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. Adult patients with OSA (apnoea-hypopnoea index of 5 or higher) requiring intensive care from January 2000 to January 2005 were included. Thirty-seven OSA patients (age: 58 +/- 14 years, male:female 27:10) were admitted due to respiratory (n=12, 32%), cerebrovascular (n=8, 22%), cardiovascular (n=16, 43%) and infectious events (n=1, 2.7%). Comparing the clinical features, polysomnographic data and outcome among these groups, we found that OSA patients admitted due to respiratory events had significantly higher Acute Physiology and Chronic Health Evaluation II scores, lower arterial blood gas pH, higher PaCO2, a higher incidence of respiratory failure (92%) and required non-invasive ventilation after extubation (73%), and higher intensive care unit readmission rates than patients admitted due to cerebrovascular events and cardiovascular events (P < 0.05). No difference was found in the in-hospital and long-term mortality rate. The most common reason for intensive care unit admission in critically ill OSA patients was a cardiovascular event, followed by respiratory and cerebrovascular events. The baseline polysomnographic data of the OSA patients were not correlated with their clinical features and outcomes in the intensive care unit. A more complicated clinical course and higher intensive care unit readmission rate were encountered in OSA patients admitted due to respiratory events. Further studies would be required to evaluate the efficacy of non-invasive ventilation for facilitation of extubation in OSA patients presenting with hypercapnic respiratory failure.
journal_name
Anaesth Intensive Carejournal_title
Anaesthesia and intensive careauthors
Hang LW,Chen W,Liang SJ,Lin YC,Tu CY,Chen HJ,Chiu KLdoi
10.1177/0310057X1003800315subject
Has Abstractpub_date
2010-05-01 00:00:00pages
506-12issue
3eissn
0310-057Xissn
1448-0271pii
20090500journal_volume
38pub_type
杂志文章abstract：:Amethocaine has recently been introduced as a topical local anaesthetic preparation. Following sporadic reports of severe local adverse effects, we conducted an audit of 372 children attending our hospital for day surgery. We conclude that 4% amethocaine cream is a safe and effective topical anaesthetic and that the i...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
doi：10.1177/0310057X9802600316
更新日期：1998-06-01 00:00:00
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
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abstract：:We conducted a survey of Australian specialist anaesthetists about their practice of sedation for elective and emergency gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP), and colonoscopy. A 24-item survey was emailed to 1,000 anaesthetists in August 2015. Responses were received from 409 anaesthetist...
journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
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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
pub_type： 杂志文章
doi：10.1177/0310057X9802600415
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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
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abstract：:There is little consensus on the definition or optimal constituents of fluid bolus therapy (FBT), and there is uncertainty regarding its physiological effects. The aims of this study were to determine clinician-reported definitions of FBT and to explore the physiological responses clinicians expect from such FBT. In J...
journal_title：Anaesthesia and intensive care
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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
pub_type： 杂志文章
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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
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journal_title：Anaesthesia and intensive care
pub_type： 杂志文章,多中心研究
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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
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journal_title：Anaesthesia and intensive care
pub_type： 杂志文章,随机对照试验
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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更新日期：2005-10-01 00:00:00
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journal_title：Anaesthesia and intensive care
pub_type： 杂志文章
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journal_title：Anaesthesia and intensive care
pub_type： 杂志文章,随机对照试验
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更新日期：2006-02-01 00:00:00
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journal_title：Anaesthesia and intensive care
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更新日期：2007-02-01 00:00:00
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journal_title：Anaesthesia and intensive care
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更新日期：2014-07-01 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
pub_type： 杂志文章,评审
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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journal_title：Anaesthesia and intensive care
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