Anaesthesia and Intensive Care最新文献_第10页

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2024-09-03 DOI: 10.1177/0310057X241261392

William Pl Bradley, Simon Reilly, Alexander D Smith

引用次数: 0

A comment on the clinical experience of cardiothoracic anaesthesia trainees in a tertiary Australian hospital. 对澳大利亚一家三级医院心胸麻醉实习生临床经验的评论。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2024-10-17 DOI: 10.1177/0310057X241272109

Lay Teng Tan, Ivan L Rapchuk

引用次数: 0

A case of cardiorespiratory collapse following bilateral sub-Tenon's blocks from brainstem anaesthesia. 一例脑干麻醉后双侧腱膜下阻滞后心肺功能衰竭的病例。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2024-09-23 DOI: 10.1177/0310057X241265729

Steven C Cai, Anne-Marie Amie W Dempster, Alfred Wy Chua

引用次数: 0

Intraoperative 'pressure field' haemodynamic monitoring in a patient with severe aortic regurgitation having laparoscopic robot-assisted colorectal surgery. 对一名接受腹腔镜机器人辅助结直肠手术的重度主动脉瓣反流患者进行术中 "压力场 "血流动力学监测。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2024-10-17 DOI: 10.1177/0310057X241263115

Walston R Martis, Charles Allen, Rajib Ahmed, Hilmy Ismail, Stephen Woodford, Bernhard Riedel

{"title":"Intraoperative 'pressure field' haemodynamic monitoring in a patient with severe aortic regurgitation having laparoscopic robot-assisted colorectal surgery.","authors":"Walston R Martis, Charles Allen, Rajib Ahmed, Hilmy Ismail, Stephen Woodford, Bernhard Riedel","doi":"10.1177/0310057X241263115","DOIUrl":"10.1177/0310057X241263115","url":null,"abstract":"Laparoscopic robot-assisted colorectal surgery can pose significant haemodynamic challenges for patients with severe aortic regurgitation. The increased afterload caused by pneumoperitoneum and aortic compression, along with concurrent factors like hypercarbia, Trendelenburg positioning and ventilatory impairment, can worsen aortic regurgitation, leading to myocardial ischaemia and heart failure. Transoesophageal echocardiography (TOE) assists haemodynamic management intraoperatively but requires subspecialist skills and enables limited inferences to be drawn regarding the impact of afterload on myocardial performance. Minimally invasive haemodynamic monitoring enabling real-time visualisation of a patient's 'pressure field' has been suggested as a potential adjunct or alternative to TOE, with the added advantage of providing continuous quantitative information about both stroke volume and the afterload to ventricular ejection in a single visualisation. We describe an example of successful concurrent use of pressure field haemodynamic monitoring and TOE in a patient with severe aortic regurgitation having a prolonged laparoscopic robot-assisted pelvic exenteration.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"420-426"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A cross-sectional study of the relationship between iron deficiency anaemia and chronic pain. 缺铁性贫血与慢性疼痛关系的横断面研究。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI: 10.1177/0310057X241263612

Kerstin H Wyssusek, Christine A Woods, Emily T Minard, Julie Lee, Anita Pelecanos, Paul Gray

{"title":"A cross-sectional study of the relationship between iron deficiency anaemia and chronic pain.","authors":"Kerstin H Wyssusek, Christine A Woods, Emily T Minard, Julie Lee, Anita Pelecanos, Paul Gray","doi":"10.1177/0310057X241263612","DOIUrl":"10.1177/0310057X241263612","url":null,"abstract":"Iron deficiency and iron deficiency anaemia are frequently under-recognised in chronic conditions with non-specific symptoms, including fatigue. This study aimed to assess the prevalence of iron deficiency with or without anaemia in chronic pain patients, and the association between iron deficiency status, fatigue and health-related quality of life. Eighty-two patients attending chronic pain outpatient appointments were recruited into this cross-sectional study. Iron studies and haemoglobin were determined from venous blood samples. Participants' health-related quality of life was assessed with the 36-item short form survey and fatigue with the functional assessment of chronic illness therapy fatigue scale. Iron deficiency was prevalent in 58.8% of patients and 2.5% met the criteria for iron deficiency anaemia. There was no significant association between iron deficiency status and the functional assessment of chronic illness therapy fatigue scale score or 36-item short form survey domain scores. There was a high prevalence of iron deficiency in this group of chronic pain patients, while the prevalence of iron deficiency anaemia was low. There was no statistically significant association found between iron deficiency status and fatigue or quality of life measures.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"369-376"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142131647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

JG Farrell and The Lung: An early description of intensive care delirium in literature. 法雷尔与肺:重症监护谵妄的早期文献描述。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2023-11-25 DOI: 10.1177/0310057X231178836

John G O'Connell, Finbarr J Condon-English, Brian P O'Brien

引用次数: 0

Maximising environmental sustainability on the return to in-person conferencing: Report from a 2500-person anaesthesia meeting in Sydney, Australia. 在恢复现场会议的过程中最大限度地实现环境可持续性：澳大利亚悉尼 2500 人麻醉会议报告。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI: 10.1177/0310057X241264576

Fran Lalor, Shanel L Cameron, Tanya Selak, Stefan Jm Dieleman

{"title":"Maximising environmental sustainability on the return to in-person conferencing: Report from a 2500-person anaesthesia meeting in Sydney, Australia.","authors":"Fran Lalor, Shanel L Cameron, Tanya Selak, Stefan Jm Dieleman","doi":"10.1177/0310057X241264576","DOIUrl":"10.1177/0310057X241264576","url":null,"abstract":"The COVID-19 pandemic disrupted medical conferences, where restrictions on public gatherings resulted in the postponement or cancellation of in-person meetings. Virtual events emerged as a substitute, providing a mechanism for scientific collaboration and continuing medical education with the additional benefit of low environmental impact. However, digital events may not meet all the needs of delegates, such as professional networking and social connection. In this report, we describe the methods used to minimise the carbon footprint of the 2023 Australian and New Zealand College of Anaesthetists' Annual Scientific Meeting, a conference with approximately 2000 in-person and 500 virtual delegates. A core group led the initiative, with all conference participants invited to contribute to this goal. A prospective prediction of carbon generation was undertaken, followed by the implementation of strategies to minimise and then measure the total carbon footprint of the event. Post-event calculations assessed the conference as better than carbon-neutral; however, delegate travel was not included in the analysis and therefore this result is tempered. Off-site workshops including virtual offerings were also not included in the analysis. We encourage medical conference organisers to collaborate with all stakeholders to embed low carbon-generation choices for their meetings where education, networking and social needs are also met.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"351-355"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142131649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Urinary chloride excretion in critical illness and acute kidney injury: a paediatric hypothesis-generating cohort study post cardiopulmonary bypass surgery. 危重病和急性肾损伤时的尿氯排泄：心肺旁路手术后儿科假设队列研究。

IF 1.5 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-09-11 DOI: 10.1177/0310057x241265119

Adrian C Mattke,Kerry E Johnson,Krishanti Ariyawansa,Peter Trnka,Prem S Venugopal,David Coman,Andreas Schibler,Kristen Gibbons

{"title":"Urinary chloride excretion in critical illness and acute kidney injury: a paediatric hypothesis-generating cohort study post cardiopulmonary bypass surgery.","authors":"Adrian C Mattke,Kerry E Johnson,Krishanti Ariyawansa,Peter Trnka,Prem S Venugopal,David Coman,Andreas Schibler,Kristen Gibbons","doi":"10.1177/0310057x241265119","DOIUrl":"https://doi.org/10.1177/0310057x241265119","url":null,"abstract":"Renal chloride metabolism is currently poorly understood but may serve as both a diagnostic and a treatment approach for acute kidney injury. We investigated whether plasma chloride, ammonia and glutamine as well as urinary chloride, ammonium and glutamine concentrations may serve as markers for acute kidney injury in paediatric patients. We conducted a prospective observational trial in a tertiary care paediatric intensive care unit. Ninety-one patients after cardiopulmonary bypass surgery were enrolled. Plasma glutamine, creatinine, (serum) albumin, urinary electrolytes and glutamine were collected pre-cardiopulmonary bypass surgery, at paediatric intensive care unit admission, and at 6, 12, 24, 48 and 72 h after paediatric intensive care unit admission. The urinary strong ion difference was calculated. The median urinary chloride excretion decreased from 51 mmol/L pre-cardiopulmonary bypass to 25 mmol/L at paediatric intensive care unit admission, and increased from 24 h onwards. Patients with acute kidney injury had lower urinary chloride excretion than those without. The median urinary strong ion difference was 59 mmol/L pre-cardiopulmonary bypass, rose to 131 mmol/L at 24 h and fell to 20 mmol/L at 72 h. The plasma chloride rose from 105 mmol/L pre-cardiopulmonary bypass to a maximum of 109 mmol/L at 24 h. At 24 h the plasma chloride concentration was associated with the presence of acute kidney injury. There was no association between plasma or urinary amino acids and chloride excretion or kidney injury. In conclusion, renal chloride excretion decreased in all patients, although this decrease was more pronounced in patients with acute kidney injury. Our findings may reflect a response of the kidneys to critical illness, and acute kidney injury may make these changes more pronounced. Targeting chloride metabolism may offer treatment approaches to acute kidney injury.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":"8 1","pages":"310057X241265119"},"PeriodicalIF":1.5,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142196317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Variations of nitrous oxide procurement per public hospital bed between Australian states and territories: A cross-sectional analysis. 澳大利亚各州和地区公立医院每张病床一氧化二氮采购量的变化：横截面分析。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-09-01 Epub Date: 2024-08-30 DOI: 10.1177/0310057X241262796

Elizabeth P Hu, Hayden Burch, Eugenie Kayak, Forbes McGain

{"title":"Variations of nitrous oxide procurement per public hospital bed between Australian states and territories: A cross-sectional analysis.","authors":"Elizabeth P Hu, Hayden Burch, Eugenie Kayak, Forbes McGain","doi":"10.1177/0310057X241262796","DOIUrl":"10.1177/0310057X241262796","url":null,"abstract":"We aimed to identify variations in nitrous oxide (N2O) procurement between Australian states and territories per public hospital bed by undertaking a cross-sectional analysis of N2O procurement data for all Australian public hospitals from 1 January 2017 to 30 June 2022. Data were obtained from state and territory departments of health. All Australian public hospitals across six states and two territories were included. We obtained N2O procurement data from Department of Health representatives from all states and territories, accounting for all 697 Australian public hospitals and four public dental hospitals. The main outcome measured in this study was N2O procurement per public hospital bed by state or territory. Across the 5 years (1 January 2017 to 30 June 2022) an average of 242,054 (standard deviation (SD) 16,222) kg of N2O, equivalent to 64,144 (4299) tonnes of carbon dioxide emissions (CO2e), were procured per annum. CO2e emissions from N2O purchase varied more than threefold per public hospital bed between different states/territories (0.47-1.48 CO2e tonnes per hospital bed). There were significant variations in N2O procurement between Australian states and territories when adjusted for public hospital bed numbers. Further analysis of this variation to determine cause and to guide mitigation interventions is therefore warranted.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"321-327"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11484155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The nature of the response to airway management incident reports in high income countries: A scoping review. 高收入国家对气道管理事件报告的反应性质：范围审查。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-09-01 DOI: 10.1177/0310057X241227238

Yasmin Endlich, Ellen L Davies, Janet Kelly

{"title":"The nature of the response to airway management incident reports in high income countries: A scoping review.","authors":"Yasmin Endlich, Ellen L Davies, Janet Kelly","doi":"10.1177/0310057X241227238","DOIUrl":"10.1177/0310057X241227238","url":null,"abstract":"Adverse events associated with failed airway management may have catastrophic consequences, and despite many advances in knowledge, guidelines and equipment, airway incidents and patient harm continue to occur. Patient safety incident reporting systems have been established to facilitate a reduction in incidents. However, it has been found that corrective actions are inadequate and successful safety improvements scarce. The aim of this scoping review was to assess whether the same is true for airway incidents by exploring academic literature that describes system changes in airway management in high-income countries over the last 30 years, based on findings and recommendations from incident reports and closed claims studies. This review followed the most recent guidance from the Joanna Briggs Institute (JBI). PubMed, Ovid MEDLINE and Embase, the JBI database, SCOPUS, the Cochrane Library and websites for anaesthetic societies were searched for eligible articles. Included articles were analysed and data synthesised to address the review's aim. The initial search yielded 28,492 results, of which 111 articles proceeded to the analysis phase. These included 23 full-text articles, 78 conference abstracts and 10 national guidelines addressing a range of airway initiatives across anaesthesia, intensive care and emergency medicine. While findings and recommendations from airway incident analyses are commonly published, there is a gap in the literature regarding the resulting system changes to reduce the number and severity of adverse airway events. Airway safety management mainly focuses on Safety-I events and thereby does not consider Safety-II principles, potentially missing out on all the information available from situations where airway management went well.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"283-301"},"PeriodicalIF":1.1,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0