Anaesthesia for adults with cystic fibrosis.

Abstract:

:Cystic fibrosis is an autosomal recessive disorder which affects one in 2500 live births. It is a multisystem disease and has a variety of presentations. The major clinical features affect the gastrointestinal and respiratory tracts. Severe respiratory disease, diabetes and gastroesophageal reflux are common features of concern to anaesthetists. Improved care of young patients has allowed many to survive into adulthood. Lung transplantation has significantly improved the outlook for many patients. At Alfred Hospital, 74 patients with cystic fibrosis underwent 149 procedures from January 1978 to January 1994, with a mortality of 0.6% (95% CI 0.4%-0.8%). This retrospective cohort study describes the anaesthetic management and perioperative care of these patients. Most of the anaesthetics were for procedures related to cystic fibrosis but 12% were for unrelated conditions. Cystic fibrosis related procedures include diagnostic, venous access, enteral feeding procedures, treatment of complications of cystic fibrosis and lung transplantation. Despite extremely poor respiratory function, these patients can be managed with acceptably low postoperative mortality (1%). Pre- and postoperative care must be directed towards optimal clearance of viscous respiratory secretions. Procedures need to be planned so that optimal care can be given by each member of the team caring for cystic fibrosis patients.

journal_name

Anaesth Intensive Care

authors

Weeks AM,Buckland MR

doi

10.1177/0310057X9502300310

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

332-8

issue

3

eissn

0310-057X

issn

1448-0271

journal_volume

23

pub_type

杂志文章
  • Manual resuscitators and portable ventilators.

    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

    authors: Phillips GD,Skowronski GA

    更新日期:1986-08-01 00:00:00

  • The effect of remote ischaemic preconditioning on myocardial injury in patients undergoing off-pump coronary artery bypass graft surgery.

    abstract::In several recent clinical trials on cardiac surgery patients, remote ischaemic preconditioning (RIPC) showed a powerful myocardial protective effect. However the effect of RIPC has not been studied in patients undergoing off-pump coronary artery bypass graft surgery. We evaluated whether RIPC could induce myocardial ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0310057X1003800518

    authors: Hong DM,Mint JJ,Kim JH,Sohn IS,Lim TW,Lim YJ,Bahk JH,Jeon Y

    更新日期:2010-09-01 00:00:00

  • Comparison of the efficacy of paracetamol versus paracetamol, codeine and promethazine (Painstop) for premedication and analgesia for myringotomy in children.

    abstract::This prospective double-blinded study compared the analgesic effectiveness and incidence of complications of a compound preparation Painstop (Paedpharm Pty Ltd) containing paracetamol 12 mg, codeine 0.5 mg and promethazine 0.65 mg per 1.0 ml, dosage 1.0 ml/kg, with paracetamol 20 mg/kg. Ninety-five children aged 1 to ...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9702500105

    authors: Ragg P,Davidson A

    更新日期:1997-02-01 00:00:00

  • Efficacy and safety of ultra rapid iron polymaltose infusion during general anaesthesia.

    abstract::To assess the efficacy and safety of ultra rapid (15 minute) infusion of iron polymaltose to iron deficient patients during general anaesthesia, we performed a prospective, interventional non-randomised study on 99 adult patients with iron deficiency with or without anaemia presenting for surgery under general anaesth...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1704500307

    authors: Browning RM,Alakeson N,O'Loughlin EJ

    更新日期:2017-05-01 00:00:00

  • A comparison of open and laparoscopic approaches to adrenalectomy in patients with phaeochromocytoma.

    abstract::We compared the perioperative profiles of patients undergoing unilateral phaeochromocytoma resection performed by open adrenalectomy with those performed by laparoscopic adrenalectomy. Data was collected prospectively on 24 patients (12 open, 12 laparoscopic). All patients underwent extensive preoperative medical prep...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0403200210

    authors: Davies MJ,McGlade DP,Banting SW

    更新日期:2004-04-01 00:00:00

  • Presentation of hemiplegic migraine--hemiplegia and hemi-sensory loss following general anaesthesia.

    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

    authors: Lin L,Adey C

    更新日期:2007-06-01 00:00:00

  • Maternal and fetal levels of propofol at caesarean section.

    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

    authors: Gin T,Gregory MA,Chan K,Oh TE

    更新日期:1990-05-01 00:00:00

  • Loss of resistance to saline reduces responses accompanying spinal needle insertion during institution of 'needle-through-needle' combined spinal-epidural analgesia.

    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

    pub_type: 杂志文章

    doi:10.1177/0310057X1003800608

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

    更新日期:2010-11-01 00:00:00

  • Anaesthesia for renal transplantation--5 years' experience.

    abstract::Two hundred and seventy patients underwent anaesthesia for 280 renal transplants between October 1977 and October 1982. Their medical records were studied retrospectively. These patients were representative of the end-stage chronic renal failure population, with the usual high incidence of cardiovascular and biochemic...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8301100405

    authors: Marsland AR,Bradley JP

    更新日期:1983-11-01 00:00:00

  • Day 3 versus Day 1 disseminated intravascular coagulation score among sepsis patients: a prospective observational study.

    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

    authors: Park JY,Park S,Park SY,Sim YS,Kim JH,Hwang YI,Jang SH,Jung KS

    更新日期:2016-01-01 00:00:00

  • Difficult extubation: calming the sympathetic storm.

    abstract::Tracheal extubation can evoke an equally strong haemodyamic stress response as tracheal intubation. We present a patient with myocardial infarction who repeatedly failed tracheal extubation. He developed acute pulmonary oedema following each attempt at tracheal extubation due to sympathetic overactivity. A change of a...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0403200319

    authors: Kulkarni A,Price G,Saxena M,Skowronski G

    更新日期:2004-06-01 00:00:00

  • Unravelling the mystery of malignant hyperthermia.

    abstract::Malignant hyperthermia was an unknown condition in 1960 although there had always been occasional patients who died mysteriously under anaesthesia. The nature of the disease became apparent when a young Melbourne man presented that year with a compound fracture and a family history of deaths under anaesthesia. He surv...

    journal_title:Anaesthesia and intensive care

    pub_type: 历史文章,杂志文章

    doi:10.1177/0310057X0703501s05

    authors: Ball C

    更新日期:2007-06-01 00:00:00

  • The patient's view of anaesthesia in an Australian teaching hospital.

    abstract::One hundred and thirty-nine patients undergoing routine surgical procedures over a five-day period at Royal Brisbane Hospital were interviewed after operation. 66.2% of patients were aware that an anaesthetist needed a medical qualification. 76% expected their anaesthetic to be without complications. 80% were seen pre...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8201000105

    authors: Burrow BJ

    更新日期:1982-02-01 00:00:00

  • Criteria for elective admission to the paediatric intensive care unit following adenotonsillectomy for severe obstructive sleep apnoea.

    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

    authors: Walker P,Whitehead B,Rowley M

    更新日期:2004-02-01 00:00:00

  • Association between perioperative glucose levels and adverse outcomes in infants receiving open-heart surgery with cardiopulmonary bypass for congenital heart disease.

    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

    pub_type: 杂志文章

    doi:10.1177/0310057X1204000506

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

    更新日期:2012-09-01 00:00:00

  • Monoclonal antibodies--immunotherapy for the critically ill.

    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

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X9302100602

    authors: Peake S

    更新日期:1993-12-01 00:00:00

  • Attitudes of anaesthetists and nurses to anaesthetic pollution.

    abstract::A survey was conducted to investigate the attitudes of anaesthetists and nurses to anaesthetic pollution. In order that the results could be viewed in context, attitudes to other possible occupational hazards, including radiation exposure and work-related stress, were also investigated. Four hundred (66%) completed qu...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8701500410

    authors: Plummer JL,Sandison CH,Ilsley AH,Cousins MJ

    更新日期:1987-11-01 00:00:00

  • Reinforcing a "low flow" anaesthesia policy with feedback can produce a sustained reduction in isoflurane consumption.

    abstract::A three-month audit of isoflurane consumption at Palmerston North Hospital in 1994 showed an averaged vapour flow rate of approx 85 ml per minute of anaesthesia, equivalent to 1.4% isoflurane at six litres per minute. After purchasing volatile agent analysers, a program encouraging low flow anaesthesia and providing a...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9802600405

    authors: McKenzie AJ

    更新日期:1998-08-01 00:00:00

  • Post-traumatic severe fat embolism syndrome with uncommon CT findings.

    abstract::Although the diagnosis of fat embolism syndrome is usually based on clinical findings, we describe ill-defined centrilobular and subpleural nodules in addition to ground-glass opacities and consolidation on a computed tomography scan of the chest in a trauma patient with fat embolism syndrome. The nodules presumably r...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X0603400120

    authors: Van den Brande FG,Hellemans S,De Schepper A,De Paep R,Op De Beeck B,De Raeve HR,Jorens PG

    更新日期:2006-02-01 00:00:00

  • Towards optimal analgesia after caesarean section: comparison of epidural and intravenous patient-controlled opioid analgesia.

    abstract::The provision of optimal analgesia after caesarean section remains a challenge as satisfactory pain relief must be combined with patient satisfaction, including the ability to care for the newborn. In a prospective study of 132 patients, we have compared epidural analgesia with intravenous patient-controlled analgesia...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,更正并重新发布的文章,杂志文章,随机对照试验

    doi:10.1177/0310057X9302100537

    authors: Cade L,Ashley J

    更新日期:1993-10-01 00:00:00

  • Monitoring temperature in children undergoing anaesthesia: a comparison of methods.

    abstract::Children undergoing anaesthesia are prone to hypothermia. Perioperative monitoring of patient temperature is, therefore, standard practice. Postoperative temperature is regarded as a key anaesthetic performance indicator in Australian hospitals. Many different methods and sites of temperature measurement are used peri...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1404200307

    authors: Drake-Brockman TF,Hegarty M,Chambers NA,von Ungern-Sternberg BS

    更新日期:2014-05-01 00:00:00

  • Adverse reactions to human plasma proteins.

    abstract::Adverse reactions to human plasma proteins range from mild urticaria to fatal anaphylaxis and may occur with virtually any blood product. The most common clinical settings appear to be whole blood transfusion in subjects with no previous history of reactions, or the infusion of fresh frozen plasma or injection of huma...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8000800207

    authors: Wells JV,King MA

    更新日期:1980-05-01 00:00:00

  • Enhanced recovery after surgery program for elective abdominal surgery at three Victorian hospitals.

    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

    doi:10.1177/0310057X1204000310

    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

  • Issues of consent for regional analgesia in labour: a survey of obstetric anaesthetists.

    abstract::Anaesthetists are legally obliged to obtain consent and inform patients of material risks prior to administering regional analgesia in labour. We surveyed consultant members of the Australian and New Zealand College of Anaesthetists with a special interest in obstetric anaesthesia, in order to identify and compare whi...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0603400209

    authors: Black JD,Cyna AM

    更新日期:2006-04-01 00:00:00

  • Sub-Tenon block: a learning curve of 100 cases.

    abstract::This study measures the learning curve for accomplishing sub-Tenon blocks for ophthalmic surgery applicable to anaesthetists skilled in peribulbar techniques. We defined criteria for a good block in terms of chemosis, subconjunctival haemorrhage, globe movement and the need for additional peribulbar block. The overall...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0603400406

    authors: Clarke JP,Roberton G,Plummer J

    更新日期:2006-08-01 00:00:00

  • Anaesthetic breathing circuit obstruction due to blockage of tracheal tube connector by a foreign body--two cases.

    abstract::Two cases are presented which illustrate the disastrous consequences possible when an anaesthetic breathing circuit is obstructed by a foreign body. Despite reports of previous similar cases, work practices and equipment manufacture or design continue to allow for such events to occur. The importance of both pre-anaes...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9902700116

    authors: Foreman MJ,Moyes DG

    更新日期:1999-02-01 00:00:00

  • Pilot study of the air-Q intubating laryngeal airway in clinical use.

    abstract::The air-Q Intubating Laryngeal Airway (ILA) is a newly introduced extraglottic airway device. In this pilot study, we evaluated its use as a routine airway device during positive pressure ventilation. Ease of endotracheal intubation through the device was also assessed. Fifty-nine ASA I and II patients undergoing elec...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1003800217

    authors: Bakker EJ,Valkenburg M,Galvin EM

    更新日期:2010-03-01 00:00:00

  • Intensive care costing methodology: cost benefit analysis of mask continuous positive airway pressure for severe cardiogenic pulmonary oedema.

    abstract::Costing data for intensive care admissions is important, not only for unit funding, but also for cost outcome analysis of new therapies. This paper presents an intensive care episode costing methodology using the example of a cost-benefit analysis of mask CPAP for severe cardiogenic pulmonary oedema (CPO). This analys...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9402200209

    authors: Holt AW,Bersten AD,Fuller S,Piper RK,Worthley LI,Vedig AE

    更新日期:1994-04-01 00:00:00

  • A scavenging device for the T-piece.

    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

    authors: Keneally JP,Overton JH

    更新日期:1977-08-01 00:00:00

  • Anaesthesia for resection of lesions of the trachea and main bronchi using the neodymium yttrium aluminium garnet (Nd YAG) laser. A report of 75 treatments in 52 patients.

    abstract::The management of anaesthesia and outcome of 75 treatments in 52 patients are discussed. Total intravenous anaesthetic techniques were used with venturi ventilation via a rigid bronchoscope. A number of complications occurred, but there was no death or major surgical complication. All complications except one were app...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9001800112

    authors: Jackson KA,Morland MH

    更新日期:1990-02-01 00:00:00