Anaesthesia and Intensive Care最新文献_第6页

The impact of the introduction of monitored anaesthesia care in the cardiac catheterisation laboratory on Clinical Review, Rapid Response, and Blue Code rates, and mortality. 在心导管实验室引入麻醉监护对临床回顾、快速反应、蓝码率和死亡率的影响。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2025-07-01 Epub Date: 2025-02-11 DOI: 10.1177/0310057X241304423

Sophie A Meyerson, Ben Olesnicky, Gene Lee, Andrea S Santoro, Ravinay Bhindi

{"title":"The impact of the introduction of monitored anaesthesia care in the cardiac catheterisation laboratory on Clinical Review, Rapid Response, and Blue Code rates, and mortality.","authors":"Sophie A Meyerson, Ben Olesnicky, Gene Lee, Andrea S Santoro, Ravinay Bhindi","doi":"10.1177/0310057X241304423","DOIUrl":"10.1177/0310057X241304423","url":null,"abstract":"Most procedures in cardiac catheterisation laboratories (CCLs) have traditionally been performed under conscious sedation under the supervision of the treating proceduralist. With growing demand for more complex procedures to be performed, in emergencies and in patients with limited cardiorespiratory reserve, a reconsideration of the level of supervision provided is required. We conducted a retrospective cohort study of all patients who had CCL procedures and required an overnight stay at Royal North Shore Hospital during a 12-month period prior to introducing monitored anaesthesia care (MAC), compared with a 12-month period following introduction of MAC on selected weekdays. Primary outcomes were the difference in rates of Code Blue calls (triggering the cardiac arrest team), Clinical Reviews and Rapid Responses (defined as per the NSW Health 'Between the Flags' Deteriorating Patient Safety Net System) in the 24 h post-procedure between patients who did and did not have MAC. The secondary outcome was a difference in mortality (within 24 h of a procedure and in-hospital) between patients who did and did not have MAC. One thousand nine hundred and eight patients were analysed (926 pre-intervention, 982 post-intervention). We found no statistically significant difference in any of the primary or secondary outcomes between the pre-intervention and post-intervention patients overall. However, we found a statistically significant lower rate of Code Blue calls in patients who had MAC (n = 3, 0.6%) compared with no MAC (n = 31, 2.3%). We also found a significantly lower 24-h mortality in patients who had MAC (n = 1, 0.2%) compared with no MAC (n = 22, 1.6%), but no difference in overall in-hospital mortality.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"265-271"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143397801","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

Documentation of informed consent for anaesthesia: A single-site retrospective audit at a rural Australian hospital. 麻醉知情同意文件：澳大利亚农村医院单点回顾性审计。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2025-07-01 Epub Date: 2025-01-06 DOI: 10.1177/0310057X241281364

Yannick J De Silva, Luke Anderson

引用次数: 0

The history of warfarin. 华法林的历史。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2025-05-01 Epub Date: 2025-04-26 DOI: 10.1177/0310057X251323777

Christine M Ball, Peter J Featherstone

引用次数: 0

Returning to work following parental leave: the experiences of Australian anaesthetists. 产假后重返工作岗位：澳大利亚麻醉师的经验。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2025-05-01 Epub Date: 2025-03-28 DOI: 10.1177/0310057X241265726

Isabelle L Cooper, Anna F Pietzsch, Rosmarin Zacher, Lachlan Webb, Anita Pelecanos, Victoria A Eley

{"title":"Returning to work following parental leave: the experiences of Australian anaesthetists.","authors":"Isabelle L Cooper, Anna F Pietzsch, Rosmarin Zacher, Lachlan Webb, Anita Pelecanos, Victoria A Eley","doi":"10.1177/0310057X241265726","DOIUrl":"10.1177/0310057X241265726","url":null,"abstract":"With increasing gender balance in specialist medical training and employment in Australia, there is a corresponding need to consider how parental leave and subsequent return to work is managed in the workplace. An electronic survey exploring the experiences of pregnancy and return to work following parental leave was distributed by the Australian and New Zealand College of Anaesthetists (ANZCA). The return-to-work component of the survey evaluated parental leave and return-to-work patterns, lactation practices and facilities, supports and resources utilised during the return-to-work process. We report on 391 return-to-work episodes from 219 respondents. One hundred and seventy-two (79%) were specialists at the time of survey completion. Six to 11 months was the most frequent duration of parental leave, and this duration was associated with higher satisfaction levels than shorter durations of leave (odds ratio 5.44, 95% confidence interval 3.18-9.31, P < 0.001). Breastfeeding continued in 246 (63%) return-to-work episodes, and absent or inadequate lactation facilities were reported in 239 (88%). In 227 (58%) return-to-work experiences, respondents received no formal support on returning to work. One hundred and thirty-five (62%) respondents did not utilise any existing return-to-work resources, and family and friends were the main source of support for 113 (52%) respondents. Return-to-work processes should be tailored to meet individual needs. Consistent with existing recommendations, satisfactory lactation facilities must be provided. We recommend that the period of one-to-one supervision be flexible and negotiated, to suit the unique return-to-work trajectory of each worker. Existing ANZCA resources could assist departments in supporting anaesthetists who return to work following parental leave.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"181-189"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727546","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

Perioperative anaphylaxis in Malaysia: A nine-year retrospective study. 马来西亚围手术期过敏反应：一项9年回顾性研究。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2025-05-01 Epub Date: 2025-02-04 DOI: 10.1177/0310057X241284655

Fan-Yin Kwok, Mun-Tsong Hui, Cindy Thomas Joseph, Arfah Hanim Binti Mohamad, Mohammed-Faizal Bakhtiar

{"title":"Perioperative anaphylaxis in Malaysia: A nine-year retrospective study.","authors":"Fan-Yin Kwok, Mun-Tsong Hui, Cindy Thomas Joseph, Arfah Hanim Binti Mohamad, Mohammed-Faizal Bakhtiar","doi":"10.1177/0310057X241284655","DOIUrl":"10.1177/0310057X241284655","url":null,"abstract":"Diagnosis of perioperative anaphylaxis (POA) and identification of causative agents remain challenging. This study aimed to describe the estimated incidence, characteristics and causative agents of POA in Malaysia. This is a retrospective review of all cases of suspected POA referred to the only anaesthetic allergy centre in Malaysia from March 2014 to December 2022. One hundred and ninety patients with suspected POA of Grade 2 and above were included. Data on clinical presentation, severity, management, serum tryptase and subsequent allergy workup (including skin and serum testing results) of these patients were extracted from the database. Dynamic tryptase was elevated in half of the cases where tryptase results were available and skin tests were positive in 96% of these cases. Skin testing was positive in 113 patients (60%) overall, and more than 70% of Grades 3 and 4 anaphylaxis cases. Neuromuscular blocking agents (NMBAs) and antibiotics were the most commonly identified causative agents (27.4% and 23% respectively). The commonest NMBAs were rocuronium and atracurium, both commonly cross-reacting with cisatracurium. The overall cross-reactivity rate among NMBAs was 58%. For antibiotics, the commonest causative agents were cefuroxime, ceftriaxone and amoxicillin/clavulanic acid. Using these data, the estimated incidence of Grades 2-4 POA over this period in Malaysia was approximately 1 in 30,000 anaesthetics. However, owing to the voluntary nature of reporting, it is possible that this is an underestimate, particularly in relation to some milder Grade 2 cases which may have gone unrecognised or unreported.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"171-180"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188207","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

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 : 2025-05-01 Epub Date: 2024-09-23 DOI: 10.1177/0310057X241275110

Guy L Ludbrook, Nick Koning, Tarik Sammour

引用次数: 0

Awards for papers published in Anaesthesia and Intensive Care, 2023. 发表在《麻醉与重症监护》杂志上的论文获奖，2023年。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2025-05-01 Epub Date: 2025-02-11 DOI: 10.1177/0310057X241298852

John A Loadsman, Michael G Cooper

引用次数: 0

Expert opinions on the applicability of the European guidelines on postoperative delirium in Australia and New Zealand. 关于欧洲术后谵妄指南在澳大利亚和新西兰的适用性的专家意见。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2025-05-01 Epub Date: 2025-02-11 DOI: 10.1177/0310057X241300166

Neil L Pillinger, Robert D Sanders

引用次数: 0

Thanks to Reviewers. 感谢评论者。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2025-05-01 Epub Date: 2025-02-12 DOI: 10.1177/0310057X251317125

引用次数: 0

The elective use of percutaneous transtracheal oxygen insufflation for laryngeal surgery in a patient with a known difficult airway. 择期应用经皮经气管充氧治疗已知气道困难的喉部手术。

IF 1.1 4区医学

Anaesthesia and Intensive Care Pub Date : 2025-05-01 Epub Date: 2025-02-04 DOI: 10.1177/0310057X241285921

Matthew J Bolland, David T Andrews, Daryl L Williams

引用次数: 0