A comparison of different modes of noninvasive ventilatory support: effects on ventilation and inspiratory muscle effort.

Abstract:

:The aims of noninvasive ventilation include the correction of hypoventilation and unloading of inspiratory muscles. Volume cycled flow generators, bi-level positive airway pressure and continuous positive airway pressure techniques have all been used with face and nasal masks. We have compared these modes of ventilatory support, administered by a nasal mask in stable, awake outpatients with chronic obstructive pulmonary disease or neuromusculo-skeletal disease in respect of their effects on ventilation, inspiratory muscle effort and oxygen saturation. There were no clinically significant differences between the volume cycled flow generator and bi-level positive airway pressure methods; compared to spontaneous ventilation, oxygen saturation increased and inspiratory muscle effort decreased. Tidal volume increased and respiratory rate reduced, the largest changes occurring with bi-level positive airway pressure. Only the volume cycled flow generator increased minute ventilation significantly. Ventilation and inspiratory muscle effort were unaffected by continuous positive airway pressure but oxygen saturation was lower than during spontaneous ventilation. In awake, stable outpatients acclimatised to nasal ventilation there were no clinically significant differences between volume cycled flow generator and bi-level positive airway pressure techniques, but continuous positive airway pressure was less effective.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Elliott MW,Aquilina R,Green M,Moxham J,Simonds AK

doi

10.1111/j.1365-2044.1994.tb14173.x

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

279-83

issue

4

eissn

0003-2409

issn

1365-2044

journal_volume

49

pub_type

临床试验,杂志文章,随机对照试验
  • The effect of an ultrasound-activated needle tip tracker needle on the performance of sciatic nerve block on a soft embalmed Thiel cadaver.

    abstract::In this study, we measured the performance of medical students and anaesthetists using a new tracker needle during simulated sciatic nerve block on soft embalmed cadavers. The tracker needle incorporates a piezo element near its tip that generates an electrical signal in response to insonation. A circle, superimposed ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15211

    authors: McKendrick M,Sadler A,Taylor A,Seeley J,Filipescu T,Mustafa A,McKendrick G,Halcrow J,Raju P,McLeod GA

    更新日期:2021-02-01 00:00:00

  • Electro-acupuncture and postoperative emesis.

    abstract::One hundred unpremedicated female patients of ASA grade 1 or 2 who underwent laparoscopy as outpatients were allocated randomly to one of four groups. All patients received general anaesthesia with fentanyl, thiopentone, halothane, nitrous oxide and oxygen; suxamethonium was given to facilitate tracheal intubation. In...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1990.tb14744.x

    authors: Ho RT,Jawan B,Fung ST,Cheung HK,Lee JH

    更新日期:1990-04-01 00:00:00

  • The Shikani optical stylet as an alternative to the GlideScope® videolaryngoscope in simulated difficult intubations--a randomised controlled trial.

    abstract::The GlideScope(®) videolaryngoscope is widely utilised in the management of the difficult airway. However, complications such as mucosal injury, palatal and tonsillar perforations have been reported with its use. The Shikani optical stylet has shown promise in aiding difficult intubations. This randomised controlled t...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2011.07023.x

    authors: Phua DS,Mah CL,Wang CF

    更新日期:2012-04-01 00:00:00

  • Serious complications with dextran-70 despite hapten prophylaxis. Is it best avoided prior to delivery?

    abstract::Dextran is used clinically for plasma volume expansion, improvement of blood flow and thromboprophylaxis, but has been associated with untoward side effects. Immunoprophylaxis with dextran I (hapten), before the infusion of dextran-70, has reduced the incidence of serious dextran-induced anaphylactoid reactions. We re...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1991.tb09916.x

    authors: Berg EM,Fasting S,Sellevold OF

    更新日期:1991-12-01 00:00:00

  • Body position and late postoperative nocturnal hypoxaemia.

    abstract::Thirteen patients were monitored for nocturnal body position (supine vs. side) and arterial oxygen saturation pre-operatively and on the second postoperative night after major abdominal surgery. The number of positional changes were significantly decreased after operation (p < 0.05) with a trend towards more time spen...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2222.1997.128-az0124.x

    authors: Rosenberg-Adamsen S,Stausholm K,Edvardsen L,Zwarts M,Kehlet H,Rosenberg J

    更新日期:1997-06-01 00:00:00

  • Anaesthesia for procedures on the larynx and pharynx. The use of the Bullard laryngoscope in conjunction with high frequency jet ventilation.

    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

    authors: Mendel P,Bristow A

    更新日期:1993-03-01 00:00:00

  • The effect of subhypnotic doses of propofol on the incidence of pruritus after intrathecal morphine for caesarean section.

    abstract::The effect of subhypnotic doses of propofol on intrathecal morphine-induced pruritus was studied in a prospective, randomly allocated, double-blind controlled trial. Fifty-eight women undergoing elective lower segment Caesarean section for a singleton fetus received spinal anaesthesia with 2.5 ml hyperbaric 0.5% bupiv...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1997.069-az0060.x

    authors: Warwick JP,Kearns CF,Scott WE

    更新日期:1997-03-01 00:00:00

  • Thyroid storm as a cause of loss of consciousness following anaesthesia for emergency caesarean section.

    abstract::A previously undiagnosed thyrotoxic patient was anaesthetised for an emergency Caesarean section. The recovery period was complicated by an acute thyroid crisis resulting in loss of consciousness following an apparently normal recovery from general anaesthesia. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1994.tb03310.x

    authors: Pugh S,Lalwani K,Awal A

    更新日期:1994-01-01 00:00:00

  • Hypoxia during upper gastrointestinal endoscopy with and without sedation and the effect of pre-oxygenation on oxygen saturation.

    abstract::In Study A, the incidence of arterial oxygen desaturation was studied using pulse oximetry (SaO2) in 100 sedated and 100 nonsedated patients breathing room air who underwent diagnostic upper gastrointestinal endoscopy. Hypoxia (SaO2 92% or less of at least 15 s duration) occurred in 17% and 6% of sedated patients and ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1046/j.1365-2044.2000.01520.x

    authors: Wang CY,Ling LC,Cardosa MS,Wong AK,Wong NW

    更新日期:2000-07-01 00:00:00

  • Bedside tests for predicting difficult airways: an abridged Cochrane diagnostic test accuracy systematic review.

    abstract::Although bedside screening tests are routinely used to identify people at high risk of having a difficult airway, their clinical utility is unclear. We estimated the diagnostic accuracy of commonly used bedside examination tests for assessing the airway in adult patients without apparent anatomical abnormalities sched...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14608

    authors: Roth D,Pace NL,Lee A,Hovhannisyan K,Warenits AM,Arrich J,Herkner H

    更新日期:2019-07-01 00:00:00

  • Initial experience with Minaxolone. A water-soluble steroid intravenous anaesthetic agent.

    abstract::Minaxolone has been used to induce anaesthesia, and in incremental doses to supplement nitrous oxide, in 100 patients undergoing minor surgical procedures. Half the patients received a small dose of fentanyl before induction. Minaxolone proved to be a satisfactory induction agent. The commonest complications were an i...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1980.tb03805.x

    authors: Punchihewa VG,Morgan M,Lumley J,Whitwam JG

    更新日期:1980-02-01 00:00:00

  • Evaluation of the Sherlock 3CG Tip Confirmation System on peripherally inserted central catheter malposition rates.

    abstract::Peripherally inserted central catheters are often positioned blindly in the central circulation, and this may result in high malposition rates, especially in critically ill patients. Recently, a new technology has been introduced (Sherlock 3CG Tip Positioning System) that uses an electro-magnetic system to guide posit...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12785

    authors: Johnston AJ,Holder A,Bishop SM,See TC,Streater CT

    更新日期:2014-12-01 00:00:00

  • The role of serratus anterior plane and pectoral nerves blocks in cardiac surgery, thoracic surgery and trauma: a qualitative systematic review.

    abstract::Serratus anterior plane and pectoral nerves blocks are recently described alternatives to established regional anaesthesia techniques in cardiac surgery, thoracic surgery and trauma. We performed a systematic review to establish the current state of evidence for the analgesic role of these fascial plane blocks in thes...

    journal_title:Anaesthesia

    pub_type: 杂志文章,meta分析

    doi:10.1111/anae.15000

    authors: Jack JM,McLellan E,Versyck B,Englesakis MF,Chin KJ

    更新日期:2020-10-01 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

  • Placement of coiled catheters into the paravertebral space.

    abstract::There are conflicting results with regard to the use of catheter-based techniques for continuous paravertebral block. Local anaesthetic spread within the paravertebral space is limited and the clinical effect is often variable. Discrepancies between needle tip position and final catheter position can also be problemat...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06988.x

    authors: Luyet C,Meyer C,Herrmann G,Hatch GM,Ross S,Eichenberger U

    更新日期:2012-03-01 00:00:00

  • Multiple-choice examinations: adopting an evidence-based approach to exam technique.

    abstract::Negatively marked multiple-choice questions (MCQs) are part of the assessment process in both the Primary and Final examinations for the fellowship of the Royal College of Anaesthetists. It is said that candidates who guess will lose marks in the MCQ paper. We studied candidates attending a pre-examination revision co...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1998.00583.x

    authors: Hammond EJ,McIndoe AK,Sansome AJ,Spargo PM

    更新日期:1998-11-01 00:00:00

  • The effect of acupuncture on the incidence of postextubation laryngospasm in children.

    abstract::Laryngospasm occurring after tracheal extubation in children is potentially dangerous. This study uses acupuncture with bloodletting at the Shao Shang (L 11) or Shang Yang (Li 1) acupoints to investigate whether this technique can prevent or treat laryngospasm. Seventy-six patients were randomly divided into two group...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1998.00535.x

    authors: Lee CK,Chien TJ,Hsu JC,Yang CY,Hsiao JM,Huang YR,Chang CL

    更新日期:1998-09-01 00:00:00

  • Peri-operative management of an adult patient with type 2N von Willebrand's disease scheduled for coronary artery bypass graft.

    abstract::We describe a patient with type 2N von Willebrand's disease scheduled for elective coronary artery bypass graft for severe three-vessel coronary artery disease with involvement of the left main stem. He was given a pre-operative bolus of 3000 IU factor VIII/Willebrand factor concentrate (approximately 40 IU.kg(-1)), f...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2007.05001.x

    authors: Gerling V,Lahpor JR,Buhre W

    更新日期:2007-04-01 00:00:00

  • Subarachnoid spread of epidural local anaesthetic following dural puncture.

    abstract::A case is described of an extensive block and hypotension which occurred after inadvertent dural puncture and subsequent epidural injection of bupivacaine. The subarachnoid spread of solution from the extradural space was confirmed radiologically. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1988.tb04155.x

    authors: Leach A,Smith GB

    更新日期:1988-08-01 00:00:00

  • Evaluation of cardiac output in intensive care using a non-invasive arterial pulse contour technique (Nexfin(®)) compared with echocardiography.

    abstract::In this prospective study, cardiac output was measured in 38 intensive care unit patients before and after a fluid challenge, using both pulse contour analysis (Nexfin(®); BMEYE, Amsterdam, the Netherlands) and transthoracic echocardiography. The ability of the Nexfin device to detect significant changes in the veloci...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12341

    authors: Taton O,Fagnoul D,De Backer D,Vincent JL

    更新日期:2013-09-01 00:00:00

  • Anaesthesia for separation of conjoined twins.

    abstract::Anaesthetic procedures for successful separation of pygopagus twins are described. A bony union in the sacral region and communication of the subarachnoid space in this region were the main abnormalities. Various anaesthetic problems during the operation and in the immediate postoperative period are discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1984.tb06436.x

    authors: Roy M

    更新日期:1984-12-01 00:00:00

  • A comparison of low vs conventional-dose heparin for minimal cardiopulmonary bypass in coronary artery bypass grafting surgery.

    abstract::The biocompatibility of minimal extracorporeal circuits has improved; however, anticoagulation is still required. We compared standard high-dose anticoagulation with a low-dose heparin regimen in a retrospective study of patients who underwent coronary bypass surgery using minimal cardiopulmonary bypass. One hundred p...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06709.x

    authors: Fromes Y,Daghildjian K,Caumartin L,Fischer M,Rouquette I,Deleuze P,Bical OM

    更新日期:2011-06-01 00:00:00

  • Plasma concentrations of lignocaine after thoracic paravertebral blockade in infants and children.

    abstract::Plasma concentrations of lignocaine were determined in six ASA 1 children treated with thoracic paravertebral blockade. Peak concentrations ranged between 1.7 and 3.0 micrograms.ml-1 after a bolus injection of lignocaine 0.5 ml.kg-1 (lignocaine 10 mg.ml-1 with adrenaline 5 micrograms.ml-1) and peak plasma concentratio...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb07473.x

    authors: Lönnqvist PA

    更新日期:1993-11-01 00:00:00

  • A prospective randomised double blind study to evaluate the effect of peribulbar block or topical application of local anaesthesia combined with general anaesthesia on intra-operative and postoperative complications during paediatric strabismus surgery.

    abstract::We studied 45 ASA I/II children aged between 2 and 13 years scheduled for elective strabismus surgery, randomly allocated to receive either a peribulbar block or topical lidocaine 2% combined with general anaesthesia, or general anaesthesia alone. The incidence and severity of the occulocardiac reflex, the requirement...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05220.x

    authors: Gupta N,Kumar R,Kumar S,Sehgal R,Sharma KR

    更新日期:2007-11-01 00:00:00

  • EMLA patch for spinal puncture. A comparison of EMLA patch with lignocaine infiltration and placebo patch.

    abstract::We have prospectively assessed pain and anxiety of spinal puncture in 180 adult patients randomly allocated to one of three equal groups. On the morning of surgery group 1 had an EMLA patch, whereas group 2 and 3 had placebo patches. Group 2 also had infiltration analgesia with 2 ml lignocaine 2% with adrenaline, imme...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.1998.00608.x

    authors: Koscielniak-Nielsen Z,Hesselbjerg L,Brushøj J,Jensen MB,Pedersen HS

    更新日期:1998-12-01 00:00:00

  • Cor pulmonale and the Pierre Robin anomaly. Airway management with a nasopharyngeal tube.

    abstract::An infant with Pierre Robin anomaly was anaesthetised for cardiac catheterisation. There was cor pulmonale with the pulmonary artery pressure at systemic level, a patent foramen ovale and a persistent ductus arteriosus. The effects of alterations in blood gases on the haemodynamics and intracardiac shunts are consider...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb05097.x

    authors: Freeman MK,Manners JM

    更新日期:1980-03-01 00:00:00

  • Communication skills for the anaesthetist.

    abstract::Anaesthetists have traditionally focused on technological and pharmacological advances when considering the provision of anaesthetic care. Anaesthetists are expected to be able to communicate effectively with peers, patients, their families and others in the medical community; however, few details are provided regardi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.05887.x

    authors: Cyna AM,Andrew MI,Tan SG

    更新日期:2009-06-01 00:00:00

  • A comparative study of condenser humidifiers.

    abstract::Three currently available condenser humidifiers were studied to assess their ability to conserve water loss and to measure the resistance imposed by the apparatus. The value and possible effectiveness of these devices in clinical practice is discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1976.tb11950.x

    authors: Walker AK,Bethune DW

    更新日期:1976-10-01 00:00:00

  • Postdural puncture symptoms in a child.

    abstract::An 11-year-old boy suffered an inadvertent dural puncture during placement of an epidural catheter for postoperative analgesia. He developed symptoms of mild headache only, but severe and protracted orthostatic nausea and dizziness, which eventually resolved completely following epidural blood patch. His symptoms were...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.az0158b.x

    authors: McHale J,O'Donovan FC

    更新日期:1997-07-01 00:00:00

  • Oxytocin at elective caesarean delivery: a dose-finding study in women with obesity.

    abstract::Prophylactic oxytocin administration at the third stage of labour reduces blood loss and the need for additional uterotonic drugs. Obesity is known to be associated with an increased risk of uterine atony and postpartum haemorrhage. It is unknown whether women with obesity require higher doses of oxytocin in order to ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.15322

    authors: Peska E,Balki M,Maxwell C,Ye XY,Downey K,Carvalho JCA

    更新日期:2020-11-23 00:00:00