Anaesthetic manpower in the future in the UK.

Abstract:

:The short-term objective of the DHSS of a 1:1 consultant: junior ratio by 1988 is compatible with current trends in consultant expansion and implies no reduction in registrars before then. The target of doubling the number of consultants in 15 years cannot be met in anaesthesia without a fairly sharp, and relatively short-lived increase in senior registrar numbers. This has implications for planning in other specialties, particularly surgery. It seems prudent to assume the target will take longer than 15 years to achieve. Between 1988 and 2004 there would need to be a reduction of between one and two registrar posts per region per annum if the DHSS target of a consultant:junior ratio of 1.8:1 is to be met. Lesser reductions would be necessary if there were to be expansion of Hospital Practitioners in anaesthesia. No change in the number of senior registrar posts need be envisaged. If entry were properly controlled, the current number of registrar posts would be compatible with a viable career structure for British graduates.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Vickers MD

doi

10.1111/j.1365-2044.1982.tb01862.x

subject

Has Abstract

pub_date

1982-09-01 00:00:00

pages

954-7

issue

9

eissn

0003-2409

issn

1365-2044

journal_volume

37

pub_type

杂志文章
  • Calculating the probability of random sampling for continuous variables in submitted or published randomised controlled trials.

    abstract::In a previous paper, one of the authors (JBC) used a chi-squared method to analyse the means (SD) of baseline variables, such as height or weight, from randomised controlled trials by Fujii et al., concluding that the probabilities that the reported distributions arose by chance were infinitesimally small. Subsequent ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13126

    authors: Carlisle JB,Dexter F,Pandit JJ,Shafer SL,Yentis SM

    更新日期:2015-07-01 00:00:00

  • The effect of a heat and moisture exchanger on gas flow in a Mapleson F breathing system during inhalational induction.

    abstract::Heat and moisture exchangers (HMEs) humidify, warm and filter inspired gas, protecting patients and apparatus during anaesthesia. Their incorporation into paediatric anaesthetic breathing systems is recommended. We experienced delays in inhalational induction whilst using a Mapleson F breathing system with an HME. We ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.2000.01521.x

    authors: Da Fonseca JM,Wheeler DW,Pook JA

    更新日期:2000-06-01 00:00:00

  • Halothane hepatitis in an 11-month-old child.

    abstract::Halothane hepatitis is extremely rare in childhood. However, this occurred in an 11-month-old infant, following multiple exposure to halothane. The diagnosis was confirmed by detection of specific antibodies to halothane-sensitised rabbit hepatocytes. The anaesthetic technique for a subsequent procedure with a halotha...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb13053.x

    authors: Whitburn RH,Sumner E

    更新日期:1986-06-01 00:00:00

  • The cardiovascular response to insertion of the intubating laryngeal mask airway.

    abstract::Sixty-one patients received a standardised anaesthetic and were randomly assigned to three groups: tracheal intubation via direct laryngoscopy, tracheal intubation via an intubating laryngeal mask airway with immediate removal of the device, and tracheal intubation via an intubating laryngeal mask airway with delayed ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2002.02463.x

    authors: Choyce A,Avidan MS,Harvey A,Patel C,Timberlake C,Sarang K,Tilbrook L

    更新日期:2002-04-01 00:00:00

  • The McGrath® Series 5 videolaryngoscope vs the Macintosh laryngoscope: a randomised, controlled trial in patients with a simulated difficult airway.

    abstract::We compared the McGrath® Series 5 videolaryngoscope with the Macintosh laryngoscope in a simulated difficult airway, using manual in-line stabilisation in 88 anaesthestised patients of ASA physical status 1-2. The primary outcome was laryngoscopic view. Secondary outcomes included rates of successful tracheal intubati...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/anae.12075

    authors: Taylor AM,Peck M,Launcelott S,Hung OR,Law JA,MacQuarrie K,McKeen D,George RB,Ngan J

    更新日期:2013-02-01 00:00:00

  • Current management of inadvertent dural taps occurring during the siting of epidurals for pain relief in labour. A survey of maternity units in the United Kingdom.

    abstract::A postal survey of all maternity units in the UK was conducted to gain information regarding the management of inadvertent dural taps occurring during the sitting of epidurals for pain relief in labour. Of the units surveyed only 58.5% had a written protocol for the management of dural taps. Following their occurrence...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1995.tb15102.x

    authors: Sajjad T,Ryan TD

    更新日期:1995-02-01 00:00:00

  • Morphine compared with diamorphine. A comparison of dose requirements and side-effects after hip surgery.

    abstract::The dose requirements and side effects of morphine were compared with those of diamorphine administered by patient-controlled analgesia in 40 patients following elective total hip replacement. Patients were allocated randomly to receive in a double-blind manner either morphine or diamorphine for postoperative pain rel...

    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.tb09650.x

    authors: Robinson SL,Rowbotham DJ,Smith G

    更新日期:1991-07-01 00:00:00

  • Treatment of cocaine overdose with lipid emulsion.

    abstract::We describe the management and recovery of a 28-year-old man following a history of overdose by nasal inhalation of cocaine. The patient was presented in a comatose state suffering from seizures and marked cardiovascularly instability. Intravenous lipid emulsion was administered following initial resuscitation and tra...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06895.x

    authors: Jakkala-Saibaba R,Morgan PG,Morton GL

    更新日期:2011-12-01 00:00:00

  • Pretreatment with ketorolac and venous occlusion to reduce pain on injection of propofol.

    abstract::We performed a randomised, double-blind, prospective trial to discover whether intravenous ketorolac 10 mg made up to 2 ml with saline, with or without venous occlusion for 2 min, reduces the pain on injection of propofol. In 90 patients, pain scores were obtained during injection of propofol following pretreatment of...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2000.01320.x

    authors: Yull DN,Barkshire KF,Dexter T

    更新日期:2000-03-01 00:00:00

  • The interaction of halothane and pancuronium bromide. A study in dogs.

    abstract::The interaction of halothane and pancuronium is demonstrated in the dog tibialis anterior-sciatic nerve preparation. The results show a dose related effect of halothane on the recovery index and the 50% recovery times. These results are compared to other reports and possible mechanisms are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08341.x

    authors: Knight CL,Barnes PK,Feldman SA

    更新日期:1978-02-01 00:00:00

  • Ventricular fibrillation after accidental injection of bupivacaine into the pericardium.

    abstract::A postoperative cardiac surgical patient developed ventricular fibrillation immediately after accidental pericardial injection of bupivacaine at room temperature. The possible causes, which include systemic toxicity, local vasoconstriction with myocardial ischaemia, local toxic effect of bupivacaine or local hypotherm...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1992.tb04202.x

    authors: Even BJ,De Jongh RF,De Hert SG

    更新日期:1992-12-01 00:00:00

  • A simple method for monitoring the concentration of inhaled nitric oxide.

    abstract::Nitric oxide is a potent endogenous vasodilator involved in the homeostatic control of systemic blood pressure. It has also recently been demonstrated that when inhaled in low concentrations it acts as a specific pulmonary vasodilator. The concept of inhaled nitric oxide as a form of therapy is almost an anathema to a...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1994.tb14183.x

    authors: Petros AJ,Cox P,Bohn D

    更新日期:1994-04-01 00:00:00

  • Nathan Keep--William Morton's Salieri?

    abstract::Dr Nathan Cooley Keep (1800-1875) was a Boston dentist and doctor who carried our pioneering work in both dentistry and anaesthesia. He worked with William Morton before the first public demonstration of ether anaesthesia, formed the world's first anaesthetic partnership with Morton but parted company with him and lat...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1365-2044.1995.tb04563.x

    authors: Keep P

    更新日期:1995-03-01 00:00:00

  • Evaluation of a novel Surgicric® cricothyroidotomy device for emergency tracheal access in a porcine model.

    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

    pub_type: 杂志文章

    doi:10.1111/anae.13275

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

    更新日期:2016-02-01 00:00:00

  • Post-operative convulsions due to penicillin applied to the spinal theca.

    abstract::Two cases are described and discussed in which penicillin powder applied to the theca at the end of laminectomy caused delayed convulsions. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1975.tb00796.x

    authors: Bordbar A,Beheshti M

    更新日期:1975-01-01 00:00:00

  • Cardiac output measurement by pulse dye densitometry in cardiac surgery.

    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

    authors: Baulig W,Bernhard EO,Bettex D,Schmidlin D,Schmid ER

    更新日期:2005-10-01 00:00:00

  • Continuous infusion vs. intermittent bolus injection of furosemide in acute decompensated heart failure: systematic review and meta-analysis of randomised controlled trials.

    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

    authors: Ng KT,Yap JLL

    更新日期:2018-02-01 00:00:00

  • The incidence of Horner's syndrome during lumbar extradural for elective Caesarean section and provision of analgesia during labour.

    abstract::One hundred and fifty women in labour provided with extradural analgesia were monitored and an incidence of Horner's syndrome of 1.33% was noted. Fifty women undergoing Caesarean section under extradural analgesia were also monitored and an incidence of Horner's syndrome of 4% was noted. From the results we found it i...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Clayton KC

    更新日期:1983-06-01 00:00:00

  • Comparison of bladder, oesophageal and pulmonary artery temperatures in major abdominal surgery.

    abstract::In this study we compared urinary bladder and oesophageal temperatures with the core temperature obtained from a pulmonary artery catheter in patients undergoing orthotopic liver transplantation. The bladder temperature was a closer approximation to pulmonary artery temperature in this group of patients than the oesop...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1996.tb07743.x

    authors: Russell SH,Freeman JW

    更新日期:1996-04-01 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 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 intubating laryngeal mask. Results of a multicentre trial with experience of 500 cases.

    abstract::A multicentre trial of the use of the intubating laryngeal mask was carried out at seven centres in the United Kingdom using the same agreed protocol. Lung ventilation followed by blind tracheal intubation through the intubating laryngeal mask was attempted on 500 ASA grade 1 and 2 patients. It was possible to insert ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1046/j.1365-2044.1998.00614.x

    authors: Baskett PJ,Parr MJ,Nolan JP

    更新日期:1998-12-01 00:00:00

  • Adverse reaction to methohexitone and gallamine.

    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

    authors: Harrison GR,Thompson ID

    更新日期:1981-01-01 00:00:00

  • The management of tracheal rupture using bilateral bronchial intubation.

    abstract::The management of a patient who required positive pressure ventilation following pharyngolaryngo-oesophagectomy during which tracheal injury was sustained is described. Ventilation with a tracheal tube resulted in a massive pneumoperitoneum. Bilateral bronchial intubation was employed with success. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb06906.x

    authors: Mitchell JB,Ward PM

    更新日期:1993-03-01 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

  • 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

  • The effect of anaesthesia and aortic clamping on cardiac output measurement using arterial pulse power analysis during aortic aneurysm repair.

    abstract::The LiDCO plus monitor (LiDCO Ltd, Cambridge, UK) uses pulse contour analysis of the arterial pressure waveform to indicate changes in stroke volume and cardiac output. Calibration against a lithium indicator dilution method is required to permit display of absolute values in addition to trends. The effect of haemodyn...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.2010.06558.x

    authors: Beattie C,Moores C,Thomson AJ,Nimmo AF

    更新日期:2010-12-01 00:00:00

  • Eating in labour. A randomised controlled trial assessing the risks and benefits.

    abstract::The aim of this study was to determine whether permitting women in labour to eat a light diet would: (i) alter their metabolic profile, (ii) influence the outcome of labour, and (iii) increase residual gastric volume and consequent risk of pulmonary aspiration. Women were randomised to receive either a light diet (eat...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1999.00750.x

    authors: Scrutton MJ,Metcalfe GA,Lowy C,Seed PT,O'Sullivan G

    更新日期:1999-04-01 00:00:00

  • Breast feeding and anaesthesia.

    abstract::Anaesthetists require a good knowledge of the excretion of drugs in breast milk and the potential hazards to suckling infants of drug ingestion via breast milk. A brief account of the physiology of lactation is given. The mechanisms of drug passage into breast milk are discussed followed by a review of the excretion i...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1993.tb07130.x

    authors: Lee JJ,Rubin AP

    更新日期:1993-07-01 00:00:00

  • Ultrasound evaluation of the impact of cricoid pressure versus novel 'paralaryngeal pressure' on anteroposterior oesophageal diameter.

    abstract::To assess the degree to which cricoid pressure (Sellick manoeuvre) actually compresses the oesophagus, we measured the effect of cricoid pressure and paralaryngeal pressure on the outer anteroposterior diameter of the upper oesophagus with ultrasound in 39 healthy volunteers. The mean (SD) outer anteroposterior oesoph...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13518

    authors: Andruszkiewicz P,Wojtczak J,Wroblewski L,Kaczor M,Sobczyk D,Kowalik I

    更新日期:2016-09-01 00:00:00