Anaesthesia, not for resuscitation orders, and shared decision-making
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 10, 2017 Category: Anesthesiology Source Type: research
Professor Ross Beresford Holland AM MBBS FFARACS FANZCA FHKCA
Born December 1, 1928 —died February 25, 2017
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 10, 2017 Category: Anesthesiology Source Type: research
The early history of adrenaline
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - May 10, 2017 Category: Anesthesiology Source Type: research
Inappropriate routine use of vasoconstrictors during anaesthesia
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Dear SIRS ... unfaithfully yours
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Unexpected airway obstruction due to oversaturation of a heat and moisture exchange filter
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Falsely elevated inspiratory carbon dioxide fraction when reusing a disposable filter in the end-tidal carbon dioxide sampling line
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Abstracts of the Australian Society of Anaesthetists 75th National Scientific Congress 17 to 20 September 2016 at the Melbourne Convention Centre, Melbourne, Victoria
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Buprenorphine-related complications in elderly hospitalised patients: a case series
We report a case series of buprenorphine-related respiratory and neurological depression in opioid-na ïve elderly hospitalised patients who received buprenorphine for acute pain management at our institution over a 24-month period. All six patients had risk factors for respiratory depression such as advanced age, concurrent comorbidities, or the ingestion of other potential central nervous system d epressants. All patients required escalation of management with additional monitoring, with some transferred to a high dependency or intensive care unit. Five patients had attempted naloxone reversal with varying results. Our c...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
A clinical audit to assess the efficacy of the Coolsense ® Pain Numbing Applicator for intravenous cannulation in children
The Coolsense ® device is a topical applicator that is used to anaesthetise the skin before a painful procedure. It is a handheld device with a temperature-controlled head that acts on application, without chemicals, to cool and anaesthetise the site of injection. This prospective observational audit of 100 chil dren and adolescents aged six to 18 years studied the analgesic efficacy and patient and carer satisfaction rating of the device during intravenous cannulation and complications arising from its use. The audit demonstrated effective skin analgesia for intravenous cannulation in children and adolesce nts. Ninety-fo...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Ambu ® AuraGain™ versus LMA Supreme™ Second Seal™: a randomised controlled trial comparing oropharyngeal leak pressures and gastric drain functionality in spontaneously breathing patients
Newer second generation supraglottic airway devices may perform differently in vivo due to material and design modifications. We compared performance characteristics of the Ambu ® AuraGain™ and LMA Supreme™ Second Seal™ in 100 spontaneously breathing anaesthetised patients in this randomised controlled study. We studied oropharyngeal leak pressures (OLP) (primary outcome) and secondarily, ease of insertion, success rates, haemodynamic response, time to insertion, and complications of usage. We found no significant difference in OLP between the AuraGain versus the LMA Supreme, mean (standard deviation, SD) 24.1 (7.4)...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Global tidal variations, regional distribution of ventilation, and the regional onset of filling determined by electrical impedance tomography: reproducibility
This study investigated whether electrical impedance tomography measurements in healthy males were reproducible when electrodes were replaced between measurements. Part 1: Recordings of five volunteers lying supine were made using electrical impedance tomography and a pneumotachometer. Measurements were repeated at least three hours later. Skin marking ensured accurate replacement of electrodes. No stabilisation period was allowed. Part 2: Electrical impedance tomography recordings of ten volunteers; a 15 minute stabilisation period, extra skin markings, and time-averaging were incorporated to improve the reproducibility. ...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Validation of a difficult endotracheal intubation simulator designed for use in anaesthesia training
In this study three anatomical modifications were retrofitted to a commercial manikin and then validated. These modifications included restricted movements of the mandible as well as changes to the upper incisors. A total of 130 participants comprising specialists, trainees and medical students volunteered for this study. Validity was tested using randomised between-groups comparison of the time taken to intubate the manikin on all settings. Overall, and at each setting, there was a significant difference between the times to intubation among the three levels of experience (P (Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Changes in cerebral oxygen saturation and haemoglobin concentration during paediatric cardiac surgery
Although near-infrared spectroscopy (NIRS) enables bedside assessment of cerebral oxygenation, it provides little information on the cause of deoxygenation. The authors aimed to investigate the changes in cerebral oxygenation and haemoglobin concentration and their associations during paediatric cardiac surgery in order to elucidate the physiology underlying cerebral deoxygenation. An observational retrospective study on 399 patients who underwent paediatric cardiac surgery was conducted. With use of NIRS, cerebral oxygen saturation as expressed by tissue oxygen index (TOI) before and after surgery, concentration changes i...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Hospitals with briefer than average lengths of stays for common surgical procedures do not have greater odds of either re-admission or use of short-term care facilities
We considered whether senior hospital managers and department chairs need to be concerned that small reductions in average hospital length of stay (LOS) may be associated with greater rates of re-admission, use of home health care, and/or transfers to short-term care facilities. The 2013 United States Nationwide Readmissions Database was used to study surgical Diagnosis Related Groups (DRG) with 1) national median LOS ≥3 days and 2) ≥10 hospitals in the database that each had ≥100 discharges for the DRG. Dependent variables were considered individually: 1) re-admission within 30 days of discharge, 2) discharge dispos...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
