abstract：:Patients presenting for elective surgery in the Bay of Plenty area in New Zealand are increasingly elderly with significant medical comorbidities. For these patients the risk-benefit balance of undergoing surgery can be complex. We recognised the need for a robust shared decision-making pathway within our perioperativ...

journal_title：Anaesthesia and intensive care

authors： Omundsen HC,Franklin RL,Higson VL,Omundsen MS,Rossaak JI

更新日期：2020-11-01 00:00:00

abstract：:Frailty assessment in patients admitted to intensive care is often limited using traditional clinical frailty assessment tools. Opportunistic use of contemporary computed tomography (CT) can provide an objective estimate of low skeletal muscle mass (sarcopenia) as a proxy for frailty. The aim of this study was to esta...

journal_title：Anaesthesia and intensive care

authors： Joyce PR,O'Dempsey R,Kirby G,Anstey C

更新日期：2020-05-01 00:00:00

abstract：:This narrative review aims to describe the role of peripheral and central immune responses to tissue and nerve damage in animal models, and to discuss the use of immunomodulatory agents in clinical practice and their perioperative implications. Animal models of pain have demonstrated that nerve injury activates immune...

journal_title：Anaesthesia and intensive care

authors： Lim JS,Kam PC

更新日期：2020-05-01 00:00:00

abstract：:Because the median dose of one vial 'clears the blood of circulating venom', the authors of the Australian Snakebite Project recommend restriction of antivenom to one vial for all envenomated victims. This is neither scientific nor safe. Methodological flaws in the case series include limited detection of venom toxins...

journal_title：Anaesthesia and intensive care

authors： Tibballs J

更新日期：2020-03-01 00:00:00

abstract：:The transmuscular quadratus lumborum (TQL) block is one of the recently evolved myofascial blocks utilised in abdominal surgery. It involves injecting local anaesthetic into the fascial plane anterior to the thoracolumbar fascia. This block has previously been described with a transverse oblique paramedian approach at...

journal_title：Anaesthesia and intensive care

authors： Kadam VR,Van Wijk RM,Ludbrook GL,Thiruvenkatarajan V

更新日期：2019-03-01 00:00:00

abstract：:Bilateral quadratus lumborum blockade (QLB) using ultrasound guidance has been introduced as an abdominal truncal block to improve postoperative analgesia and quality of recovery (QoR) after abdominal surgery, but efficacy remains controversial. The primary aim of this study was to evaluate the efficacy of posterior Q...

journal_title：Anaesthesia and intensive care

authors： Fujimoto H,Irie T,Mihara T,Mizuno Y,Nomura T,Goto T

更新日期：2019-03-01 00:00:00

abstract：:Modern near-infrared spectroscopy technology is increasingly adopted to measure cerebral tissue oxygen saturation. However, the normal range of cerebral tissue oxygen saturation in adults with such technology is unknown. We sought to measure cerebral tissue oxygen saturation in healthy volunteers using the novel O3 Re...

journal_title：Anaesthesia and intensive care

authors： Eyeington CT,Ancona P,Osawa EA,Cutuli SL,Eastwood GM,Bellomo R

更新日期：2019-01-01 00:00:00

abstract：:Current donor management practices target macrohaemodynamic parameters, but it is unclear if this leads to improvements in microvascular perfusion and tissue oxygenation; the latter may have more impact on organ status. In a recent preclinical study we determined that brain death impaired tissue perfusion and oxygen u...

journal_title：Anaesthesia and intensive care

authors： Perez-Protto SE,Reynolds JD,Nazemian R,You J,Hata JS,Latifi SQ,Lebovitz DJ

更新日期：2018-11-01 00:00:00

abstract：:Continuous peripheral nerve blockade is a common technique in the analgesic management for many procedures. Leakage of local anaesthetic from around the nerve catheter insertion site can increase the chance of catheter dislodgement, risks infective complications, and could divert anaesthetic away from the nerve causin...

journal_title：Anaesthesia and intensive care

authors： Edwards RM,Currigan DA,Bradbeer S,Mitchell C

更新日期：2018-09-01 00:00:00

abstract：:Vancomycin is a commonly used antibiotic due to the high burden of methicillin-resistant Staphylococcus aureus infections. This study aimed to describe the pharmacokinetics (PK) of vancomycin in Australian Indigenous patients with severe sepsis, and advise an optimal dosing strategy. A population PK study was c...

journal_title：Anaesthesia and intensive care

authors： Tsai D,Stewart PC,Hewagama S,Krishnaswamy S,Wallis SC,Lipman J,Roberts JA

更新日期：2018-07-01 00:00:00

abstract：:Unnecessary pathology tests performed in intensive care units (ICU) might lead to increased costs of care and potential patient harm due to unnecessary phlebotomy. We hypothesised that a multimodal intervention program could result in a safe and effective reduction in the pathology tests ordered in our ICU. We conduct...

journal_title：Anaesthesia and intensive care

authors： Dhanani JA,Barnett AG,Lipman J,Reade MC

更新日期：2018-05-01 00:00:00

abstract：:Many deceased by neurologic criteria donors are administered inhalational agents during organ recovery surgery-a process that is characterised by warm and cold ischaemia followed by warm reperfusion. In certain settings, volatile anaesthetics (VA) are known to precondition organs to protect them from subsequent ischae...

journal_title：Anaesthesia and intensive care

authors： Perez-Protto S,Nazemian R,Matta M,Patel P,Wagner KJ,Latifi SQ,Lebovitz DJ,Reynolds JD

更新日期：2018-03-01 00:00:00

abstract：:Fluid administration has been reported to be associated with an increased risk of acute kidney injury (AKI). We assessed whether, after correction for fluid balance, amount and chloride content of fluids administered have an independent association with AKI. We performed an observational study in patients after major ...

journal_title：Anaesthesia and intensive care

authors： Weinberg L,Li M,Churilov L,Armellini A,Gibney M,Hewitt T,Tan CO,Robbins R,Tremewen D,Christophi C,Bellomo R

更新日期：2018-01-01 00:00:00

abstract：:Post-surgical opioid prescribing intended for the short-term management of acute pain may lead to long-term opioid use. This study was undertaken to determine the prevalence of persistent post-surgical opioid use and patient-related factors associated with post-surgical opioid use. One thousand and thirteen opioid-naï...

journal_title：Anaesthesia and intensive care

authors： Stark N,Kerr S,Stevens J

更新日期：2017-11-01 00:00:00

abstract：:Telemedicine consultations in remote intensive care units (ICUs) overseas were found to be effective in reducing mortality and hospital length of stay (LOS). In Australia, there were anecdotal reports of these clinical outcomes. This retrospective before and after study assessed the improvement in patient outcomes wit...

journal_title：Anaesthesia and intensive care

authors： Panlaqui OM,Broadfield E,Champion R,Edington JP,Kennedy S

更新日期：2017-09-01 00:00:00

abstract：:Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) has been shown to improve quality of life and survival rates in patients suffering from pseudomyxoma peritonei. The procedure is long and associated with significant intraoperative blood loss. As such, the anaesthetic management of pati...

journal_title：Anaesthesia and intensive care

authors： Shiralkar SP,Kerr P,Scott J,Sivalingam P

更新日期：2017-07-01 00:00:00

abstract：:To assess the efficacy and safety of ultra rapid (15 minute) infusion of iron polymaltose to iron deficient patients during general anaesthesia, we performed a prospective, interventional non-randomised study on 99 adult patients with iron deficiency with or without anaemia presenting for surgery under general anaesth...

journal_title：Anaesthesia and intensive care

authors： Browning RM,Alakeson N,O'Loughlin EJ

更新日期：2017-05-01 00:00:00

abstract：:For a six-month period, all airway options used for non-emergent patients undergoing thoracic surgery requiring one-lung ventilation at a single institution were assessed after introduction of the VivaSight™ double-lumen endotracheal tube (VivaSight-DL), a novel double-lumen tube with an integrated camera. This device...

journal_title：Anaesthesia and intensive care

authors： Rapchuk IL,Kunju S,Smith IJ,Faulke DJ

更新日期：2017-03-01 00:00:00

abstract：:The history of hypoxia prevention is closely inter-related with high altitude mountain and aviation physiology. One pioneering attempt to overcome low inspired oxygen partial pressures in aviation was the BLB mask-named after the three designers-Walter M Boothby, W Randolph Lovelace II and Arthur H Bulbulian. This mas...

journal_title：Anaesthesia and intensive care

authors： Cooper MG,Street NE

更新日期：2017-03-01 00:00:00

abstract：:The current trend to treat hypotension in critically ill patients is to place a greater emphasis on inotropic support and less on fluid resuscitation in order to limit the potential harm from fluid overload. This combination may trigger left ventricular outflow tract obstruction (LVOTO) in susceptible patients. Althou...

journal_title：Anaesthesia and intensive care

authors： Evans JS,Huang SJ,McLean AS,Nalos M

更新日期：2017-01-01 00:00:00

abstract：:We describe the use of peripheral veno-venous extracorporeal membrane oxygenation (VV ECMO) and high-flow nasal oxygen as procedural support in a patient undergoing debulking of a malignant tumour of the lower airway. Due to the significant risk of complete airway obstruction upon induction of anaesthesia, ECMO was es...

journal_title：Anaesthesia and intensive care

authors： Fung R,Stellios J,Bannon PG,Ananda A,Forrest P

更新日期：2017-01-01 00:00:00

abstract：:Dabigatran is a direct thrombin inhibitor, which is increasingly likely to be encountered in patients presenting for surgery. This study examines whether there is a consistent effect of dabigatran on the thromboelastogram (TEG) and whether this correlates with the effects of dabigatran on traditional coagulation param...

journal_title：Anaesthesia and intensive care

authors： 'Aho A,Byrne K

更新日期：2016-11-01 00:00:00

abstract：:Postoperative cognitive disorders are common in elderly patients. Pre-existing cognitive impairment including mild cognitive impairment may be an important risk factor for developing postoperative cognitive dysfunction and may not be detected in a standard preoperative interview, yet is not routinely sought. Our prima...

journal_title：Anaesthesia and intensive care

authors： Smith NA,Yeow YY

更新日期：2016-09-01 00:00:00

abstract：:We conducted a survey of Australian specialist anaesthetists about their practice of sedation for elective and emergency gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP), and colonoscopy. A 24-item survey was emailed to 1,000 anaesthetists in August 2015. Responses were received from 409 anaesthetist...

journal_title：Anaesthesia and intensive care

authors： Leslie K,Allen ML,Hessian E,Lee AY

更新日期：2016-07-01 00:00:00

abstract：:Two published versions of a letter in which Oliver Wendell Holmes, MD, recommended the name anaesthesia were identified from publications supportive of the claims of W. T. G. Morton. The earliest known publication of Holmes' letter is in a pamphlet published by Edward Warren in May-June 1847. Another version of the le...

journal_title：Anaesthesia and intensive care

authors： Haridas RP

更新日期：2016-07-01 00:00:00

abstract：:We aimed to describe the epidemiology of Rapid Response Team (RRT) activation in New Zealand public hospitals. We undertook a prospective multicentre observational study of RRT activations in 11 hospitals for consecutive 14-day periods during October-December 2014. A standardised case report form was used to collect d...

journal_title：Anaesthesia and intensive care

authors： Psirides AJ,Hill J,Jones D

更新日期：2016-05-01 00:00:00

abstract：:Intravenous lipid emulsion is, in some countries, the recommended treatment for local anaesthetic toxicity. Systemic local anaesthetic toxicity results in hypoxaemia and acidosis, and whether this influences the effects of lipid therapy on drug concentrations and cardiovascular recovery is currently unknown. Twenty an...

journal_title：Anaesthesia and intensive care

authors： Heinonen JA,Skrifvars MB,Haasio J,Backman JT,Rosenberg PH,Litonius E

更新日期：2016-03-01 00:00:00

abstract：:The role of disseminated intravascular coagulation (DIC) has not been extensively studied in patients with sepsis. A prospective study was performed in a single university hospital. The incidences of DIC at day 1 (<24 hours post-sepsis diagnosis) and day 3 (48 to 72 hours) were investigated among patients with sepsis....

journal_title：Anaesthesia and intensive care

authors： Park JY,Park S,Park SY,Sim YS,Kim JH,Hwang YI,Jang SH,Jung KS

更新日期：2016-01-01 00:00:00

abstract：:There is little consensus on the definition or optimal constituents of fluid bolus therapy (FBT), and there is uncertainty regarding its physiological effects. The aims of this study were to determine clinician-reported definitions of FBT and to explore the physiological responses clinicians expect from such FBT. In J...

journal_title：Anaesthesia and intensive care

authors： Glassford NJ,Jones SL,Martensson J,Eastwoods GM,Bailey M,Cross AM,Taylor DM,Bellomo R

更新日期：2015-11-01 00:00:00

abstract：:It is unclear whether increases to overnight junior medical staffing levels can improve ICU patient outcomes. We conducted a retrospective cohort study before and after the introduction of a third overnight ICU registrar at a 24-bed metropolitan ICU in February 2012. We hypothesised that this change would be associate...

journal_title：Anaesthesia and intensive care

authors： Durie ML,Darvall JN,Rechnitzer T,Tacey MA

更新日期：2015-09-01 00:00:00

abstract：:Airway management is one of the core skills of the anaesthetist and various techniques of airway management have developed over many years. Initially, the only view of the glottis that could be obtained was an indirect view (indirect laryngoscopy). Late in the 19th century, a direct view of the glottis was obtained vi...

journal_title：Anaesthesia and intensive care

authors： Pieters BM,Eindhoven GB,Acott C,van Zundert AA

更新日期：2015-07-01 00:00:00

abstract：:Fibreoptic intubation remains an essential skill for anaesthetists to master. In addition to the reusable fibrescope, an alternative disposable videoscope is available (aScope(™)2, Ambu®, Ballerup, Denmark). A total of 60 anaesthetised adult patients were randomised to either having orotracheal intubation using the aS...

journal_title：Anaesthesia and intensive care

authors： Chan JK,Ng I,Ang JP,Koh SM,Lee K,Mezzavia P,Morris J,Loh F,Segal R

更新日期：2015-07-01 00:00:00

abstract：:The aim of this study was to assess the relationship between superior vena cava (SVC) diameter, collapsibility and central venous pressure (CVP) in cardiac surgical patients. SVC maximum and minimum diameters, plus collapsibility with ventilation, were measured with transoesophageal echocardiography in the mid-oesopha...

journal_title：Anaesthesia and intensive care

authors： Cowie BS,Kluger R,Rex S,Missant C

更新日期：2015-05-01 00:00:00

abstract：:Defects in the genes coding for the skeletal muscle ryanodine receptor (RYR1) and alpha 1 subunit of the dihydropyridine receptor (CACNA1S) have been identified as causative for malignant hyperthermia (MH). Sixty-two MH susceptible individuals presenting to the same diagnostic centre had copy deoxyribonucleic acid, de...

journal_title：Anaesthesia and intensive care

authors： Gillies RL,Bjorksten AR,Du Sart D,Hockey BM

更新日期：2015-03-01 00:00:00

abstract：:Little is known about the experiences of patients with severe comorbidity discharged from Intensive Care Units (ICUs). This project aimed to determine the effects of an ICU stay for patients with severe comorbidity by comparing 1) quality of life (QOL), 2) the symptom profile of hospital survivors and 3) health servic...

journal_title：Anaesthesia and intensive care

authors： Williams TA,McConigley R,Leslie GD,Dobbs GJ,Phillips M,Davies H,Aoun S

更新日期：2015-03-01 00:00:00

abstract：:Optimising perioperative haemodynamic status may reduce postoperative complications. In this prospective prevalence study, we investigated the associations between standard haemodynamic parameters and a low central venous oxygen saturation (ScvO2) in patients after major surgery. A total of 201 patients requiring cont...

journal_title：Anaesthesia and intensive care

authors： Litton E,Silbert B,Ho KM

更新日期：2015-01-01 00:00:00

abstract：:Self-assessment and audit in anaesthesia require a systematic approach to postoperative data collection. The increasing prevalence of mobile internet technology offers a new data collection method for anaesthetists. In this paper, a system for mobile internet data collection is described and the preliminary experience...

journal_title：Anaesthesia and intensive care

authors： Belavy D

更新日期：2014-11-01 00:00:00

abstract：:Evidence-based choices of volatile agents can increase health cost efficiencies. In this pharmaco-economic study, we evaluated the trends and costs of volatile agent use in Australian public hospitals. The total number of volatile agent (isoflurane, sevoflurane and desflurane) bottles ordered and inflation-adjusted co...

journal_title：Anaesthesia and intensive care

authors： Weinberg L,Tay S,Aykanat V,Segal R,Tan CO,Peyton P,McNicol L,Story DA

更新日期：2014-09-01 00:00:00

abstract：:Adverse events after surgery are common. Identification of markers of at-risk patients may facilitate efficient and effective perioperative resource allocation. This pilot study aimed to identify simple preoperative factors associated with postoperative adverse events. In 1291 surgical patients, the relationship betwe...

journal_title：Anaesthesia and intensive care

authors： Seglenieks R,Painter TW,Ludbrook GL

更新日期：2014-09-01 00:00:00

abstract：:Spinal ultrasonography provides guidance for epidural insertion in obstetric patients. The primary objective of the study was to develop a training program in spinal ultrasound for anaesthetists and to determine its effect on the skill acquisition of anaesthetists with no prior spinal ultrasound experience. Eighteen a...

journal_title：Anaesthesia and intensive care

authors： Terblanche NC,Arzola C,Wills KE,Lawson R,Blackford D,Balki M

更新日期：2014-07-01 00:00:00