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Self-assessment
Publication date: Available online 24 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Viyayanand Nadella (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 25, 2019 Category: Anesthesiology Source Type: research

Contents
Publication date: November 2019Source: Anaesthesia & Intensive Care Medicine, Volume 20, Issue 11Author(s): (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 20, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: November 2019Source: Anaesthesia & Intensive Care Medicine, Volume 20, Issue 11Author(s): (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 20, 2019 Category: Anesthesiology Source Type: research

Management of the airway in intensive care
This article outlines some of the specific difficulties faced by clinicians in ICU and attempts to provide some guidance as to how these may be overcome, or at least abated. Drug and equipment choices are discussed. A suggestion for a difficult airway algorithm for use in the ICU is put forward. The timing of tracheostomy is discussed. Finally, the importance of the team and the human factors that are at play are touched upon. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 26, 2019 Category: Anesthesiology Source Type: research

Ventilatory support in the intensive care unit
This article focuses on the functional features of positive-pressure ventilators, the modes of invasive and non-invasive mechanical ventilation, and the main ventilator settings. It also highlights the potential complications of mechanical ventilation, the basic principles of weaning, and the pathophysiological basis of patient-ventilator dyssynchrony. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 22, 2019 Category: Anesthesiology Source Type: research

Field anaesthesia and critical care equipment used by the British Military
This article provides a description and discussion of the key equipment used by the British Defence Medical Services (DMS) to provide anaesthesia and critical care in the field. There is a need to balance equipment clinical capability against its suitability for use in the field. By necessity, military anaesthesia and critical care equipment should be robust, portable, compact, easy to use, easy to maintain and clean, and require minimal consumables. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 21, 2019 Category: Anesthesiology Source Type: research

Self-assessment
Publication date: Available online 19 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Vijayanand Nadella (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 21, 2019 Category: Anesthesiology Source Type: research

Strong ion analysis at the bedside
Publication date: Available online 18 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Nithin Abraham Raju, Ryan Hughes, Matthew J. BrainAbstractQuantitative physicochemical models of human acid–base physiology filled a void between clinical acid–base analysis and general fluid physiology. Established approaches centred on the Henderson–Hasselbalch (HH) equation allow satisfactory bedside exploration of respiratory perturbations, but do not fully elucidate mechanisms of common non-respiratory ‘metabolic’ components. Though useful at the bedside, commonly used ‘rules of thumb’ that classify ...
Source: Anaesthesia and intensive care medicine - October 19, 2019 Category: Anesthesiology Source Type: research

Disinfection, sterilization and disposables
Publication date: Available online 18 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Anthony J. Wilson, Sandeep NayakAbstractMedical devices are one way by which healthcare-associated infections can be transmitted. Medical equipment can be categorized based on its risk of spreading infection and these categories aid decisions about whether to decontaminate or dispose of a used medical device. Decontamination is the process by which a reusable device is rendered safe for further use through cleaning and either disinfection or sterilization. It is frequently an automated process which usually involves th...
Source: Anaesthesia and intensive care medicine - October 19, 2019 Category: Anesthesiology Source Type: research

Asthma and chronic obstructive pulmonary disease in the intensive care unit
This article addresses the physiological derangements in airflow obstruction, their treatment consequences and how to avoid the management pitfalls that are important contributors to the morbidity and mortality of both conditions. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 18, 2019 Category: Anesthesiology Source Type: research

The poisoned patient
Publication date: Available online 16 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Nora Gonzalez, Fin O'SullivanAbstractPoisoning is a common reason for admission to the intensive care unit. The majority of patients are due to deliberate self-harm with common poisons; however, there are occasional unusual poisons which require more detailed assessment. Patients are often obtunded or unwilling to co-operate so a knowledge of toxidromes to recognize symptoms that are related to groups of drugs that act on receptors is essential. Management of poisoned patients is generally supportive, including measure...
Source: Anaesthesia and intensive care medicine - October 18, 2019 Category: Anesthesiology Source Type: research

Initial assessment and management of trauma encountered in the field
This article covers the principles of trauma care relating to specific competencies within the military higher training module. The majority of these principles relate to the pre-hospital assessment and management of patients, introducing some of the nuances of military medicine in comparison to civilian practice. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 18, 2019 Category: Anesthesiology Source Type: research

Extracorporeal support of the respiratory system
Publication date: Available online 15 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Emma L. Hartley, Stuart GillonAbstractIn the last 20 years there have been significant advances in extracorporeal support of the respiratory system. What once was a highly complex intervention, undertaken as a salvage procedure in a handful of patients, has become more wide spread, both in terms of availability and underlying indications. We review the principles of equipment; physiological control of oxygenation and decarboxylation; associated complications; and role in clinical practice. The evidence for extracorpore...
Source: Anaesthesia and intensive care medicine - October 16, 2019 Category: Anesthesiology Source Type: research

Acute respiratory distress syndrome
This article will provide an update on the most recent evidence base on clinical practice, including the use of acute severe respiratory failure bundles and extracorporeal techniques to support lung protective ventilation. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 16, 2019 Category: Anesthesiology Source Type: research

Chemical casualties – Recognition and management
Publication date: Available online 15 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Kevin Wu, Fin O'SullivanAbstractPoisoning with chemical agents was once thought to be confined to the battlefield. However, over the past decade there has been an increase in the use of chemical weapon agents and toxic industrial chemicals as weapons of terror. As well as use during conflict, these poisons have been used in other attacks with deadly effects. These agents require particular treatments that fall out with standard medical practice to reduce harm and prevent contamination of medical treatment facilities. T...
Source: Anaesthesia and intensive care medicine - October 16, 2019 Category: Anesthesiology Source Type: research