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
Patient recovery and the post-anaesthesia care unit 病人康复和麻醉后护理病房
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.mpaic.2024.06.018
Marie Davidson, Kerry Litchfield
{"title":"Patient recovery and the post-anaesthesia care unit","authors":"Marie Davidson,&nbsp;Kerry Litchfield","doi":"10.1016/j.mpaic.2024.06.018","DOIUrl":"10.1016/j.mpaic.2024.06.018","url":null,"abstract":"<div><p><span>Patient recovery is a period of active patient monitoring and management during which time airway reflexes return and respiratory and cardiovascular stability should be achieved. The post-anaesthesia care unit (PACU) is the specially designed clinical area in which staff trained in the recognition and management of potential complications arising during this time care for patients. National guidance on the responsibilities and training of staff, the monitoring required during the recovery period and criteria for discharge serves to ensure </span>patient safety and efficient theatre throughput.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 8","pages":"Pages 533-536"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950264","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
Perioperative fluid therapy for anaesthetists and intensivists 麻醉师和重症监护医师的围手术期液体疗法
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.mpaic.2024.06.013
William H. Wang, Eva Y.F. Chan
{"title":"Perioperative fluid therapy for anaesthetists and intensivists","authors":"William H. Wang,&nbsp;Eva Y.F. Chan","doi":"10.1016/j.mpaic.2024.06.013","DOIUrl":"10.1016/j.mpaic.2024.06.013","url":null,"abstract":"<div><p>The maintenance of tissue fluid homeostasis<span><span> is an essential task in perioperative care<span>. Fluid balance, when managed accurately and safely, can influence perioperative outcomes and reduce significant patient morbidity and mortality. Surgical and critically ill patients are subjected to disrupted physiology due to a combination of hypovolaemia, systemic inflammation and local </span></span>glycocalyx<span> damage, with resulting impairment of normal fluid regulation. To optimize fluid management and achieve adequate end-organ perfusion, cardiac output monitoring methods are increasingly employed to guide perioperative fluid therapy. In recent years, the additional importance of optimizing microcirculation has been of great interest. Fasting and perioperative fluid strategies are similarly integral in fast-track surgery pathways, despite aspects pertaining to volumes and types of fluid still up for clinical debate. Fluid burden commonly exceeds volumes consciously given due to hidden volumes used in drug delivery, and the importance of comprehensive overview on fluid prescription should not be understated.</span></span></p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 8","pages":"Pages 537-543"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141698011","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
Perioperative management of patients with venous thrombosis and pulmonary embolism risks 静脉血栓和肺栓塞风险患者的围手术期管理
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.mpaic.2024.06.021
Calvin Tsun Wai Liu, Timothy Xianyi Yang
{"title":"Perioperative management of patients with venous thrombosis and pulmonary embolism risks","authors":"Calvin Tsun Wai Liu,&nbsp;Timothy Xianyi Yang","doi":"10.1016/j.mpaic.2024.06.021","DOIUrl":"10.1016/j.mpaic.2024.06.021","url":null,"abstract":"<div><p><span>Perioperative venous thromboembolism<span><span> (VTE) has a significant impact on morbidity and mortality. Prevention of perioperative VTE begins with risk assessment and formulating a thromboprophylaxis strategy that balances bleeding and thrombosis risks. A standardized approach to assess these risks using relevant guidelines can help direct appropriate use of mechanical and pharmacological prophylaxis. Nevertheless, acute </span>pulmonary embolism (PE) can present in the perioperative period. This brief review summarizes current diagnostic algorithms including the use of </span></span>transthoracic echocardiography to guide immediate management of acute PE, particularly in an intraoperative setting.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 8","pages":"Pages 560-569"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714637","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
Preoperative assessment in patients presenting for elective surgery 对择期手术患者进行术前评估
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.mpaic.2024.06.015
Yin Lam Jeffrey Yam
{"title":"Preoperative assessment in patients presenting for elective surgery","authors":"Yin Lam Jeffrey Yam","doi":"10.1016/j.mpaic.2024.06.015","DOIUrl":"10.1016/j.mpaic.2024.06.015","url":null,"abstract":"<div><p>Perioperative medicine is a specialized, rapidly developing field that focuses on comprehensive patient care from the moment they consider surgery until their full recovery. This patient-centred, multidisciplinary, and integrated approach aims to provide optimal medical care to those undergoing surgical procedures. The goal is to enhance outcomes and patient satisfaction, while also reducing the economic burden on healthcare and society.</p><p>Perioperative medicine has become increasingly important especially with the rising number of surgical procedures, as well as an aging population. Older patients undergoing surgery often face challenges due to their advanced age and multiple comorbidities, complicating their recovery journey.</p><p>The success of perioperative medicine hinges on the preoperative assessment, where the aim is to identify at-risk patients and modifiable risk factors. Through this process, personalized care can lead to improved perioperative outcomes. The purpose of this article is to give a general account on how patients should be assessed systematically, and more importantly to show the rationale behind such assessments in an elective setting. It is impossible to cover assessment for all comorbidities and surgical pathologies in one article, so further specific review articles should address them individually.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 8","pages":"Pages 519-525"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141696407","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
Body temperature and its regulation 体温及其调节
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.mpaic.2024.06.014
Yin Lam Jeffrey Yam
{"title":"Body temperature and its regulation","authors":"Yin Lam Jeffrey Yam","doi":"10.1016/j.mpaic.2024.06.014","DOIUrl":"10.1016/j.mpaic.2024.06.014","url":null,"abstract":"<div><p><span>Understanding human temperature physiology and its management has significant relevance across all clinical specialties. Not only does it influence anaesthetic drug metabolism, it also affects perioperative outcome. Thermal management is equally crucial in a multitude of clinical settings. In the neonatal intensive care unit<span> (ICU), paediatricians must carefully manage preterm babies' temperature. In the accident and emergency department, physicians manage near-drowning patients. Post-operative care for a patient with a </span></span>traumatic brain injury<span><span> in an adult ICU requires strict temperature control to prevent secondary </span>brain<span> injury. This article hopes to bring forth some key principles of thermoregulation, however temperature measurements and warming strategies are to be covered in other review articles. The article also highlights some important concepts of thermal-dysregulation such as fever and heat stroke, especially in the context of an ageing population and global warming.</span></span></p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 8","pages":"Pages 584-588"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706377","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
Perioperative management of patients with postoperative nausea and vomiting (PONV) risks 对有术后恶心和呕吐（PONV）风险的患者进行围手术期管理
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.mpaic.2024.07.011
Jonathan Pang, Alfred Chan
{"title":"Perioperative management of patients with postoperative nausea and vomiting (PONV) risks","authors":"Jonathan Pang,&nbsp;Alfred Chan","doi":"10.1016/j.mpaic.2024.07.011","DOIUrl":"10.1016/j.mpaic.2024.07.011","url":null,"abstract":"<div><p>Postoperative nausea and vomiting (PONV) is a common distressing symptom for patients undergoing surgery and anaesthesia, with incidence ranging from 30% in the general population up to 80% in the high-risk cohort. PONV increases patient dissatisfaction, with additional surgical and anaesthetic implications such as aspiration, wound dehiscence and raised intracranial pressure</p><p>This article highlights multifactorial aetiologies of PONV including patient, anaesthetic and surgical related factors. Neuropharmacology including activation of various receptors (dopaminergic, muscarinic, serotonergic) and cranial nerves VIII (acoustic-vestibular), IX (glossopharyngeal) and X (vagus nerve) is discussed. The most up-to-date PONV management and novel therapies are also discussed after literature review.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 8","pages":"Pages 555-559"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845514","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
Physiology and pharmacology of nausea and vomiting 恶心和呕吐的生理学和药理学
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-08-01 DOI: 10.1016/j.mpaic.2024.06.019
Louise Denholm, Geraldine Gallagher
{"title":"Physiology and pharmacology of nausea and vomiting","authors":"Louise Denholm,&nbsp;Geraldine Gallagher","doi":"10.1016/j.mpaic.2024.06.019","DOIUrl":"10.1016/j.mpaic.2024.06.019","url":null,"abstract":"<div><p><span>Nausea and vomiting are both very unpleasant experiences. The physiology is poorly understood; however, understanding what we do know is key to tailoring a preventative or therapeutic anti-emetic regime. There are two key sites in the central nervous system<span><span> implicated in the organization of the vomiting reflex: the vomiting centre and the chemoreceptor trigger zone. There are five key </span>neurotransmitters involved in afferent feedback to these areas. These are histamine (H</span></span><sub>1</sub> receptors), dopamine (D<sub>2</sub>), serotonin (5-HT<sub>3</sub><span><span>), acetyl-choline (muscarinic) and neurokinin<span><span><span> (substance P). Postoperative nausea and vomiting<span> will occur in around one-third of elective patients who have no prophylaxis. This can result in many detrimental effects including patient dissatisfaction, unplanned admission and prolonged recovery. It is therefore essential that clinicians understand how they can prevent and treat nausea and vomiting using either a single agent or a combination of anti-emetics to target relevant receptors. Commonly used drugs include antihistamines, </span></span>dopamine antagonists, </span>serotonin antagonists<span><span> and steroids. More novel agents are being developed such as aprepitant, a </span>neurokinin receptor antagonist, </span></span></span>palonosetron, a 5HT</span><sub>3</sub><span> receptor antagonist, and nabilone<span>, a synthetic cannabinoid.</span></span></p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 8","pages":"Pages 589-592"},"PeriodicalIF":0.2,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950232","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
Preoperative assessment and preparation for safe paediatric anaesthesia 安全儿科麻醉的术前评估和准备
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.mpaic.2024.05.005
Tim Geary, Liam Schneider
{"title":"Preoperative assessment and preparation for safe paediatric anaesthesia","authors":"Tim Geary,&nbsp;Liam Schneider","doi":"10.1016/j.mpaic.2024.05.005","DOIUrl":"https://doi.org/10.1016/j.mpaic.2024.05.005","url":null,"abstract":"<div><p>The delivery of anaesthesia to children and young people provides unique challenges. A careful, systematic approach to assessment and preparation can deliver a positive experience for the child, carers and staff while mitigating potential complications. Preparation for anaesthesia should encompass information-gathering, assessment and planning for anatomical, physiological, social and behavioural elements specific to the child and the surgery. Delivery of appropriate information, consent and fasting are also key elements of ensuring positive perioperative outcomes. We consider the common components of preparation for the delivery of safe paediatric anaesthesia.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 7","pages":"Pages 469-478"},"PeriodicalIF":0.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141543671","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
Equipment for airway management 气道管理设备
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.mpaic.2024.05.002
Meghan Carton, Craig Lyons
{"title":"Equipment for airway management","authors":"Meghan Carton,&nbsp;Craig Lyons","doi":"10.1016/j.mpaic.2024.05.002","DOIUrl":"https://doi.org/10.1016/j.mpaic.2024.05.002","url":null,"abstract":"<div><p>Airway management is undertaken to deliver oxygen, remove carbon dioxide and protect against pulmonary aspiration. This article describes the equipment utilized by airway providers in order to achieve these aims, aided by their relevant knowledge, skills and experience. The use of this equipment forms the basis of core airway management techniques, including facemask ventilation, use of supraglottic airway devices, laryngoscopy, awake tracheal intubation and front-of-neck access.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 7","pages":"Pages 458-464"},"PeriodicalIF":0.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141543669","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
Induction of anaesthesia 麻醉诱导
IF 0.2
Anaesthesia and Intensive Care Medicine Pub Date : 2024-07-01 DOI: 10.1016/j.mpaic.2024.05.006
Jillian Scott, Brian Lafferty, Robert Hart
{"title":"Induction of anaesthesia","authors":"Jillian Scott,&nbsp;Brian Lafferty,&nbsp;Robert Hart","doi":"10.1016/j.mpaic.2024.05.006","DOIUrl":"10.1016/j.mpaic.2024.05.006","url":null,"abstract":"<div><p>General anaesthesia is a state of controlled unconsciousness utilized to perform a therapeutic procedure. The aims of anaesthesia have traditionally been summarized by the triad of hypnosis, analgesia and muscle relaxation. The process begins with preoperative assessment of the patient before ensuring equipment and drugs are available and safe to use. Anaesthesia commences with administration of induction agents, delivered via inhalational or intravenous routes. Consideration of airway management is an essential component of the induction phase of anaesthesia. The choice and dose of induction agent is multifactorial and can include: co-morbidity; type of surgery, age and patient physiology. Following induction of anaesthesia, the maintenance phase of anaesthesia can be delivered via an inhalation or intravenous route. The administration of anaesthetic drugs is generally associated with rapid loss of airway reflexes and cardiorespiratory changes. Complications of general anaesthesia can include awareness, aspiration, anaphylaxis, airway loss, laryngospasm, cardiovascular instability, malignant hyperpyrexia and dental damage. Meticulous attention to detail is vital to minimize the risk of these potential complications.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 7","pages":"Pages 451-457"},"PeriodicalIF":0.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141406480","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：481959085
Book学术官方微信