Pathophysiology and management of raised intracranial pressure.

abstract：:We studied prospectively 49 patients being treated in an intensive care unit with aminoglycosides for gram-negative sepsis. Pharmacokinetic data were calculated from three post-dose serum levels using a one-compartment model. Doses required to achieve peak levels between 5 and 10 mg/l with trough levels approximately ...

journal_title：Anaesthesia and intensive care

authors： Beckhouse MJ,Whyte IM,Byth PL,Napier JC,Smith AJ

更新日期：1988-11-01 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：:A prospective study comparing the efficacy of wire-conducted intravascular ECG (IVECG) signal and signal from the port with a sodium bicarbonate (NaHCO3) flushed catheter to correctly place a catheter tip was carried out in 100 patients. The correct position of the catheter tip was confirmed as follows: with technique...

journal_title：Anaesthesia and intensive care

authors： Cheng KI,Chu KS,Chen LT,Tang CS

更新日期：2002-10-01 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：: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

authors： Boots RJ,Lipman J,Bellomo R,Stephens D,Heller RE

更新日期：2005-02-01 00:00:00

abstract：:Monoclonal antibodies (mAb) have revolutionised many areas of medicine, particularly research and diagnostics. Murine, human and humanized mAb have all been developed. The most important clinical applications to date have been in the fields of transplantation and oncology. Experimental and limited clinical trials sugg...

journal_title：Anaesthesia and intensive care

authors： Peake S

更新日期：1993-12-01 00:00:00

abstract：:Trained anaesthetic assistants are considered essential for the safe conduct of anaesthesia. Data from 5837 AIMS (Anaesthetic Incident Monitoring Study) reports were evaluated for issues concerning anaesthetic assistants in the generation and resolution of anaesthetic incidents. "Inadequate assistance" as a contributi...

journal_title：Anaesthesia and intensive care

authors： Kluger MT,Bukofzer M,Bullock M

更新日期：1999-06-01 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：: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

authors： Shende D,Agarwal R

更新日期：2002-06-01 00:00:00

abstract：:Recent studies which suggest the existence of an endogenous neural substrate of pain inhibition are reviewed. Electrical stimulation of some areas of the medial brain stem in laboratory rats has produced a dramatic degree of analgesia. Such stimulation-produced analgesia is partially blocked by an opiate antagonist dr...

journal_title：Anaesthesia and intensive care

authors： Liebeskind JC,Sherman JE,Cannon T

更新日期：1982-05-01 00:00:00

abstract：:The aim of this study was to review and describe indications for intraaortic balloon counterpulsation (IABP) use and identify the impact these have on outcomes at an Australian cardiothoracic tertiary referral hospital. A secondary aim was comparison of the Australian practice with a large multinational IABP data regi...

journal_title：Anaesthesia and intensive care

authors： Lewis PA,Mullany DV,Townsend S,Johnson J,Wood L,Courtney M,Joseph D,Walters DL

更新日期：2007-02-01 00:00:00

abstract：:Objective assessment of the results of surgical sympathectomy and sympathetic block (both temporary and permanent) are not widely practised. This article comments briefly on the available methods, and describes the use of the abolition of the skin potential response (formerly known as the psychogalvanic reflex) to ass...

journal_title：Anaesthesia and intensive care

authors： Cronin KD,Kirsner RL

更新日期：1979-11-01 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：: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

authors： Critchley LA,Ho AM,Lee SY

更新日期：2007-04-01 00:00:00

abstract：:We describe an outbreak of hepatitis A that occurred in an Intensive Care Unit (ICU) in a regional hospital in North Queensland. Seven people were infected including two patients, two close contacts of the index patient and three ICU nursing staff. The index case was admitted with an overdose and multiple trauma; he w...

journal_title：Anaesthesia and intensive care

authors： Hanna JN,Loewenthal MR,Negel P,Wenck DJ

更新日期：1996-08-01 00:00:00

abstract：:Little is known about the experiences of patients with severe comorbidity discharged from Intensive Care Units (ICUs). This project aimed to determine the effects of an ICU stay for patients with severe comorbidity by comparing 1) quality of life (QOL), 2) the symptom profile of hospital survivors and 3) health servic...

journal_title：Anaesthesia and intensive care

authors： Williams TA,McConigley R,Leslie GD,Dobbs GJ,Phillips M,Davies H,Aoun S

更新日期：2015-03-01 00:00:00

abstract：:The purpose of the study was to investigate the characteristics and outcomes of in-hospital cardiac arrests that occurred outside of the hospital critical care areas. A prospective register of adult in-hospital cardiac arrests occurring in non-critical care areas of Christchurch Hospital, Christchurch, New Zealand, fr...

journal_title：Anaesthesia and intensive care

authors： Smith S,Shipton EA,Wells JE

更新日期：2007-08-01 00:00:00

abstract：:The occurrence of ventricular fibrillation after aortic de-clamping during cardiac surgery is common, and if prolonged may contribute to myocardial ischaemia. The use of lignocaine cardioplegia to minimize reperfusion ventricular fibrillation was studied in 141 patients undergoing first time coronary artery surgery in...

journal_title：Anaesthesia and intensive care

authors： Wallace SR,Baker AB

更新日期：1994-08-01 00:00:00

abstract：:In 144 patients who were referred to an anaesthetic allergy clinic because of perceived risk of anaphylaxis during anaesthesia, the only 'at risk' group that could be identified was patients with a history of unexplained severe adverse reaction during previous anaesthesia. Twenty-two of 45 patients with such a history...

journal_title：Anaesthesia and intensive care

authors： Fisher MM

更新日期：2007-12-01 00:00:00

abstract：:Prophylaxis of acute upper gastrointestinal bleeding by control of gastric pH has been widely advocated for intensive care patients. H2-blockers and antacids have been used and demonstrated to be incompletely effective at maintaining gastric pH above 4. A study of 100 patients measured the efficacy of two-hourly gastr...

journal_title：Anaesthesia and intensive care

authors： Morris RW,Boyle M,Jacobs S,Torda T

更新日期：1991-02-01 00:00:00

abstract：:Postoperative cognitive disorders are common in elderly patients. Pre-existing cognitive impairment including mild cognitive impairment may be an important risk factor for developing postoperative cognitive dysfunction and may not be detected in a standard preoperative interview, yet is not routinely sought. Our prima...

journal_title：Anaesthesia and intensive care

authors： Smith NA,Yeow YY

更新日期：2016-09-01 00:00:00

abstract：:Seventy patients who underwent a total of 77 consecutive carotid endarterectomies were given thiopentone (mean dose 19 mg/kg) under EEG control for cerebral protection during the period of carotid clamping. This technique was used instead of elective insertion of a temporary bypass shunt in response to adverse EEG cha...

journal_title：Anaesthesia and intensive care

authors： Hicks RG,Kerr DR,Horton DA

更新日期：1986-02-01 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

authors： Westmore MD

更新日期：1990-08-01 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

authors： Myles PS,Buckland MR,Cannon GB,Bujor MA,Langley M,Breaden A,Salamonsen RF,Davis BB

更新日期：1994-12-01 00:00:00

abstract：:A technique of subclavian vein catheterization is described, tailored to the individual patient, to reduce the risk of right atrial placement with central venous catheter (CVC) insertion. Using data gathered retrospectively for Quality Improvement purposes, CVC tip location was assessed. The standard technique used in...

journal_title：Anaesthesia and intensive care

authors： Chalkiadis GA,Goucke CR

更新日期：1998-02-01 00:00:00

abstract：:The study aim was to investigate the effect of three different morphine doses added to levobupivacaine 0.125% for caudal analgesia after circumcision surgery in children, particularly in relation to the frequency of postoperative vomiting within the first 24 hours following surgery. Two hundred and forty patients aged...

journal_title：Anaesthesia and intensive care

authors： Dostbil A,Gursac Celik M,Aksoy M,Ahiskalioglu A,Celik EC,Alici HA,Ozbey I

更新日期：2014-03-01 00:00:00

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

authors： Glassford NJ,Jones SL,Martensson J,Eastwoods GM,Bailey M,Cross AM,Taylor DM,Bellomo R

更新日期：2015-11-01 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：: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：:The potential transmission of disease by anaesthetic and ventilator breathing circuits has resulted in the widespread use of filters. Convincing scientific evidence of their complete efficacy is lacking particularly in regard to viruses. In the past, practical difficulties precluded the use of new or autoclavable equi...

journal_title：Anaesthesia and intensive care

authors： Komesaroff D

更新日期：1996-04-01 00:00:00