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Anaesthesia and Intensive Care

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https://www.readbyqxmd.com/read/29519231/the-difficulty-for-clinicians-in-prescribing-the-correct-nutrition-in-critically-ill-patients
#1
J F Cade, T Rechnitzer, K Fetterplace
No abstract text is available yet for this article.
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519230/ultrasound-guided-continuous-erector-spinae-plane-block-for-postoperative-analgesia-in-video-assisted-thoracotomy
#2
V Rao Kadam, J Currie
No abstract text is available yet for this article.
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519229/a-change-to-programmed-intermittent-epidural-boluses-from-continuous-local-anaesthetic-infusion-for-labour-analgesia
#3
N Rooban, J Bell, E M Debenham
No abstract text is available yet for this article.
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519228/airway-education-in-intensive-care-medicine-in-australia-and-new-zealand-what-are-we-doing
#4
D J Brewster, C P Nickson, J J Gatward
No abstract text is available yet for this article.
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519227/punctal-dilator-facilitates-insertion-of-blunt-cannula-during-sub-tenon-s-block
#5
Awy Chua, M J Chua, C M Kumar
No abstract text is available yet for this article.
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519226/postoperative-euglycaemic-diabetic-ketoacidosis-associated-with-sodium-glucose-cotransporter-2-inhibitors-gliflozins-a-report-of-two-cases-and-review-of-the-literature
#6
B Chacko, M Whitley, U Beckmann, K Murray, M Rowley
Sodium-glucose cotransporter 2 inhibitor (SGLT2i)-associated euglycaemic diabetic ketoacidosis (euDKA) is a serious and increasingly recognised complication of treatment with this class of oral hypoglycaemic agents and can present a diagnostic challenge, resulting in delayed recognition, inappropriate treatment and potentially life-threatening acidosis. We present two cases of patients developing SGLT2i-associated euDKA in the early postoperative period. We support ceasing SGLT2i for 72 hours preoperatively and would suggest continuing to withhold the medication until oral intake is restored, and recommend a wider awareness of SGLT2i-associated diabetic ketoacidosis (DKA) amongst patients and their healthcare providers with an emphasis on checking ketone levels irrespective of blood glucose levels in the postoperative setting...
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519225/an-observational-study-of-perioperative-risk-associated-with-aortic-stenosis-in-non-cardiac-surgery
#7
P A MacIntyre, M Scott, R Seigne, A Clark, F Deveer, I Minchin
This prospective multicentre observational study investigated the risk of non-cardiac surgery in patients with moderate or severe aortic stenosis (AS). Patients with AS undergoing non-cardiac surgery in five New Zealand hospitals between August 2011 and September 2015 were studied. Preoperative variables were analysed for a significant association with postoperative major adverse cardiac events (MACE) and 30-day mortality. Of the 147 patients recruited, 13 (9%) died within 30 days and 33 (22%) had a MACE. Using univariate analysis, patients with severe AS had four times higher 30-day mortality than patients with moderate AS (16% versus 4%, <i>P</i>=0...
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519224/patients-retrieved-to-intensive-care-via-a-dedicated-retrieval-service-do-not-have-increased-hospital-mortality-compared-with-propensity-matched-controls
#8
P T Maclure, S Gluck, A Pearce, M E Finnis
This study was performed to estimate the effect of the retrieval process on mortality for patients admitted to a mixed adult intensive care unit (ICU) compared with propensity-matched, non-retrieved controls. Patients retrieved to the Royal Adelaide Hospital (RAH) ICU between 2011 and 2015 were propensity-score matched for age, gender, Aboriginal and Torres Strait Islander status, Acute Physiology and Chronic Health Evaluation (APACHE) III score and diagnostic group with non-retrieved ICU patients to estimate the average treatment effect of retrieval on hospital mortality...
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519223/morbidity-of-cardiac-arrest-in-the-very-elderly
#9
T L Paterson, S D Bruins
The objective of this retrospective cohort study was to assess mortality and morbidity after cardiac arrest in hospital inpatients aged 80 years or older, in an Australian tertiary hospital. We studied patients aged 80 years or older who suffered an in-hospital cardiac arrest from 1 January 2000 to 31 December 2016. The main outcome measures were one-year survival and narrative morbidity. Two hundred and eighty-five patients were identified. Absolute one-year survival after cardiac arrest was, at best, 12.6%...
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519222/should-ongoing-airway-education-be-a-mandatory-component-of-continuing-professional-development-for-college-of-intensive-care-medicine-fellows
#10
D J Brewster, C P Nickson, J J Gatward, M Staples, F Hawker
This study aimed to determine whether airway education should be introduced to the continuing professional development (CPD) program for College of Intensive Care Medicine (CICM) Fellows. A random representative sample of 11 tertiary intensive care units (ICUs) was chosen from the list of 56 units accredited for 12 or 24 months of CICM training. All specialist intensive care Fellows (n=140) currently practising at the eleven ICUs were sent the questionnaire via email. Questionnaire data collection and post-collection data analysis was used to determine basic respondent demographics, frequency of certain airway procedures in the past 12 months, confidence with advanced airway practices in ICU, participation in airway education in the past three years, knowledge of can't intubate, can't oxygenate (CICO) algorithms, preference for certain airway equipment/techniques, and support for required airway education as a component of the CICM CPD program...
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519221/the-effect-of-a-multifaceted-postoperative-nausea-and-vomiting-reduction-strategy-on-prophylaxis-administration-amongst-higher-risk-adult-surgical-patients
#11
A Pym, E Ben-Menachem
Postoperative nausea and vomiting (PONV) is a common and distressing problem for patients and increases the burden of care in post-anaesthesia care units (PACU). As such it has been a recent focus for quality improvement. Evidence-based guidelines have demonstrated the benefit of PONV risk stratification and prophylaxis, but may be underutilised in clinical practice. This prospective pre-/post-intervention study was conducted at an adult tertiary hospital in non-cardiac adult surgical patients at higher-risk of PONV...
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519220/the-effect-of-inhalational-anaesthesia-during-deceased-donor-organ-procurement-on-post-transplantation-graft-survival
#12
S Perez-Protto, R Nazemian, M Matta, P Patel, K J Wagner, S Q Latifi, D J Lebovitz, J D Reynolds
Many deceased by neurologic criteria donors are administered inhalational agents during organ recovery surgery-a process that is characterised by warm and cold ischaemia followed by warm reperfusion. In certain settings, volatile anaesthetics (VA) are known to precondition organs to protect them from subsequent ischaemia-reperfusion injury. As such, we hypothesised that exposure to VA during organ procurement would improve post-graft survival. Lifebanc (organ procurement organisation [OPO] for NE Ohio) provided the investigators with a list of death by neurologic criteria organ donors cared for at three large tertiary hospitals in Cleveland between 2006 and 2016-details about the surgical recovery phase were extracted from the organ donors' medical records...
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519219/morbid-obesity-impairs-adequacy-of-thoracic-compressions-in-a-simulation-based-model
#13
P J Secombe, R Sutherland, R Johnson
Adequate cardiopulmonary resuscitation is an important predictor of survival, however, obesity provides a significant physical barrier to thoracic compressions. This study explores the effect of morbid obesity on compression adequacy. We performed a prospective randomised controlled crossover study, assessing the adequacy of thoracic compressions on a manikin modified to emulate a morbidly obese patient. Participants recruited from critical care departments were randomised to perform continuous compressions for two minutes on each manikin...
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519218/recent-advances-and-anaesthetic-considerations-in-corneal-transplantation
#14
Awy Chua, M J Chua, Pca Kam
Significant surgical advances have been made recently in corneal transplantation. Penetrating keratoplasty was the dominant method from 1905, until selective lamellar keratoplasty emerged as the preferred technique over the last 20 years. Advanced techniques such as corneal limbal stem cell transplant and keratoprosthesis are also available. The major surgical complications of corneal transplantation are extrusion of ocular content and expulsive choroidal haemorrhage. It is essential for an ophthalmic anaesthetist to have a good understanding of these new surgical procedures so as to provide optimal surgical conditions...
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519217/teaching-airway-management-as-part-of-continuing-professional-development-in-intensive-care-medicine
#15
K B Greenland
No abstract text is available yet for this article.
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519216/the-good-the-bad-and-the-ugly-sodium-glucose-cotransporter-2-inhibitors-gliflozins-and-perioperative-diabetes
#16
R Kerridge, I Whyte, F Prior, J Luu, D A Story
No abstract text is available yet for this article.
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29519215/the-introduction-of-synthetic-colloids
#17
P J Featherstone, C M Ball
No abstract text is available yet for this article.
March 2018: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29361266/major-haemorrhage-associated-with-the-flexi-seal%C3%A2-fecal-management-system
#18
LETTER
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
#19
LETTER
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
#20
LETTER
M A Kubicki, G M Eastwood, R Bellomo
No abstract text is available yet for this article.
January 2018: Anaesthesia and Intensive Care
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