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

abstract：:The cardiovascular, coagulation and haematological effects of prothrombin activator from Tiger Snake (Notechis scutatus) venom were investigated in anaesthetized mechanically ventilated dogs. Infusion caused dose-related systemic hypotension, marked decreases in cardiac output and stroke volume, marked increases in pu...

journal_title：Anaesthesia and intensive care

authors： Tibballs J

更新日期：1998-10-01 00:00:00

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

authors： Wajon PR,Walsh RG,Symons NL

更新日期：1993-12-01 00:00:00

abstract：:Acute massive pulmonary embolism carries a high mortality with the majority of deaths occurring during the early phase. We describe a case of massive pulmonary embolism resulting in severe cardiovascular collapse and cardiac arrest which was treated successfully with inhaled nitric oxide. ...

journal_title：Anaesthesia and intensive care

authors： Crerar-Gilbert A,Boots R

更新日期：1999-08-01 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

authors： McConkey PP,Moore PG,Nguyen NT

更新日期：2001-12-01 00:00:00

abstract：:Patients with a presumptive diagnosis of an acute anaphylactoid reaction to anaesthesia were investigated to determine the cause of the reaction and the drug responsible by intradermal testing, patch and prick testing, sequential complement measurement, passive transfer testing and challenge. The most valuable informa...

journal_title：Anaesthesia and intensive care

authors： Fisher MM

更新日期：1981-08-01 00:00:00

abstract：:Pethidine (meperidine) is a unique member of the opioid family. In addition to its analgesic activity, it also has significant local anaesthetic activity. This property enables it to be used as the sole agent for spinal anaesthesia. We describe the successful use of intrathecal pethidine 1 mg/kg for an elective lower ...

journal_title：Anaesthesia and intensive care

authors： Vassiliadis RM,Taylor PG

更新日期：2013-01-01 00:00:00

abstract：:Forty intensive care unit patients requiring cardiopulmonary resuscitation were randomised to receive either the standard dose of adrenaline (1 mg every five minutes) or high-dose adrenaline (10 mg every five minutes). In the majority of patients, overwhelming sepsis was the major contributing factor leading to cardia...

journal_title：Anaesthesia and intensive care

authors： Lipman J,Wilson W,Kobilski S,Scribante J,Lee C,Kraus P,Cooper J,Barr J,Moyes D

更新日期：1993-04-01 00:00:00

abstract：:Patients admitted to an Intensive Care Unit (ICU) frequently have underlying cardiac dysfunction. Early interventions are sometimes difficult to initiate because of diagnostic uncertainty as to whether cardiac failure is present As B-type natriuretic peptide (BNP) has been shown to be increased in cardiac dysfunction,...

journal_title：Anaesthesia and intensive care

authors： McLean AS,Tang B,Nalos M,Huang SJ,Stewart DE

更新日期：2003-02-01 00:00:00

abstract：:Evidence-based choices of volatile agents can increase health cost efficiencies. In this pharmaco-economic study, we evaluated the trends and costs of volatile agent use in Australian public hospitals. The total number of volatile agent (isoflurane, sevoflurane and desflurane) bottles ordered and inflation-adjusted co...

journal_title：Anaesthesia and intensive care

authors： Weinberg L,Tay S,Aykanat V,Segal R,Tan CO,Peyton P,McNicol L,Story DA

更新日期：2014-09-01 00:00:00

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

authors： Kluger MT

更新日期：2001-10-01 00:00:00

abstract：:There is currently a shortage of organ donors to meet the demands of transplantation waiting lists. In recent years there has been renewed interest in donation after cardiac death in order to increase the pool of potential donors. The Organ and Tissue Authority has recently developed a national policy for donation aft...

journal_title：Anaesthesia and intensive care

authors： Sidiropoulos S,McEvoy L,Steel S,Silvester W,Warrillow S,Bolch S,Jones D

更新日期：2011-05-01 00:00:00

abstract：:Using multiple correlation and linear regression approaches, we investigated the association between the amount of mediastinal drainage for the first 24 postoperative hours and clinical variables as well as multiple haematological tests performed at three time points: before anaesthesia induction, 10 minutes after pro...

journal_title：Anaesthesia and intensive care

authors： Liu G,McNicol PL,McCall PR,Bellomo R,Connellan J,McInnes F,Przybylowski GM,Bowkett J,Choo F,Thurlow PJ

更新日期：2000-08-01 00:00:00

abstract：:Difficulties in positioning Robertshaw tubes have been reviewed in a retrospective and a prospective series. Pre-operative cheat X-rays did not help in predicting difficulties. The performance of the Robertshaw tube was carefully recorded for each malposition in the prospective series, and the relationship of the malp...

journal_title：Anaesthesia and intensive care

authors： Black AM,Harrison GA

更新日期：1975-11-01 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

authors： Szakmany T,Marton S,Molnar Z

更新日期：2003-06-01 00:00:00

abstract：:Thirty healthy parturients, having given informed consent, were randomly allocated in a double-blind study to receive an intramuscular injection of either 0.9% sodium chloride (control), ephedrine 25 mg, or ephedrine 50 mg, 30 minutes prior to general anaesthesia for caesarean section. Nine patients (90%) in the 50 mg...

journal_title：Anaesthesia and intensive care

authors： Rout CC,Rocke DA,Brijball R,Koovarjee RV

更新日期：1992-11-01 00:00:00

abstract：:The transmuscular quadratus lumborum (TQL) block is one of the recently evolved myofascial blocks utilised in abdominal surgery. It involves injecting local anaesthetic into the fascial plane anterior to the thoracolumbar fascia. This block has previously been described with a transverse oblique paramedian approach at...

journal_title：Anaesthesia and intensive care

authors： Kadam VR,Van Wijk RM,Ludbrook GL,Thiruvenkatarajan V

更新日期：2019-03-01 00:00:00

abstract：:Unselected preoperative coagulation testing is known to have low positive yield. However, no study has specifically evaluated neurosurgical patients. A retrospective study of 1211 patients having neurosurgery over a one-year period was therefore conducted. Preoperative test results (activated partial thromboplastin ti...

journal_title：Anaesthesia and intensive care

authors： Schramm B,Leslie K,Myles PS,Hogan CJ

更新日期：2001-08-01 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

abstract：:The Finapres (Ohmeda, Madison, U.S.A.) is a non-invasive device which continuously measures the arterial blood pressure in a finger and produces a real-time display of the arterial pressure wave. It consists of a finger cuff with an infra-red transmission plethysmograph, a servo control box and a monitor unit. The dev...

journal_title：Anaesthesia and intensive care

authors： Kermode JL,Davis NJ,Thompson WR

更新日期：1989-11-01 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：:Many deceased by neurologic criteria donors are administered inhalational agents during organ recovery surgery-a process that is characterised by warm and cold ischaemia followed by warm reperfusion. In certain settings, volatile anaesthetics (VA) are known to precondition organs to protect them from subsequent ischae...

journal_title：Anaesthesia and intensive care

authors： Perez-Protto S,Nazemian R,Matta M,Patel P,Wagner KJ,Latifi SQ,Lebovitz DJ,Reynolds JD

更新日期：2018-03-01 00:00:00

abstract：:Actively warming patients during surgery is considered the best method of preventing inadvertent hypothermia. In order to investigate the effect of forced air warming on postoperative oxygen consumption, we studied 26 patients undergoing orthopaedic surgery using a prospective, randomized trial design. We measured oxy...

journal_title：Anaesthesia and intensive care

authors： Wongprasartsuk P,Konstantatos A,McRae R

更新日期：1998-06-01 00:00:00

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

authors： Tibballs J

更新日期：2020-03-01 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

authors： Nagappan R,Parkin WG,Holdsworth SR

更新日期：2002-02-01 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 ultrasound software package Enhanced Needle Visualization (ENV) has been reported to provide improved ultrasound imaging of needles even at steep insertion angles. ENV has three settings: shallow, medium and steep. However, the angles are unknown. We examined the advantages and indications of ENV in an in vitro st...

journal_title：Anaesthesia and intensive care

authors： Takatani J,Takeshima N,Okuda K,Uchino T,Hagiwara S,Noguchi T

更新日期：2012-09-01 00:00:00

abstract：:Homologous, and to a significantly lesser extent, autologous blood transfusion is associated with definable and potentially serious risk. The increasing professional and public awareness has led to a critical evaluation of transfusion practices and a change in transfusion philosophy towards optimising transfusion ther...

journal_title：Anaesthesia and intensive care

authors： Nicholls MD

更新日期：1993-02-01 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

authors： Houlton PJ,Downing JW,Brock-Utne JG

更新日期：1978-08-01 00:00:00

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：:A nationwide survey (70% response) documented anaesthetists' hours of work, their perceptions about safety limits and their recollection of fatigue-related errors in clinical practice. In the preceding six months, 71% of trainees and 58% of specialists had exceeded their self-defined safety limits for continuous anaes...

journal_title：Anaesthesia and intensive care

authors： Gander PH,Merry A,Millar MM,Weller J

更新日期：2000-04-01 00:00:00