Anaesthesia for emergency caesarean section, 2000-2004, at the Royal Women's Hospital, Melbourne.

Abstract:

:The provision of anaesthesia for emergency caesarean section is a major part of the workload of obstetric anaesthetists and the urgency often dictates the mode of anaesthesia that can be provided. We have audited the provision of anaesthesia for 'immediate' caesarean sections over a four-year period following the introduction of a 'Code Green' system to coordinate a rapid response to an obstetric decision to proceed with an 'immediate' caesarean section. The records of all patients for whom a Code Green was called between July 2000 and June 2004 were studied. The reasons for the call, interval timings (for example decision-to-delivery interval) and type of anaesthesia used were collected. There were 444 Code Green procedures, of which 47 were excluded due to incomplete data. The most common indication was fetal distress' and the three most common types of anaesthesia used were general (n = 206), Epidural top-up (n = 106) and spinal (n = 65). Mean decision-to-delivery intervals (+/- SD) for all caesarean sections were 17 (+/- 6) minutes with general anaesthesia, 19 (+/- 9) minutes with epidural and 26 (+/- 9) minutes with spinal anaesthesia. Forty-five percent of calls were made between the hours of 0700 and 1700 h. General anaesthesia was most used between the hours of 0700 and 1700 h. A swift response to the call for an immediate caesarean section can be achieved when suitable facilities and procedures are in place. Administering an epidural bolus into an already established epidural catheter that is working effectively can allow a decision-to-delivery interval almost as short as general anaesthesia.

journal_name

Anaesth Intensive Care

authors

Popham P,Buettner A,Mendola M

doi

10.1177/0310057X0703500110

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

74-9

issue

1

eissn

0310-057X

issn

1448-0271

pii

2006130

journal_volume

35

pub_type

杂志文章
  • The safety of recombinant factor VIIa in cardiac surgery.

    abstract::We investigated whether there was an association between recombinant activated factor VII (rFVIIa) use in cardiac surgery and thromboembolic events by comparing cases in two medical registries. The incidence of thromboembolic events in patients undergoing cardiac surgery (except isolated coronary artery bypass grafts)...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1003800409

    authors: Mitra B,Phillips L,Cameron PA,Billah B,Reid C

    更新日期:2010-07-01 00:00:00

  • The frequency and nature of drug administration error during anaesthesia.

    abstract::We aimed to establish the frequency and nature of drug administration error in anaesthesia (a significant subset of error in medicine) at two hospitals. Anaesthetists were asked to return a study form anonymouslyfor every anaesthetic, indicating whether or not a drug administration error or pre-error (defined as any i...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0310057X0102900508

    authors: Webster CS,Merry AF,Larsson L,McGrath KA,Weller J

    更新日期:2001-10-01 00:00:00

  • The effect of halothane general anaesthesia on platelet function.

    abstract::Major craniofacial surgery has the potential for very large blood loss, frequently greater than one blood volume. In order that an assessment could be made of any deficiencies of platelet function or coagulation, tests were performed at intervals during the operation. None of the coagulation parameters showed variatio...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8701500306

    authors: Sweeney D,Williams V

    更新日期:1987-08-01 00:00:00

  • Ultrasound-guided transversus abdominis plane block for neonatal abdominal surgery.

    abstract::This paper describes four neonates having abdominal procedures with intraoperative and early postoperative analgesia provided by a transversus abdominis plane regional block. Analgesia for neonatal upper and mid-abdominal surgery usually involves regional anaesthesia and/or systemic opioid. All these analgesia techniq...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0903700303

    authors: Fredrickson MJ,Seal P

    更新日期:2009-05-01 00:00:00

  • Impact of increasing overnight intensive care unit registrar staffing on duration of intubation of elective cardiac surgery patients.

    abstract::It is unclear whether increases to overnight junior medical staffing levels can improve ICU patient outcomes. We conducted a retrospective cohort study before and after the introduction of a third overnight ICU registrar at a 24-bed metropolitan ICU in February 2012. We hypothesised that this change would be associate...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1504300508

    authors: Durie ML,Darvall JN,Rechnitzer T,Tacey MA

    更新日期:2015-09-01 00:00:00

  • Consequences of syringe size sensor malfunction in a modern infusion pump.

    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

    pub_type: 杂志文章

    doi:10.1177/0310057X0303100115

    authors: Derrick JL,Ho AM,Cho AM

    更新日期:2003-02-01 00:00:00

  • The dosing and monitoring of argatroban for heparin-induced thrombocytopenia during extracorporeal membrane oxygenation: a word of caution.

    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

    pub_type: 杂志文章

    doi:10.1177/0310057X1404200117

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

    更新日期:2014-01-01 00:00:00

  • Strategies to reduce inappropriate laboratory blood test orders in intensive care are effective and safe: a before-and-after quality improvement study.

    abstract::Unnecessary pathology tests performed in intensive care units (ICU) might lead to increased costs of care and potential patient harm due to unnecessary phlebotomy. We hypothesised that a multimodal intervention program could result in a safe and effective reduction in the pathology tests ordered in our ICU. We conduct...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1804600309

    authors: Dhanani JA,Barnett AG,Lipman J,Reade MC

    更新日期:2018-05-01 00:00:00

  • Right upper lobe collapse secondary to an anomalous bronchus after endotracheal intubation for routine surgery.

    abstract::Perioperative hypoxaemia is a common but serious problem with well recognised causes. However, an anomalous bronchus causing lobar collapse as a cause is seldom mentioned. A healthy young male patient was anaesthetised for a knee operation. He required re-intubation immediately postoperatively for hypoxia. He was foun...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500219

    authors: Critchley LA,Ho AM,Lee SY

    更新日期:2007-04-01 00:00:00

  • Comparison of the efficacy of paracetamol versus paracetamol, codeine and promethazine (Painstop) for premedication and analgesia for myringotomy in children.

    abstract::This prospective double-blinded study compared the analgesic effectiveness and incidence of complications of a compound preparation Painstop (Paedpharm Pty Ltd) containing paracetamol 12 mg, codeine 0.5 mg and promethazine 0.65 mg per 1.0 ml, dosage 1.0 ml/kg, with paracetamol 20 mg/kg. Ninety-five children aged 1 to ...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9702500105

    authors: Ragg P,Davidson A

    更新日期:1997-02-01 00:00:00

  • A survey of cardiopulmonary bypass perfusion practices in Australia in 1992.

    abstract::Twenty-four cardiopulmonary bypass (CPB) perfusion units around Australia were surveyed to determine the characteristics of CPB perfusion as practised in Australia in 1992. Twenty completed survey forms were received. Findings were compared with those of a similar study performed by one of the authors for the year 198...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9302100612

    authors: Wajon PR,Walsh RG,Symons NL

    更新日期:1993-12-01 00:00:00

  • The effect of increasing operating room capacity on day-of-surgery cancellation.

    abstract::Several studies have been conducted to evaluate the utilisation of the operating room, a fixed resource, in terms of conditions that prevent day-of-surgery cancellation due to deficient operative capacity. In this study, we surveyed the causes and overall rates of elective surgery cancellation and then compared the nu...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0903700203

    authors: Yoon SZ,Lee SI,Lee HW,Lim HJ,Yoon SM,Chang SH

    更新日期:2009-03-01 00:00:00

  • A versatile computing system for sampling, manipulation and display of biological signals using high-level language.

    abstract::A medium sized minicomputer system is presented as an attractive way of balancing the cost of computing equipment with that of programme development. A versatile circuit has been coupled to a computer system and programmes have been developed to control the functions of this circuit. With such a system it is possible ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X7700500414

    authors: Crankshaw DP,Hall BR

    更新日期:1977-11-01 00:00:00

  • Preoperative hypnotherapy in the management of a child with anticipatory nausea and vomiting.

    abstract::A six-year-old boy with oesophageal strictures secondary to neonatal repair of oesophageal atresia and requiring six to eight weekly oesophageal dilatations by bouginage developed anticipatory nausea and vomiting. This was effectively managed by a course of preoperative hypnotherapy over four sessions. Resolution of a...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500522

    authors: Mackenzie A,Frawley GP

    更新日期:2007-10-01 00:00:00

  • Althesin for neuroanaesthesia.

    abstract::Althesin was used as a induction agent then diluted and administered as a controlled infusion for 60 patients undergoing 66 procedures. Increment doses of fentanyl were given to provide additional analgesia. There was delayed awakening in 7 patients (12.1%), 3 of whom responded rapidly to narcotic reversal with naloxo...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X7900700208

    authors: Saady A

    更新日期:1979-05-01 00:00:00

  • Inhalational induction with sevoflurane in an adult with severe complex central airways obstruction.

    abstract::Sevoflurane is a newly available volatile anaesthetic agent which is suitable for inhalational induction of anaesthesia. Due to concerns about obstructing the upper airway as anaesthesia deepens, its use has until now been avoided in patients with upper airway obstruction. We used its smooth induction and recovery pro...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9702500621

    authors: Watters MP,McKenzie JM

    更新日期:1997-12-01 00:00:00

  • Some prehistory of New Zealand intensive care medicine.

    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

    pub_type: 历史文章,杂志文章

    doi:10.1177/0310057X090370S105

    authors: Trubuhovich RV

    更新日期:2009-07-01 00:00:00

  • PEEP and CPAP.

    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

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X8601400304

    authors: Duncan AW,Oh TE,Hillman DR

    更新日期:1986-08-01 00:00:00

  • Postoperative epidural morphine analgesia in Papua New Guinea.

    abstract::In order to introduce the technique of epidural narcotics for pain relief in Papua New Guinea, fifty patients were given low doses of epidural morphine and thereupon the quality of analgesia and morbidity evaluated. The lowest effective epidural morphine dose was determined by considering the patient's characteristics...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8901700315

    authors: Oberoi GS,Yaubihi N

    更新日期:1989-08-01 00:00:00

  • Retroperitoneal haematoma associated with low molecular weight heparin.

    abstract::Enoxaparin (a low molecular weight heparin) has been used extensively for its antithrombotic properties. Complications of its haemorrhagic side-effects have previously been described. We report two cases of extensive retroperitoneal haematoma requiring blood transfusion and inotropic support. One patient developed acu...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0203000520

    authors: Power GE,Rogers P

    更新日期:2002-10-01 00:00:00

  • Bacterial contamination in solution aspirated from non-sterile packaged fentanyl ampoules: a laboratory study.

    abstract::Iatrogenic meningitis is a rare complication of spinal anaesthesia. It is mandatory to use a technique which minimises the risk of introducing bacteria into the subarachnoid space. Currently available fentanyl ampoules require a careful drawing-up technique, as the outside of the ampoule is not sterile and there is po...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0903700413

    authors: Merriman S,Paech MJ,Keil AD

    更新日期:2009-07-01 00:00:00

  • Incidence of inferior vena cava thrombosis detected by transthoracic echocardiography in the immediate postoperative period after adult cardiac and general surgery.

    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

    pub_type: 杂志文章

    doi:10.1177/0310057X1304100614

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

    更新日期:2013-11-01 00:00:00

  • A comparison of two-lung high frequency positive pressure ventilation and one-lung ventilation plus 5 cm H2O non-ventilated lung CPAP, in patients undergoing anaesthesia for oesophagectomy.

    abstract::A randomised prospective controlled study was conducted during a one-year period on patients scheduled for oesophagectomy via a right thoracotomy approach. Twenty-two patients received one-lung ventilation (OLV group) and twenty patients received high frequency positive pressure ventilation (HFPPV group). Episodic hyp...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9101900209

    authors: Tsui SL,Chan CS,Chan AS,Wong SJ,Lam CS,Jones RD

    更新日期:1991-05-01 00:00:00

  • Retro-orbital tumour--an uncommon cause of headache in pregnancy.

    abstract::Retro-orbital tumour was the cause of headache and neuropathic facial pain in a 31-year-old pregnant woman. The diagnosis had been overlooked as a result of a long history of migraine. There was exacerbation of the pain throughout the pregnancy, particularly in the third trimester. Pharmacological agents commonly used...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0102900310

    authors: Roberts LJ,Goucke CR

    更新日期:2001-06-01 00:00:00

  • Australian snake antivenom dosing: What is scientific and safe?

    abstract::Because the median dose of one vial 'clears the blood of circulating venom', the authors of the Australian Snakebite Project recommend restriction of antivenom to one vial for all envenomated victims. This is neither scientific nor safe. Methodological flaws in the case series include limited detection of venom toxins...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X19865268

    authors: Tibballs J

    更新日期:2020-03-01 00:00:00

  • A comparison of open and laparoscopic approaches to adrenalectomy in patients with phaeochromocytoma.

    abstract::We compared the perioperative profiles of patients undergoing unilateral phaeochromocytoma resection performed by open adrenalectomy with those performed by laparoscopic adrenalectomy. Data was collected prospectively on 24 patients (12 open, 12 laparoscopic). All patients underwent extensive preoperative medical prep...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0403200210

    authors: Davies MJ,McGlade DP,Banting SW

    更新日期:2004-04-01 00:00:00

  • Predictive performance of a model of anaesthetic uptake with desflurane.

    abstract::We have previously shown that a model of anaesthetic uptake and distribution, developed for use as a teaching tool, is able to predict end-tidal isoflurane and sevoflurane concentrations at least as well as commonly used propofol models predict blood levels of propofol. Models with good predictive performance may be u...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0603400215

    authors: Kennedy R

    更新日期:2006-04-01 00:00:00

  • Difficult extubation: calming the sympathetic storm.

    abstract::Tracheal extubation can evoke an equally strong haemodyamic stress response as tracheal intubation. We present a patient with myocardial infarction who repeatedly failed tracheal extubation. He developed acute pulmonary oedema following each attempt at tracheal extubation due to sympathetic overactivity. A change of a...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0403200319

    authors: Kulkarni A,Price G,Saxena M,Skowronski G

    更新日期:2004-06-01 00:00:00

  • The bispectral index during an anaphylactic circulatory arrest.

    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

    pub_type: 杂志文章

    doi:10.1177/0310057X0102900518

    authors: Kluger MT

    更新日期:2001-10-01 00:00:00

  • Intraocular pressure during rapid sequence induction: use of moderate-dose sufentanil or fentanyl and vecuronium or atracurium.

    abstract::We studied the effect of rapid sequence induction of anaesthesia on intraocular pressure in physically fit, ASA class I or II patients using combinations of sufentanil (1 microgram/kg), or fentanyl (5 micrograms/kg) and vecuronium (0.2 mg/kg) or atracurium (1.0 mg/kg). All patients received thiopentone (5 mg/kg), foll...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9001800317

    authors: Stirt JA,Chiu GJ

    更新日期:1990-08-01 00:00:00