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Continuing Education in Anaesthesia Critical Care & Pain最新文献

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BJA Education
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/bjaceaccp/mku052
Langton Jeremy (Editor-in Chief BJA Education)
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引用次数: 0
UK healthcare workers infected with blood-borne viruses: guidance on risk, transmission, surveillance, and management 感染血源性病毒的英国医护人员:风险、传播、监测和管理指南
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/bjaceaccp/mku023
Ward Patrick MB ChB BSc FRCA, Hartle Andrew MB ChB FRCA FFICM
{"title":"UK healthcare workers infected with blood-borne viruses: guidance on risk, transmission, surveillance, and management","authors":"Ward Patrick MB ChB BSc FRCA, Hartle Andrew MB ChB FRCA FFICM","doi":"10.1093/bjaceaccp/mku023","DOIUrl":"https://doi.org/10.1093/bjaceaccp/mku023","url":null,"abstract":"","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":"15 2","pages":"Pages 103-108"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjaceaccp/mku023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91717380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Abdominal cutaneous nerve entrapment syndrome 腹皮神经卡压综合征
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/bjaceaccp/mku016
Clarke Sheila FCAI, Kanakarajan Saravanakumar MD FCPS FRCA FFPMRCA
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引用次数: 39
Supraventricular tachyarrhythmias and their management in the perioperative period 室上性心动过速及其围手术期的处理
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/BJACEACCP/MKU018
A. Stewart, K. Greaves, J. Bromilow
{"title":"Supraventricular tachyarrhythmias and their management in the perioperative period","authors":"A. Stewart, K. Greaves, J. Bromilow","doi":"10.1093/BJACEACCP/MKU018","DOIUrl":"https://doi.org/10.1093/BJACEACCP/MKU018","url":null,"abstract":"This review will provide an overview of supraventricular tachycardias (SVTs), their classification, diagnostic features, and management in the perioperative period of adult non-cardiac surgery. The term ‘SVT’ refers to paroxysmal tachyarrythmias that require atrial or atrioventricular (AV) nodal tissue, or both, for their initiation and maintenance. The incidence of persistent SVT is 2% before operation and 6% in the postoperative period. In non-cardiac surgery, perioperative arrhythmias are more likely to be supraventricular than ventricular in origin. Atrial arrhythmias occur most frequently 2–3 days post-surgery similar to perioperative acute coronary syndromes and are likely related to sympathetic stimulation associated with an inflammatory response. Other precipitants of SVT often associated with high sympathetic tone are summarized in Table 1. Such arrhythmias are important for the anaesthetist; in particular, atrial fibrillation (AF) is associated with haemodynamic derangement, postoperative stroke, perioperative myocardial infarction, ventricular arrhythmia, heart failure, and longer hospital stay.","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":"55 1","pages":"90-97"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87470331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Environmental emergencies in theatre and critical care areas: power failure, fire, and explosion 手术室和重症监护区的环境紧急情况:停电、火灾和爆炸
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/bjaceaccp/mku011
Lachlan F Miles MBBS (Hons) PGCertCU, Carlos D Scheinkestel MBBS FRACP FCICM DipDHM, Glenn O Downey MBBS FANZCA
{"title":"Environmental emergencies in theatre and critical care areas: power failure, fire, and explosion","authors":"Lachlan F Miles MBBS (Hons) PGCertCU, Carlos D Scheinkestel MBBS FRACP FCICM DipDHM, Glenn O Downey MBBS FANZCA","doi":"10.1093/bjaceaccp/mku011","DOIUrl":"https://doi.org/10.1093/bjaceaccp/mku011","url":null,"abstract":"","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":"15 2","pages":"Pages 78-83"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjaceaccp/mku011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91759238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
UK healthcare workers infected with blood-borne viruses: guidance on risk, transmission, surveillance, and management 感染血源性病毒的英国医护人员:风险、传播、监测和管理指南
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/BJACEACCP/MKU023
Patrick S. Ward, A. Hartle
{"title":"UK healthcare workers infected with blood-borne viruses: guidance on risk, transmission, surveillance, and management","authors":"Patrick S. Ward, A. Hartle","doi":"10.1093/BJACEACCP/MKU023","DOIUrl":"https://doi.org/10.1093/BJACEACCP/MKU023","url":null,"abstract":"Occupational exposure of healthcare workers to blood-borne viruses (HIV, Hepatitis B and C) in the healthcare setting is a growing concern that has prompted the Department of Health and Health Protection Agency to instruct a nationwide surveillance scheme, develop a national policy, and implement guidelines. Apportioned equal consideration, although far less common, is the risk of blood-borne viral transmission from infected healthcare workers to patients, which has also warranted Department of Health guidance, to assist infected healthcare workers, and to minimize the risk to patients.","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":"11 1","pages":"103-108"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81694630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Environmental emergencies in theatre and critical care areas: power failure, fire, and explosion 手术室和重症监护区的环境紧急情况:停电、火灾和爆炸
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/BJACEACCP/MKU011
L. Miles, C. Scheinkestel, G. Downey
{"title":"Environmental emergencies in theatre and critical care areas: power failure, fire, and explosion","authors":"L. Miles, C. Scheinkestel, G. Downey","doi":"10.1093/BJACEACCP/MKU011","DOIUrl":"https://doi.org/10.1093/BJACEACCP/MKU011","url":null,"abstract":"In 2012, a fire broke out in the intensive care unit (ICU) of the Royal United Hospital, Bath, when a faulty oxygen cylinder placed on a patient bed ignited. The patient sustained burns to the lower limbs, the cubicle sustained substantial structural damage, and the ICU rapidly filled with smoke, necessitating evacuation. Recent studies have highlighted weaknesses in a number of London ICUs due to failures of unit design, equipment, escape routes, drills, and evacuation planning. In the 11 yr between 1994/5 and 2004/5, some 10 662 fires were reported in National Health Service (NHS) facilities costing an estimated £14.6 million. Roughly 500 per annum involved acute care facilities and resulted in 651 injuries and 17 fatalities. In addition to burns and smoke inhalation, a number of other traumatic injuries were sustained during evacuations. These incidents show that environmental emergencies such as power failure, fire, and explosion have the potential to lead to substantial patient morbidity and mortality, and also endangering staff and facilities. Key to the successful management of these environmental emergencies are comprehensive and regular staff training and credentialing, inspections and auditing for environmental risks and evacuation obstacles, and simulations and exercises designed to reveal shortcomings in institutional protocols.","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":"6 1","pages":"78-83"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76088566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Abdominal cutaneous nerve entrapment syndrome 腹皮神经卡压综合征
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/BJACEACCP/MKU016
S. Clarke, S. Kanakarajan
{"title":"Abdominal cutaneous nerve entrapment syndrome","authors":"S. Clarke, S. Kanakarajan","doi":"10.1093/BJACEACCP/MKU016","DOIUrl":"https://doi.org/10.1093/BJACEACCP/MKU016","url":null,"abstract":"Chronic abdominal pain is a frequently presenting condition in the pain clinics. Patients have often undergone a plethora of investigations, including diagnostic surgery and psychiatric review, before referral to Pain Management Services. Ongoing pain leads to development of central sensitization, which is heightened sensitivity to pain and touch, because of the effect of persistent pain on the neuroplasticity of the central nervous system. It can result in significant anxiety, distress, and loss of work days for the patient. Up to 30% of patients with chronic abdominal pain have pain originating in the abdominal wall 1,2 and abdominal cutaneous nerve entrapment syndrome (ACNES) is the most frequent cause of pain in these cases. 3 This diagnosis can be established from the patient’s history, physical examination, and positive response to local anaesthetic injection. 4 More awareness among clinicians of the abdominal cutaneous nerve entrapment syndrome could lead to earlier diagnosis and prevent the consequences of prolonged investigation and pain.","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":"43 1","pages":"60-63"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77719157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 42
Cancer pain management: Part II: Interventional techniques 癌症疼痛管理:第二部分:介入技术
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/bjaceaccp/mku012
J Scott-Warren MBBCh DRCOG MRCP FRCA, Bhaskar Arun MBBS FRCA FFPMRCA FFICM FIPP
{"title":"Cancer pain management: Part II: Interventional techniques","authors":"J Scott-Warren MBBCh DRCOG MRCP FRCA, Bhaskar Arun MBBS FRCA FFPMRCA FFICM FIPP","doi":"10.1093/bjaceaccp/mku012","DOIUrl":"https://doi.org/10.1093/bjaceaccp/mku012","url":null,"abstract":"","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":"15 2","pages":"Pages 68-72"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjaceaccp/mku012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91759239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 14
Reply from the authors 作者回复
Continuing Education in Anaesthesia Critical Care & Pain Pub Date : 2015-04-01 DOI: 10.1093/bjaceaccp/mku038
Scott Nick B
{"title":"Reply from the authors","authors":"Scott Nick B","doi":"10.1093/bjaceaccp/mku038","DOIUrl":"https://doi.org/10.1093/bjaceaccp/mku038","url":null,"abstract":"","PeriodicalId":100332,"journal":{"name":"Continuing Education in Anaesthesia Critical Care & Pain","volume":"15 2","pages":"Pages 109-110"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/bjaceaccp/mku038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91717377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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