Anaesthetic assistants: their role in the development and resolution of anaesthetic incidents.

abstract：:Malignant hyperthermia was an unknown condition in 1960 although there had always been occasional patients who died mysteriously under anaesthesia. The nature of the disease became apparent when a young Melbourne man presented that year with a compound fracture and a family history of deaths under anaesthesia. He surv...

journal_title：Anaesthesia and intensive care

authors： Ball C

更新日期：2007-06-01 00:00:00

abstract：:We aimed to describe the epidemiology of Rapid Response Team (RRT) activation in New Zealand public hospitals. We undertook a prospective multicentre observational study of RRT activations in 11 hospitals for consecutive 14-day periods during October-December 2014. A standardised case report form was used to collect d...

journal_title：Anaesthesia and intensive care

authors： Psirides AJ,Hill J,Jones D

更新日期：2016-05-01 00:00:00

abstract：:The synthetic glucocorticoid dexamethasone is administered to many patients receiving a general anaesthetic to reduce the risk of postoperative nausea and vomiting. Dexamethasone is known to suppress the hypothalamic-pituitary-adrenal axis; however, the duration of this suppression following the standard anti-emetic i...

journal_title：Anaesthesia and intensive care

authors： Elston MS,Conaglen HM,Hughes C,Tamatea JA,Meyer-Rochow GY,Conaglen JV

更新日期：2013-09-01 00:00:00

abstract：:Few authors have addressed the topic of graphic data presentation. The purpose of our study was to combine several guidelines in order to evaluate three anaesthesiology journals listed in Index Medicus (Australian, American and Italian) in terms of the appropriateness and the quality of presentation of graphs. Our ana...

journal_title：Anaesthesia and intensive care

authors： De Amici D,Klersy C,Tinelli C

更新日期：1997-12-01 00:00:00

abstract：:In taking 1960 as the foundation year for the practice of intensive care medicine in New Zealand, this paper briefly looks into the previous two centuries for some interventions in life-threatening conditions. With the help of descriptions in early 19th century journals and books by perceptive observers, the author fo...

journal_title：Anaesthesia and intensive care

authors： Trubuhovich RV

更新日期：2009-07-01 00:00:00

abstract：:The clinical effects of high-volume spinal anaesthesia with bupivacaine 0.125% were studied in 30 patients presenting for postpartum sterilisation. Group A, B and C patients received 6, 8 and 10 ml of bupivacaine 0.125% respectively. Onset, duration and regression of sensory block and motor blockade, haemodynamic para...

journal_title：Anaesthesia and intensive care

authors： Tay DH,Tay SM,Thomas E

更新日期：1992-11-01 00:00:00

abstract：:We report three cases of anaphylaxis during anaesthesia confirmed on intradermal testing to be related to patent blue V dye (Guerbet - Chemical Abstract Service 3536-49-0). All three cases were associated with moderate to severe hypotension. Two cases had delayed onset, and two were associated with a rash. None of the...

journal_title：Anaesthesia and intensive care

authors： Howard JD,Moo V,Sivalingam P

更新日期：2011-03-01 00:00:00

abstract：:A retrospective study in coronary artery bypass graft patients was undertaken to assess the effect of gentamicin and a bypass prime with a high calcium on the incidence of renal failure. Patients who received both Haemaccel (polygeline, Hoechst Marion Roussel) (calcium concentration 6.25 mmol/l) in the bypass prime an...

journal_title：Anaesthesia and intensive care

authors： Schneider M,Valentine S,Clarke GM,Newman MA,Peacock J

更新日期：1996-12-01 00:00:00

abstract：:The potential transmission of disease by anaesthetic and ventilator breathing circuits has resulted in the widespread use of filters. Convincing scientific evidence of their complete efficacy is lacking particularly in regard to viruses. In the past, practical difficulties precluded the use of new or autoclavable equi...

journal_title：Anaesthesia and intensive care

authors： Komesaroff D

更新日期：1996-04-01 00:00:00

abstract：:The management of anaesthesia and outcome of 75 treatments in 52 patients are discussed. Total intravenous anaesthetic techniques were used with venturi ventilation via a rigid bronchoscope. A number of complications occurred, but there was no death or major surgical complication. All complications except one were app...

journal_title：Anaesthesia and intensive care

authors： Jackson KA,Morland MH

更新日期：1990-02-01 00:00:00

abstract：:The aim of this study was to determine the incidence of true local anaesthetic allergy in patients with an alleged history of local anaesthetic allergy and whether subsequent exposure to local anaesthetics is safe. Two hundred and eight patients with a history of allergy to local anaesthesia were referred over a twent...

journal_title：Anaesthesia and intensive care

authors： Fisher MM,Bowey CJ

更新日期：1997-12-01 00:00:00

abstract：:Seventy-five consecutive patients referred to an anaesthetic allergy clinic were intradermally tested with atracurium and cisatracurium. With the exception of one patient the results were identical, suggesting that allergy to either drug is associated with allergy to the stereoisomer. For skin testing for allergy to n...

journal_title：Anaesthesia and intensive care

authors： Fisher MM

更新日期：1999-08-01 00:00:00

abstract：:Despite the many critics of autologous blood transfusion, there is virtually no literature to support such an attitude in relation to any form of premeditated autologous blood transfusion. It is only in relation to intraoperative blood scavenging that there have been complications. In contrast, there is considerable l...

journal_title：Anaesthesia and intensive care

authors： Isbister JP

更新日期：1984-08-01 00:00:00

abstract：:In 144 patients who were referred to an anaesthetic allergy clinic because of perceived risk of anaphylaxis during anaesthesia, the only 'at risk' group that could be identified was patients with a history of unexplained severe adverse reaction during previous anaesthesia. Twenty-two of 45 patients with such a history...

journal_title：Anaesthesia and intensive care

authors： Fisher MM

更新日期：2007-12-01 00:00:00

abstract：:Ten critically ill patients underwent this prospective study to assess the reliability of the continuous thermodilution versus transoesophageal Doppler techniques in the determination of continuous cardiac output (CO) and systemic vascular resistance (SVR). A total of 145 pairs of CO and SVR measurements were obtained...

journal_title：Anaesthesia and intensive care

authors： Baillard C,Cohen Y,Fosse JP,Karoubi P,Hoang P,Cupa M

更新日期：1999-02-01 00:00:00

abstract：:A 47-year-old woman with Cushing's syndrome suffered a severe anaphylactic reaction on induction of anaesthesia, resulting in circulatory arrest. A spontaneous cardiac output appeared after 25 minutes of chest compression and she regained consciousness three hours later, with no neurological deficit. A Bispectral Inde...

journal_title：Anaesthesia and intensive care

authors： Kluger MT

更新日期：2001-10-01 00:00:00

abstract：:There have been several reports of propofol becoming extrinsically contaminated with bacteria. These reports have usually related to infusions or delays in administration after the ampoule has been opened. This observational study was performed to examine bacterial contamination of propofol during usual practice in th...

journal_title：Anaesthesia and intensive care

authors： Soong WA

更新日期：1999-10-01 00:00:00

abstract：:Latex allergy has become increasingly common amongst health care workers. The prevalence of latex allergy in 102 theatre personnel at Princess Alexandra Hospital was determined by the results of a standardized questionnaire and a latex specific IgE radioallergosorbent test (RAST). Volunteers had their forced expirator...

journal_title：Anaesthesia and intensive care

authors： Hack ME

更新日期：2001-02-01 00:00:00

abstract：:This paper reports on the causes and preventability of primary anaesthetic deaths in Western Australia between 1985 and 2008. In Western Australia, it is a legal requirement to report all deaths that occur within 48 hours of an anaesthetic and later deaths if an anaesthetic complication is implicated. A committee asse...

journal_title：Anaesthesia and intensive care

authors： Gibbs NM,Rodoreda P

更新日期：2013-05-01 00:00:00

abstract：:Heparin-induced thrombocytopenia is a serious complication of heparin use. Treatment includes discontinuation of heparin and initiation of alternative anticoagulation therapy. In extracorporeal membrane oxygenation anticoagulation is mandatory, and direct thrombin inhibitors (DTIs) have been approved in these cases. H...

journal_title：Anaesthesia and intensive care

authors： Phillips MR,Khoury AI,Ashton RF,Cairns BA,Charles AG

更新日期：2014-01-01 00:00:00

abstract：:In May 1863 the British surgeon, Henry Thompson, departed for Belgium to attend Leopold, King of the Belgians. The King was in agony: he had suffered with bladder stones for months and multiple procedures, without anaesthesia, had failed to relieve his symptoms. Henry Thompson was therefore consulted about the possibi...

journal_title：Anaesthesia and intensive care

authors： Ball C

更新日期：2011-07-01 00:00:00

abstract：:An unplanned intensive care unit admission within 24 hours of a procedure with an anaesthetist in attendance (UIA) is a recommended clinical indicator It is designed to identify preventable iatrogenic complications. Often understood as a specific anaesthetic outcome, its value has been repeatedly questioned. Iatrogeni...

journal_title：Anaesthesia and intensive care

authors： Haller G,Myles PS,Langley M,Stoelwinder J,McNeil J

更新日期：2008-03-01 00:00:00

abstract：:EMLA cream (Astra Pharmaceuticals) which contains lignocaine and prilocaine, is widely used in a thick layer to reduce the pain associated with venepuncture. Application of smaller amounts of cream lowers cost and may reduce side-effects. The efficacy of a thick layer (using 2.0 ml) and a thin layer (using 0.5 ml) of ...

journal_title：Anaesthesia and intensive care

authors： Sims C

更新日期：1991-08-01 00:00:00

abstract：:Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) has been shown to improve quality of life and survival rates in patients suffering from pseudomyxoma peritonei. The procedure is long and associated with significant intraoperative blood loss. As such, the anaesthetic management of pati...

journal_title：Anaesthesia and intensive care

authors： Shiralkar SP,Kerr P,Scott J,Sivalingam P

更新日期：2017-07-01 00:00:00

abstract：:Percutaneous tracheostomy is an efficient technique used in intensive care units. Although a safe procedure, serious early and late complications can occur. A rare complication is suprastomal stenosis following inadvertent tracheal cartilage fracture resulting in stenosis. Management is complicated, often requiring sp...

journal_title：Anaesthesia and intensive care

authors： Mahanta V,Howson C

更新日期：2011-07-01 00:00:00

abstract：:Defects in the genes coding for the skeletal muscle ryanodine receptor (RYR1) and alpha 1 subunit of the dihydropyridine receptor (CACNA1S) have been identified as causative for malignant hyperthermia (MH). Sixty-two MH susceptible individuals presenting to the same diagnostic centre had copy deoxyribonucleic acid, de...

journal_title：Anaesthesia and intensive care

authors： Gillies RL,Bjorksten AR,Du Sart D,Hockey BM

更新日期：2015-03-01 00:00:00

abstract：:One hundred and fifty-nine adult patients undergoing elective colonoscopy in a major regional hospital were surveyed regarding their perceptions and expectations of sedation/anaesthesia for this procedure. The survey was undertaken on the day of the procedure, but before their assessment by the anaesthetist. Most of o...

journal_title：Anaesthesia and intensive care

authors： Chatman N,Sutherland JR,van der Zwan R,Abraham N

更新日期：2013-05-01 00:00:00

abstract：:Two cases are presented which illustrate the disastrous consequences possible when an anaesthetic breathing circuit is obstructed by a foreign body. Despite reports of previous similar cases, work practices and equipment manufacture or design continue to allow for such events to occur. The importance of both pre-anaes...

journal_title：Anaesthesia and intensive care

authors： Foreman MJ,Moyes DG

更新日期：1999-02-01 00:00:00

abstract：: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 ischae...

journal_title：Anaesthesia and intensive care

authors： Perez-Protto S,Nazemian R,Matta M,Patel P,Wagner KJ,Latifi SQ,Lebovitz DJ,Reynolds JD

更新日期：2018-03-01 00:00:00

abstract：:This report describes a fatal case of the propofol infusion syndrome in an adult patient being sedated for a closed head injury using high doses of propofol. The features of circulatory collapse, metabolic acidosis, mild rhabdomyolysis and renal impairment are consistent with the syndrome and not readily attributable ...

journal_title：Anaesthesia and intensive care

authors： Ernest D,French C

更新日期：2003-06-01 00:00:00