Anaesthesia services in developing countries: defining the problems.

abstract：:Haemodynamic instability is a recognised phenomenon in critically ill patients undergoing hyperbaric therapy. Instability may result from the effects of ambient pressure on the cardiovascular system, devices involved in infusion of drugs and fluids, or a combination of the two. The effect of hyperbaric pressure on air...

journal_title：Anaesthesia

authors： Hopson AS,Greenstein A

更新日期：2007-06-01 00:00:00

abstract：:The number of patients requiring tracheal intubation rose dramatically in March and April 2020 with the COVID-19 outbreak. Our thoracic surgery department has seen an increased incidence of severe pneumomediastinum referred for surgical opinion in intubated patients with COVID-19 pneumonitis. Here we present a series ...

journal_title：Anaesthesia

authors： Wali A,Rizzo V,Bille A,Routledge T,Chambers AJ

更新日期：2020-08-01 00:00:00

abstract：:Post-spinal hypotension remains a common and clinically-important problem during caesarean section, and accurate pre-operative prediction of this complication might enhance clinical management. We conducted a prospective, single-centre, observational study of heart rate variability in 102 patients undergoing elective ...

journal_title：Anaesthesia

authors： Bishop DG,Cairns C,Grobbelaar M,Rodseth RN

更新日期：2017-05-01 00:00:00

abstract：:Forty anaesthetists, of all grades, were interviewed without prior warning and questioned about the checks they had performed on their anaesthetic equipment before use. The results reveal that a substantial percentage (up to 41%) of anaesthetists perform inadequate checks. Furthermore, of those that do, few follow the...

journal_title：Anaesthesia

authors： Mayor AH,Eaton JM

更新日期：1992-10-01 00:00:00

abstract：:A can't intubate, can't ventilate scenario can result in morbidity and death. Although a rare occurrence (1:50 000 general anaesthetics), it is crucial that anaesthetists maintain the skills necessary to perform cricothyroidotomy, and are well-equipped with appropriate tools. We undertook a bench study comparing a new...

journal_title：Anaesthesia

authors： King W,Teare J,Vandrevala T,Cartwright S,Mohammed KB,Patel B

更新日期：2016-02-01 00:00:00

abstract：:We conducted a double blind, prospective, controlled trial comparing intubating conditions after induction with a propofol-ephedrine combination or propofol alone, followed by rocuronium. One hundred adult patients were randomly assigned to receive either propofol 2.5 mg x kg(-1) and ephedrine 15 mg in combination or ...

journal_title：Anaesthesia

authors： Tan CH,Onisong MK,Chiu WK

更新日期：2002-03-01 00:00:00

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

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

更新日期：2002-12-01 00:00:00

abstract：:There are numerous possible techniques for delivering local anaesthetic through peripheral nerve catheters. These include continuous infusions, patient-controlled boluses and programmed intermittent boluses. The optimal delivery regimen of local anaesthetic is yet to be conclusively established. In this review, we ide...

journal_title：Anaesthesia

authors： Law WZW,Sara RA,Cameron AJD,Lightfoot NJ

更新日期：2020-03-01 00:00:00

abstract：:We report three deaths following percutaneous dilatational tracheostomy in a series of 1187 procedures undertaken in a single intensive care unit over a 13-year period. All deaths were due to severe haemorrhage. The first patient died during the procedure from uncontrollable haemorrhage from the innominate vein. Delay...

journal_title：Anaesthesia

authors： McCormick B,Manara AR

更新日期：2005-05-01 00:00:00

abstract：:An anaesthetic technique for unpremedicated patients undergoing minor surgery is described. After the administration of atropine and fentanyl, anaesthesia was induced with methohexitone and maintained with nitrous oxide supplemented when necessary by further small doses of methohexitone. This technique provided good o...

journal_title：Anaesthesia

authors： Goroszeniuk T,Whitwam JG,Morgan M

更新日期：1977-02-01 00:00:00

abstract：:The aim of this study was to compare conventional laryngeal mask airway sizing by weight with sizing by age in over- or underweight children. We studied 26 overweight (body mass index > 85th centile) and 26 underweight (body mass index < 15th centile) children. After general anaesthesia was induced, laryngeal mask air...

journal_title：Anaesthesia

authors： Kim HJ,Park MJ,Kim JT,Kim CS,Kim SD,Kim HS

更新日期：2010-01-01 00:00:00

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

authors： Craig J,Wilson ME

更新日期：1981-10-01 00:00:00

abstract：:Increased duration of anaesthetic administration has implications for recovery from anaesthesia, has cardiovascular effects, and potential for toxicity through metabolism and breakdown of the anaesthetics. Recovery of function after desflurane or sevoflurane anaesthesia, because of the low blood gas and tissue solubil...

journal_title：Anaesthesia

authors： Weiskopf RB

更新日期：1995-10-01 00:00:00

abstract：:The aim of this study was to compare recovery and psychomotor performance after maintenance of anaesthesia with sevoflurane or sevoflurane supplemented with remifentanil. Sixty-six per cent nitrous oxide was used in all patients. Twenty patients each were randomly allocated to maintenance of anaesthesia with sevoflura...

journal_title：Anaesthesia

authors： Breslin DS,Reid JE,Mirakhur RK,Hayes AH,McBrien ME

更新日期：2001-02-01 00:00:00

abstract：:The factors responsible for the spreading pattern of a single paravertebral injection are still uncertain. In this study, 28 patients were randomly assigned to receive a paravertebral injection of radio-opaque dye (10 ml, with or without co-administration of 20 ml of local anaesthetics) either dorsal or ventral to the...

journal_title：Anaesthesia

authors： Naja MZ,Ziade MF,El Rajab M,El Tayara K,Lönnqvist PA

更新日期：2004-05-01 00:00:00

abstract：:Acute cardiac herniation after radical pneumonectomy is extremely rare and is associated with an immediate mortality greater than 50%. We report a patient in whom cardiac herniation produced no signs or symptoms. The heart was returned to its correct position and the pericardial defect was repaired. ...

journal_title：Anaesthesia

authors： Self RJ,Vaughan RS

更新日期：1999-06-01 00:00:00

abstract：:Guidelines recommend restrictive red blood cell transfusion strategies. We conducted an observational study to examine whether the rate of peri-operative red blood cell transfusion in the USA had declined during the period from 01 January 2011 to 31 December 2016. We included 4,273,168 patients from all surgical subsp...

journal_title：Anaesthesia

authors： Nordestgaard AT,Rasmussen LS,Sillesen M,Steinmetz J,Eid AI,Meier K,Kaafarani HMA,Velmahos GC

更新日期：2020-04-01 00:00:00

abstract：:The emergency treatment of serious disorders of cardiac rhythm, left heart failure, cardiogenic shock, and cyanotic attacks is discussed. The article is intended for medical practitioners without special cardiological experience. ...

journal_title：Anaesthesia

authors： Chamberlain DA,Williams JH

更新日期：1976-07-01 00:00:00

abstract：:Nerve tissue protein S-100 and neurone-specific enolase levels in serum were studied in 10 patients before, during and for 2 days after elective carotid endarterectomy performed under general anaesthesia and using a Javid Shunt. In six patients, simultaneous cerebrospinal fluid samples were also obtained. Serum nerve ...

journal_title：Anaesthesia

authors： Gao F,Harris DN,Sapsed-Byrne S,Standfield NJ

更新日期：2000-08-01 00:00:00

abstract：:A randomized, double-blind study was undertaken to investigate the suitability of intranasally administered fentanyl for postoperative pain management under routine conditions in an unselected population. For postoperative pain relief, patients received either 0.027 mg fentanyl intranasally and sodium chloride 0.9% in...

journal_title：Anaesthesia

authors： Striebel HW,Pommerening J,Rieger A

更新日期：1993-09-01 00:00:00

abstract：:Although several local anaesthetic techniques are described for nasal analgesia during awake intubation, there has been little attempt to evaluate their effectiveness. We examined pain scores associated with nasal intubation in a randomised cross-over study of 25 volunteers. Local anaesthesia consisted of topical aero...

journal_title：Anaesthesia

authors： Cara DM,Norris AM,Neale LJ

更新日期：2003-08-01 00:00:00

abstract：:The preferences of 118 elderly patients, aged from 70 to 97 years, concerning the institution of artificial ventilation in the event of an overwhelming illness, were investigated using a questionnaire. Most patients wanted treatment if the outcome was likely to be good, but in approximately half, the desire for treatm...

journal_title：Anaesthesia

authors： Heap MJ,Munglani R,Klinck JR,Males AG

更新日期：1993-12-01 00:00:00

abstract：:Forty-five operative procedures were performed in 32 patients with Down's syndrome at the Royal Alexandra Hospital for Children, Sydney in a single year recently. Atropine premedication was administered to 25 patients with Down's syndrome on 38 occasions. Three dosage regimes of atropine were used: 20 micrograms/kg, 1...

journal_title：Anaesthesia

authors： Wark HJ,Overton JH,Marian P

更新日期：1983-09-01 00:00:00

abstract：:The haemodynamic effects of propofol (2 mg/kg), etomidate (0.2 mg/kg) and thiopentone (4 mg/kg) were studied in 30 ASA 1 and 2 patients in whom anaesthesia had been induced with midazolam 0.1 mg/kg, fentanyl 5 micrograms/kg, vecuronium 0.1 mg/kg and atropine 10 micrograms/kg, and maintained with nitrous oxide in oxyge...

journal_title：Anaesthesia

authors： Gauss A,Heinrich H,Wilder-Smith OH

更新日期：1991-02-01 00:00:00

abstract：:The possibility exists that agents used in anaesthesia may have adverse teratogenic effects on staff, patients, and developing fetuses. It has been shown that a range of neurotropic drugs, when injected into pregnant mice on the 9th day of gestation, produce a characteristic group of central nervous system malformatio...

journal_title：Anaesthesia

authors： Martin LV,Jurand A

更新日期：1992-06-01 00:00:00

abstract：:Maternal mortality from aspiration of gastric contents still remains unacceptably high, despite various recommended prophylactic measures. In order to establish which forms of antacid prophylaxis are currently being used, a questionnaire was sent to anaesthetists working in obstetric units in the United Kingdom. Despi...

journal_title：Anaesthesia

authors： Sweeney B,Wright I

更新日期：1986-04-01 00:00:00

abstract：:Pain on injection of propofol is a common problem, the cause of which remains unknown. The chemical properties and preparation of propofol, proposed mechanisms for the cause of the pain and clinical strategies to prevent pain on injection of propofol are reviewed in the hope of shedding some light on the subject. ...

journal_title：Anaesthesia

authors： Tan CH,Onsiong MK

更新日期：1998-05-01 00:00:00

abstract：:The extent of a regional block for Caesarean section must be tested and documented before surgery commences. In recent years a block to 'touch' that includes T5 has increasingly been considered the best predictive test for a pain-free Caesarean section. Our survey examines the consistency with which different anaesthe...

journal_title：Anaesthesia

authors： Congreve K,Gardner I,Laxton C,Scrutton M

更新日期：2006-05-01 00:00:00

abstract：:The platelet-mapping assay of the thromboelastograph was used to measure platelet aggregation and to examine the effect of cardiopulmonary bypass on multiple platelet receptors and the role of altered receptor activity in postoperative bleeding. The percentage platelet aggregation for collagen, adenosine diphosphate a...

journal_title：Anaesthesia

authors： Weitzel NS,Weitzel LB,Epperson LE,Karimpour-Ford A,Tran ZV,Seres T

更新日期：2012-10-01 00:00:00

abstract：:We describe an infant who presented with a combination of upper airway obstruction and atlanto-axial subluxation, secondary to a pharyngeal abscess resulting from cosmetic ear piercing. This combination posed a number of difficulties for the anasthetist and a detailed plan was formulated to prepare the child for anast...

journal_title：Anaesthesia

authors： Brookes A,Moriarty A

更新日期：2000-05-01 00:00:00