The airways and anaesthesia II. Pathophysiology.

Abstract:

:We pointed out in the first of these two articles that the commonest cause of an anaesthetic disaster in young healthy patients is a loss of airway patency then a failure to intubate occurring unexpectedly in the absence of head or neck pathology. Upper airway obstruction is a very common complication of general anaesthesia and all anaesthetists must be trained in the management of this problem. Less obvious are the changes that can occur in the lower airways which can impair gas exchange by increasing ventilation-perfusion mismatch. This article is concerned with these pathophysiological changes that occur during general anaesthesia.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Burwell DR,Jones JG

doi

10.1111/j.1365-2044.1996.tb14963.x

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

943-54

issue

10

eissn

0003-2409

issn

1365-2044

journal_volume

51

pub_type

杂志文章,评审
  • 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

  • Percutaneous cervical pharyngostomy: a traditional technique revisited.

    abstract::Enteral tube feeding is widely used in intensive care units, high dependency units and general wards. In some patients, an adequate intake is not maintained because patients cannot tolerate the tube. Insertion of an enteral feeding tube via a pharyngostomy is simple and potentially more easily tolerated. We describe o...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2005.04327.x

    authors: Jones TM,Bodenham AR

    更新日期:2005-10-01 00:00:00

  • Anabolic steroid abuse: physiological and anaesthetic considerations.

    abstract::This review summarises the physiological and pharmacological effects of the anabolic steroids used to enhance performance in sports. The anabolic steroids promote muscle growth and protein synthesis. Side-effects of anabolic steroids include cardiomyopathy, atherosclerosis, hypercoagulopathy, hepatic dysfunction, and ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2005.04218.x

    authors: Kam PC,Yarrow M

    更新日期:2005-07-01 00:00:00

  • Harold King. A notable contributor to anaesthesia.

    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

    authors: Gray TC

    更新日期:1991-08-01 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

  • Patient evaluation of four different combinations of intravenous anaesthetics for short outpatient procedures.

    abstract::We studied 200 female patients (ASA group 1) scheduled for termination of pregnancy under general anaesthesia. The patients were randomly allocated to receive one of four anaesthetic combinations; (1) propofol in combination with ketamine 20 mg, (2) propofol in combination with fentanyl 0.1 mg, (3) thiopentone in comb...

    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.tb07485.x

    authors: Jakobsson J,Oddby E,Rane K

    更新日期:1993-11-01 00:00:00

  • Elderly patients' preferences concerning life-support treatment.

    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

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1993.tb07519.x

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

    更新日期:1993-12-01 00:00:00

  • Previously undiagnosed aortic stenosis revealed by auscultation in the hip fracture population--echocardiographic findings, management and outcome.

    abstract::The 2001 Report of the National Confidential Enquiry into Perioperative Deaths recommended that an echocardiogram should be performed on patients with aortic stenosis prior to anaesthesia. In this study we present the patient details, management and outcome of the 272 hip fracture patients with a previously undiagnose...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2009.05960.x

    authors: McBrien ME,Heyburn G,Stevenson M,McDonald S,Johnston NJ,Elliott JR,Beringer TR

    更新日期:2009-08-01 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

  • Deliberate self-poisoning with dapsone. A case report and summary of relevant pharmacology and treatment.

    abstract::We report the case of a 14-year-old girl who deliberately ingested 8-9 g of dapsone and presented with severe methaemoglobinaemia and altered mental status. Prompt treatment with repeated doses of methylene blue and organ support brought about control of the methaemoglobinaemia and averted organ failure. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1997.98-az0094b.x

    authors: Ferguson AJ,Lavery GG

    更新日期:1997-04-01 00:00:00

  • A prospective study of the time to evacuate acute subdural and extradural haematomas.

    abstract::We performed a prospective, single-centre study of times to treatment of patients with life-threatening, traumatic, extra- and subdural haematomas requiring surgical evacuation between May 2006 and May 2007. The mean time to surgical decompression was 5.0 h and 32% were performed within 4 h. Patients who initially pre...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2008.05779.x

    authors: Bulters D,Belli A

    更新日期:2009-03-01 00:00:00

  • Phaeochromocytoma as a cause of pulmonary oedema.

    abstract::Phaeochromocytoma can mimic many serious disease entities. This report describes a 43-year-old man who presented with pulmonary oedema due to a phaeochromocytoma. Predominantly adrenaline-secreting tumours seem to predispose to this complication. Labetalol, a combined alpha- and beta-receptor blocker, should be consid...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb03092.x

    authors: Blom HJ,Karsdorp V,Birnie R,Davies G

    更新日期:1987-06-01 00:00:00

  • General anaesthesia for trans-bronchial lung biopsy.

    abstract::A technique of general anaesthesia is described which has been used for trans-bronchial lung biopsy in 100 patients. Sixty-seven were day cases. An early pneumothorax was detected in four patients, but only one needed tube drainage. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1984.tb06535.x

    authors: Barr AM,Kurer FL

    更新日期:1984-08-01 00:00:00

  • Ability of radial arterial palpation and observation of the pulse oximetry trace to estimate non-invasive systolic pressure in healthy volunteers and in women undergoing spinal anaesthesia for elective caesarean section.

    abstract::We assessed the ability of palpating the radial arterial pulse and observing the oximeter trace to estimate the automated non-invasive systolic pressure reading in 20 healthy female volunteers and 20 parturients undergoing spinal anaesthesia for elective caesarean section. Using real-time values of cuff pressure durin...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2010.06586.x

    authors: Sabharwal A,Strickland T,Yentis SM

    更新日期:2011-01-01 00:00:00

  • Intra-operative collapse or death related to the use of acrylic cement in hip surgery.

    abstract::Six intra-operative deaths and two episodes of near-fatal hypotension occurred in 52 consecutive Hastings procedures (insertion of metal prosthesis grouted in acrylic cement) for subcapital fracture of the femoral neck. This high complication rate was identified by a system of clinical audit undertaken by members of t...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11168.x

    authors: Duncan JA

    更新日期:1989-02-01 00:00:00

  • The use of high-dose intravenous immunoglobulins in Guillain-Barré syndrome.

    abstract::A patient with severe Guillain-Barré syndrome responded to treatment with high-dose intravenous immunoglobulins. It is suggested, on the basis of recent case reports, that immunoglobulins may have an important rôle in the future treatment of this immune-mediated disease. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:

    authors: Rajah A

    更新日期:1992-03-01 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

  • Changes in cerebral tissue oxygen saturation during anaesthetic-induced hypotension: an interpretation based on neurovascular coupling and cerebral autoregulation.

    abstract::There is currently no consensus regarding how to intervene in anaesthetic-induced hypotension. Whether or not the balance between cerebral oxygen supply and demand is maintained lacks adequate elucidation. It is thus intriguing to explore how cerebral tissue oxygen saturation is affected by anaesthetic-induced hypoten...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.12254

    authors: Meng L,Gelb AW,McDonagh DL

    更新日期:2013-07-01 00:00:00

  • Pulmonary function tests before and after laparoscopic cholecystectomy.

    abstract::Pulmonary function tests were performed in 22 patients undergoing laparoscopic cholecystectomy. Measurements were made before, 24 h after, and 6 weeks after operation (12 patients). At 24 h postoperatively there were significant decreases in forced expiratory volume in 1 s, vital capacity, functional residual capacity...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1994.tb14223.x

    authors: Freeman JA,Armstrong IR

    更新日期:1994-07-01 00:00:00

  • The use of a blood conservation pressure transducer system in critically ill patients.

    abstract::We tried to determine if a blood conservation pressure transducer system reduced blood transfusions, increased haemoglobin concentration or reduced line infections in critically ill patients. One hundred patients were randomly allocated to conventional or blood conserving systems attached to systemic and pulmonary art...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2000.01129.x

    authors: Thorpe S,Thomas AN

    更新日期:2000-01-01 00:00:00

  • Clinical pharmacokinetics of fazadinium.

    abstract::Fazadinium was administered as an intravenous bolus of 0.5 or 1 mg/kg to nine patients during neurolept-anaesthesia. Continuous recording of neuromuscular activity and serial collection of blood samples for drug assay allowed the relationship between neuromuscular blockade and plasma fazadinium concentration to be stu...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1980.tb03946.x

    authors: Bevan DR,D'Souza J,Rouse JM,Caldwell J,Smith RL

    更新日期:1980-09-01 00:00:00

  • Colloid osmotic pressure.

    abstract::Technical advances have made the bedside measurement of colloid osmotic pressure (COP) a rapid and reproducible test. The principles of measurement are described and the place of COP determinations in the recognition, treatment and prophylaxis of oedematous states is discussed. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.1980.tb05094.x

    authors: Bevan DR

    更新日期:1980-03-01 00:00:00

  • Prevention of propofol-induced injection pain by remifentanil: a placebo-controlled comparison with lidocaine.

    abstract::In a randomised, double-blind study we compared the efficacy of continuous remifentanil infusion (0.25 microg x kg(-1) x min(-1) with 40 mg lidocaine and placebo in the prevention of injection pain due to intravenous propofol administration (1.5-2 mg x kg(-1)) in 155 patients scheduled for elective surgery. Pain sever...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验,收录出版

    doi:10.1046/j.1365-2044.2003.02964_2.x

    authors: Roehm KD,Piper SN,Maleck WH,Boldt J

    更新日期:2003-02-01 00:00:00

  • Continuous intravenous anaesthesia with Althesin for resection of tracheal stenosis.

    abstract::The anaesthetic management of patients undergoing tracheal resection for tracheal stenosis and the advantage of the maintenance of spontaneous respiration without intubation of the distal tracheal segment is discussed. The case reports of two such patients using a continuous intravenous infusion of Althesin with maint...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1983.tb13931.x

    authors: Vyas AB,Lyons SM,Dundee JW

    更新日期:1983-02-01 00:00:00

  • Rapid sequence induction: a questionnaire survey of its routine conduct and continued management during a failed intubation.

    abstract::Two hundred and ten obstetric anaesthetists completed a questionnaire assessing how they would perform a rapid sequence induction of anaesthesia for a Caesarean section and their continued management during a failed tracheal intubation. The survey revealed considerable variation in the timing and application of cricoi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1046/j.1365-2044.1999.00738.x

    authors: Thwaites AJ,Rice CP,Smith I

    更新日期:1999-04-01 00:00:00

  • Laboratory evaluation of a novel anaesthesia delivery device.

    abstract::Here, we describe proof of concept of a novel method for delivering volatile anaesthetics, where the liquid anaesthetic (sevoflurane or isoflurane) is formulated into an emulsion that is contained in a compact, lightweight device through which carrier gas flows. Release of anaesthetic is achieved by stirring of the fo...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13625

    authors: Paul A,Clark JN,Salama IE,Jenkins BJ,Goodwin N,Wilkes AR,Mahoney PF,Hall JE

    更新日期:2017-01-01 00:00:00

  • Misplacement of multihole epidural catheters--a report of two cases.

    abstract::The misplacement of a multihole (three lateral holes) epidural catheter such that it lies partly in the subdural space is demonstrated in two patients by means of epidurographic studies. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1996.tb07753.x

    authors: Sala-Blanch X,Martinez-Palli G,Agusti-Lasus M,Nalda-Felipe MA

    更新日期:1996-04-01 00:00:00

  • Pneumatic tourniquet paralysis following intravenous regional analgesia.

    abstract::A case of pneumatic tourniquet paralysis with permanent damage is presented. The importance of relating the cuff pressure to the cuff used, the arterial blood pressure and the shape of the arm is emphasised. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1987.tb04046.x

    authors: Larsen UT,Hommelgaard P

    更新日期:1987-05-01 00:00:00

  • The oesophageal detector device. An assessment of accuracy and ease of use by paramedics.

    abstract::Accuracy, ease and speed of recognition of tracheal tube position were assessed using the oesophageal detector device in a series of 40 tests on 29 patients. A single blind method was used, with each paramedic performing a single test on each patient. The tests were randomly split between two groups consisting of thos...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb04259.x

    authors: Donahue PL

    更新日期:1994-10-01 00:00:00

  • Respiratory effects of 'lissive" anaesthesia using gallamine.

    abstract::'Lissive anaesthesia', the administration of a small dose of a non-depolarising muscle relaxant to a patient breathing nitrous oxide, oxygen and an anaesthetic vapour, is a technique popularly employed for minor procedures. In this study, the effects of intravenous gallamine triethiodide (40 mg) on the blood-gas statu...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1976.tb11791.x

    authors: Macfarlane DW,Downing JW,Mahomedy MC

    更新日期:1976-03-01 00:00:00