Teaching airway management as part of continuing professional development in intensive care medicine
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
The good, the bad, and the ugly: sodium –glucose cotransporter-2 inhibitors (gliflozins) and perioperative diabetes
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
The introduction of synthetic colloids
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - March 9, 2018 Category: Anesthesiology Source Type: research
Major haemorrhage associated with the Flexi-Seal ® Fecal Management System
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
Intraoperative use of adjuvants for opioid sparing: a cross-sectional survey of anaesthetists in teaching hospitals in South Australia
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
Fluid bolus therapy for the ward treatment of oliguria after major abdominal surgery
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
Ongoing design concerns of portable oxygen cylinders
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
Abstracts of the Australian Society of Anaesthetists 76th National Scientific Congress 7 to 10 October 2017 at the Perth Convention and Exhibition Centre, Perth, Western Australia
(Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
Cannula cricothyroidotomy and rescue oxygenation with the Rapid-O2 ™ oxygen insufflation device in the management of a can't intubate/can't oxygenate scenario
We describe the successful use of cannula cricothyroidotomy and the Rapid-O2 ™ oxygen insufflation device (Meditech Systems Ltd, Dorset, UK) for rescue of a can’t intubate/can’t oxygenate (CICO) scenario in a patient with severe airway haemorrhage post-debridement of laryngeal amyloidosis. This case highlights the practical utility of a cannula technique for CICO rescu e when appropriate equipment is used and when institutional measures are taken to prepare for this rare anaesthetic crisis. (Source: Anaesthesia and Intensive Care)
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
Predicting medical emergency team calls, cardiac arrest calls and re-admission after intensive care discharge: creation of a tool to identify at-risk patients
We aimed to develop a predictive model for intensive care unit (ICU) –discharged patients at risk of post-ICU deterioration. We performed a retrospective, single-centre cohort observational study by linking the hospital admission, patient pathology, ICU, and medical emergency team (MET) databases. All patients discharged from the Alfred Hospital ICU to wards betwee n July 2012 and June 2014 were included. The primary outcome was a composite endpoint of any MET call, cardiac arrest call or ICU re-admission. Multivariable logistic regression analysis was used to identify predictors of outcome and develop a risk-stratificat...
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
Associations of fluid amount, type, and balance and acute kidney injury in patients undergoing major surgery
Fluid administration has been reported to be associated with an increased risk of acute kidney injury (AKI). We assessed whether, after correction for fluid balance, amount and chloride content of fluids administered have an independent association with AKI. We performed an observational study in patients after major surgery assessing the independent association of AKI with volume, chloride content and fluid balance, after adjustment for Physiological and Operative Severity Score for enUmeration of Mortality and morbidity (POSSUM) score, age, elective versus emergency surgery, and duration of surgery. We studied 542 consec...
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
The establishment of an anaesthetist-managed intraoperative neurophysiological monitoring service and initial outcome data
Neurophysiological monitoring has been recommended to reduce the risk of neurological damage during a wide variety of surgeries. While the concept of an anaesthesia-led intraoperative neurophysiological monitoring (IONM) service is not new, the quality of this service provision has not been studied. In this article, we present our experience with the establishment of this service, and the results of our audit of 302 cases monitored over the initial four years. Our results identified that an anaesthesia-led IONM service was able to achieve a reliable signal in 95.4% of cases and capture significant alerts in 15.6% of these ...
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
The use of a simple three-level bronchoscopic assessment of inhalation injury to predict in-hospital mortality and duration of mechanical ventilation in patients with burns
Major burn centres in Australia use bronchoscopy to assess severity of inhalation injuries despite limited evidence as to how best to classify severity of inhalational injury or its relationship to patient outcomes. All patients with burns who were admitted to the intensive care unit (ICU) at The Alfred Hospital between February 2010 and July 2014 and underwent bronchoscopy to assess inhalational injury, were reviewed. Age, total body surface area burnt, severity of illness indices and mechanisms of injury were extracted from medical histories and local ICU and burns registries. Inhalational injury was classified based on ...
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
The impact of alcohol-related admissions on resource use in critically ill patients from 2009 to 2015: an observational study
Excessive alcohol use is associated with increased health care utilisation and increased mortality. This observational study sought to identify the proportion of patients admitted with a critical illness in which alcohol misuse contributed, and to examine the resource use for this group. We performed an observational retrospective database review of all admissions to the Alice Springs Hospital intensive care unit (ICU) between 1 January 2009 and 31 December 2015. The Alice Springs Hospital ICU is a ten-bed unit located in Central Australia, with approximately 600 admissions annually. The per capita consumption of alcohol i...
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
The effect of sevoflurane on the transmural dispersion of repolarisation in patients with type 2 diabetes mellitus: a prospective observational study
The ‘torsadogenic’ property of a drug is linked to its ability to increase the transmural dispersion of repolarisation, represented by the interval between the peak of, and the end of, the T-wave (Tp-e interval) in an electrocardiogram. Reports have consistently shown that sevoflurane does not incre ase the Tp-e interval. Type 2 diabetes is a risk factor for increased QTc (rate-corrected QT interval), QTcd (rate-corrected QTc dispersion: difference between the maximum and the minimum QTc interval), and Tp-e, as well as the rate-corrected Tp-e (Tp-e/QTc ratio). The study aimed to ascertain wheth er sevoflurane increased...
Source: Anaesthesia and Intensive Care - January 23, 2018 Category: Anesthesiology Source Type: research
