发布求助
文献互助 智能选刊 最新文献

Anaesthesia and Intensive Care Medicine最新文献

筛选
英文 中文
Challenges in healthcare delivery in low- and middle-income countries 低收入和中等收入国家卫生保健服务面临的挑战
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-14 DOI: 10.1016/j.mpaic.2025.02.010
Hannah Phelan, Victoria Yates, Emma Lillie
{"title":"Challenges in healthcare delivery in low- and middle-income countries","authors":"Hannah Phelan,&nbsp;Victoria Yates,&nbsp;Emma Lillie","doi":"10.1016/j.mpaic.2025.02.010","DOIUrl":"10.1016/j.mpaic.2025.02.010","url":null,"abstract":"<div><div>The Lancet Commission outlines a vision of universal access to safe emergency and essential surgery. Global disparities in perioperative outcomes are recognized, with resource-poor environments and a workforce crisis particularly challenging low- and middle-income countries (LMICs) to provide safe surgical and anaesthesia care. The coronavirus disease (COVID-19) pandemic placed an even greater strain on under-resourced and over-stretched healthcare systems. Bridging the gap to achieve universal access is a substantial undertaking and requires collaboration with high-income countries. Global partnerships are abundant and mutually beneficial, aiming to alleviate the workforce crisis, provide education, training and expertise and raise standards of care in host LMICs. Clinical, leadership and management experience gained in low-resource settings is valued by healthcare systems in high-income countries, acknowledged by curriculum for ‘developing world anaesthesia’. Further challenges to healthcare delivery, training and implementation of change are influence by government policy, cultural traditions, expectations and work ethic. During the COVID-19 pandemic many partnerships were required to move online. The necessity of providing remote support has created its own set of challenges, while also providing novel opportunities for education and collaboration with the global health community. This article describes challenges through reflection on personal experience in Zambia.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 6","pages":"Pages 385-388"},"PeriodicalIF":0.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139377","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: 0
Obstetric haemorrhage 产科出血
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-14 DOI: 10.1016/j.mpaic.2025.02.016
Sarah Lambert, Louise England
{"title":"Obstetric haemorrhage","authors":"Sarah Lambert,&nbsp;Louise England","doi":"10.1016/j.mpaic.2025.02.016","DOIUrl":"10.1016/j.mpaic.2025.02.016","url":null,"abstract":"<div><div>Obstetric haemorrhage is a major cause of maternal morbidity and mortality globally. Identifying risk factors, implementing early risk stratification, and engaging in multidisciplinary team planning can help mitigate its impact. Effective haemorrhage management requires prompt recognition and a rapid, coordinated, multidisciplinary approach. The use of protocols reinforced through targeted drills enhances team vigilance, familiarity, and competency in managing haemorrhage which can lead to improved patient outcomes. This article reviews the management of obstetric haemorrhage including pharmacological interventions, transfusion strategies and surgical techniques.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 6","pages":"Pages 327-333"},"PeriodicalIF":0.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139525","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: 0
Acute pain management and perioperative drugs used in low-resource settings 低资源环境中急性疼痛管理和围手术期药物的使用
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-14 DOI: 10.1016/j.mpaic.2025.02.009
Hannah Phelan, Tim Johnson
{"title":"Acute pain management and perioperative drugs used in low-resource settings","authors":"Hannah Phelan,&nbsp;Tim Johnson","doi":"10.1016/j.mpaic.2025.02.009","DOIUrl":"10.1016/j.mpaic.2025.02.009","url":null,"abstract":"<div><div>The choice of drugs used during the perioperative period in low-resource settings is dictated by numerous factors. The lack of a reliable supply of essential medications coupled with limited provision of trained staff and necessary equipment are the main causative factors. Drugs used may be unfamiliar to anaesthetists from low-resource settings and those available can vary greatly from day to day. For this reason, it is important to develop an understanding of these drugs and their delivery. The management of acute pain benefits from a structured approach such as that used in the RAT model (Recognize, Assess, Treat) from the Essential Pain Management course. This article provides an understanding of the choice of anaesthetic and analgesic drugs used in a low-resource setting with a focus on those used less commonly in a well-resourced setting.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 6","pages":"Pages 375-378"},"PeriodicalIF":0.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139375","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: 0
Anaesthetic equipment in low- and low-to-middle-income countries 低收入和中低收入国家的麻醉设备
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-14 DOI: 10.1016/j.mpaic.2025.02.002
Claire E. Adams, Michael Dobson
{"title":"Anaesthetic equipment in low- and low-to-middle-income countries","authors":"Claire E. Adams,&nbsp;Michael Dobson","doi":"10.1016/j.mpaic.2025.02.002","DOIUrl":"10.1016/j.mpaic.2025.02.002","url":null,"abstract":"<div><div>There is a discrepancy between healthcare need and the ability to provide safe anaesthesia in low- and low-to-middle-income countries (LMICs). There is a shortage of medically trained anaesthetists. Most anaesthetics are provided by non-physician anaesthetists who may not have studied the core sciences underpinning anaesthesia, but are clinically very competent. Poor infrastructure is common, such as a shortage of piped medical gases and critical care beds. Safe anaesthesia depends on effective technology, and on consumables such as cannulae, and drugs, all of which are under-provided resources in LMICs. Much of the equipment used in the developed world is unsuitable for use in LMICs. Anaesthetic equipment used in LMICs, such as draw-over breathing systems and oxygen concentrators, may be unfamiliar to developed world anaesthetists. Cleaning and maintenance of equipment is usually the responsibility of the anaesthetist, who needs a good understanding of how it works.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 6","pages":"Pages 371-374"},"PeriodicalIF":0.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139374","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: 0
Delivering multidisciplinary group programmes based on Acceptance and Commitment Therapy (ACT) principles in a pain management service 在疼痛管理服务中提供基于接受和承诺治疗（ACT）原则的多学科小组方案
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-13 DOI: 10.1016/j.mpaic.2025.04.008
Louise Sparrow, Vicky Silk
{"title":"Delivering multidisciplinary group programmes based on Acceptance and Commitment Therapy (ACT) principles in a pain management service","authors":"Louise Sparrow,&nbsp;Vicky Silk","doi":"10.1016/j.mpaic.2025.04.008","DOIUrl":"10.1016/j.mpaic.2025.04.008","url":null,"abstract":"<div><div>Chronic pain is complex and difficult to assess and manage. The biopsychosocial model and a multidisciplinary approach provide a framework for assessing and managing chronic pain. Clinical psychologists work as part of the multidisciplinary pain team to assess, formulate and provide interventions for individuals with chronic pain. One approach psychologists use is Acceptance and Commitment Therapy (ACT), which is a mindfulness-based therapy that focuses on psychological flexibility and valued engagement in life. This article presents an example of two groups held within a pain management service. Both groups are based on ACT principles and delivered by a multidisciplinary team. It is hoped that the examples presented encourage healthcare professionals to consider delivering multi-disciplinary group interventions based upon ACT principles to individuals with chronic pain.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 7","pages":"Pages 426-428"},"PeriodicalIF":0.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491156","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: 0
Role of pain injection procedures in the management of chronic pain 疼痛注射程序在慢性疼痛管理中的作用
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-13 DOI: 10.1016/j.mpaic.2025.04.011
Lorraine E de Gray
{"title":"Role of pain injection procedures in the management of chronic pain","authors":"Lorraine E de Gray","doi":"10.1016/j.mpaic.2025.04.011","DOIUrl":"10.1016/j.mpaic.2025.04.011","url":null,"abstract":"<div><div>The paper offers an overview of pain intervention procedures which are just one facet of a holistic approach to managing pain. They can have a therapeutic and/or diagnostic focus, at times being useful in terms of guiding the clinician to useful pointers to the source of pain, and at others allowing windows of opportunity of pain relief to allow the patient to engage with other modes of pain management such as physiotherapy or occupational therapy with a common goal of improving level of function. The paper explores the importance of managing patient expectations, providing clear patient information and acquiring appropriate patient consent. It provides a brief overview of different procedures, drugs and other modalities as well as imaging used in their delivery.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 7","pages":"Pages 429-433"},"PeriodicalIF":0.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491163","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: 0
Antenatal and intrapartum assessment of the fetus 胎儿的产前和产时评估
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-10 DOI: 10.1016/j.mpaic.2025.02.012
Zara Cotton, Zoe Thurlwell
{"title":"Antenatal and intrapartum assessment of the fetus","authors":"Zara Cotton,&nbsp;Zoe Thurlwell","doi":"10.1016/j.mpaic.2025.02.012","DOIUrl":"10.1016/j.mpaic.2025.02.012","url":null,"abstract":"<div><div>Stillbirth is a devastating pregnancy outcome for families. Antenatal and intrapartum surveillance has evolved to ensure accurate and regular risk assessments are conducted to allow earlier detection of adverse outcomes without introducing unnecessary interventions. In this article, we outline the latest national guidelines regarding antenatal and intrapartum surveillance in the UK and their implementation into clinical practice. Through discussing latest developments in evidence-based interventions, we explore how clinicians are striving to continue to optimize maternal care practices and work towards the continued reduction in stillbirth rates.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 6","pages":"Pages 321-326"},"PeriodicalIF":0.2,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139524","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: 0
The perioperative care of Jehovah’s Witnesses ​
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-08 DOI: 10.1016/j.mpaic.2025.02.008
Emma Murphy, Paul McConnell
{"title":"The perioperative care of Jehovah’s Witnesses","authors":"Emma Murphy,&nbsp;Paul McConnell","doi":"10.1016/j.mpaic.2025.02.008","DOIUrl":"10.1016/j.mpaic.2025.02.008","url":null,"abstract":"<div><div>Jehovah’s Witnesses are a Christian denomination with around 8 million members worldwide. They belief the teachings of the Bible prohibit the transfusion of blood and blood components. Some blood products may be deemed acceptable as part of their beliefs and they may be accepting of intraoperative techniques such as cell salvage. Jehovah’s Witnesses have the right to accept or refuse treatment without providing a reason for doing therefore medical practitioners must respect this even if it would pose threat to the patient’s life. Care of the Jehovah’s Witness should employ a multidisciplinary team approach with senior clinicians. Goals of management include to optimize oxygen delivery and haemoglobin synthesis, reduce blood loss, and correct any coagulopathy.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 6","pages":"Pages 353-357"},"PeriodicalIF":0.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139440","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: 0
Difficult and failed intubation in obstetric anaesthesia 产科麻醉插管困难和失败
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-02 DOI: 10.1016/j.mpaic.2025.02.017
Priya Datar, Nico Zin
{"title":"Difficult and failed intubation in obstetric anaesthesia","authors":"Priya Datar,&nbsp;Nico Zin","doi":"10.1016/j.mpaic.2025.02.017","DOIUrl":"10.1016/j.mpaic.2025.02.017","url":null,"abstract":"<div><div>Difficult intubation in obstetric anaesthesia remains an important cause of maternal morbidity and mortality. Recent quoted estimates for difficult intubation vary between 1:19 and 1:49 whilst for failed intubation they vary between 1:180 and 1:808. Physiological changes during pregnancy, low general anaesthesia (GA) rates in obstetrics contributing to limited training opportunities, increased obstetric activity performed out-of-hours, a time-pressure environment, isolated location, and obstetric emergencies for which a GA is often utilized are cited contributing to difficult and failed intubation in obstetrics. Human factors often contribute to most situations in difficult and failed intubations. Recent studies seem to highlight that the majority of risk factors contributing to difficult or failed intubation in obstetrics are non-obstetric in nature. Propofol use during GA in obstetric surgery has been associated with a lower risk of difficult intubation. The joint Difficult Airway Society (DAS) and Obstetric Anaesthetists’ Association (OAA) guidelines offer a structured algorithmic approach with decision-making tools to enhance safety. Key strategies include understanding contributing factors, thorough preoperative assessment, planning, good communication and multidisciplinary training and simulation. Adherence to these guidelines is crucial for reducing the maternal and fetal morbidity from difficult or failed intubation during obstetric general anaesthesia.</div></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 6","pages":"Pages 295-303"},"PeriodicalIF":0.2,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139502","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: 0
Self-assessment 自我评估
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2025-05-02 DOI: 10.1016/j.mpaic.2025.04.010
Vijayanand Nadella
{"title":"Self-assessment","authors":"Vijayanand Nadella","doi":"10.1016/j.mpaic.2025.04.010","DOIUrl":"10.1016/j.mpaic.2025.04.010","url":null,"abstract":"","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"26 6","pages":"Pages 389-390"},"PeriodicalIF":0.2,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144139378","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: 0
首页 上一页 下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信