Abstract：
:During the transfer of intubated patients, endotracheal tube security is paramount. This study aims to compare two methods of securing an endotracheal tube in adults: tying with a cloth tape versus the Thomas Endotracheal Tube Holder (Laerdal). A manikin-based study was performed using paramedics and critical care doctors (consultants and senior trainees) as participants. Each participant was asked to secure an endotracheal tube that had been placed within the trachea of a manikin a total of six times, the first three times using tied cloth tape and the last three times using a Thomas Endotracheal Tube Holder. Following each 'fixation' and after the participant had left the room, the security of the tube was tested by applying a fixed force laterally and to the right by dropping a 1.25 kg weight a distance of 50 cm. The amount of movement of the tube with respect to the teeth was measured and recorded in millimetres. Two-hundred-and-seventy tube fixations (135 tied vs. 135 tube holder) were performed by 45 participants. The degree of tube movement was significantly higher when the tube was secured with a tie compared with when the tube holder was used (median movement 22 mm vs. 4 mm, P < 0.0001). We have demonstrated that the tube holder device minimised tube movement in a manikin model when compared with conventional tape tying. The use of this device when transporting intubated patients may reduce the risk of tube displacement though further clinical studies are warranted.
journal_name
Anaesth Intensive Carejournal_title
Anaesthesia and intensive careauthors
Murdoch E,Holdgate Adoi
10.1177/0310057X0703500512subject
Has Abstractpub_date
2007-10-01 00:00:00pages
730-5issue
5eissn
0310-057Xissn
1448-0271pii
2007064journal_volume
35pub_type
杂志文章abstract：:Emery-Dreifuss muscular dystrophy is a rare form of muscular dystrophy associated with cardiac implications such as cardiomyopathy and arrhythmias leading to sudden death. We describe the anesthetic management of a patient with Emery-Dreifuss muscular dystrophy who presented for orthopaedic surgery and discuss the dis...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X0203000320
更新日期：2002-06-01 00:00:00
abstract：:This paper reviews the state of the art in Australia of manually operated, self-inflating bag resuscitators, including the Laerdal, Air Viva and Ambu; manually operated bags dependent upon an oxygen supply, including Mapleson B, C, E and F, the CIG Medishield Oxy-Saver and modified Oxy-Viva Resuscitator 3, and the Kom...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X8601400310
更新日期：1986-08-01 00:00:00
abstract：:A study on five upright (head above thorax) anaesthetised sheep demonstrated a statistically significant increase in central venous pressure and decrease in pulmonary artery occlusion pressure, following the injection of air 2 ml per kg into the pulmonary artery. In two out of the five sheep after air embolism, right-...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X8401200408
更新日期：1984-11-01 00:00:00
abstract：:A study was undertaken to determine the time constants of elimination and effect compartment equilibration of suxamethonium and for the slope exponent of the Hill equation. Twelve patients were anaesthetized with thiopentone, fentanyl, and isoflurane in nitrous oxide and oxygen. After allowing conditions to become sta...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X9702500312
更新日期：1997-06-01 00:00:00
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
更新日期：1991-05-01 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
pub_type： 杂志文章
doi：10.1177/0310057X0803600209
更新日期：2008-03-01 00:00:00
abstract：:Acute right heart failure in a young person is an unusual presentation and drug overdose is a rare cause. A case is described where the patient presented with striking clinical signs of acute pulmonary hypertension and right heart failure, which were confirmed by transthoracic echocardiography. The precipitating event...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X0403200417
更新日期：2004-08-01 00:00:00
abstract：:Vancomycin is a commonly used antibiotic due to the high burden of methicillin-resistant Staphylococcus aureus infections. This study aimed to describe the pharmacokinetics (PK) of vancomycin in Australian Indigenous patients with severe sepsis, and advise an optimal dosing strategy. A population PK study was c...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X1804600405
更新日期：2018-07-01 00:00:00
abstract：:The manner in which elements of clinical history, physical examination and investigations influence subjectively assessed illness severity and outcome prediction is poorly understood. This study investigates the relationship between clinician and objectively assessed illness severity and the factors influencing clinic...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章,多中心研究
doi：10.1177/0310057X0503300117
更新日期：2005-02-01 00:00:00
abstract：:Ten patients undergoing hip replacement surgery were studied regarding activation of complement and leukocytes in association with collection of wound drainage blood. The blood was collected postoperatively but not reinfused due to the possible risks with reinfusion of blood containing inflammatory mediators. Blood sa...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X9502300604
更新日期：1995-12-01 00:00:00
abstract：:Eighty-two patients presenting for major abdominal surgery were divided into five groups, and received intravenous ketamine, muscle relaxation and controlled ventilation with oxygen-enriched air. For maintenance of anaesthesia patients were given a single intravenous dose of either droperidol 5 mg, diazepam 5 mg, prom...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X7800600308
更新日期：1978-08-01 00:00:00
abstract：:An inexpensive and convenient method of collecting waste gases from the open-tailed bag of a T-piece system is described. ...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X7700500318
更新日期：1977-08-01 00:00:00
abstract：:Epidural opioids have been used in obstetrics since 1980. Various opioids are reviewed in relation to their pharmacology, their efficacy in labour, during caesarean section and for postoperative analgesia, their side-effects and safety. In this patient population it appears safe to administer epidural opioids on the g...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章,评审
doi：10.1177/0310057X9001800303
更新日期：1990-08-01 00:00:00
abstract：:Cardiac output (CO) is a key determinant of major organ blood flow and solute delivery to drug eliminating organs. As such, CO assessment is a key covariate in understanding altered drug handling in the critically ill. Newer minimally-invasive devices are providing unique platforms for such an application, although co...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X1204000408
更新日期：2012-07-01 00:00:00
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
更新日期：2002-10-01 00:00:00
abstract：:Sepsis and respiratory dysfunction leading to multiple system organ failure remains the leading cause of postoperative morbidity and mortality following major surgical procedures. It has been suggested the oxygen free radicals might play a pivotal role in this process. The aim of this study was to investigate whether ...
journal_title：Anaesthesia and intensive care
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1177/0310057X0303100304
更新日期：2003-06-01 00:00:00
abstract：:Twenty women were given a bolus induction of propofol 2.0 mg.kg-1 for elective caesarean section. Induction to delivery times ranged from five to fourteen minutes. At delivery the maternal venous (MV) concentrations of propofol ranged from 0.53 to 1.48 micrograms.ml-1 umbilical vein (UV) 0.39 to 1.4 micrograms.ml-1 an...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X9001800204
更新日期：1990-05-01 00:00:00
abstract：:It is common practice to mix opioids with hyperbaric bupivacaine in a single syringe before intrathecal injection of the mixture. Mixing these drugs may alter the density of the hyperbaric solution, affecting the spread of local anaesthetic and opioid. Forty-eight women having elective caesarean section under spinal a...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章,随机对照试验
doi：10.1177/0310057X1003800209
更新日期：2010-03-01 00:00:00
abstract：:The aim of this study was to determine the extent of unnecessary investigation performed as part of the preoperative preparation of elective surgical patients in a teaching hospital and to audit the effect of guidelines and education designed to reduce unnecessary investigation. Guidelines were developed for preoperat...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X0203000310
更新日期：2002-06-01 00:00:00
abstract：:Forced-air warming is the most commonly used and effective method of active warming. A new radiant warming device (Suntouch, Fisher and Paykel) may provide an alternative when the skin surface available for warming is limited. We conducted a randomized controlled trial to compare the efficacy of the Suntouch radiant w...
journal_title：Anaesthesia and intensive care
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1177/0310057X0403200309
更新日期：2004-06-01 00:00:00
abstract：:Minimally invasive oesophagectomy is a relatively new procedure that is performed by means of thoracoscopy and laparoscopy. One stage of the procedure involves creation of a peritoneo-pleural communication in the presence of a pneumoperitoneum. In the case presented, severe hypotension occurred at this point. We belie...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X0102900614
更新日期：2001-12-01 00:00:00
abstract：:The role of disseminated intravascular coagulation (DIC) has not been extensively studied in patients with sepsis. A prospective study was performed in a single university hospital. The incidences of DIC at day 1 (<24 hours post-sepsis diagnosis) and day 3 (48 to 72 hours) were investigated among patients with sepsis....
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X1604400110
更新日期：2016-01-01 00:00:00
abstract：:In a series of patients who suffered severe histamine mediated reactions to induction agents and muscle relaxants, intradermal testing enabled the drug involved to be distinguished. The correct use of intradermal testing to give reliable results is discussed and a protocol described. Prausnitz Kustner testing was of l...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X7600400202
更新日期：1976-05-01 00:00:00
abstract：:During the period 1997 to 2002, 42 children were electively admitted to the Paediatric Intensive Care Unit at the John Hunter Children's Hospital following adenotonsillectomy for severe obstructive sleep apnoea. Forty children had a preoperative sleep study, of which 33 were complete polysomnograms. Of the 42 children...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X0403200107
更新日期：2004-02-01 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
pub_type： 杂志文章
doi：10.1177/0310057X1604400214
更新日期：2016-03-01 00:00:00
abstract：:We report a case of a 15-year-old male who developed severe left-sided hemiplegia and hemi-sensory loss 20 minutes after arrival in post anaesthetic care unit following an uneventful general anaesthesia for removal of a cannulated screw of left hip. Initial CT and MRI/MRA with diffusion-weighted imaging were unremarka...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X0703500318
更新日期：2007-06-01 00:00:00
abstract：:We present a case of acute lithium intoxication in a 51-year-old woman on chronic lithium therapy. Her serum lithium level was 10.6 mmol/l 13 hours after ingestion and 5.8 mmol/l at 24 hours. Dialysis therapy was not employed and she recovered well after fluid resuscitation. Serum lithium levels in chronic intoxicatio...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X0203000118
更新日期：2002-02-01 00:00:00
abstract：:A randomized, controlled clinical trial was conducted on 72 patients undergoing elective cardiac surgery to compare patient-controlled analgesia (PCA) to nurse-titrated infusion of morphine. Pain and nausea scores were assessed at 5, 20, 32 and 44 hours after cardiopulmonary bypass. Serum cortisol estimations were per...
journal_title：Anaesthesia and intensive care
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1177/0310057X9402200605
更新日期：1994-12-01 00:00:00
abstract：:Adhesive tapes are a routine part of every anaesthetic. Until now there has been little clinical data on the efficacy of these tapes. This study compared Micropore Transpore, Leukoplast and Sleek to determine if any significant difference existed between the adhesive properties of these tapes. The tapes were trialled ...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X0203000214
更新日期：2002-04-01 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
pub_type： 历史文章,杂志文章
doi：10.1177/0310057X090370S105
更新日期：2009-07-01 00:00:00
