The difficulty for clinicians in prescribing the correct nutrition in critically ill patients
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Ultrasound-guided continuous erector spinae plane block for postoperative analgesia in video-assisted thoracotomy
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
A change to programmed intermittent epidural boluses from continuous local anaesthetic infusion for labour analgesia
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Airway education in intensive care medicine in Australia and New Zealand: what are we doing?
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Punctal dilator facilitates insertion of blunt cannula during sub-Tenon ’s block
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Australian and New Zealand Intensive Care Society/Australian College of Critical Care Nurses Annual Scientific Meeting, 11 to 13 October 2017, Gold Coast Convention and Exhibition Centre, Gold Coast, Queensland
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Postoperative euglycaemic diabetic ketoacidosis associated with sodium –glucose cotransporter-2 inhibitors (gliflozins): a report of two cases and review of the literature
We present two cases of patients developing SGLT2i-associated euDKA in the early postoperative period. We support ceasing SGLT2i for 72 hours preoperatively and would suggest continuing to withhold the medication until oral intake is restored, and recommend a wider awareness of SGLT2i-associated diabetic ketoacidosis (DKA) amongst patients and their healthcare providers with an emphasis on checking ketone levels irrespective of blood glucose levels in the postoperative setting. (Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
An observational study of perioperative risk associated with aortic stenosis in non-cardiac surgery
This prospective multicentre observational study investigated the risk of non-cardiac surgery in patients with moderate or severe aortic stenosis (AS). Patients with AS undergoing non-cardiac surgery in five New Zealand hospitals between August 2011 and September 2015 were studied. Preoperative variables were analysed for a significant association with postoperative major adverse cardiac events (MACE) and 30-day mortality. Of the 147 patients recruited, 13 (9%) died within 30 days and 33 (22%) had a MACE. Using univariate analysis, patients with severe AS had four times higher 30-day mortality than patients with moderate A...
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Patients retrieved to intensive care via a dedicated retrieval service do not have increased hospital mortality compared with propensity-matched controls
This study was performed to estimate the effect of the retrieval process on mortality for patients admitted to a mixed adult intensive care unit (ICU) compared with propensity-matched, non-retrieved controls. Patients retrieved to the Royal Adelaide Hospital (RAH) ICU between 2011 and 2015 were propensity-score matched for age, gender, Aboriginal and Torres Strait Islander status, Acute Physiology and Chronic Health Evaluation (APACHE) III score and diagnostic group with non-retrieved ICU patients to estimate the average treatment effect of retrieval on hospital mortality. Factors associated with mortality in those retriev...
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Morbidity of cardiac arrest in the very elderly
In conclusion, one-year survival after cardiac arrest in the very elderly is poor. In those who survive, significant morbidity is present. (Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Should ongoing airway education be a mandatory component of continuing professional development for College of Intensive Care Medicine Fellows?
This study aimed to determine whether airway education should be introduced to the continuing professional development (CPD) program for College of Intensive Care Medicine (CICM) Fellows. A random representative sample of 11 tertiary intensive care units (ICUs) was chosen from the list of 56 units accredited for 12 or 24 months of CICM training. All specialist intensive care Fellows (n=140) currently practising at the eleven ICUs were sent the questionnaire via email. Questionnaire data collection and post-collection data analysis was used to determine basic respondent demographics, frequency of certain airway procedures i...
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
The effect of a multifaceted postoperative nausea and vomiting reduction strategy on prophylaxis administration amongst higher-risk adult surgical patients
Postoperative nausea and vomiting (PONV) is a common and distressing problem for patients and increases the burden of care in post-anaesthesia care units (PACU). As such it has been a recent focus for quality improvement. Evidence-based guidelines have demonstrated the benefit of PONV risk stratification and prophylaxis, but may be underutilised in clinical practice. This prospective pre-/post-intervention study was conducted at an adult tertiary hospital in non-cardiac adult surgical patients at higher-risk of PONV. The intervention included promotion of an evidence-based PONV guideline, and provision of individualised pr...
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
The effect of inhalational anaesthesia during deceased donor organ procurement on post-transplantation graft survival
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 ischaemia–reperfusion injury. As such, we hypothesised that exposure to VA during organ procu rement would improve post-graft survival. Lifebanc (organ procurement organisation [OPO] for NE Ohio) provided the investigators with a list of death by neurologic criteria organ donors cared for at three large tertiar...
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Morbid obesity impairs adequacy of thoracic compressions in a simulation-based model
This study explores the effect of morbid obesity on compression adequacy. We performed a prospective randomised controlled crossover study, assessing the adequacy of thoracic compressions on a manikin modified to emulate a morbidly obese patient. Participants recruited from critical care departments were randomised to perform continuous compressions for two minutes on each manikin. Accelerometers were used to measure thoracic wall movement. The primary endpoint was a composite measure of compression adequacy (rate, depth and recoil). Secondary endpoints were the individual components of the composite outcome and measures o...
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Recent advances and anaesthetic considerations in corneal transplantation
This article aims to inform anaesthetists about the recent surgical advances in corneal transplantation and explore the anaesthetic considerations of these new techniques. General anaesthesia remains suitable for a wide range of these procedures especially in repeat surgery, difficult, or prolonged procedures. Regional ophthalmic blocks are ideal for endothelial keratoplasty but can be used in penetrating keratoplasty based on individual risk –benefit assessment, and as a supplement to general anaesthesia. Topical anaesthesia provides an alternative when general anaesthesia and ophthalmic regional blocks are less desirab...
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
