offer a conduit for fibreoptic-guided endotracheal intubation. We aimed to compare fibreoptic intubation through this device with the LMA® (laryngeal mask airway) Fastrach™ (Teleflex Medical, Co. Westmeath, Ireland), which has been a recommended dedicated rescue device for the management of the unanticipated difficult airway. This randomised controlled trial compared a previously described fibreoptic score in 116 patients with no known airway pathology, who had asleep fibreoptic endotracheal intubation via either the AuraGain LM or the LMA Fastrach...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189820/does-a-catheter-over-needle-system-reduce-infusate-leak-in-continuous-peripheral-nerve-blockade-a-randomised-controlled-trial
#11
R M Edwards, D A Currigan, S Bradbeer, C Mitchell
Continuous peripheral nerve blockade is a common technique in the analgesic management for many procedures. Leakage of local anaesthetic from around the nerve catheter insertion site can increase the chance of catheter dislodgement, risks infective complications, and could divert anaesthetic away from the nerve causing the block to fail. We conducted a randomised controlled trial to assess whether the type of nerve catheter influenced local anaesthetic leak rate. One hundred and ten patients scheduled for elective unilateral total knee arthroplasty were randomised to receive a perineural catheter with either a catheter over needle (CON) system (Pajunk® E-Cath) (PAJUNK® GmbH, Medizintechnologie, Geisingen, Germany), or catheter through needle (CTN) system (Pajunk® SonoLong) (PAJUNK® GmbH, Medizintechnologie, Geisingen, Germany)...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189819/fasting-or-starving-measurement-of-blood-ketone-levels-in-100-fasted-elective-and-emergency-adult-surgical-patients-at-an-australian-tertiary-hospital
#12
R J Burstal, J R Reilly, B Burstal
Prolonged fasting leads to a shift from carbohydrate to fat as the primary energy source, resulting in the production of ketones such as beta-hydroxybutyrate. Hyperketonaemia and ketoacidosis have been observed in young children fasting for surgery. The aim of this study was to investigate ketonaemia in adults fasted for surgery. One hundred non-diabetic adults presenting for elective or emergency surgery were assessed for the presence of hyperketonaemia (beta-hydroxybutyrate levels more than 1 mmol/l), and the relationship between beta-hydroxybutyrate, blood glucose and fasting duration was investigated...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189818/nutritional-prehabilitation-physiological-basis-and-clinical-evidence
#13
N L Pillinger, J L Robson, Pca Kam
In this narrative review, we describe the physiological basis for nutritional prehabilitation and evaluate the clinical evidence for its current roles in the perioperative period. Surgical stress and fasting induce insulin resistance as a result of altered mitochondrial function. Insulin resistance in the perioperative period leads to increased morbidity in a dose-dependent fashion, while preoperative carbohydrate loading attenuates insulin resistance, minimises protein loss and improves postoperative muscle function...
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189817/anaesthesia-and-awareness-searching-for-the-truth-about-consciousness-in-oblivion
#14
B J Piper, J A Loadsman
No abstract text is available yet for this article.
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189816/the-silence-of-our-friends
#15
G Goulding
No abstract text is available yet for this article.
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189815/how-do-we-eliminate-or-reduce-the-incidence-of-wrong-side-anaesthetic-blocks
#16
J J Pandit, C Danbury
No abstract text is available yet for this article.
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/30189814/mechanised-cardiac-massage
#17
C M Ball, P J Featherstone
No abstract text is available yet for this article.
September 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29966125/erratum
#18
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29966124/an-alternative-antiseptic-solution-to-5-povidone-iodine-for-regional-ophthalmic-blocks-in-patients-who-are-allergic-to-iodine
#19
LETTER
M J Chua, Awy Chua, Bph Harrisberg, C M Kumar
No abstract text is available yet for this article.
July 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29966123/anaesthetic-management-of-a-patient-with-infection-induced-acute-encephalopathy-3-iiae3-who-had-previously-developed-an-episode-of-severe-encephalopathy-following-a-surgical-procedure
#20
LETTER
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