Difficult extubation: calming the sympathetic storm.

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：:We studied remifentanil and propofol for analgesia and sedation during the placement of an ophthalmic block. Eighty ASA I or II patients undergoing elective cataract surgery under a retrobulbar block in a rural camp setting were included in the study. Patients were randomly divided into four groups and received differ...

journal_title：Anaesthesia and intensive care

authors： Rewari V,Madan R,Kaul HL,Kumar L

更新日期：2002-08-01 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：:Venous thromboembolism is an important complication after general and cardiac surgery. Using transthoracic echocardiography, this study assessed the incidence of inferior vena cava (IVC) thrombosis among a total of 395 and 289 cardiac surgical and major surgical patients in the immediate postoperative period after car...

journal_title：Anaesthesia and intensive care

authors： Saranteas T,Kostopanagiotou G,Tzoufi M,Drachtidi K,Knox GM,Panou F

更新日期：2013-11-01 00:00:00

abstract：:Epidural opioids provide high quality analgesia with no clinically apparent effect on the circulation or on specific organ blood flow. Little investigative data is available to support these impressions of circulatory stability. Ten patients presenting for thoracotomy were studied at rest preoperatively to determine i...

journal_title：Anaesthesia and intensive care

authors： Beavis RE,Crotty B,Osborne A,Hochmann M

更新日期：1991-02-01 00:00:00

abstract：:Although intraoperative transoesophageal echocardiography (TOE) has an established role in the management of some cardiac surgical procedures, there is little data on its impact on coronary artery bypass graft (CABG) cases that are stratified for clinical risk. This is a retrospective review of the surgical impact of ...

journal_title：Anaesthesia and intensive care

authors： Forrest AP,Lovelock ND,Hu JM,Fletcher SN

更新日期：2002-12-01 00:00:00

abstract：:Electroconvulsive therapy (ECT) under propofol anaesthesia induces relatively shorter seizures compared to barbiturate anaesthesia. Since significant correlation between seizure duration and bispectral index (BIS) value immediately before electrical stimulus has been reported among patients, adjustment of anaesthesia ...

journal_title：Anaesthesia and intensive care

authors： Nishihara F,Saito S

更新日期：2004-10-01 00:00:00

abstract：:Modern near-infrared spectroscopy technology is increasingly adopted to measure cerebral tissue oxygen saturation. However, the normal range of cerebral tissue oxygen saturation in adults with such technology is unknown. We sought to measure cerebral tissue oxygen saturation in healthy volunteers using the novel O3 Re...

journal_title：Anaesthesia and intensive care

authors： Eyeington CT,Ancona P,Osawa EA,Cutuli SL,Eastwood GM,Bellomo R

更新日期：2019-01-01 00:00:00

abstract：:Prolonged intermittent renal replacement therapy (PIRRT) is a recently defined acute modality for critically ill patients, and in theory combines the superior detoxification and haemodynamic stability of continuous renal replacement therapy (CRRT) with the operational convenience and low cost of intermittent haemodial...

journal_title：Anaesthesia and intensive care

authors： Khanal N,Marshall MR,Ma TM,Pridmore PJ,Williams AB,Rankin AP

更新日期：2012-03-01 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：:Progressive challenge was used to investigate twenty-seven patients with a history of an adverse response to local anaesthesia. True allergy was detected in only one patient. The method does not exclude reactions to additives and preservatives in local anaesthetics. If preservative-free local anaesthetics are used for...

journal_title：Anaesthesia and intensive care

authors： Fisher MM,Graham R

更新日期：1984-11-01 00:00:00

abstract：:An 18-year-old man with metastatic femoral osteosarcoma had inadequate pain control with gabapentin, naproxen and intravenous fentanyl. A tunnelled femoral nerve catheter was used to administer a continuous infusion of 0.2% ropivacaine and 4 microg/ml clonidine (10 ml/hour) until his death 88 days later During dischar...

journal_title：Anaesthesia and intensive care

authors： Pacenta HL,Kaddoum RN,Pereiras LA,Chidiac EJ,Burgoyne LL

更新日期：2010-05-01 00:00:00

abstract：:The objective of this study was to assess the outcome of Jehovah's Witness (JW) patients admitted to a major Australasian ICU and to review the literature regarding the management of critically ill Jehovah's Witness patients. All Jehovah's Witness patients admitted to the ICU between January 1999 and September 2003 we...

journal_title：Anaesthesia and intensive care

authors： MacLaren G,Anderson M

更新日期：2004-12-01 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：:Administration of suxamethonium to patients with critical illness polyneuropathy may produce life-threatening hyperkalaemia. A questionnaire to assess the awareness of this problem was sent to all UK intensive care units. A clinical scenario suggestive of critical illness polyneuropathy was accompanied by a list of po...

journal_title：Anaesthesia and intensive care

authors： Hughes M,Grant IS,Biccard B,Nimmo G

更新日期：1999-12-01 00:00:00

abstract：:Seven out of eight piglets which were susceptible to malignant hyperthermia (MHS) died when subjected to a heat challenge which was well tolerated by controls. The piglets which succumbed developed the classical clinical and biochemical changes of malignant hyperthermia before they died. These results show that overhe...

journal_title：Anaesthesia and intensive care

authors： Denborough M,Hopkinson KC,O'Brien RO,Foster PS

更新日期：1996-06-01 00:00:00

abstract：:Inotrope-dependent patients may become haemodynamically unstable during treatment in the hyperbaric chamber. One possible cause is altered performance of infusion devices. We tested six Atom 235 syringe infusion pumps under hyperbaric conditions of 2.8 atmospheres absolute in a multiplace chamber using a gravimetric m...

journal_title：Anaesthesia and intensive care

authors： Story DA,Houston JJ,Millar IL

更新日期：1998-04-01 00:00:00

abstract：:Intravenous lipid emulsion is, in some countries, the recommended treatment for local anaesthetic toxicity. Systemic local anaesthetic toxicity results in hypoxaemia and acidosis, and whether this influences the effects of lipid therapy on drug concentrations and cardiovascular recovery is currently unknown. Twenty an...

journal_title：Anaesthesia and intensive care

authors： Heinonen JA,Skrifvars MB,Haasio J,Backman JT,Rosenberg PH,Litonius E

更新日期：2016-03-01 00:00:00

abstract：:Optimising perioperative haemodynamic status may reduce postoperative complications. In this prospective prevalence study, we investigated the associations between standard haemodynamic parameters and a low central venous oxygen saturation (ScvO2) in patients after major surgery. A total of 201 patients requiring cont...

journal_title：Anaesthesia and intensive care

authors： Litton E,Silbert B,Ho KM

更新日期：2015-01-01 00:00:00

abstract：:Post-surgical opioid prescribing intended for the short-term management of acute pain may lead to long-term opioid use. This study was undertaken to determine the prevalence of persistent post-surgical opioid use and patient-related factors associated with post-surgical opioid use. One thousand and thirteen opioid-naï...

journal_title：Anaesthesia and intensive care

authors： Stark N,Kerr S,Stevens J

更新日期：2017-11-01 00:00:00

abstract：:Costing data for intensive care admissions is important, not only for unit funding, but also for cost outcome analysis of new therapies. This paper presents an intensive care episode costing methodology using the example of a cost-benefit analysis of mask CPAP for severe cardiogenic pulmonary oedema (CPO). This analys...

journal_title：Anaesthesia and intensive care

authors： Holt AW,Bersten AD,Fuller S,Piper RK,Worthley LI,Vedig AE

更新日期：1994-04-01 00:00:00

abstract：:Posthypoxic myoclonus is a rare and devastating complication of near-fatal cardiopulmonary arrest. Despite treatment with available anti-myoclonic agents, some patients may recover cognitively but remain completely disabled by severe myoclonus. We report a 16-year-old patient with severe treatment-refractory posthypox...

journal_title：Anaesthesia and intensive care

authors： Arpesella R,Dallocchio C,Arbasino C,Imberti R,Martinotti R,Frucht SJ

更新日期：2009-03-01 00:00:00

abstract：:We report an incident involving a Fisher and Paykel "There in One Respiratory Care System" (Fisher and Paykel Healthcare, Auckland, New Zealand). This is a new ventilator circuit designed to be adaptable to the needs of ventilator, intubated CPAP, and mask therapies. In this case the patient had received eight hours o...

journal_title：Anaesthesia and intensive care

authors： Gowardman JR,Moriarty B

更新日期：1998-08-01 00:00:00

abstract：:Prompted by an actual case of potentially life-threatening infusion pump malfunction, we investigated the effects of wire breakage(s) within the syringe size sensor circuit in a Graseby 3400 infusion pump. The circuit wires within the sensor were systematically broken. The syringe sizes recognised by the sabotaged cir...

journal_title：Anaesthesia and intensive care

authors： Derrick JL,Ho AM,Cho AM

更新日期：2003-02-01 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

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：:Effective utilization of an anaesthetic clinic depends on appropriate referral of high-risk surgical patients. The decision-making behaviour of anaesthetists and nurses was examined to identify factors that influence the referral of patients to an outpatient anaesthetic clinic. Eleven consultant anaesthetists, seven a...

journal_title：Anaesthesia and intensive care

authors： Lee A,Lum ME,Hillman KM,Bauman A

更新日期：1994-10-01 00:00:00

abstract：:Positive end-expiratory pressure (PEEP) maintains airway pressure above atmospheric at the end of expiration, and may be used with mechanical ventilation or spontaneous breathing. CPAP, or continuous positive airway pressure, refers to spontaneous ventilation with a positive airway pressure being maintained throughout...

journal_title：Anaesthesia and intensive care

authors： Duncan AW,Oh TE,Hillman DR

更新日期：1986-08-01 00:00:00

abstract：:Talc is the most frequently used chemical agent to induce pleurodesis and complications after this procedure, usually benign and self-limiting, are resolved easily. Pneumonitis with acute respiratory distress after talc pleurodesis is a rare complication, it requires intensive treatment and may be fatal. We describe a...

journal_title：Anaesthesia and intensive care

authors： Griffo S,Musumeci A,De Luca G,Saccenti A,Grande LM,Stassano P

更新日期：2009-01-01 00:00:00

abstract：:Eight patients were studied to determine the changes in pancuronium requirements during hypothermic cardiopulmonary bypass. They were anaesthetised with fentanyl as the principal agent, ventilated with oxygen and the neuromuscular junction was monitored using train-of-four stimulation. After a bolus dose of pancuroniu...

journal_title：Anaesthesia and intensive care

authors： Futter ME,Whalley DG,Wynands JE,Bevan DR

更新日期：1983-08-01 00:00:00