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Anaesthesia and Intensive Care

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https://www.readbyqxmd.com/read/27832578/tracheostomy-as-a-model-for-studying-the-systemic-effects-of-local-tissue-injuries-and-the-cytokine-patterns-of-acute-inflammation-design-rationale-and-analysis-plan
#1
U Trahtemberg, S Sviri, M Mandel, P V van Heerden, Z Agur, M Beil
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832577/sharing-is-caring-a-new-paradigm-in-medical-research
#2
R Cordy, J Chou
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832576/peculiar-laryngeal-mask-airway-packaging-results-in-failed-ventilation-when-used-as-a-rescue-airway-device-during-an-anaesthetic-crisis
#3
Dft Newington
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832575/intraoperative-subarachnoid-haemorrhage-associated-with-a-reduction-in-bispectral-index-during-cardiopulmonary-bypass
#4
J W Lee, J H Choi, Y Kim, M K Kim
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832574/preliminary-experience-with-lma-ctrach-sup-tm-sup-for-assessment-of-glottic-structures-during-thyroidectomy
#5
G Chilkoti, M Mohta, A K Saxena
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832573/the-impact-of-nature-of-surgery-on-the-relevance-of-outcome-measures
#6
U Gurunathan
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832572/the-influence-of-introducing-unrestricted-access-to-sugammadex-and-quantitative-neuromuscular-monitors-on-the-incidence-of-residual-neuromuscular-block-at-a-tertiary-teaching-hospital-an-audit-of-real-life
#7
J I Milne, C S Ong, J S Ong, K C Cheung, A A Schauer, S B Buttar, T Ledowski
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832571/avoiding-a-tracheostomy-after-mandibulectomy-and-free-flap-reconstruction-using-a-staged-reintubation-catheter
#8
A Ghimouz, J Rodriguez, K Abdelhafidh, P Goater
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832570/novel-customisation-of-a-nim-sup-tm-sup-emg-tube-to-bypass-distal-airway-obstruction-from-a-massive-retrosternal-goitre
#9
P K Lee, Awg Booth
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832569/hypotension-and-vasoconstrictors
#10
P Roessler
No abstract text is available yet for this article.
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832568/successful-treatment-of-traumatic-spinal-epidural-haematoma-with-fluoroscopically-guided-percutaneous-drainage-a-report-of-two-cases
#11
M Fujii, N Tsubouchi, K Nishiyama, N Shime
We report two cases of spinal epidural haematoma that were successfully treated with percutaneous drainage. The patients initially presented with severe backache and progressive neurological symptoms due to traumatic epidural haematoma. After fluoroscopically-guided percutaneous drainage and irrigation, rapid physical decompression and full recovery was observed in both patients. To the best of our knowledge, this is the first report indicating that traumatic spinal epidural haematoma can be successfully treated with fluoroscopically-guided percutaneous drainage...
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832567/comparison-of-bioreactance-non-invasive-cardiac-output-measurements-with-cardiac-magnetic-resonance-imaging
#12
F Trinkmann, C Schneider, J D Michels, K Stach, C Doesch, S O Schoenberg, M Borggrefe, J Saur, T Papavassiliu
Impedance cardiography measurement of cardiac output gained wide interest due to its ease of use and non-invasiveness. However, validation studies of different algorithms yielded diverging results. Bioreactance (BR) as a recent adaption differs fundamentally as the flow signal is derived from phase shifts. Our aim was to assess the accuracy and reproducibility of BR, as compared to the non-invasive gold standard--cardiac magnetic resonance imaging (CMR). We prospectively included 32 stable patients. BR was performed twice in the supine position and averaged over 30 seconds...
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832566/sequencing-of-genes-involved-in-the-movement-of-calcium-across-human-skeletal-muscle-sarcoplasmic-reticulum-continuing-the-search-for-genes-associated-with-malignant-hyperthermia
#13
A R Bjorksten, R L Gillies, B M Hockey, D Du Sart
The genetic basis of malignant hyperthermia (MH) is not fully characterised and likely involves more than just the currently classified mutations in the gene encoding the skeletal muscle ryanodine receptor (<i>RYR1</i>) and the gene encoding the Ī±1 subunit of the dihydropyridine receptor (<i>CACNA1S</i>). In this paper we sequence other genes involved in calcium trafficking within skeletal muscle in patients with positive in vitro contracture tests, searching for alternative genes associated with MH...
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832565/safety-of-nicotine-replacement-therapy-in-critically-ill-smokers-a-retrospective-cohort-study
#14
A Kerr, J T McVey, A M Wood, Fmp Van Haren
Nicotine replacement therapy (NRT) is a common first-line treatment to prevent nicotine withdrawal in smokers. However, available literature reports conflicting results regarding its efficacy and safety in critically ill patients. The objective of this study was to evaluate the relationship between NRT in smokers in the intensive care unit (ICU) and outcomes. This case-control study was conducted in a university-affiliated tertiary hospital ICU. Over a period of five years, 126 active smokers who received transdermal NRT were matched to 126 active smokers who did not receive NRT...
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832564/defining-a-reference-range-for-vital-signs-in-healthy-term-pregnant-women-undergoing-caesarean-section
#15
A Dennis, L Hardy
Early warning systems (EWS), used to identify deteriorating hospitalised patients, are based on measurement of vital signs. When the patients are pregnant, most EWS still use non-pregnant reference ranges of vital signs to determine trigger thresholds. There are no published reference ranges for all vital signs in pregnancy. We aimed to define vital signs reference ranges for term pregnancy in the preoperative period, and to determine the appropriateness of EWS trigger criteria in pregnancy. We conducted a one-year retrospective study in a tertiary referral obstetric hospital...
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832563/comparison-of-kinemyography-and-electromyography-during-spontaneous-recovery-from-non-depolarising-neuromuscular-blockade
#16
C Khandkar, S Liang, S Phillips, C Y Lee, P A Stewart
This study compared two commercially available quantitative neuromuscular function monitoring techniques, kinemyography (KMG) and electromyography (EMG), to assess whether KMG could be used interchangeably with EMG to exclude residual neuromuscular blockade (RNMB). Train-of-four (TOF) ratios were recorded every 20 seconds using KMG at the adductor pollicis and EMG at the first dorsal interosseous of the same hand during spontaneous recovery from shallow neuromuscular blockade. TOF ratios were compared using Bland-Altman analysis for repeated measurements...
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832562/accuracy-of-dispersing-tramadol-capsules-for-oral-administration-in-young-children
#17
M Kluger, S Penrose, A R Bjorksten, G Chalkiadis
Tramadol is used in children aged <12 years for analgesia, particularly for those at risk of obstructive sleep apnoea undergoing adenotonsillectomy. The Australian Therapeutic Goods Administration have strongly recommended that oral tramadol drops (100 mg/ml) not be used in children <12 years because of the risk of inadvertent overdose. The total mass of drug in a 10 ml bottle is 1000 mg. The only alternative preparation available is a 50 mg capsule that requires dispersion of a capsule's contents should smaller doses be required...
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832561/improved-hospital-mortality-with-a-low-met-dose-the-importance-of-a-modified-early-warning-score-and-communication-tool
#18
D V Mullany, M Ziegenfuss, M A Goleby, H E Ward
Rapid response systems have been mandated for the recognition and management of the deteriorating patient. Increasing medical emergency team (MET) dose may be associated with improved outcomes. Large numbers of MET calls may divert resources from the program providing the service unless additional personnel are provided. To describe the implementation and outcomes of a multifaceted rapid response system (RRS) in a teaching hospital, we conducted an observational study. The RRS consisted of the introduction of a MET together with 1) redesign of the ward observation chart with the vital sign variables colour-coded to identify variation from normal; 2) mandated minimum frequency of vital sign measurement; 3) three formal levels of escalation based on the degree of physiological instability as measured by a modified early warning score (MEWS); 4) COMPASSĀ© education and e-learning package with a two-hour face-to-face small group tutorial; 5) practise in escalation and communication using the ISBAR (Identify, Situation, Background, Assessment, Response/Recommendation) communication tool...
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832560/the-effect-of-dabigatran-on-the-kaolin-activated-whole-blood-thromboelastogram
#19
A 'Aho, K Byrne
Dabigatran is a direct thrombin inhibitor, which is increasingly likely to be encountered in patients presenting for surgery. This study examines whether there is a consistent effect of dabigatran on the thromboelastogram (TEG) and whether this correlates with the effects of dabigatran on traditional coagulation parameters. Twenty patients taking dabigatran had blood sampled for kaolin-activated whole blood TEG analysis and routine coagulation testing. There was a statistically significant correlation between thrombin clotting time (TCT) and R-time (R=0...
November 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/27832559/balancing-the-risks-and-benefits-of-using-emergency-diagnostic-radiocontrast-studies-to-diagnose-life-threatening-illness-in-critically-ill-patients-a-decision-analysis
#20
K M Ho
Diagnosis of many life-threatening illnesses, including acute pulmonary embolism, aortic dissection, and ischaemic bowel disease, requires confirmatory radiological imaging with radiocontrast. It is well established that radiocontrast can induce acute kidney injury, especially in patients with pre-existing renal impairment. The decision to proceed with a radiological study with radiocontrast to confirm or exclude a life-threatening, but potentially reversible, illness in patients with renal impairment is difficult...
November 2016: Anaesthesia and Intensive Care
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