Abstract：
:Apnoeic oxygenation refers to oxygenation in the absence of any patient or ventilator effort to move the lungs. This phenomenon was first described in humans in the mid-20th century but has seen renewed interest in the last decade following the demonstration of apnoeic oxygenation with low-flow, and subsequently high-flow, nasal oxygen. This narrative review summarises our understanding of apnoeic oxygenation in the paediatric population. We examine the evidence supporting oxygenation via tracheal tube, modified laryngoscopes and nasal cannulae. The evidence for prolongation of safe apnoea time at induction of anaesthesia is also appraised. We explore the capacity for carbon dioxide clearance, flow rate selection with high-flow nasal oxygen and complications associated with the technique. It remains uncertain whether apnoeic oxygenation in paediatric patients results in a meaningful clinical benefit compared with standard care for outcomes such as the number of tracheal intubation attempts or the incidence of hypoxaemia. In particular, the role of apnoeic oxygenation in paediatric difficult airway management is unclear as this has not been the targeted focus of any published research to date.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Lyons C,Callaghan Mdoi
10.1111/anae.15107subject
Has Abstractpub_date
2021-01-01 00:00:00pages
118-127issue
1eissn
0003-2409issn
1365-2044journal_volume
76pub_type
杂志文章,评审相关文献
ANAESTHESIA文献大全abstract：:We have compared a rapid sequence induction of anaesthesia using propofol 2 mg.kg-1 and alfentanil 50 micrograms.kg-1, with a standard technique using thiopentone 5 mg.kg-1 and suxamethonium 1 mg.kg-1. The incidence of complications, and the quality of conditions for intubation, were similar in both groups. The patien...
journal_title：Anaesthesia
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1365-2044.1993.tb07418.x
更新日期：1993-10-01 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
pub_type： 杂志文章
doi：10.1111/anae.13813
更新日期：2017-05-01 00:00:00
abstract：:The efficient use of operating theatres requires accurate case scheduling. One common method is 'booking to the mean'. Here, the mean times for individual operations are summed to approximate the time allocated to the list. An alternative approach is 'probabilistic scheduling'. Here, the means and standard deviation o...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/anae.14958
更新日期：2020-05-01 00:00:00
abstract：:Undetected defects in the inner tube of the Bain coaxial anaesthetic breathing system may result in a greatly increased apparatus deadspace. Several authorities have advocated tests intended to detect inner tube problems; however, the efficacy of these tests has never been validated. In this study none of the tests we...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1991.tb09412.x
更新日期：1991-03-01 00:00:00
abstract：:A 68-year-old woman presented with dyspnoea having undergone a short period of tracheal intubation during an episode of congestive cardiac failure 10 days earlier. On the fourth day of admission, she suddenly developed acute respiratory distress followed by a cardiac arrest and was found to have an enlarging neck mass...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1997.72-az0069.x
更新日期：1997-02-01 00:00:00
abstract：:Harold King was an analytical chemist of distinction, who worked with Sir Henry Dale and his colleagues in the Medical Research Institute, later the Medical Research Council. He helped to quash the theory that the anaesthetic action of ether was attributable to its impurities. Interest in alkaloids led to the elucidat...
journal_title：Anaesthesia
pub_type： 传,历史文章,杂志文章
doi：10.1111/j.1365-2044.1991.tb09723.x
更新日期：1991-08-01 00:00:00
abstract：:Despite being a standard procedure during induction of anaesthesia, facemask ventilation can be a major challenge especially for inexperienced anaesthetists. We manufactured a Jaw-Thrust-Device designed to keep the patient's jaws in an optimised position, and thus to maintain the airway in a permanently patent state. ...
journal_title：Anaesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1365-2044.2009.06059.x
更新日期：2009-11-01 00:00:00
abstract：:The natural history diagnosis and immediate treatment of patients suffering from pulmonary embolism has been discussed. Anaesthetists should use their influence to bring about a high standard of prophylactic care against deep venous thrombosis and consequently of pulmonary embolism. They are likely to be involved in t...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1976.tb11905.x
更新日期：1976-09-01 00:00:00
abstract：:The management of childbirth, including epidural anaesthesia for Caesarean section is described in a patient with von Hippel-Lindau disease. The reasons for the choice of epidural anaesthesia are explained and the anaesthetic significance of the disease is discussed. ...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1986.tb13132.x
更新日期：1986-08-01 00:00:00
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
更新日期：1985-08-01 00:00:00
abstract：:Dose response curves were constructed for edrophonium and neostigmine when used to antagonise pancuronium, 0.07 mg/kg during thiopentone-nitrous oxide-halothane anaesthesia. The antagonist was given when 10% twitch height had been restored and the effect was measured 10 minutes later. Recoveries to 50% and 90% twitch ...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1985.tb11044.x
更新日期：1985-09-01 00:00:00
abstract：:Capnography (ETCO2 ) is routinely used as a non-invasive estimate of arterial carbon dioxide (PaCO2 ) levels in order to modify ventilatory settings, whereby it is assumed that there is a positive gap between PaCO2 and ETCO2 of approximately 0.5 kPa. However, negative values (ETCO2 > PaCO2 ) can be observed. We retros...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/anae.13969
更新日期：2017-11-01 00:00:00
abstract：:This observational study assessed the frequency and risk factors of dental damage after classic direct laryngoscopy for tracheal intubation in 536 adult patients. The patients' sex, age, height, weight, dental condition, dental mobility, Mallampati class, interincisor gap, thyromental distance, neck circumference, and...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/anae.12342
更新日期：2013-10-01 00:00:00
abstract：:Two patients who had undergone emergency tracheal intubation developed signs of aspiration of ingested food. Nasendoscopy demonstrated supraglottic anaesthesia which recovered from the laryngeal margins in towards the vocal cords. It is assumed that this was caused by a neuropraxia of the internal branch of the superi...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1989.tb11230.x
更新日期：1989-03-01 00:00:00
abstract：:A double-blind controlled study was performed to assess the efficacy and safety of patient-controlled analgesia in burn patients. This method was compared with conventional analgesic therapy consisting of intermittent intravenous morphine injections. Twenty-four adult patients hospitalised for burn injuries participat...
journal_title：Anaesthesia
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1365-2044.1992.tb02266.x
更新日期：1992-06-01 00:00:00
abstract：:A fit 27-year-old man presented with severe facial trauma following an industrial accident. Initial assessment showed severe swelling around the lower jaw and haemorrhage from the mouth, nose, scalp and left ear. The patient was conscious with a Glasgow Coma Score of 13 but in respiratory distress. Following adoption ...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1996.tb15004.x
更新日期：1996-11-01 00:00:00
abstract：:Administration of vasopressors or inotropes during liver transplant surgery is almost universal, as this procedure is often accompanied by massive haemorrhage, acid-base imbalance, and cardiovascular instability. However, the actual agents that should be used and the choice between a vasopressor and an inotrope strate...
journal_title：Anaesthesia
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1365-2044.2012.07198.x
更新日期：2012-10-01 00:00:00
abstract：:Laryngeal mask airway cuff inflation pressures were measured when inflated with the same volume of gas firstly in free space and then in position in the pharynx. A large difference in these pressures was observed and this was related to pharyngeal mucosal perfusion pressure. This study shows that it may be easy to pro...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：
更新日期：1993-12-01 00:00:00
abstract：:Blood transfusion is given according to haemoglobin thresholds aimed at restoration of arterial oxygen-carrying capacity. Patient survival after severe haemorrhagic shock depends on restoration of microvascular perfusion, tissue oxygen delivery, endothelial function and organ integrity. We investigated a novel crystal...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/anae.14627
更新日期：2019-06-01 00:00:00
abstract：:Twenty patients undergoing elective procedures on the larynx and pharynx were anaesthetised using a propofol infusion and a bolus of vecuronium. High frequency jet ventilation was employed via a 7 French gauge catheter, with a second catheter being used to measure expired carbon dioxide levels. The Bullard laryngoscop...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1993.tb06916.x
更新日期：1993-03-01 00:00:00
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
更新日期：1985-11-01 00:00:00
abstract：:Twenty-eight patients who had a history of severe postoperative vomiting were divided into two groups. The first group received various anaesthetic drugs and the second group received a pethidine promethazine premedication and thiopentone, alcuronium, fentanyl and droperidol. There was a significant reduction in posto...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1984.tb07244.x
更新日期：1984-03-01 00:00:00
abstract：:Two similar groups of patients undergoing coronary artery bypass grafting received either atracurium or vecuronium infusions for neuromuscular blockade. Both groups demonstrated a marked reduction in neuromuscular blocking requirements during hypothermic bypass at 30 C. The ratio of the dose rates at 30 C to that at 3...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1986.tb12916.x
更新日期：1986-09-01 00:00:00
abstract：:Summary The aim of this study was to compare the accuracy of pulse dye densitometry with that of bolus thermodilution cardiac output measurement in patients before and after elective coronary artery bypass grafting. Twenty-eight patients were studied. Agreement between mean thermodilution and pulse dye densitometry ca...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.2005.04296.x
更新日期：2005-10-01 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
pub_type： 杂志文章,meta分析
doi：10.1111/anae.14864
更新日期：2020-03-01 00:00:00
abstract：:The National Patient Safety Agency has issued a Patient Safety Alert with the aim of eliminating Luer connectors from equipment for lumbar puncture and subarachnoid injections by 1 April 2011, and from all neuraxial and regional anaesthesia equipment in 2013. B-link (UK) Ltd and InterVene Ltd have produced non-Luer co...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.2010.06537.x
更新日期：2010-11-01 00:00:00
abstract：:Loop diuretics remain a fundamental pharmacological therapy to remove excess fluid and improve symptom control in acute decompensated heart failure. Several recent randomised controlled trials have examined the clinical benefit of continuous vs. bolus furosemide in acute decompensated heart failure, but have reported ...
journal_title：Anaesthesia
pub_type： 杂志文章,meta分析
doi：10.1111/anae.14038
更新日期：2018-02-01 00:00:00
abstract：:The Triservice anaesthetic apparatus is a draw-over using ambient air as the primary carrier gas. Its modules are a self-inflating bag, a vaporiser, a supplementary oxygen regulator and a ventilator; each is described. The outputs of halothane and trichloroethylene were measured with changes of temperature, continuous...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1981.tb08696.x
更新日期：1981-12-01 00:00:00
abstract：:A previously unreported complication of minitracheotomy is described. The minitracheotomy introducer was lost into the pleural cavity and a thoracotomy was required to remove it. ...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1991.tb09919.x
更新日期：1991-12-01 00:00:00
abstract：:A case is presented in which a patient developed an acute anaphylactoid reaction after receiving methohexitone and gallamine for the induction of anaesthesia. The problem of eliciting the responsible agent is discussed, which comments on the method of treatment and preventative measures. ...
journal_title：Anaesthesia
pub_type： 杂志文章
doi：10.1111/j.1365-2044.1981.tb08597.x
更新日期：1981-01-01 00:00:00
