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Anaesthesia and Intensive Care

journal
https://www.readbyqxmd.com/read/29361266/major-haemorrhage-associated-with-the-flexi-seal%C3%A2-fecal-management-system
#1
D A Abu-Ssaydeh, T W Rechnitzer, B P Knowles, T S Richmond
No abstract text is available yet for this article.
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361265/intraoperative-use-of-adjuvants-for-opioid-sparing-a-cross-sectional-survey-of-anaesthetists-in-teaching-hospitals-in-south-australia
#2
V Thiruvenkatarajan, R Watts, A Barratt, P Pazvash, S Howell, R M Van Wijk
No abstract text is available yet for this article.
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361264/fluid-bolus-therapy-for-the-ward-treatment-of-oliguria-after-major-abdominal-surgery
#3
M A Kubicki, G M Eastwood, R Bellomo
No abstract text is available yet for this article.
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361263/ongoing-design-concerns-of-portable-oxygen-cylinders
#4
M R Matusik, P D Smith
No abstract text is available yet for this article.
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361262/cannula-cricothyroidotomy-and-rescue-oxygenation-with-the-rapid-o2%C3%A2-oxygen-insufflation-device-in-the-management-of-a-can-t-intubate-can-t-oxygenate-scenario
#5
S Wexler, K Hall, R Y Chin, S N Prineas
We describe the successful use of cannula cricothyroidotomy and the Rapid-O2™ oxygen insufflation device (Meditech Systems Ltd, Dorset, UK) for rescue of a can't intubate/can't oxygenate (CICO) scenario in a patient with severe airway haemorrhage post-debridement of laryngeal amyloidosis. This case highlights the practical utility of a cannula technique for CICO rescue when appropriate equipment is used and when institutional measures are taken to prepare for this rare anaesthetic crisis.
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361261/predicting-medical-emergency-team-calls-cardiac-arrest-calls-and-re-admission-after-intensive-care-discharge-creation-of-a-tool-to-identify-at-risk-patients
#6
Y H Ng, D V Pilcher, M Bailey, C A Bain, C MacManus, T K Bucknall
We aimed to develop a predictive model for intensive care unit (ICU)-discharged patients at risk of post-ICU deterioration. We performed a retrospective, single-centre cohort observational study by linking the hospital admission, patient pathology, ICU, and medical emergency team (MET) databases. All patients discharged from the Alfred Hospital ICU to wards between July 2012 and June 2014 were included. The primary outcome was a composite endpoint of any MET call, cardiac arrest call or ICU re-admission. Multivariable logistic regression analysis was used to identify predictors of outcome and develop a risk-stratification model...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361260/associations-of-fluid-amount-type-and-balance-and-acute-kidney-injury-in-patients-undergoing-major-surgery
#7
L Weinberg, Mhg Li, L Churilov, A Armellini, M Gibney, T Hewitt, C O Tan, R Robbins, D Tremewen, C Christophi, R Bellomo
Fluid administration has been reported to be associated with an increased risk of acute kidney injury (AKI). We assessed whether, after correction for fluid balance, amount and chloride content of fluids administered have an independent association with AKI. We performed an observational study in patients after major surgery assessing the independent association of AKI with volume, chloride content and fluid balance, after adjustment for Physiological and Operative Severity Score for enUmeration of Mortality and morbidity (POSSUM) score, age, elective versus emergency surgery, and duration of surgery...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361259/the-establishment-of-an-anaesthetist-managed-intraoperative-neurophysiological-monitoring-service-and-initial-outcome-data
#8
B L Olesnicky, R J D'Souza, D Jayram, Omo Kim, A Rehak
Neurophysiological monitoring has been recommended to reduce the risk of neurological damage during a wide variety of surgeries. While the concept of an anaesthesia-led intraoperative neurophysiological monitoring (IONM) service is not new, the quality of this service provision has not been studied. In this article, we present our experience with the establishment of this service, and the results of our audit of 302 cases monitored over the initial four years. Our results identified that an anaesthesia-led IONM service was able to achieve a reliable signal in 95...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361258/the-use-of-a-simple-three-level-bronchoscopic-assessment-of-inhalation-injury-to-predict-in-hospital-mortality-and-duration-of-mechanical-ventilation-in-patients-with-burns
#9
M T Aung, D Garner, M Pacquola, S Rosenblum, J McClure, H Cleland, D V Pilcher
Major burn centres in Australia use bronchoscopy to assess severity of inhalation injuries despite limited evidence as to how best to classify severity of inhalational injury or its relationship to patient outcomes. All patients with burns who were admitted to the intensive care unit (ICU) at The Alfred Hospital between February 2010 and July 2014 and underwent bronchoscopy to assess inhalational injury, were reviewed. Age, total body surface area burnt, severity of illness indices and mechanisms of injury were extracted from medical histories and local ICU and burns registries...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361257/the-impact-of-alcohol-related-admissions-on-resource-use-in-critically-ill-patients-from-2009-to-2015-an-observational-study
#10
P J Secombe, P C Stewart
Excessive alcohol use is associated with increased health care utilisation and increased mortality. This observational study sought to identify the proportion of patients admitted with a critical illness in which alcohol misuse contributed, and to examine the resource use for this group. We performed an observational retrospective database review of all admissions to the Alice Springs Hospital intensive care unit (ICU) between 1 January 2009 and 31 December 2015. The Alice Springs Hospital ICU is a ten-bed unit located in Central Australia, with approximately 600 admissions annually...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361256/the-effect-of-sevoflurane-on-the-transmural-dispersion-of-repolarisation-in-patients-with-type-2-diabetes-mellitus-a-prospective-observational-study
#11
V Thiruvenkatarajan, J Jeyadoss, V Rao Kadam, L Y Du, W-M Liu, R M Van Wijk
The 'torsadogenic' property of a drug is linked to its ability to increase the transmural dispersion of repolarisation, represented by the interval between the peak of, and the end of, the T-wave (Tp-e interval) in an electrocardiogram. Reports have consistently shown that sevoflurane does not increase the Tp-e interval. Type 2 diabetes is a risk factor for increased QTc (rate-corrected QT interval), QTcd (rate-corrected QTc dispersion: difference between the maximum and the minimum QTc interval), and Tp-e, as well as the rate-corrected Tp-e (Tp-e/QTc ratio)...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361255/prevalence-of-augmented-renal-clearance-and-performance-of-glomerular-filtration-estimates-in-indigenous-australian-patients-requiring-intensive-care-admission
#12
D Tsai, A A Udy, P C Stewart, S Gourley, N M Morick, J Lipman, J A Roberts
Augmented renal clearance (ARC) refers to the enhanced renal excretion of circulating solute commonly demonstrated in numerous critically ill subgroups. This study aimed to describe the prevalence of ARC in critically ill Indigenous Australian patients and explore the accuracy of commonly employed mathematical estimates of glomerular filtration. We completed a single-centre, prospective, observational study in the intensive care unit (ICU), Alice Springs Hospital, Central Australia. Participants were critically ill adult Indigenous and non-Indigenous Australian patients with a urinary catheter in situ...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361254/high-flow-humidified-nasal-oxygen-in-pregnant-women
#13
Pcf Tan, A T Dennis
Failed airway management in the obstetric patient undergoing general anaesthesia is associated with major sequelae for the mother and/or fetus. Effective and adequate pre-oxygenation is an important safety strategy and a recommendation in all current major airway guidelines. Pre-oxygenation practice in the obstetric population may be suboptimal based on current literature. Recently, clinical applications for high flow nasal oxygen, also known as transnasal humidified rapid insufflation ventilatory exchange or THRIVE, are expanding in the non-obstetric population and may have theoretical benefits if used for pre-oxygenation and apnoeic oxygenation in the obstetric population...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361253/anaesthetic-issues-in-robotic-assisted-minimally-invasive-surgery
#14
S Pathirana, Pca Kam
Over the past decade there has been an exponential increase in the number of robotic-assisted surgical procedures performed in Australia and internationally. Despite this growth, there are no level I or II studies examining the anaesthetic implications of these procedures. Available observational studies provide insight into the significant challenges for the anaesthetist. Most anaesthetic considerations overlap with those of non-robotic surgery. However, issues with limited patient access and extremes of positioning resulting in physiological disturbances and risk of injury are consistently demonstrated concerns specific to robotic-assisted procedures...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361252/basic-and-advanced-echocardiographic-evaluation-of-myocardial-dysfunction-in-sepsis-and-septic-shock
#15
S Vallabhajosyula, S Pruthi, S Shah, B M Wiley, S V Mankad, J C Jentzer
Sepsis continues to be a leading cause of mortality and morbidity in the intensive care unit. Cardiovascular dysfunction in sepsis is associated with worse short- and long-term outcomes. Sepsis-related myocardial dysfunction is noted in 20%-65% of these patients and manifests as isolated or combined left or right ventricular systolic or diastolic dysfunction. Echocardiography is the most commonly used modality for the diagnosis of sepsis-related myocardial dysfunction. With the increasing use of ultrasonography in the intensive care unit, there is a renewed interest in sepsis-related myocardial dysfunction...
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361251/feasibility-and-pilot-studies-small-steps-before-giant-leaps
#16
D A Story, K Leslie, C French
No abstract text is available yet for this article.
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361250/monitoring-the-nervous-system-it-s-time-to-up-our-game
#17
T J McCulloch, A F Hastings
No abstract text is available yet for this article.
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361249/coramine-and-other-analeptics
#18
C M Ball, P J Featherstone
No abstract text is available yet for this article.
January 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29137589/gastric-decompression-before-laparoscopic-entry-via-palmer-s-point
#19
P D Cook, R P Land
No abstract text is available yet for this article.
November 2017: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29137588/sodium-glucose-linked-transporter-2-inhibitor-associated-perioperative-euglycaemic-diabetic-ketoacidosis-a-case-for-a-perioperative-guideline
#20
C Hoffman, M Green, O Megafu
No abstract text is available yet for this article.
November 2017: Anaesthesia and Intensive Care
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