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Anaesthesia and Intensive Care

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https://www.readbyqxmd.com/read/28486905/epidural-saline-in-post-dural-puncture-headache-how-much
#1
V Sharma, P Bhatia, S Verma
No abstract text is available yet for this article.
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486904/in-reply
#2
G B Downey, J M McDonald, R G Downey
No abstract text is available yet for this article.
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486903/the-influence-of-survey-timing-on-anaesthesia-trainees-reported-sources-of-stress
#3
Nlt Tan
No abstract text is available yet for this article.
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486902/in-reply
#4
Fmp Van Haren, A Kerr
No abstract text is available yet for this article.
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486901/safety-of-nicotine-replacement-therapy-in-critically-ill-patients
#5
A Webb
No abstract text is available yet for this article.
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486900/endobronchial-cuff-leak-case-report-of-a-temporising-measure
#6
J K Bohman, T M Stewart
No abstract text is available yet for this article.
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486899/a-survey-of-australian-and-new-zealand-anaesthetists-attitudes-towards-resuscitation-orders-in-the-perioperative-setting
#7
Z Keon-Cohen, P S Myles, D A Story
Not for resuscitation (NFR) orders are often suspended during anaesthesia, as perioperative care is believed to inherently involve the need for resuscitation including ventilation support. Recent legislative changes in Australia, New Zealand and the UK have enacted the binding nature of advance care directives (ACDs) in healthcare. National guidelines regarding codes of practice and government strategic plans for implementing advance care planning have reinforced the role for advance care planning in modern healthcare...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486898/patient-and-community-attitudes-toward-perioperative-biobanking-and-genomic-research
#8
J Liddell, C Bain, P S Myles
We surveyed hospital patients and clinicians to ascertain their attitudes to the establishment of a perioperative biobank for future genomics research, and whether the requirements for an opt-out approach to consent can be met. We enrolled hospital patients (n=187), patient spouse/family members (n=64), ethics committee members (n=14), and clinical staff (doctors and nurses [n=67]), and unspecified community members (n=10). They were asked to rate and describe their views on medical research and biobanking, the need for individual consent, and the importance of confidentiality...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486897/effect-of-pre-hospital-advanced-airway-management-for-out-of-hospital-cardiac-arrest-caused-by-respiratory-disease-a-propensity-score-matched-study
#9
N Ohashi-Fukuda, T Fukuda, N Yahagi
Optimal pre-hospital care for out-of-hospital cardiac arrest (OHCA) caused by respiratory disease may differ from that for OHCA associated with other aetiologies, especially with respect to respiratory management. We aimed to investigate whether pre-hospital advanced airway management (AAM) was associated with favourable outcomes after OHCA caused by intrinsic respiratory disease. This nationwide, population-based, propensity score-matched study of adult patients in Japan with OHCA due to respiratory disease from 1 January 2005 to 31 December 2012 compared patients with and without pre-hospital AAM...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486896/the-effect-of-rapid-response-system-revision-on-standard-and-specific-intensive-care-unit-outcomes-in-a-regional-hospital
#10
K Joshi, V Campbell, M Landy, C M Anstey, R Gooch
Hospital systems for the recognition (afferent limb) and management (efferent limb) of deteriorating patients, or Rapid Response Systems (RRSs), are being mandated worldwide, in spite of conflicting evidence regarding their efficacy. We have evaluated the impact of an Adult Deterioration Detection System (Q-ADDS)-based RRS specifically on illness severity at intensive care unit (ICU) admission and ICU length of stay (LOS), as well as previously studied endpoints. We undertook a retrospective, single-centre observational study comparing equivalent 18-month periods before the Q-ADDS-based RRS, and after implementation...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486895/severe-hyperkalaemia-complicating-parathyroidectomy-in-patients-with-end-stage-renal-disease
#11
M Pauling, J C Lee, J W Serpell, S Wilson
We evaluated the incidence of perioperative hyperkalaemia in end-stage renal disease (ESRD) patients undergoing parathyroidectomy and investigated possible contributors to this phenomenon. This was a retrospective cohort study looking at patients who had undergone parathyroidectomy for chronic kidney disease-associated mineral bone disease (CKD-MBD) at The Alfred Hospital, Melbourne, since 2001. Baseline demographics including age, gender, aetiology of renal failure and mode of renal replacement therapy as well as anaesthetic technique and duration of surgery were studied as possible contributors...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486894/a-snapshot-of-the-oxygenation-of-mechanically-ventilated-patients-in-one-australian-intensive-care-unit
#12
D Dennis, L Torre, S Baker, T Hebden-Todd
Hyperoxaemia in patients undergoing mechanical ventilation (MV) has been found to be an independent predictor of worse outcome and in-hospital mortality in some conditions. Data suggests that a fraction of inspired oxygen (FiO<sub>2</sub>) of 0.4 or lower may produce hyperoxaemia although it is commonly accepted without adjustment in ventilator settings. The primary aim of this study was to observe current practice at one Australian tertiary intensive care unit (ICU) with regard to prescription and titration of oxygen (O<sub>2</sub>) in patients undergoing MV, in particular whether they received higher FiO<sub>2</sub> than required according to arterial blood gas (ABG) results, and whether there was FiO<sub>2</sub> titration as a response to initial ABG results during the 12 hours following...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486893/relationship-between-functional-status-prior-to-onset-of-critical-illness-and-mortality-a-prospective-multicentre-cohort-study
#13
R Rivera-Lopez, R Gutierrez-Rodriguez, C Lopez-Caler, E Aguilar-Alonso, E Castillo-Lorente, M Garcia-Delgado, M D Arias-Verdu, D Iglesias-Posadilla, J E Barrueco-Francioni, G Quesada-Garcia, R Rivera-Fernandez
This prospective study aimed to assess the association between prior functional status and hospital mortality for patients admitted to four intensive care units in Spain between 2006 and 2012. Prior functional status was classified into three groups, using a modification of the Glasgow Outcome Scale (GOS), including group 1 with no limitations on activities of daily living; group 2 with some limitations but self-sufficient; and group 3 who were dependent on others for their activities of daily living. Of the 1,757 patients considered (mean Simplified Acute Physiology Score [SAPS] predicted mortality 14...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486892/cardiopulmonary-resuscitation-from-the-patient-s-perspective
#14
S Wee, Z Y Chang, Y H Lau, Yky Wong, Cym Ong
With increasing emphasis on patient autonomy, patients are encouraged to be more involved in end-of-life issues, including the use of extraordinary efforts to prolong their lives. Being able to make anticipatory decisions is seen to promote autonomy, empower patients and optimise patient care. To facilitate shared decision-making, patients need to have a clear and accurate understanding of cardiopulmonary resuscitation (CPR). This study aims to understand the knowledge and perspectives of the local community regarding resuscitation options and end-of-life decision-making and to explore ways to improve the quality of end-of-life discussions...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486891/assessing-contemporary-intensive-care-unit-outcome-development-and-validation-of-the-australian-and-new-zealand-risk-of-death-admission-model
#15
E Paul, M Bailey, J Kasza, D V Pilcher
The Australian and New Zealand Risk of Death (ANZROD) model currently used for benchmarking intensive care units (ICUs) in Australia and New Zealand utilises physiological data collected up to 24 hours after ICU admission to estimate the risk of hospital mortality. This study aimed to develop the Australian and New Zealand Risk of Death admission (ANZROD<sub>0</sub>) model to predict hospital mortality using data available at presentation to ICU and compare its performance with the ANZROD in Australian and New Zealand hospitals...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486890/efficacy-and-safety-of-ultra-rapid-iron-polymaltose-infusion-during-general-anaesthesia
#16
R M Browning, N Alakeson, E J O'Loughlin
To assess the efficacy and safety of ultra rapid (15 minute) infusion of iron polymaltose to iron deficient patients during general anaesthesia, we performed a prospective, interventional non-randomised study on 99 adult patients with iron deficiency with or without anaemia presenting for surgery under general anaesthesia. Over 15 minutes during the maintenance phase of anaesthesia, patients were given iron polymaltose, 500 mg if not anaemic, or 1,000 mg if anaemic. Haemodynamic stability, immediate or delayed iron-related side-effects and efficacy at six weeks were assessed...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486889/coming-full-circle-thirty-years-of-paediatric-fluid-resuscitation
#17
N J Glassford, B Gelbart, R Bellomo
Fluid bolus therapy (FBT) is a cornerstone of the management of the septic child, but clinical research in this field is challenging to perform, and hard to interpret. The evidence base for independent benefit from liberal FBT in the developed world is limited, and the Fluid Expansion as Supportive Therapy (FEAST) trial has led to conservative changes in the World Health Organization-recommended approach to FBT in resource-poor settings. Trials in the intensive care unit (ICU) and emergency department settings post-FEAST have continued to explore liberal FBT strategies as the norm, despite a strong signal associating fluid accumulation with pulmonary pathology in the paediatric population...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486888/endothelial-glycocalyx-basic-science-and-clinical-implications
#18
N L Pillinger, Pca Kam
The classic Starling principle proposed that microvascular fluid exchange was determined by a balance of hydrostatic and oncotic pressures relative to the vascular wall and this movement of water was regulated by gaps in the intercellular spaces. However, current literature on the endothelial glycocalyx (a jelly-like protective layer covering the luminal surface of the endothelium) has revised Starling's traditional concepts. This article aims to summarise the literature on the glycocalyx related to its basic science, clinical settings inciting injury, protective strategies and clinical perspectives...
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486887/incident-reporting-aviation-and-anaesthesia
#19
A F Merry, B Henderson
No abstract text is available yet for this article.
May 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/28486886/anaesthesia-not-for-resuscitation-orders-and-shared-decision-making
#20
N M Gibbs
No abstract text is available yet for this article.
May 2017: Anaesthesia and Intensive Care
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