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Anaesthetic management of a parturient with hypokalaemic periodic paralysis for caesarean section: A case report and review of the literature. 剖腹产低钾周期性麻痹产妇的麻醉管理：病例报告和文献综述。
IF 1.1 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-07-01 Epub Date: 2024-06-16 DOI: 10.1177/0310057X231178840
Rachel M Vassiliadis
{"title":"Anaesthetic management of a parturient with hypokalaemic periodic paralysis for caesarean section: A case report and review of the literature.","authors":"Rachel M Vassiliadis","doi":"10.1177/0310057X231178840","DOIUrl":"10.1177/0310057X231178840","url":null,"abstract":"<p><p>A 32-year-old multigravida woman, with known familial hypokalaemic periodic paralysis, underwent spinal anaesthesia for an elective lower segment caesarean section. There are several case reports in the literature discussing the optimal anaesthetic technique. In the past there has not been an emphasis on aggressive and early potassium replacement. A target level to commence replacement of potassium at 4.0 mmol/L or less is proposed. Careful preoperative preparation, frequent perioperative monitoring and early potassium replacement resulted in no perioperative episodes of weakness in this case, in contrast with other case reports where potassium was either not monitored or not replaced early enough, resulting in postoperative attacks. Another factor to consider in hypokalaemic periodic paralysis is the avoidance of triggers, including certain medications. Misoprostol was used in this instance to avoid potential electrolyte derangements from other uterotonics.</p>","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"250-255"},"PeriodicalIF":1.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327031","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
Awards for papers published in Anaesthesia and Intensive Care, 2022. 为 2022 年在《麻醉与重症监护》上发表的论文颁奖。
IF 1.5 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-06-16 DOI: 10.1177/0310057X241257815
John A Loadsman, Michael G Cooper
{"title":"Awards for papers published in <i>Anaesthesia and Intensive Care</i>, 2022.","authors":"John A Loadsman, Michael G Cooper","doi":"10.1177/0310057X241257815","DOIUrl":"https://doi.org/10.1177/0310057X241257815","url":null,"abstract":"","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"310057X241257815"},"PeriodicalIF":1.5,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141327032","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
Development of a symbiotic culture of bacteria and yeast (SCOBY) farm to manufacture artificial skin for front of neck airway access simulation. 开发细菌和酵母（SCOBY）共生培养农场，用于制造颈前气道通路模拟人工皮肤。
IF 1.1 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-05-01 Epub Date: 2024-02-06 DOI: 10.1177/0310057X231213109
Jeremy S Young, Raja R Palepu, Melita Macdonald, James R Mcalpine, James R Broadbent
{"title":"Development of a symbiotic culture of bacteria and yeast (SCOBY) farm to manufacture artificial skin for front of neck airway access simulation.","authors":"Jeremy S Young, Raja R Palepu, Melita Macdonald, James R Mcalpine, James R Broadbent","doi":"10.1177/0310057X231213109","DOIUrl":"10.1177/0310057X231213109","url":null,"abstract":"","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"184-187"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139691019","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
Ability of anaesthetists to identify the position of the right internal jugular vein using anatomical landmarks: A double-blind study. 麻醉师利用解剖标志识别右颈内静脉位置的能力：双盲研究。
IF 1.1 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-05-01 Epub Date: 2024-02-06 DOI: 10.1177/0310057X231212504
Apurv Sehgal, Bethany Walker, Fideron Sl Tsang, Sameen Anodiyil, David W Hewson
{"title":"Ability of anaesthetists to identify the position of the right internal jugular vein using anatomical landmarks: A double-blind study.","authors":"Apurv Sehgal, Bethany Walker, Fideron Sl Tsang, Sameen Anodiyil, David W Hewson","doi":"10.1177/0310057X231212504","DOIUrl":"10.1177/0310057X231212504","url":null,"abstract":"","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"200-202"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139691018","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 case series of the Royal Perth Hospital cannula-first approach in the 'can't intubate, can't oxygenate' scenario. 珀斯皇家医院在 "无法插管、无法吸氧 "的情况下采用插管先行法的病例系列。
IF 1.1 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-05-01 Epub Date: 2024-03-28 DOI: 10.1177/0310057X231214548
Andrew Mb Heard, David A Lacquiere, Helen L Gordon, Scott G Douglas, Hans J Avis
{"title":"A case series of the Royal Perth Hospital cannula-first approach in the 'can't intubate, can't oxygenate' scenario.","authors":"Andrew Mb Heard, David A Lacquiere, Helen L Gordon, Scott G Douglas, Hans J Avis","doi":"10.1177/0310057X231214548","DOIUrl":"10.1177/0310057X231214548","url":null,"abstract":"<p><p>At the Royal Perth Hospital, we have been developing and teaching a can't intubate, can't oxygenate (CICO) rescue algorithm for over 19 years, based on live animal simulation. The algorithm involves a 'cannula-first' approach, with jet oxygenation and progression to scalpel techniques if required in a stepwise fashion. There is little reported experience of this approach to the CICO scenario in humans. We present eight cases in which a cannula-first Royal Perth Hospital approach was successfully implemented during an airway crisis. We recommend that institutions teach and practice this approach; we believe it is effective, safe and minimally invasive when undertaken by clinicians who have been trained in it and have immediate access to the requisite equipment. The equipment is low cost, comprising a 14G Insyte cannula, saline, 5 ml syringe and a Rapid-O2. Training can be provided using low-fidelity manikins or part-task trainers.</p>","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"159-167"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140304431","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
Time to re-evaluate the routine use of sterile gowns in neuraxial anaesthesia. 是时候重新评估无菌衣在轴向麻醉中的常规使用了。
IF 1.1 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-05-01 Epub Date: 2023-11-25 DOI: 10.1177/0310057X231210314
Bradley H Tuohey, Cliff L Shelton, Stefan Dieleman, Forbes McGain
{"title":"Time to re-evaluate the routine use of sterile gowns in neuraxial anaesthesia.","authors":"Bradley H Tuohey, Cliff L Shelton, Stefan Dieleman, Forbes McGain","doi":"10.1177/0310057X231210314","DOIUrl":"10.1177/0310057X231210314","url":null,"abstract":"","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"197-199"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138440211","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
I-Excel: A preparation course for specialist international medical graduate candidates for the Australian and New Zealand College of Anaesthetists final fellowship examination. I-Excel：澳大利亚和新西兰麻醉师学院国际医学专科毕业生最终奖学金考试预备课程。
IF 1.1 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-05-01 Epub Date: 2024-02-06 DOI: 10.1177/0310057X231214550
Nicholas M Woodland, Lahiru Amaratunge, Narguess Jahangiri
{"title":"I-Excel: A preparation course for specialist international medical graduate candidates for the Australian and New Zealand College of Anaesthetists final fellowship examination.","authors":"Nicholas M Woodland, Lahiru Amaratunge, Narguess Jahangiri","doi":"10.1177/0310057X231214550","DOIUrl":"10.1177/0310057X231214550","url":null,"abstract":"","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":" ","pages":"203-206"},"PeriodicalIF":1.1,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139691020","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
‘On the inhalation of the vapour of Æther, with cases’: The first paper on anaesthesia read before a medical society in Australia 关于吸入乙醚蒸汽，附病例"：澳大利亚医学会宣读的第一篇麻醉论文
IF 1.5 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-04-19 DOI: 10.1177/0310057x231214552
Rajesh P Haridas
{"title":"‘On the inhalation of the vapour of Æther, with cases’: The first paper on anaesthesia read before a medical society in Australia","authors":"Rajesh P Haridas","doi":"10.1177/0310057x231214552","DOIUrl":"https://doi.org/10.1177/0310057x231214552","url":null,"abstract":"On 7 September 1847, in Melbourne in the Port Phillip District of the Colony of New South Wales, David John Thomas (1813–1871) presented a paper, ‘On the inhalation of the vapour of Æther, with cases’, at an ordinary monthly meeting of the Port Phillip Medical Association. This is the earliest known presentation of a paper on etherisation in Australia. The partial publication of the manuscript in October 1847 in the Australian Medical Journal may have led to it being returned to Thomas in Melbourne. The handwritten manuscript is now preserved in the Medical History Museum, University of Melbourne, Melbourne, Victoria. A transcript of the complete manuscript is now recorded with relevant historical notes.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":"41 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628036","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
Thanks to Reviewers 感谢审稿人
IF 1.5 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-04-15 DOI: 10.1177/0310057x241233456
{"title":"Thanks to Reviewers","authors":"","doi":"10.1177/0310057x241233456","DOIUrl":"https://doi.org/10.1177/0310057x241233456","url":null,"abstract":"","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":"2015 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140579734","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
Simulated impact of lift car sizes on transport of critical care patients: Informing the design of the New Dunedin Hospital 模拟电梯轿厢尺寸对运送危重病人的影响：为新达尼丁医院的设计提供依据
IF 1.5 4区 医学
Anaesthesia and Intensive Care Pub Date : 2024-04-15 DOI: 10.1177/0310057x241226720
Sheila G Barnett, Katherine M Stephens
{"title":"Simulated impact of lift car sizes on transport of critical care patients: Informing the design of the New Dunedin Hospital","authors":"Sheila G Barnett, Katherine M Stephens","doi":"10.1177/0310057x241226720","DOIUrl":"https://doi.org/10.1177/0310057x241226720","url":null,"abstract":"The New Dunedin Hospital (NDH) is New Zealand’s largest health infrastructure build. Here we describe the use of a simple simulation-based hospital design exercise to inform the appropriate lift car size for critical care intrahospital transfers in the NDH. The intensive care unit (ICU) user group tested a series of entries and exits of simulated complex patient transfers in mocked-up lift cars of three different dimensions. Time taken to enter and exit the lift were recorded, reflecting the relative difficulty of transfer. Qualitative assessments were made of ease and perceived safety of transfer. These simulations demonstrated that recommended standard patient lift cars, often proposed for critical care transfers, could not physically accommodate all complex ICU transfers. A size of 1800 mm wide (W) × 3000 mm deep (D) had the physical capacity to permit all simulated ICU transfers, but with staff and patient risk. As lift car size increased to 2200 mm W × 3300 mm D, the simulation demonstrated reduced transfer times, smoother entry and exit, improved access to the head end of the bed, and reduced risk of disconnection or dislodgement of lines and airway support. The resultant clinical recommendations for the dimensions of a critical care lift car surpass current international health architecture guidelines and may help to inform future updates. The NDH project benefited from an objective assessment of risk, in language familiar to clinicians and healthcare architects. The outcome was an upsizing of the two ICU-capable lifts.","PeriodicalId":7746,"journal":{"name":"Anaesthesia and Intensive Care","volume":"274 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140579740","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
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