{"title":"Anaesthesia in Older People","authors":"A. Leaver","doi":"10.1002/JPPR1999296330","DOIUrl":"https://doi.org/10.1002/JPPR1999296330","url":null,"abstract":"Older people are presenting in increasing numbers for surgical procedures. The anaesthetist must be aware of the physiological changes produced by ageing and the various age-related disease processes coexisting in the elderly. Significant changes to the pharmacokinetics and pharmacodynamics of most of the commonly administered anaesthetic drugs occur in older people. This has a direct impact upon the safe delivery of anaesthesia in this patient population. Subcutaneous infiltration of local anaesthetic drugs without sedation is the anaesthetic technique of choice but is only appropriate in certain minor surgical procedures. Otherwise, no one anaesthetic technique has been demonstrated to be superior in the older patient. Anaesthesia may be successfully administered to older people provided the anaesthetist carefully evaluates and optimises the patient’s medical condition prior to surgery, modifies the anaesthetic accordingly, and pays close attention to detail. Aust J Hosp Pharm 1999; 29: 330-4.","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"40 1","pages":"330-334"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78097672","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}
{"title":"Pharmaceuticals as new technology: the driving forces","authors":"M. Bailey","doi":"10.1002/JPPR1999296335","DOIUrl":"https://doi.org/10.1002/JPPR1999296335","url":null,"abstract":"Technological change within society now includes the development, introduction, promotion and management of new drug therapy. This was not always the case as the previous 'object-centred' view of technology considered that drug therapy development was external to social relationships and as it was therefore 'outside human control' could not correctly be considered as technology. The annual growth in recurrent government expenditure on pharmaceuticals has risen from 6.6% (1984-85 to 1989-90) to 8.2% (1989-90 to 1995-96). Driving factors which affect the new technology include technologist control over demand, economic self-perception by those technologists (prescribers), marketing to maximise shareholder profit, gender, social status, poverty, the need to consume, and legal challenge to governments. A Marxist analysis of driving forces in a capitalist society is presented to indicate that the Pharmaceutical Benefits Scheme which was introduced to guarantee equity of access to drug therapy, may now be in danger of becoming an agent of capital. (author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"21 1","pages":"335-337"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79330236","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}
{"title":"In‐Line Intravenous Filtration in Neonates Help not Hindrance","authors":"Desirée L. Kunac, P. Ball, R. Broadbent","doi":"10.1002/JPPR1999296321","DOIUrl":"https://doi.org/10.1002/JPPR1999296321","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"136 1","pages":"321-327"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76402006","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}
{"title":"Hospital pharmacy - an end in itself or just a beginning?","authors":"G. Misan","doi":"10.1002/JPPR1999296342","DOIUrl":"https://doi.org/10.1002/JPPR1999296342","url":null,"abstract":"The author outlines his career in hospital pharmacy, his involvement with the Australian Medicines Handbook and his current position in the South Australian Centre of Rural and Remote Health. (non-author abstract)","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"7 1","pages":"342-343"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82363289","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}
{"title":"Health Promoting Medications in Older People","authors":"Jacinta M Guthridge, F. Leon","doi":"10.1002/JPPR1999295273","DOIUrl":"https://doi.org/10.1002/JPPR1999295273","url":null,"abstract":"ed, because of the theoretical risk of anaphylaxis. One of the main issues is compliance with immunisation. In one survey in the US, only 34% of over 65year-olds surveyed had had influenza vaccination. The vaccine was significantly accepted by patients who had been advised by their doctor to be vaccinated yearly. These patients had a vaccination rate of 96.4%, emphasising the need for education. The rate of influenza vaccination in Australia was 165/1000 of the population in 1998. In a study of free vaccination for over 65year-olds in Victoria, approximately 70% received the vaccine (personal communication with Alan Hampson, Deputy Director, WHO Reference Centre). Fortunately the influenza vaccine was available free to all Australians aged 65 years and over in 1999.","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"1 1","pages":"273-278"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74125574","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}
{"title":"National Prescribing Service and Educational Visits","authors":"Heather C Pym","doi":"10.1002/JPPR1999295290A","DOIUrl":"https://doi.org/10.1002/JPPR1999295290A","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"203 1","pages":"290-291"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83466275","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}
{"title":"An Opportunity to Compare our Services","authors":"Amanda L. C. Sanburg","doi":"10.1002/JPPR1999295281","DOIUrl":"https://doi.org/10.1002/JPPR1999295281","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"349 1","pages":"281-283"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76309166","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}
{"title":"Concurrent Frusemide-Theophylline Dosing Reduces Serum Vancomycin Concentrations in Preterm Infants","authors":"M. Yeung, J. Smyth","doi":"10.1002/JPPR1999295269","DOIUrl":"https://doi.org/10.1002/JPPR1999295269","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"229 1","pages":"269-272"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77062355","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}
{"title":"Unregistered and Off-Label Drug Use in Paediatric Inpatients","authors":"S. Turner","doi":"10.1002/JPPR1999295265","DOIUrl":"https://doi.org/10.1002/JPPR1999295265","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"22 1","pages":"265-268"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83321512","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}
{"title":"Cytotoxic Drug Safety Cabinets","authors":"Bruce M Graham","doi":"10.1002/JPPR1999295291","DOIUrl":"https://doi.org/10.1002/JPPR1999295291","url":null,"abstract":"","PeriodicalId":22283,"journal":{"name":"The Australian Journal of Hospital Pharmacy","volume":"13 1","pages":"291-291"},"PeriodicalIF":0.0,"publicationDate":"1999-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78768751","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}
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