Adrenaline —a therapeutic history
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - September 11, 2017 Category: Anesthesiology Source Type: research
A free paediatric animation application
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
In Reply to Blum
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
Discussing goals of care
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
Mitigating risks of tracheal tube migration during transport
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
In reply to Grocott
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
The limitations of using baseline cerebral tissue oxygen saturation to stratify perioperative risk
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
Veno-venous extracorporeal membrane oxygenation in pregnancy: does foetal viability matter?
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
Fluid resuscitation in critically ill patients —timing and dose matters
Fluid management is a complex subject in healthcare, particularly when pertaining to critically ill patients. Following a literature search on international recommendations regarding fluid administration for shocked patients, an audit was undertaken at Rotorua Public Hospital, New Zealand, to assess how the local fluid resuscitation strategy could be improved. The first part of the audit looked at the fluid resuscitation approach used to treat shocked patients admitted to the ICU of Rotorua Hospital in 2014 and changes required to achieve best practice recommendations. The second part tested the success and impact of the s...
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
Proceedings of the 12th International Conference on Rapid Response Systems and Medical Emergency Teams
This article briefly summarises the key features of the conference, links to presentations, and the 18 abstracts of the accepted free papers. (Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
Rational Clinical Pathology Assessment in the Intensive Care Unit
This study investigated the impact on ICU laboratory test costs of a multi-strategy change in practice involving routine blood testing. A single centre, prospective, interventional study using historical controls was undertaken to investigate the impact of ICU specialist authorisation of high-volume routine tests on ICU laboratory test costs. Prior to commencement of the study, ICU nursing and junior ICU doctors were able to order tests. During the six-month intervention period, the ICU specialists authorised routine blood tests. Adverse events related to not performing blood tests were also recorded. Overall ICU laborator...
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
Intravascular catheters —an ultrasound imaging based observational study of position and function
Peripheral intravenous and intra-arterial catheters often block with movement of the limb in which they are inserted. Although the cause of this blockage is commonly attributed to a valve or other structure within the vein, evidence for this is lacking. We used ultrasound to assess the cause of blockage on movement, and degree of tip movement, of 62 venous and 21 radial arterial catheters. In both venous and arterial catheters, blockage was predominantly caused by impingement of the catheter on the vessel wall, with catheter kinking and spasm of the vessel also seen. Mean potential tip movement was 12.3 mm and 5.7 mm in ha...
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
Anaesthetic management of patients undergoing cytoreductive surgery with hyperthermic intraperitoneal chemotherapy for pseudomyxoma peritonei: a retrospective audit
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 patients undergoing this procedure can be challenging. The aim of this paper is to describe our perioperative management of pseudomyxoma peritonei patients who received CRS and to report a retrospective audit of our outcomes and complications over a six-year period at a large tertiary centre. A total of 70 patient...
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
The effect of oral intake during the immediate pre-colonoscopy time period on volume depletion in patients who receive sodium picosulfate
Sodium picosulfate, used in combination with magnesium oxide and citric acid for bowel cleansing, can result in dehydration. We investigated whether enhanced carbohydrate fluid intake pre-colonoscopy could mitigate this effect. We enrolled 398 elective colonoscopy patients in a prospective, controlled, single-blinded study. The control group (n=194) fasted routinely (minimum seven hours) whilst the treatment group (n=197) drank 1,200 ml carbohydrate solution leading up to admission (up until two hours pre-colonoscopy). On admission a patient survey was completed, and urine specific gravity obtained. Supine blood pressure a...
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
The rapid and accurate categorisation of critically ill patients (RACE) to identify outcomes of interest for longitudinal studies: a feasibility study
The objective of this multicentre inception cohort study was to evaluate the feasibility of rapidly and accurately categorising patients, who were eligible for simulated enrolment into a clinical trial, into unique categories based on premorbid function. Once a patient met eligibility criteria a rapid ‘baseline assessment’ was conducted to categorise patients into one of eight specified groups. A subsequent ‘gold standard’ assessment was made by an independent blinded assessor once patients had recovered sufficiently to allow such an assessment to occur. Accuracy was predefined as agreeme nt in>80% of assessments. ...
Source: Anaesthesia and Intensive Care - July 4, 2017 Category: Anesthesiology Source Type: research
