Anaesthesia and sleep apnoea.

Abstract:

:Sleep disordered breathing is a common problem affecting all age groups, particularly in association with certain other medical conditions and syndromes. The pathological consequences of the disorder may be severe, with significant implications for the perioperative management of sufferers. Research into the effects of surgery and anaesthesia on sleep is very much in its infancy. Understanding of the implications of sleep disturbance and sleep disordered breathing for perioperative morbidity and mortality is limited. While several observations have led to considerable speculation in the literature, evidence of a causal relationship is still largely lacking. Anaesthetists are ideally placed to screen large numbers of people for sleep disordered breathing, a source of considerable community morbidity. Recognizing the symptoms, signs and associations of the condition during the preoperative visit is important in planning management, as is recognition of the likelihood of OSA in patients who present difficulty with tracheal intubation or airway maintenance. Particular care is required in the perioperative management of patients with diagnosed or suspected sleep apnoea.

journal_name

Br J Anaesth

authors

Loadsman JA,Hillman DR

doi

10.1093/bja/86.2.254

subject

Has Abstract

pub_date

2001-02-01 00:00:00

pages

254-66

issue

2

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)37263-X

journal_volume

86

pub_type

杂志文章,评审
  • Studies on dimethyl tubocurarine in anaesthetized man.

    abstract::Intravenous doses of 0.3 mg/kg dimethyl tubocurarine were required for consistent and adequate surgical relaxation in patients during nitrous oxide anaesthesia and produced virtually complete neuromuscular paralysis (96-100%) of the tetanic and twitch responses of the adductor pollicis muscle. The duration of action o...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1093/bja/48.10.969

    authors: Hughes R,Ingram GS,Payne JP

    更新日期:1976-10-01 00:00:00

  • Intrathecal morphine overdose during combined spinal-epidural block for Caesarean delivery.

    abstract::We describe a 25 mg intrathecal morphine overdose during a combined spinal-epidural block for a Caesarean delivery. Naloxone infusion (5.24 mg over 24 h) was started prior to the patient becoming symptomatic and almost immediately after the overdose. Invasive therapeutics such as mechanical ventilation were avoided. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aef286

    authors: Cannesson M,Nargues N,Bryssine B,Debon R,Boselli E,Chassard D

    更新日期:2002-12-01 00:00:00

  • Effect of heating on the osmotic fragility of stored blood.

    abstract::The effect of incubation at 37 degrees C, 46 degrees C, 47 degrees C and 48 degrees C for 1 h on the osmotic fragility of blood was determined. Blood taken from volunteers into ACD and CPD was examined after 1, 7, 14 and 21 days of storage. In addition, 22-day-old blood stored in CPD was examined. The osmotic fragilit...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/50.8.815

    authors: Van der Walt JH,Russell WJ

    更新日期:1978-08-01 00:00:00

  • Antagonism of the effects of midazolam on phrenic nerve activity in the dog by Ro 15-1788 and Ro 15-3505.

    abstract::Experiments were performed on 14 anaesthetized, artifically ventilated dogs, in which efferent activity in the phrenic nerve was recorded and blood-gas tensions, arterial pH and core temperature were controlled. Doses of midazolam between 0.2 mg kg-1 and 2 mg kg-1 abolished phrenic nerve activity for periods between 3...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/56.10.1161

    authors: Gordon G,Grundy EM,Al-Khudhairi D,Anderson DJ,Whitwam JG

    更新日期:1984-10-01 00:00:00

  • Neuromuscular and cardiovascular effects of atracurium during nitrous oxide-fentanyl and nitrous oxide-isoflurane anaesthesia.

    abstract::The neuromuscular and cardiovascular effects of atracurium were compared during nitrous oxide-isoflurane and nitrous oxide-fentanyl anaesthesia in healthy surgical patients. The dose-response curve was shifted significantly to the left during nitrous oxide-isoflurane anaesthesia (ED50 0.068 mg kg-1) as compared with n...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Rupp SM,Fahey MR,Miller RD

    更新日期:1983-01-01 00:00:00

  • Subarachnoid haemorrhage following spinal anaesthesia in an obstetric patient.

    abstract::We describe an obstetric patient who presented for removal of a retained placenta. After insertion of the spinal anaesthetic, she developed a severe headache, and a subarachnoid haemorrhage was diagnosed. We discuss the differential diagnosis of the headache, the occurrence of intracranial haemorrhages after dural pun...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/86.3.442

    authors: Eggert SM,Eggers KA

    更新日期:2001-03-01 00:00:00

  • In vitro diagnosis of malignant hyperthermia: influence of electrical stimulation on the contracture response to caffeine.

    abstract::We have examined the influence of electrical stimulation on caffeine-induced tension generation during contracture testing used to diagnose malignant hyperthermia. The cumulative contracture response to caffeine was compared in pairs of morphologically comparable muscle bundles obtained from the same patient. Only one...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/69.1.87

    authors: Heytens L,Martin JJ,Bossaert LL

    更新日期:1992-07-01 00:00:00

  • Dose-dependent prophylactic effect of nicorandil, an ATP-sensitive potassium channel opener, on intra-operative myocardial ischaemia in patients undergoing major abdominal surgery.

    abstract::Nicorandil, a nicotinamide nitrate derivative, relaxes vascular smooth muscle and reduces cardiac muscle contractility by increasing membrane potassium conductance, probably by activating ATP-sensitive potassium channels. In this prospective, randomized, double-blind, placebo-controlled clinical study, we examined the...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/86.3.332

    authors: Kaneko T,Saito Y,Hikawa Y,Yasuda K,Makita K

    更新日期:2001-03-01 00:00:00

  • Enjoying work or burdened by it? How anaesthetists experience and handle difficulties at work: a qualitative study.

    abstract:BACKGROUND:The aim of this study was to explore difficulties at work from anaesthetists' own perspective and to examine how anaesthetists handle and cope with situations that are perceived as difficult and potentially stressful. METHODS:Two sets of interviews were conducted with 19 specialist anaesthetists in Sweden. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1093/bja/aem233

    authors: Larsson J,Rosenqvist U,Holmström I

    更新日期:2007-10-01 00:00:00

  • Hydrodynamic evaluation of a new anaesthetic gas scavenging system.

    abstract::A new anaesthetic gas scavenging system is described. The resistance of the system appears to be low. When input gas flow rate in the system was zero or 150 litre min-1, misuse of the system produced pressure changes at its collecting points of 26 Pa subatmospheric and 630 Pa above atmospheric pressure, respectively. ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/55.7.681

    authors: Mostafa SM,Natrajan KM

    更新日期:1983-07-01 00:00:00

  • Ambient air contamination in a dental outpatient theatre.

    abstract::The extent of air contamination by halothane in an operating session was correlated with the number of patients, the total usage of halothane, refilling a vaporizer and the number of hyperventilating patients per session. Trichloroethylene content of theatre air correlated only with total usage and refilling a vaporiz...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/51.9.845

    authors: Thompson JM,Barratt RS,Hutton P,Robinson JS,Belcher R,Stephen WI

    更新日期:1979-09-01 00:00:00

  • Comparison of large dose of vecuronium with pancuronium for prolonged neuromuscular blockade.

    abstract::Dose-duration relationships for vecuronium were determined and the duration of action produced by vecuronium 0.3 mg kg-1 shown to equal that of pancuronium 0.1 mg kg-1. Using these doses, the neuromuscular blocking properties and cardiovascular effects of the two drugs were compared. With large dose administration of ...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/61.2.180

    authors: Rørvik K,Husby P,Gramstad L,Vamnes JS,Bitsch-Larsen L,Koller ME

    更新日期:1988-08-01 00:00:00

  • Validation of a system for measurement of metabolic gas exchange during anaesthesia with controlled ventilation in an oxygen consuming lung model.

    abstract::An oxygen consuming lung model was used for evaluation and validation of a technique for metabolic gas exchange measurements during controlled ventilation. The technique comprised a Servo 900 C ventilator (Siemens) and separate oxygen and carbon dioxide analysers (Beckman). Measurements of oxygen consumption and carbo...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/64.3.311

    authors: Svensson KL,Sonander HG,Stenqvist O

    更新日期:1990-03-01 00:00:00

  • Determination of moderate-to-severe postoperative pain on the numeric rating scale: a cut-off point analysis applying four different methods.

    abstract:BACKGROUND:Cut-off points (CPs) of the numeric rating scale (NRS 0-10) are regularly used in postoperative pain treatment. However, there is insufficient evidence to identify the optimal CP between mild and moderate pain. METHODS:A total of 435 patients undergoing general, trauma, or oral and maxillofacial surgery wer...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aer195

    authors: Gerbershagen HJ,Rothaug J,Kalkman CJ,Meissner W

    更新日期:2011-10-01 00:00:00

  • Beta-adrenergic blockade and the metabolic response to surgery.

    abstract::The effect of the administration of propranolol 0.15 mg per kg body weight i.v. on the metabolic response to pelvic surgery was compared with results in similar patients who had not received propranolol. The only significant difference between the two groups was a lower plasma insulin concentration in the beta-blockad...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/52.12.1231

    authors: Cooper GM,Paterson JL,Mashiter K,Hall GM

    更新日期:1980-12-01 00:00:00

  • Delayed bilateral internal carotid artery thrombosis following accidental strangulation.

    abstract::A 24-yr-old male presented after a fishing accident in which he was pulled underwater by a rope attached to a crayfish pot. He was winched out of the water with the rope still around his neck, sustaining serious neck injuries that ultimately led to his death. After initial resuscitation, he remained fully conscious fo...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.bja.a013484

    authors: Kiani SH,Simes DC

    更新日期:2000-04-01 00:00:00

  • Cardiovascular and neurological effects of laudanosine. Studies in mice and rats, and in conscious and anaesthetized dogs.

    abstract::The effects of laudanosine, a metabolite of atracurium, on the behaviour of conscious mice, rats and dogs, and on cardiovascular function in conscious and anaesthetized dogs have been evaluated: EEG studies were performed in anaesthetized dogs. In mice and rats, i.v. bolus doses of laudanosine 10-20 mg kg-1, caused co...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/59.2.218

    authors: Chapple DJ,Miller AA,Ward JB,Wheatley PL

    更新日期:1987-02-01 00:00:00

  • Intra-operative and post-operative hypercapnia leading to delayed respiratory failure associated with transanal endoscopic microsurgery under general anaesthesia.

    abstract::We present an unusual case of hypercapnia and surgical emphysema during transanal endoscopic microsurgery, which led to delayed post-operative ventilatory failure. The hypercapnia and surgical emphysema were secondary to rectal insufflation with carbon dioxide used to facilitate visualization and resection of a rectal...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/86.4.586

    authors: Kerr K,Mills GH

    更新日期:2001-04-01 00:00:00

  • Comparison of propofol/remifentanil and sevoflurane/remifentanil for maintenance of anaesthesia for elective intracranial surgery.

    abstract:BACKGROUND:Propofol and sevoflurane are suitable agents for maintenance of anaesthesia during neurosurgical procedures. We have prospectively compared these agents in combination with the short-acting opioid, remifentanil. METHODS:Fifty unpremedicated patients undergoing elective craniotomy received remifentanil 1 mic...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/aei141

    authors: Sneyd JR,Andrews CJ,Tsubokawa T

    更新日期:2005-06-01 00:00:00

  • Respiratory function following nalbuphine and morphine in anaesthetized man.

    abstract::In 40 patients anaesthetized with thiopentone, 66% nitrous oxide and 1% halothane, the effects of a single i.v. dose of nalbuphine 4.5, 8, 15, 25 or 50 mg/70 kg or morphine 3, 5, 10 or 17.5 mg/70 kg on total ventilation and end-tidal carbon dioxide concentration have been measured. Depression of respiration occurred w...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/58.6.625

    authors: Klepper ID,Rosen M,Vickers MD,Mapleson WW

    更新日期:1986-06-01 00:00:00

  • What can be expected from risk scores for predicting postoperative nausea and vomiting?

    abstract::Several risk scores have been developed to calculate the probability of postoperative nausea and vomiting (PONV). However, the power to discriminate which individual will suffer from PONV is still limited. Thus, we wondered how the number of predictors in a score affects the discriminating power and how the characteri...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/86.6.822

    authors: Apfel CC,Kranke P,Greim CA,Roewer N

    更新日期:2001-06-01 00:00:00

  • Selective depression by alfentanil of group III and IV somatosympathetic reflexes in the dog.

    abstract::The effect of alfentanil on sympathetic reflexes evoked by supramaximal electrical stimulation of the radial nerve has been observed in five dogs anaesthetized with alpha-chloralose, paralysed with suxamethonium and artificially ventilated. In five dogs during the infusion of alfentanil at a rate of 20 micrograms kg-1...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/61.4.441

    authors: Swenzen GO,Chakrabarti MK,Sapsed-Byrne S,Whitwam JG

    更新日期:1988-10-01 00:00:00

  • High-frequency oscillation in adolescents.

    abstract:BACKGROUND:High-frequency oscillation (HFO) is a widely used lung-protective ventilatory strategy in paediatric and neonatal acute lung injury. Its safe and effective use has been hindered by inadequate recruitment of the lung during oscillation and, until recently, the lack of an adequately powered oscillator for use ...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/88.5.708

    authors: Moganasundram S,Durward A,Tibby SM,Murdoch IA

    更新日期:2002-05-01 00:00:00

  • Development of a Core Outcome Set for studies evaluating the effects of anaesthesia on perioperative morbidity and mortality following hip fracture surgery.

    abstract:BACKGROUND:Perioperative studies of patients following hip fracture have large heterogeneity within their reported outcomes. This study aimed to develop a core outcome set for use in perioperative studies comparing the types of anaesthesia for hip fracture surgery. METHODS:The consensus process consisted of a systemat...

    journal_title:British journal of anaesthesia

    pub_type: 共识发展会议,杂志文章

    doi:10.1016/j.bja.2018.08.017

    authors: O'Donnell CM,Black N,McCourt KC,McBrien ME,Clarke M,Patterson CC,Blackwood B,McAuley DF,Shields MO

    更新日期:2019-01-01 00:00:00

  • Low-dose clonidine infusion during labour.

    abstract::In this study, we have compared two different doses of clonidine (bolus of 25 micrograms and infusion of 19 micrograms h-1; bolus of 50 micrograms and infusion of 37 micrograms h-1, both added to 0.03% bupivacaine) with a control group of 0.03% bupivacaine alone. The study was performed in a randomized, double-blind m...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/83.2.257

    authors: Tremlett MR,Kelly PJ,Parkins J,Hughes D,Redfern N

    更新日期:1999-08-01 00:00:00

  • Myocardial metabolism during anaesthesia with propofol--low dose fentanyl for coronary artery bypass surgery.

    abstract::We have studied the haemodynamic and myocardial effects of propofol-fentanyl anaesthesia in 12 patients undergoing coronary artery bypass surgery during the pre-bypass period. The induction dose of propofol was 1.5 mg kg-1 and mean infusion rate during maintenance was 4.48 mg kg-1 h-1 (range 1.87-7.24 mg kg-1 h-1). Th...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/66.4.504

    authors: Vermeyen KM,De Hert SG,Erpels FA,Adriaensen HF

    更新日期:1991-04-01 00:00:00

  • Effect of local anaesthetic volume (20 vs 5 ml) on the efficacy and respiratory consequences of ultrasound-guided interscalene brachial plexus block.

    abstract:BACKGROUND:Interscalene brachial plexus block (ISBPB) is an effective nerve block for shoulder surgery. However, a 100% incidence of phrenic nerve palsy limits the application of ISBPB for patients with limited pulmonary reserve. We examined the incidence of phrenic nerve palsy with a low-volume ISBPB compared with a s...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/bja/aen229

    authors: Riazi S,Carmichael N,Awad I,Holtby RM,McCartney CJ

    更新日期:2008-10-01 00:00:00

  • Perioperative management of clopidogrel therapy: the effects on in-hospital cardiac morbidity in older patients with hip fractures.

    abstract:BACKGROUND:Increasing numbers of older patients prescribed clopidogrel are presenting for urgent hip fracture surgery. Best practice for the management of clopidogrel therapy is unknown, although delays to surgery are associated with increased mortality. We investigated the influence of perioperative management of clop...

    journal_title:British journal of anaesthesia

    pub_type: 杂志文章

    doi:10.1093/bja/aer288

    authors: Collyer TC,Reynolds HC,Truyens E,Kilshaw L,Corcoran T

    更新日期:2011-12-01 00:00:00

  • Induction dose-response of propofol in unpremedicated children.

    abstract::The induction dose requirements of propofol were compared in three age groups in 300 unpremedicated healthy Chinese children: group A, younger than 2 yr (n = 48); group B, 2-5 yr (n = 117); group C, 6-12 yr (n = 135). Patients in each group were allocated randomly to receive one of eight doses of propofol (1.2, 1.4, 1...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/68.1.64

    authors: Aun CS,Short SM,Leung DH,Oh TE

    更新日期:1992-01-01 00:00:00

  • Unconscious auditory priming during surgery with propofol and nitrous oxide anaesthesia: a replication.

    abstract:BACKGROUND:Priming during anaesthesia has been hard to replicate and the conditions under which it occurs remain poorly understood. We replicated and extended a recent study to determine whether intraoperative priming during propofol and nitrous oxide anaesthesia is a reliable phenomenon, whether it occurs due to aware...

    journal_title:British journal of anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/bja/aeh289

    authors: Deeprose C,Andrade J,Harrison D,Edwards N

    更新日期:2005-01-01 00:00:00