Anaesthesia and Intensive Care最新文献_第2页

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

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

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

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

Reference value models for predicting preoperative six-minute walk test in patients scheduled for abdominal and pelvic cancer surgery. 预测腹部和盆腔癌症手术患者术前六分钟步行测试的参考值模型。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-10-17 DOI: 10.1177/0310057X241267907

Preet Gs Makker, Cherry Koh, Michael J Solomon, Nabila Ansari, Neil Pillinger, Linda Denehy, Bernhard Riedel, Lara Edbrooke, Jess Crowe, Duminda N Wijeysundera, Brian H Cuthbertson, Daniel Steffens

{"title":"Reference value models for predicting preoperative six-minute walk test in patients scheduled for abdominal and pelvic cancer surgery.","authors":"Preet Gs Makker, Cherry Koh, Michael J Solomon, Nabila Ansari, Neil Pillinger, Linda Denehy, Bernhard Riedel, Lara Edbrooke, Jess Crowe, Duminda N Wijeysundera, Brian H Cuthbertson, Daniel Steffens","doi":"10.1177/0310057X241267907","DOIUrl":"https://doi.org/10.1177/0310057X241267907","url":null,"abstract":"Preoperative assessment of functional capacity with the six-minute walk test (6MWT) allows for estimation of surgical risk and targeted triage to prehabilitation services. Patient with abdominal and pelvic cancers have worse preoperative function compared with the general population. However, six-minute walk distance (6MWD) reference values from cancer patients are unknown, which limits the interpretation of 6MWT in this population. This study aimed to establish an explanatory reference value model for preoperative 6MWD in patients with abdominal or pelvic cancers undergoing elective surgery. Adult patients undergoing surgery for abdominal or pelvic cancers at major international hospitals were included. The 6MWT was assessed before surgery using a standardised protocol. Anthropometric data including age, sex, height, weight and body mass index (BMI) were collected and included in multiple linear regression analysis to model preoperative 6MWD. A total of 742 patients were included. Age, height and BMI were correlated with 6MWD. Six regression models were estimated, including two from the entire cohort, two from the subset of males and two from the subset of females. A sex-neutral model was the most representative, explaining 15% of the variance in 6MWD (6MWD = 761.00-3.00 * Age (years) -2.86 * BMI (kg/m2) - 48.09 * Sex (M1, F2)). The explored regression models, using anthropometric variables, poorly explained the variance between measured and modelled 6MWD, which suggests that these models have no clinical utility in the cancer population. Consideration of additional, non-anthropometric variables may improve regression modelling of preoperative 6MWD in patients in abdominal and pelvic cancers.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"310057X241267907"},"PeriodicalIF":1.1,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456184","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

Two episodes of delayed emergence in a healthy young man. 一名健康的年轻人两次延迟出院。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-10-17 DOI: 10.1177/0310057X241275126

James R Nielsen, Anil Keshava

引用次数: 0

The effect of deep versus awake removal of the laryngeal mask airway on the incidence of emergence delirium in paediatric tonsillectomy: A randomised controlled trial. 在小儿扁桃体切除术中，深喉与清醒拔除喉罩气道对出现谵妄的影响：随机对照试验。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-10-17 DOI: 10.1177/0310057X241275114

Dhruv Kapoor, Eliza A Tweddle, Luke Baitch

{"title":"The effect of deep versus awake removal of the laryngeal mask airway on the incidence of emergence delirium in paediatric tonsillectomy: A randomised controlled trial.","authors":"Dhruv Kapoor, Eliza A Tweddle, Luke Baitch","doi":"10.1177/0310057X241275114","DOIUrl":"https://doi.org/10.1177/0310057X241275114","url":null,"abstract":"Emergence delirium, characterised by inconsolable crying, perceptual disturbances and thrashing, occurs in young children during the recovery phase from general anaesthesia. Our aim was to determine whether timing of laryngeal mask airway removal (deeply anaesthetised versus awake) influenced the incidence of emergence delirium in children after tonsillectomy. A single-centre, randomised controlled trial was conducted at Albury Wodonga Health, a regional hospital in Australia. Included patients were two to seven years old, American Society of Anesthesiologists physical status classification 1-2, undergoing elective tonsillectomy (with or without adenoidectomy or grommet insertion) under general anaesthesia. Patients were randomised to have their laryngeal mask removed whilst deeply anaesthetised (in the operating theatre) or after awakening (in the post-anaesthesia care unit (PACU)). Pediatric Anesthesia Emergence Delirium score was determined at 5 and 20 min after eye opening, and frequency of complications (cough, vomiting, excessive salivation, oxygen desaturation and laryngospasm) in the PACU were recorded. Sixty-two patients were randomised to deep laryngeal mask removal and 62 to awake. In the awake versus deep groups, 33 (53%) versus 40 (65%) participants had emergence delirium at 5 min (odds ratio (OR) 0.63, 95% confidence interval (CI) 0.30 to 1.29, P = 0.20). At 20 min, 18 (29%) vs. 19 (31%) participants had emergence delirium (OR 0.93, 95% CI 0.43 to 2.00, P = 0.88). A greater incidence of most PACU complications was observed in the awake versus deep group; cough (24% vs. 8%), vomiting (8% vs. 0%), excessive salivation (23% vs. 8%) and oxygen desaturation (16% vs. 0%). We found no significant difference between the two techniques in terms of preventing emergence delirium. However, other PACU complications were more frequent with awake removal.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"310057X241275114"},"PeriodicalIF":1.1,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456186","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

Fibreoptic intubation in children and young people in resource-limited settings: A case series during a humanitarian aid operation in Guinea. 在资源有限的环境中为儿童和青少年进行光纤插管：几内亚人道主义援助行动中的系列病例。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-10-17 DOI: 10.1177/0310057X241272111

Raphael Laurent, Eva Kardous, Oumar R Diallo, Charles Collet, Hervé Benateau, René Allary, Florent Baudin

引用次数: 0

Mimicking the Eleveld propofol target-controlled infusion model using the Marsh model with weight adjustment in a super-obese patient. 在超级肥胖患者中使用带有体重调整功能的马什模型模拟 Eleveld 异丙酚靶控输注模型。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-09-23 DOI: 10.1177/0310057X241275122

George Zhong, Sarah J Wong

引用次数: 0

Evaluation of enhanced recovery room care models. 评估康复室强化护理模式。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2024-09-23 DOI: 10.1177/0310057X241275110

Guy L Ludbrook, Nick Koning, Tarik Sammour

引用次数: 0