Postoperative patient-controlled thoracic epidural analgesia: importance of dose compared to volume or concentration.

abstract：:Normal saline or air is used to identify loss of resistance during identification of the epidural space for combined spinal-epidural analgesia. Following epidural needle placement using air for loss of resistance, up to 80% of parturients move, grimace, vocalise or experience paraesthesia or dysaesthesia during subseq...

journal_title：Anaesthesia and intensive care

authors： van den Berg AA,Ghatge S,Wang S

更新日期：2010-11-01 00:00:00

abstract：:Platypnoea-orthodeoxia syndrome has the pathognomonic clinical findings of dyspnoea and arterial hypoxaemia relieved by recumbency. We report on a patient who presented with platypnoea-orthodeoxia syndrome post laparoscopic surgery. Platypnoea-orthodeoxia syndrome is an important diagnosis to consider when investigati...

journal_title：Anaesthesia and intensive care

authors： Low Z,Darvall JN,Radford ST

更新日期：2014-05-01 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：:Unilateral or bilateral raised hemidiaphragms were observed on chest X-ray in three patients with severe tetanus. Diaphragmatic movement was absent on ultrasonography and fluoroscopy. Nerve conduction study confirmed phrenic nerve palsy. Bilateral involvement caused delayed weaning from the ventilator, whereas unilate...

journal_title：Anaesthesia and intensive care

authors： Panda NB,Yaddanapudi S,Bharadwaj N,Das C,Chari P

更新日期：2004-04-01 00:00:00

abstract：:This study was undertaken to identify factors influencing outcome in elderly patients operated for hip fracture. In particular, this study examined factors related to mortality at least 30 months post-fracture. Hospital records and death registrations were analysed for 463 patients aged 60 or more years treated for hi...

journal_title：Anaesthesia and intensive care

authors： McLeod K,Brodie MP,Fahey PP,Gray RA

更新日期：2005-12-01 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：: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：:This report describes anaesthesia for consanguineous siblings with the rare genetic condition hyperekplexia. This condition is also known as 'stiff baby syndrome' or 'startle disease'. Hyperekplexia can present in major and minor forms and is caused by a mutation in chromosome 5 which results in a defect in the alpha-...

journal_title：Anaesthesia and intensive care

authors： Garg R,Ramachandran R,Sharma P

更新日期：2008-03-01 00:00:00

abstract：:Adverse events after surgery are common. Identification of markers of at-risk patients may facilitate efficient and effective perioperative resource allocation. This pilot study aimed to identify simple preoperative factors associated with postoperative adverse events. In 1291 surgical patients, the relationship betwe...

journal_title：Anaesthesia and intensive care

authors： Seglenieks R,Painter TW,Ludbrook GL

更新日期：2014-09-01 00:00:00

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

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

更新日期：2018-05-01 00:00:00

abstract：:We report a case of rupture of the left main bronchus in a female patient with oesophageal carcinoma, who had received thoracic radiotherapy preoperatively. Endotracheal intubation was achieved with a left-sided double-lumen tube. After almost three hours of intubation and one and half hours of one-lung ventilation, b...

journal_title：Anaesthesia and intensive care

authors： Jha RR,Mishra S,Bhatnagar S

更新日期：2004-02-01 00:00:00

abstract：:Current donor management practices target macrohaemodynamic parameters, but it is unclear if this leads to improvements in microvascular perfusion and tissue oxygenation; the latter may have more impact on organ status. In a recent preclinical study we determined that brain death impaired tissue perfusion and oxygen u...

journal_title：Anaesthesia and intensive care

authors： Perez-Protto SE,Reynolds JD,Nazemian R,You J,Hata JS,Latifi SQ,Lebovitz DJ

更新日期：2018-11-01 00:00:00

abstract：:Organic insecticide poisoning continues to be a major health problem not only in the developing communities but also in the Western population. The insecticides commonly used are the organophosphates, organocarbamates, organochlorides and pyrethroids. Patients with organic insecticide poisoning present with a spectrum...

journal_title：Anaesthesia and intensive care

authors： Peter JV,Cherian AM

更新日期：2000-02-01 00:00:00

abstract：:This narrative review aims to describe the role of peripheral and central immune responses to tissue and nerve damage in animal models, and to discuss the use of immunomodulatory agents in clinical practice and their perioperative implications. Animal models of pain have demonstrated that nerve injury activates immune...

journal_title：Anaesthesia and intensive care

authors： Lim JS,Kam PC

更新日期：2020-05-01 00:00:00

abstract：:This prospective, randomized, double-blind study was designed to compare the recovery characteristics of remifentanil and fentanyl in combination with propofol for direct current cardioversion. Patients undergoing elective cardioversion received either intravenous fentanyl 1 microg/kg (n=33) or remifentanil 0.25 micro...

journal_title：Anaesthesia and intensive care

authors： Maltepe F,Kocaayan E,Ugurlu BS,Akdeniz B,Guneri S

更新日期：2006-06-01 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：: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：:There is no consensus that hyperglycaemia is an independent predictor of morbidity-mortality in children. This retrospective observational study aimed to assess the association between abnormal perioperative glucose levels and adverse outcomes in infants receiving open-heart surgery with cardiopulmonary bypass. The re...

journal_title：Anaesthesia and intensive care

authors： Huang XZ,Wang H,Xu HZ,Ye M,Jiang P,Xu Y

更新日期：2012-09-01 00:00:00

abstract：:Catecholamine-resistant shock is not uncommon in intensive care. Bolus dose terlipressin (a vasopressin analogue) has been used successfully in this setting allowing cessation of other vasopressor agents. The relative vasopressin deficiency in combination with the restoration of the vascular tone (by blocking adenosin...

journal_title：Anaesthesia and intensive care

authors： Jolley DH,De Keulenaer BL,Potter A,Stephens DP

更新日期：2003-10-01 00:00:00

abstract：:Despite the increasing use of a variety of different analgesic strategies, opioids continue as the mainstay for management of moderate to severe acute pain. However concerns remain about their potential adverse effects on ventilation. The most commonly used term, respiratory depression, only describes part of that ris...

journal_title：Anaesthesia and intensive care

authors： Macintyre PE,Loadsman JA,Scott DA

更新日期：2011-07-01 00:00:00

abstract：:The theoretical performance of the Hudson Multivent mask is considered. A method is described of determining the flow-weighted mean inspired oxygen concentration produced by the mask. Using this method, it was found that the inspired oxygen concentration was predictable only at the 24% setting using the recommended fl...

journal_title：Anaesthesia and intensive care

authors： Woolner DF,Larkin J

更新日期：1980-02-01 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：:Nineteen adult patients of either gender received intravenous infusions of propofol, scaled to estimated lean body mass (LBM), for 150 minutes as part of a balanced anaesthetic. Arterial blood was assayed for whole blood propofol. The first subject received propofol at a fixed rate of 0.058 mg x min(-1) x kg(LBM)(-1)....

journal_title：Anaesthesia and intensive care

authors： Crankshaw DP,Brown MJ,Bjorksten AR

更新日期：2010-05-01 00:00:00

abstract：:The effects of three different physiotherapy techniques on arterial oxygen tensions and A-aO2 gradients were evaluated in 17 patients subjected to mechanical ventilation. No significant changes were detected and the clinical significance of these findings, which contrast with those of other investigators, is discussed...

journal_title：Anaesthesia and intensive care

authors： Brock-Utne JG,Winning TJ,Botha E,Goodwin NM

更新日期：1975-08-01 00:00:00

abstract：:The aim of this study was to evaluate the anaesthesia care of an enhanced recovery after surgery (ERAS) program for patients having abdominal surgical in Victorian hospitals. The main outcome measure was the number of ERAS items implemented following introduction of the ERAS program. Secondary endpoints included proce...

journal_title：Anaesthesia and intensive care

authors： Thompson EG,Gower ST,Beilby DS,Wallace S,Tomlinson S,Guest GD,Cade R,Serpell JS,Myles PS

更新日期：2012-05-01 00:00:00

abstract：:The safety and efficacy of prolonged infusion of alphaxalone/alphadolone (Alfathesin: Glaxo) was assessed in 20 critically ill patients needing sedation during intermittent positive pressure ventilation in a general intensive care unit. The mean dose of Alfathesin infused was 1542 ml (range: 225 to 4820 ml) over 6.9 d...

journal_title：Anaesthesia and intensive care

authors： Stewart GO,Dobb GJ,Craib IA

更新日期：1983-05-01 00:00:00

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 doc...

journal_title：Anaesthesia and intensive care

authors： Murdoch E,Holdgate A

更新日期：2007-10-01 00:00:00

abstract：:Frailty assessment in patients admitted to intensive care is often limited using traditional clinical frailty assessment tools. Opportunistic use of contemporary computed tomography (CT) can provide an objective estimate of low skeletal muscle mass (sarcopenia) as a proxy for frailty. The aim of this study was to esta...

journal_title：Anaesthesia and intensive care

authors： Joyce PR,O'Dempsey R,Kirby G,Anstey C

更新日期：2020-05-01 00:00:00

abstract：:Chlormethiazole ethanedisulphonate (Hemineurin) was administered to provide light sedation in patients undergoing surgery with neural blockade. A two stage intravenous infusion system was used and consisted of a loading dose 1520 mg over 30 minutes followed by a maintenance rate of 10 mg/min for the desired period. Pa...

journal_title：Anaesthesia and intensive care

authors： Mather LE,Cousins MJ

更新日期：1980-11-01 00:00:00

abstract：:We reviewed the clinical characteristics, required intervention and short- and long-term outcomes in obstructive sleep apnoea (OSA) patients requiring intensive care. A retrospective, single-centre, observational cohort study was undertaken in a multidisciplinary teaching medical and surgical intensive care unit. Adul...

journal_title：Anaesthesia and intensive care

authors： Hang LW,Chen W,Liang SJ,Lin YC,Tu CY,Chen HJ,Chiu KL

更新日期：2010-05-01 00:00:00