Target ranges and the apparent compliance with tight glycaemic control.

Abstract:

:We performed a retrospective audit of blood glucose control after introducing a new protocol for insulin infusion. The audit showed a sustained reduction in the median blood glucose, which decreased from 7.0 to 6.8 mmol x l(-1), primarily because of a reduction in the proportion of values above 6 mmol x l(-1). When we examined the proportion of readings with previously published 'acceptable' ranges we found that small, probably clinically insignificant, changes in the accepted range have a major effect on apparent compliance with glycaemic control. This is because a large number of results fall within a narrow range of values. As a result there is a nearly 2.5-fold difference in compliance for a change in the upper limit of the target range of just 2.2 mmol x l(-1). Different target ranges have been recommended for tight glycaemic control. When comparing compliance with tight glycaemic control between intensive care units, target ranges should be identical.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Bone EG,Young D,Chantler J

doi

10.1111/j.1365-2044.2006.04817.x

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

956-8

issue

10

eissn

0003-2409

issn

1365-2044

pii

ANA4817

journal_volume

61

pub_type

杂志文章
  • A water-insensitive ventilator alarm.

    abstract::Most of the low-pressure ventilator alarms available have the pressure registration unit connected to the patient circuit by a narrow bore plastic tube. Condensed water in this tube will stop the correct function of the alarm in a few hours if the tube is placed after a heated humidifier. The pressure registration sho...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1979.tb06259.x

    authors: Hommelgaard P,Nissen T

    更新日期:1979-11-01 00:00:00

  • Clinical evaluation of doxacurium chloride.

    abstract::Doxacurium was administered to 50 adult patients for determination of potency (n = 10), onset and duration of clinical relaxation (n = 40). Cumulative dose-response showed the ED95 to be 33.24 micrograms.kg-1 (95% confidence limits 27.4-39.3). Doxacurium 33 micrograms.kg-1 was then administered to four groups of 10 pa...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02322.x

    authors: Maddineni VR,Cooper R,Stanley JC,Mirakhur RK,Clarke RS

    更新日期:1992-07-01 00:00:00

  • Randomised double-blinded comparison of phenylephrine vs ephedrine for maintaining blood pressure during spinal anaesthesia for non-elective Caesarean section*.

    abstract:SUMMARY:In a randomised, double-blinded study, we compared boluses of phenylephrine 100 microg with ephedrine 10 mg for treating hypotension (systolic blood pressure < 100 mmHg) in 204 patients having non-elective Caesarean section under spinal anaesthesia. Umbilical arterial (UA) and venous (UV) pH and base excess wer...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2008.05635.x

    authors: Ngan Kee WD,Khaw KS,Lau TK,Ng FF,Chui K,Ng KL

    更新日期:2008-12-01 00:00:00

  • A comparison of the effectiveness of dexmedetomidine versus propofol target-controlled infusion for sedation during fibreoptic nasotracheal intubation.

    abstract::Fibreoptic intubation is a valuable modality for airway management. This study aimed to compare the effectiveness of dexmedetomidine vs target controlled propofol infusion in providing sedation during fibreoptic intubation. Forty patients with anticipated difficult airways and due to undergo tracheal intubation for el...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2009.06226.x

    authors: Tsai CJ,Chu KS,Chen TI,Lu DV,Wang HM,Lu IC

    更新日期:2010-03-01 00:00:00

  • A survey of anaesthetic misadventures.

    abstract::Reports of anaesthetic misadventures were regularly collected in the Anaesthetic Department of a district general hospital, to identify recurring problems. Eighty-one misadventures, none of which had serious outcome, were reported during a 6-month period, in which 8312 anaesthetics were administered. Human error was m...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb08650.x

    authors: Craig J,Wilson ME

    更新日期:1981-10-01 00:00:00

  • Systematic review of the literature for the use of oesophageal Doppler monitor for fluid replacement in major abdominal surgery.

    abstract::The use of intra-operative Doppler oesophageal probes provides continuous monitoring of cardiac output. This enables optimisation of intravascular volume and tissue perfusion in major abdominal surgery, which is thought to reduce postoperative complications and shorten hospital stay. Medline and EMBASE were searched u...

    journal_title:Anaesthesia

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/j.1365-2044.2007.05233.x

    authors: Abbas SM,Hill AG

    更新日期:2008-01-01 00:00:00

  • Sensitivity to propofol in the elderly.

    abstract::Two studies were carried out on 609 fit, unpremedicated patients to assess the influence of patient age on the response to the rapidly-acting hindered phenol, propofol, which is being evaluated for induction of anaesthesia. In the first study, 1.25 mg/kg was injected over 20 seconds followed by 10-mg increments every ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb13271.x

    authors: Dundee JW,Robinson FP,McCollum JS,Patterson CC

    更新日期:1986-05-01 00:00:00

  • Low pressure leakage in anaesthetic machines. Evaluation by positive and negative pressure tests.

    abstract::Positive and negative pressure tests for checking the low pressure section of 36 anaesthetic machines in order to detect gas leaks were prospectively compared. The low pressure section was checked by the soap bubble test as a 'gold standard'. The leakage rate was 86.1%. The sensitivity and specificity of the positive ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb07792.x

    authors: Somprakit P,Soontranan P

    更新日期:1996-05-01 00:00:00

  • Management of donors for heart and heart-lung transplantation.

    abstract::The quality of donor organs will determine the quality of life for the recipient and the importance of optimal management of the multi-organ donor is that the organs may benefit up to five, critically ill, patients. The basic principle is to maintain sufficient preload to minimise the need for inotropic support and it...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1990.tb14396.x

    authors: Ghosh S,Bethune DW,Hardy I,Kneeshaw J,Latimer RD,Oduro A

    更新日期:1990-08-01 00:00:00

  • Total intravenous anaesthesia for military surgery. A technique using ketamine, midazolam and vecuronium.

    abstract::Ketamine and midazolam were used for induction of anaesthesia and by continuous intravenous infusion for maintenance to assess their suitability for use in a total intravenous anaesthetic technique in the management of battle casualties. Muscular relaxation was provided by vecuronium and the patients' lungs ventilated...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05424.x

    authors: Restall J,Tully AM,Ward PJ,Kidd AG

    更新日期:1988-01-01 00:00:00

  • Plasma morphine concentrations after intramuscular injection into the deltoid or gluteal muscles.

    abstract::The absorption of morphine 10 mg after intramuscular injection into the gluteal and deltoid muscles was investigated. Ten patients received the injection into the deltoid and 10 were given the injection into the upper outer quadrant of the buttock. Blood was taken at frequent intervals up to 2 hours after the injectio...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb08976.x

    authors: Kirkpatrick T,Henderson PD,Nimmo WS

    更新日期:1988-04-01 00:00:00

  • Remifentanil and the tunnelling phase of paediatric ventriculoperitoneal shunt insertion. A double-blind, randomised, prospective study.

    abstract::Sixty-two children were randomly allocated to receive, during inhalational anaesthesia with isoflurane and nitrous oxide, either 1.0 microg x kg(-1) remifentanil (n = 33) or saline (n = 29) just before the tunnelling phase of ventriculoperitoneal shunt insertion, in a double-blind study. The remifentanil group showed ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.0003-2409.2001.02398.x

    authors: Chambers N,Lopez T,Thomas J,James MF

    更新日期:2002-02-01 00:00:00

  • Tracheal intubating conditions using propofol and remifentanil target-controlled infusions.

    abstract::Using target-controlled infusions (TCI) we aimed to determine the most appropriate dose of remifentanil required for intubation, using a steady effect-site concentration of propofol and without the use of neuromuscular blocking drugs. Sixty ASA III patients presenting for elective surgery were randomly allocated to on...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2002.02624_3.x

    authors: Troy AM,Huthinson RC,Easy WR,Kenney GN

    更新日期:2002-12-01 00:00:00

  • Peri-operative cardiac biomarker screening: a narrative review.

    abstract::Peri-operative risk estimation has traditionally focused on assessing the likelihood of postoperative morbidity and mortality using pre-operative functional assessment. Although this strategy is currently recommended by most major society guidelines, contemporary evidence suggests that cardiac biomarker measurement ha...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/anae.14920

    authors: Ruzycki SM,Prystajecky M,Driedger MR,Kachra R

    更新日期:2020-01-01 00:00:00

  • Combined pre-incisional oral dextromethorphan and epidural lidocaine for postoperative pain reduction and morphine sparing: a randomised double-blind study on day-surgery patients.

    abstract::The reduction in acute pain perception following dextromethorphan has previously been investigated in patients undergoing general anaesthesia. This random and double-blind study examined the effects of pre-incisional oral dextromethorphan on postoperative pain and intravenous patient-controlled morphine demand in 60 d...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2001.02088.x

    authors: Weinbroum AA,Lalayev G,Yashar T,Ben-Abraham R,Niv D,Flaishon R

    更新日期:2001-07-01 00:00:00

  • Narcotic-induced choledochoduodenal sphincter spasm reversed by naloxone. A case report and review.

    abstract::A case report of biliary colic induced by narcotic premedication and reversed by naloxone administration is described and the literature reviewed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12960.x

    authors: Bird KJ

    更新日期:1986-11-01 00:00:00

  • A new, minimally invasive technique for measuring cardiac index: clinical comparison of continuous cardiac dynamic monitoring and pulmonary artery catheter methods.

    abstract::To assess the utility of a relatively simple bedside method of estimating cardiac index during major surgery or in the intensive care unit, we conducted a prospective study in patients undergoing elective cardiac bypass surgery where a pulmonary artery catheter was inserted as part of routine monitoring. The cardiac i...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.05943.x

    authors: Berridge JC,Warring-Davies K,Bland JM,Quinn AC

    更新日期:2009-09-01 00:00:00

  • Cardiovascular changes after achieving constant effect site concentration of propofol.

    abstract::Target controlled infusions of propofol use a pharmacokinetic/pharmacodynamic model to calculate an effect site concentration of the drug. We assessed the cardiovascular stability of 10 healthy patients using non-invasive thoracic bioimpedance and their 'depth' of anaesthesia using the Bispectral index after they had ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.05315.x

    authors: Jack ES,Shaw M,Harten JM,Anderson K,Kinsella J

    更新日期:2008-02-01 00:00:00

  • A new method of predicting pulmonary capillary wedge pressure: the arterial pressure ratio.

    abstract::The response of arterial blood pressure to an increase in intrathoracic pressure has been shown to be predictive of pulmonary capillary wedge pressure. We devised a new method, which we termed the arterial pressure ratio. We defined arterial pressure ratio as the ratio of systolic blood pressure of the final beat duri...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2000.055002113.x

    authors: Uehara H,Takenaka I,Aoyama K,Kadoya T,Sata T,Shigematsu A

    更新日期:2000-02-01 00:00:00

  • A comparison of remifentanil and alfentanil in patients undergoing major abdominal surgery.

    abstract::The efficacy and safety of remifentanil and alfentanil for patients undergoing major abdominal surgery were compared. Premedicated patients received a loading dose of remifentanil (1.0 microgram.kg-1; n = 116) and a continuous infusion of 0.5 microgram.kg-1.min-1, or a loading dose of alfentanil (25 micrograms.kg-1; n...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1997.24-az0051.x

    authors: Schüttler J,Albrecht S,Breivik H,Osnes S,Prys-Roberts C,Holder K,Chauvin M,Viby-Mogensen J,Mogensen T,Gustafson I,Lof L,Noronha D,Kirkham AJ

    更新日期:1997-04-01 00:00:00

  • The relationship between the concentration of temazepam in cerebrospinal fluid and sedation in man.

    abstract::Twenty-six patients received oral temazepam and subsequently spinal anaesthesia. Blood and lumbar cerebrospinal fluid temazepam levels were measured together with the degree of sedation. The plasma and cerebrospinal fluid concentrations correlated well with the temazepam dose but even better with the weight standardis...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb02169.x

    authors: Osborne GA,Badcock NR,McGrath PM,Russell WJ,Frewin DB

    更新日期:1992-04-01 00:00:00

  • The haemodynamic effects of intravenous induction. Comparison of the effects of thiopentone and propofol.

    abstract::The haemodynamic changes following induction of anaesthesia with equipotent doses of propofol and thiopentone have been compared. Propofol caused a significant fall in arterial blood pressure and total peripheral resistance, with a slight fall in cardiac output. There were no changes in heart rate. Apart from an initi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10996.x

    authors: Grounds RM,Twigley AJ,Carli F,Whitwam JG,Morgan M

    更新日期:1985-08-01 00:00:00

  • Spinal anaesthesia for outpatient surgery.

    abstract::In a prospective study of 51 young male outpatients given spinal anaesthesia through a 25-gauge needle, we found a 37.2% incidence of postdural puncture headache. In addition, 54.9% complained of backache after surgery. Occurrence of headache significantly prolonged the sick-leave from work. General anaesthesia would ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10612.x

    authors: Flaatten H,Raeder J

    更新日期:1985-11-01 00:00:00

  • Can esmolol manage surgically-induced tachycardia? Bolus esmolol treatment of intra-operative tachycardia due to surgical stimulation.

    abstract::A double-blind, randomised study was conducted to examine the efficacy of a single bolus dose of esmolol in treating surgically-induced tachycardia. Anaesthetic technique was identical in all patients, and consisted of premedication with midazolam and glycopyrronium, induction with thiopentone followed by suxamethoniu...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1991.tb09414.x

    authors: Whirley-Diaz J,Gold MI,Helfman SM,deLisser EA

    更新日期:1991-03-01 00:00:00

  • The relationship between clinical effect and concentrations of temazepam in plasma and cerebrospinal fluid.

    abstract::The clinical pharmacodynamics of temazepam were investigated in patients who received spinal anaesthesia. Total plasma and cerebrospinal fluid temazepam concentrations were measured and correlated with the clinical effects. Sedation was measured by three separate methods. None, including an aggregated score of all thr...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb04503.x

    authors: Moffat AC,Osborne GA,Badcock NR,Maranucci P,Nyman T,Russell WJ

    更新日期:1995-01-01 00:00:00

  • Potentially modifiable risk factors for atrial fibrillation following lung resection surgery: a retrospective cohort study.

    abstract::Atrial fibrillation is the most frequent arrhythmia after thoracic surgery and is associated with increased hospital costs, morbidity and mortality. In this study, we aimed to identify potentially modifiable risk factors for postoperative atrial fibrillation following lung resection surgery and to suggest possible mea...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13644

    authors: Lee SH,Ahn HJ,Yeon SM,Yang M,Kim JA,Jung DM,Park JH

    更新日期:2016-12-01 00:00:00

  • Predictors of postoperative myocardial ischaemia. The role of intercurrent arterial hypertension and other cardiovascular risk factors.

    abstract::One hundred and eighty-three patients were studied to examine the role of a number of risk factors in the development of silent ischaemia after general anaesthesia for general and vascular surgery. We collected evidence of cardiovascular risk factors using a binary questionnaire. The patients were monitored pre- and p...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.29-az029.x

    authors: Howell SJ,Hemming AE,Allman KG,Glover L,Sear JW,Foëx P

    更新日期:1997-02-01 00:00:00

  • The effect of single use laryngoscopy equipment on illumination for tracheal intubation.

    abstract::We measured the illumination generated by all 30 Macintosh size 3 laryngoscopes in our department with a lux-meter and a standardised laryngoscope holding tube. We found a large range in illumination generated (65-3130 lx). We then measured the effect on the illumination for each laryngoscope by covering the blade wit...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2002.02691.x

    authors: Anderson KJ,Bhandal N

    更新日期:2002-08-01 00:00:00

  • Anaesthesia for Angelman syndrome.

    abstract::We describe the administration of anaesthesia to a patient with Angelman syndrome, which is characterised by an abnormality of chromosome 15, where a subunit of the GABA receptor is coded. This has far-reaching anaesthetic implications as many drugs used in anaesthesia are thought to act via GABA receptors. Our patien...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2008.05439.x

    authors: Ramanathan KR,Muthuswamy D,Jenkins BJ

    更新日期:2008-06-01 00:00:00

  • AIDS in ICUs: outcome.

    abstract::The admission of patients with acquired immune deficiency syndrome (AIDS) to intensive care units in the United Kingdom was surveyed in January 1986. Ninety-three intensive care units completed the questionnaire. Thirty-two patients had been admitted to 12 units up to that time. Twenty-five (78%) of these patients had...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb05487.x

    authors: Deam R,Kimberley AP,Anderson M,Soni N

    更新日期:1988-02-01 00:00:00