abstract：:Antireflux valves are widely used in conjunction with patient-controlled analgesia devices. It is important to appreciate the limitations and dangers of these systems. They can achieve a potential 'stored volume' if occluded and they may, as part of the administration set, retard fluid administration. Seven antireflux...

journal_title：Anaesthesia

authors： Kluger MT,Owen H

更新日期：1990-12-01 00:00:00

abstract：:A case of aspiration pneumonia is reported after the use of a laryngeal mask airway in a young woman undergoing an elective cholecystectomy. The case illustrates the hazards of regurgitation with the laryngeal mask airway and the need for further evaluation when used with controlled mechanical ventilation. ...

journal_title：Anaesthesia

authors： Griffin RM,Hatcher IS

更新日期：1990-12-01 00:00:00

abstract：:Dural puncture is rarely reported as a complication of stellate ganglion blockade. Breach of the dura occurred in the case described because of the anatomy of the cervical spine. ...

journal_title：Anaesthesia

authors： Stannard CF,Glynn CJ,Smith SP

更新日期：1990-11-01 00:00:00

abstract：:Treatment of postpartum haemorrhage because of uterine atony with intramyometrial prostaglandin E2 1 mg, in an anaesthetised patient resulted in life-threatening hypotension. Anaesthetists should be aware of the potential cardiovascular side effects of prostaglandins. ...

journal_title：Anaesthesia

authors： Kilpatrick AW,Thorburn J

更新日期：1990-10-01 00:00:00

abstract：:High-dose aprotinin for reduction of intra- and postoperative blood loss was associated with profound hypotension and flushing in a 3.5-year-old child who underwent cardiac surgery. Treatment with noradrenaline and intravenous fluid was required. Cardiovascular stability was restored after 10 minutes. ...

journal_title：Anaesthesia

authors： Böhrer H,Bach A,Fleischer F,Lang J

更新日期：1990-10-01 00:00:00

abstract：:The effects of two H2-receptor antagonists, famotidine and cimetidine, on the plasma levels of epidurally administered lignocaine were studied. Group A (n = 20) received famotidine 20 mg orally the night before surgery and 20 mg intramuscularly 60 minutes before induction of anaesthesia. Group B (n = 15) received cime...

journal_title：Anaesthesia

authors： Kishikawa K,Namiki A,Miyashita K,Saitoh K

更新日期：1990-09-01 00:00:00

abstract：:A 30-gauge spinal needle was evaluated for Caesarean section, using a combined epidural/spinal technique, in 50 mothers. Spinal anaesthesia failed in six mothers and was inadequate in another six. General anaesthesia was required on one occasion. A 25% overall failure rate suggests that a 30-gauge needle is not a prac...

journal_title：Anaesthesia

authors： Lesser P,Bembridge M,Lyons G,Macdonald R

更新日期：1990-09-01 00:00:00

abstract：:The laryngeal mask airway was used in 200 children during a variety of surgical procedures. Some problem with the use of the device was encountered in 47 cases (23%), but in only five cases (2.5%) were the problems serious enough to warrant abandonment of its use. A clear airway was ultimately achieved in 191 children...

journal_title：Anaesthesia

authors： Mason DG,Bingham RM

更新日期：1990-09-01 00:00:00

abstract：:Propofol and thiopentone were compared as anaesthetic agents for electroconvulsive therapy in 31 patients on four occasions in a repeated measure crossover study. Discomfort on injection was significantly more common with propofol (51.6% of anaesthetics) compared to thiopentone (1.6% of anaesthetics). The duration of ...

journal_title：Anaesthesia

authors： Boey WK,Lai FO

更新日期：1990-08-01 00:00:00

abstract：:The quality of donor organs will determine the quality of life for the recipient and the importance of optimal management of the multi-organ donor is that the organs may benefit up to five, critically ill, patients. The basic principle is to maintain sufficient preload to minimise the need for inotropic support and it...

journal_title：Anaesthesia

authors： Ghosh S,Bethune DW,Hardy I,Kneeshaw J,Latimer RD,Oduro A

更新日期：1990-08-01 00:00:00

abstract：:A new method to distinguish oesophageal from tracheal intubation using an end-tidal carbon dioxide detector was evaluated. In a prospective study on 50 healthy adult patients, the end-tidal carbon dioxide detector was reliably used to detect initial oesophageal intubation in 22 cases, and then to confirm tracheal intu...

journal_title：Anaesthesia

authors： O'Flaherty D,Adams AP

更新日期：1990-08-01 00:00:00

abstract：:A 2-year-old boy with symptoms of a minor upper respiratory tract infection developed Haemophilus influenzae pneumonia that presented as hypoxaemia under anaesthesia for minor emergency surgery. The patient required 72 hours of mechanical ventilation in an intensive care unit after the anaesthetic and thereafter made ...

journal_title：Anaesthesia

authors： Campbell NN

更新日期：1990-07-01 00:00:00

abstract：:A case is described in which a woman with well controlled epilepsy and minor abnormalities of peripheral nerve function in the lower limbs experienced intense pain during the onset of a spinal anaesthetic for operation on burns on her thighs. Possible mechanisms and treatments are discussed. ...

journal_title：Anaesthesia

authors： Read MS,Dye DJ

更新日期：1990-06-01 00:00:00

abstract：:A double-blind, randomised clinical study was undertaken to compare the effect of temperature on the incidence and severity of the pain experienced on injection of propofol. The number of patients who experienced pain and the severity of the pain were reduced significantly when propofol was administered at a temperatu...

journal_title：Anaesthesia

authors： McCrirrick A,Hunter S

更新日期：1990-06-01 00:00:00

abstract：:The aim of the study was to determine whether a single oral dose of omeprazole 40 mg is effective in increasing the pH of gastric residue above 2.5 at the time of anaesthetic induction in adult patients scheduled for elective gynaecological surgery. The patients were allocated to receive either chlorazepate dipotassiu...

journal_title：Anaesthesia

authors： Ng Wingtin L,Glomaud D,Hardy F,Phil S

更新日期：1990-06-01 00:00:00

abstract：:Postmortem specimens of 10 patients who had received continuous epidural anaesthesia postoperatively (ranging from 2-21 days) were examined. Slight epidural haemorrhage was observed in six patients and a macroscopically visible haematoma in a thrombocytopenic patient. Nonspecific epidural inflammatory reactions were o...

journal_title：Anaesthesia

authors： Wulf H,Striepling E

更新日期：1990-05-01 00:00:00

abstract：:Thirty-seven patients with a wide range of illnesses were studied during mechanical ventilation of the lungs in an intensive care unit. Fifteen were sedated with a continuous propofol infusion, with analgesia provided by bolus doses of papaveretum. Twelve received a continuous infusion of papaveretum, supplemented by ...

journal_title：Anaesthesia

authors： Harris CE,Grounds RM,Murray AM,Lumley J,Royston D,Morgan M

更新日期：1990-05-01 00:00:00

abstract：:One hundred adult patients who required mechanical ventilation after open heart surgery for coronary revascularisation were studied. All received a standard premedication and a high dose opioid anaesthetic. On arrival in the intensive care unit they were allocated randomly to receive either propofol or midazolam to ma...

journal_title：Anaesthesia

authors： McMurray TJ,Collier PS,Carson IW,Lyons SM,Elliott P

更新日期：1990-04-01 00:00:00

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

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

更新日期：1990-04-01 00:00:00

abstract：:Seventy-four patients received general anaesthesia for Caesarean section. Seven percent of the elective group and 28% of the emergency patients reported dreaming or recall of voices during the procedure (p less than 0.05) at postoperative interview. One patient from each group reported feeling pain or suffocation. All...

journal_title：Anaesthesia

authors： Bogod DG,Orton JK,Yau HM,Oh TE

更新日期：1990-04-01 00:00:00

abstract：:Pregnanolone emulsion, a new steroid anaesthetic agent, was administered intravenously as bolus doses to six young healthy male volunteers in a preliminary pharmacokinetic and pharmacodynamic study. The plasma concentration-time curves fitted a two-compartment model. The elimination half-life was between 0.9 and 1.4 h...

journal_title：Anaesthesia

authors： Carl P,Høgskilde S,Nielsen JW,Sørensen MB,Lindholm M,Karlen B,Bäckstrøm T

更新日期：1990-03-01 00:00:00

abstract：:In a study of 247 patients who had general anaesthesia for dental procedures, the incidence of individual anxieties was noted using a questionnaire completed by the patient. The most common anxieties related to the period before transfer to the operating theatre, intra-operative awareness and postoperative pain. These...

journal_title：Anaesthesia

authors： McCleane GJ,Cooper R

更新日期：1990-02-01 00:00:00

abstract：:Topical anesthesia of the respiratory tract for fibreoptic bronchoscopy was compared, in a single-blind study, inhaled from a simple and inexpensive jet nebuliser, administered by cricothyroid injection or by a 'spray-as-you-go technique'. Each technique was supplemented by spraying lignocaine through the fibrescope a...

journal_title：Anaesthesia

authors： Isaac PA,Barry JE,Vaughan RS,Rosen M,Newcombe RG

更新日期：1990-01-01 00:00:00

abstract：:Two patients with dystrophia myotonica presented for urgent Caesarean section. Their per- and postoperative courses illustrate the anaesthetic problems posed by this disease. Respiratory difficulties are compounded by pregnancy and there is increased susceptibility to uterine haemorrhage. Choice of anaesthetic agent i...

journal_title：Anaesthesia

authors： Blumgart CH,Hughes DG,Redfern N

更新日期：1990-01-01 00:00:00

abstract：:The tracheas of 420 adult patients were intubated using the tip of a lighted stylet placed inside the lumen of the tracheal tube, just proximal to the tube cuff. The maximum point of transillumination was visible just distal to the cricoid cartilage, with proper cuff positioning. The lighted stylet was also introduced...

journal_title：Anaesthesia

authors： Mehta S

更新日期：1989-12-01 00:00:00

abstract：:Various methods have been developed to confirm proper intubation of the trachea. This blind, randomised study evaluates some of these quantitatively and qualitatively. Forty patients had both their trachea and oesophagus intubated. A procedure that included auscultation of the upper abdomen and lungs was 100% reliable...

journal_title：Anaesthesia

authors： Andersen KH,Hald A

更新日期：1989-12-01 00:00:00

abstract：:A disposable nonelectronic patient-controlled analgesia device was used to deliver fentanyl after upper abdominal surgery. Pain relief was satisfactory and plasma fentanyl concentrations were similar to those obtained by other workers who used electronic patient-controlled analgesia devices. ...

journal_title：Anaesthesia

authors： Rowbotham DJ,Wyld R,Nimmo WS

更新日期：1989-11-01 00:00:00

abstract：:The M1 air crash provided an enormous challenge to the anaesthetic and intensive care services of the hospitals which admitted the survivors, many of whom had serious injuries. This account describes some of the problems which were encountered in two of the hospitals, details the workload imposed on the anaesthetists ...

journal_title：Anaesthesia

authors： Coad NR,Jones MJ,Byrne AJ,Pepperman ML

更新日期：1989-10-01 00:00:00

abstract：:We studied whether an intravenous bolus of cimetidine altered the disposition of extradurally administered lignocaine in the parturient. Mothers who requested extradural analgesia for elective Caesarean section were randomly pretreated with either cimetidine 200 mg intravenously (n = 5) or no H2-receptor antagonist (n...

journal_title：Anaesthesia

authors： Flynn RJ,Moore J,Collier PS,Howard PJ

更新日期：1989-09-01 00:00:00

abstract：:A case is presented of a mother with unanticipated profound thrombocytopenia who received a continuous epidural anaesthetic for labour. No neurological sequelae or excessive bleeding occurred. It is clear, after a review of the literature, that more information is needed to define the lower limits of platelet count at...

journal_title：Anaesthesia

authors： Hew-Wing P,Rolbin SH,Hew E,Amato D

更新日期：1989-09-01 00:00:00

abstract：:Anxiety before induction of anaesthesia was studied in 100 patients who were allocated randomly to one of two groups. Patients in one group were anaesthetised in an anaesthetic room and those in the other group were anaesthetised inside the operating theatre. Both subjective and objective induces of anxiety were used ...

journal_title：Anaesthesia

authors： Soni JC,Thomas DA

更新日期：1989-08-01 00:00:00

abstract：:Four ways to assess the collateral circulation in the hand were compared. No correlation was shown between the Doppler ultrasound method and those that used either the pulse monitor or the Ohmeda Biox 3700 pulse oximeter. The study was unable to confirm suggested benefits of these methods in assessing adequacy of coll...

journal_title：Anaesthesia

authors： Glavin RJ,Jones HM

更新日期：1989-07-01 00:00:00

abstract：:Various antacid or antisecretory agents are used to reduce the risk to patients of aspiration of gastric contents during general anaesthesia and a trial of the gastric proton pump inhibitor, omeprazole, is reported here. Twenty women admitted for elective Caesarean section under general anaesthesia received a single 8...

journal_title：Anaesthesia

authors： Moore J,Flynn RJ,Sampaio M,Wilson CM,Gillon KR

更新日期：1989-07-01 00:00:00

abstract：:Sympathetic blockade after stellate ganglion block with bupivacaine was assessed by liquid crystal thermography. The minimum concentration of bupivacaine required for successful block was between 325 and 406 mumol/litre. Further study of bupivacaine in a solution that contained potassium 5 mmol/litre showed that this ...

journal_title：Anaesthesia

authors： Hardy PA

更新日期：1989-05-01 00:00:00

abstract：:The effect of neostigmine on neuromuscular function was examined after spontaneous recovery from an atracurium-induced neuromuscular blockade, which reached a train-of-four ratio of either 0.5 or 0.9. Two doses of neostigmine 2.5 mg were given 5 minutes apart. Neuromuscular recovery was assessed with train-of-four and...

journal_title：Anaesthesia

authors： Goldhill DR,Wainwright AP,Stuart CS,Flynn PJ

更新日期：1989-04-01 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

authors： Aucott W,Prinsley P,Madden G

更新日期：1989-03-01 00:00:00

abstract：:A two-stage propofol infusion combined with fentanyl was used to maintain anaesthesia during coronary artery surgery in patients with good ventricular function. Whole blood propofol concentrations were measured at frequent intervals; plasma protein binding was measured before, during and after cardiopulmonary bypass. ...

journal_title：Anaesthesia

authors： Russell GN,Wright EL,Fox MA,Douglas EJ,Cockshott ID

更新日期：1989-03-01 00:00:00

abstract：:Data related to the incidence of postoperative vomiting were collected during prospective studies on 607 ophthalmic surgical patients of all ages who underwent halothane anaesthesia with spontaneous ventilation. Analysis of data in respect of age, sex and surgical site variables, and time of onset of vomiting, identif...

journal_title：Anaesthesia

authors： van den Berg AA,Lambourne A,Clyburn PA

更新日期：1989-02-01 00:00:00

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

authors： Duncan JA

更新日期：1989-02-01 00:00:00

abstract：:The effectiveness of morphine after surgery by patient-controlled analgesia alone or with a concurrent infusion was studied. The infusion did not reduce the dose of self-administered analgesic and patients treated in this way received twice as much drug as those who used patient-controlled analgesia alone. Pain contro...

journal_title：Anaesthesia

authors： Owen H,Szekely SM,Plummer JL,Cushnie JM,Mather LE

更新日期：1989-01-01 00:00:00