A pilot study using preoperative cerebral tissue oxygen saturation to stratify cardiovascular risk in major non-cardiac surgery
This prospective pilot study evaluated whether low preoperative cerebral tissue oxygen saturation is associated with unfavourable outcomes after major elective non-cardiac surgery. Eighty-one patients over 60 years of age, American Society of Anesthesiologists physical status 3 or 4, were recruited. Resting cerebral tissue oxygen saturation was recorded on room air, and after oxygen supplementation, using cerebral oximetry. The primary outcome was 30-day major adverse event of combined mortality or severe morbidity, and the secondary outcome was 30-day new disability. Eleven patients (13.6%) suffered a major adverse event,...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Survey of research capability at Australian and New Zealand College of Anaesthetists accredited training sites
The Australian and New Zealand College of Anaesthetists (ANZCA) has more than 200 accredited training sites in Australia, New Zealand, Hong Kong, Malaysia and Singapore, many of which participate in ANZCA Clinical Trials Network (CTN) –endorsed clinical trials. We undertook a survey of accredited sites to determine research capability, activity and potential. With ethics committee approval an electronic survey was distributed to accredited sites in July 2015. Of 207 accredited sites, 167 were sent the questionnaire (after elimi nating ineligible sites) and 128 responded. Response rates for Australia, New Zealand, Hong Ko...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
A six-month evaluation of the VivaSight ™ video double-lumen endotracheal tube after introduction into thoracic anaesthetic practice at a single institution
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 displays a continuous view of the position of the tube relative to the carina. A total of 72 patients had lung separation with the VivaSight-DL. Lung separation was achieved on first a ttempt without additional manipulation in 85% of cases. In only three cases (4%) was a fibreoptic bronchoscope required, i...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
The tracheal accordion and the position of the endotracheal tube
The purpose of this review is to, first, determine the static factors that affect the length of the human trachea across different populations and, second, to investigate whether or not there are dynamic factors that cause the length of the human trachea to vary within the same individual. We also investigated whether these changes in tracheal length within the same individual are significant enough to increase the risk of endobronchial intubation or accidental extubation. A PubMed/MEDLINE and a Web of Science database English-language literature search was conducted in May 2016 with relevant keywords and MeSH terms when a...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Applying the cell-based coagulation model in the management of critical bleeding
The cell-based coagulation model was proposed 15 years ago, yet has not been applied commonly in the management of critical bleeding. Nevertheless, this alternative model may better explain the physiological basis of current coagulation management during critical bleeding. In this article we describe the limitations of the traditional coagulation protein cascade and standard coagulation tests, and explain the potential advantages of applying the cell-based model in current coagulation management strategies. The cell-based coagulation model builds on the traditional coagulation model and explains many recent clinical observ...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Patient and procedural factors associated with an increased risk of harm or death in the first 4,000 incidents reported to webAIRS
This report describes an analysis of patient and procedural factors associated with a higher proportion of harm or death versus no harm in the first 4,000 incidents reported to webAIRS. The report is supplementary to a previous cross-sectional report on the first 4,000 incidents reported to webAIRS. The aim of this analysis was to identify potential patient or procedural factors that are more common in incidents resulting in harm or death than in incidents with more benign outcomes. There was a>50% higher proportion of harm (versus no harm) for incidents in which the patient ’s body mass index (BMI) was1.5) for BMI80 yea...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Australian and New Zealand Anaesthetic Allergy Group/Australian and New Zealand College of Anaesthetists Perioperative Anaphylaxis Management Guidelines
Anaphylaxis is an uncommon but important cause of serious morbidity and even mortality in the perioperative period. The Australian and New Zealand College of Anaesthetists (ANZCA) with the Australian and New Zealand Anaesthetic Allergy Group (ANZAAG) have developed clinical management guidelines that include six crisis management cards. The content of the guidelines and cards is based on published literature and other international guidelines for the management of anaesthesia-related and non –anaesthesia-related anaphylaxis. The evidence is summarised in the associated background paper (Perioperative Anaphylaxis Manageme...
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Perioperative anaphylaxis: progress, prevention and pholcodine policy
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Buprenorphine for the management of acute pain
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Bellows and self-inflating bags
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 8, 2017 Category: Anesthesiology Source Type: research
Response to letter to editor
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 11, 2017 Category: Anesthesiology Source Type: research
What is the evidence that twenty-five millilitres of gastric fluid puts patients at risk of aspiration?
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 11, 2017 Category: Anesthesiology Source Type: research
What ’s beneath the surface? Stevens–Johnson syndrome/toxic epidermal necrolysis combined with haemophagocytic lymphohistiocytosis: a case report
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 11, 2017 Category: Anesthesiology Source Type: research
Eve Rocker journal cover
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 11, 2017 Category: Anesthesiology Source Type: research
Uneventful prolonged propofol infusion in a patient with Brugada syndrome
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 11, 2017 Category: Anesthesiology Source Type: research
