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Current anaesthesia and critical care最新文献

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Continuing Professional Development: Enhanced Recovery MCQs and self-assessment questions 持续专业发展:增强恢复mcq和自我评估问题
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-03-07 DOI: 10.1016/j.cacc.2010.02.006
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引用次数: 0
A case of atypical HELLP (haemolysis, elevated liver enzymes and low platelet count) syndrome presenting as bleeding from the epidural puncture site during labour 非典型HELLP(溶血，肝酶升高和血小板计数低)综合征的病例表现为分娩时硬膜外穿刺部位出血
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-03-04 DOI: 10.1016/j.cacc.2010.02.004
S. Roopa, Harihar V. Hegde, Rohini Bhat Pai, Vijay G. Yaliwal, P. Raghavendra Rao
{"title":"A case of atypical HELLP (haemolysis, elevated liver enzymes and low platelet count) syndrome presenting as bleeding from the epidural puncture site during labour","authors":"S. Roopa,&nbsp;Harihar V. Hegde,&nbsp;Rohini Bhat Pai,&nbsp;Vijay G. Yaliwal,&nbsp;P. Raghavendra Rao","doi":"10.1016/j.cacc.2010.02.004","DOIUrl":"10.1016/j.cacc.2010.02.004","url":null,"abstract":"<div><p>HELLP (haemolysis, elevated liver enzymes and low platelet count) syndrome has been recognised as a life threatening complication of pregnant women for many years. The majority of women with HELLP syndrome have hypertension and proteinuria which may be absent in 10–20% of cases–referred to as atypical HELLP. A primigravida received epidural labour analgesia and she continued to bleed from the skin puncture site. Evaluation for the cause of bleed established the diagnosis of atypical HELLP syndrome. Although rarely encountered, an atypical HELLP may have dangerous anaesthetic consequences when clinicians are caught unawares. We report one such case with atypical presentation.</p></div>","PeriodicalId":81055,"journal":{"name":"Current anaesthesia and critical care","volume":"21 3","pages":"Pages 153-155"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cacc.2010.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74131067","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: 1
Current anaesthesia and critical care – changes to the journal 当前麻醉和危重症护理-杂志的变化
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-03-16 DOI: 10.1016/j.cacc.2010.02.008
Dr Neil Soni
{"title":"Current anaesthesia and critical care – changes to the journal","authors":"Dr Neil Soni","doi":"10.1016/j.cacc.2010.02.008","DOIUrl":"10.1016/j.cacc.2010.02.008","url":null,"abstract":"","PeriodicalId":81055,"journal":{"name":"Current anaesthesia and critical care","volume":"21 3","pages":"Pages 105-106"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cacc.2010.02.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87061457","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: 1
Monitoring surgical outcomes: How and why? 监测手术结果:如何及为什么?
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-02-04 DOI: 10.1016/j.cacc.2010.01.005
Michael P.W. Grocott
{"title":"Monitoring surgical outcomes: How and why?","authors":"Michael P.W. Grocott","doi":"10.1016/j.cacc.2010.01.005","DOIUrl":"10.1016/j.cacc.2010.01.005","url":null,"abstract":"<div><p>Reliable and valid measures of risk and outcome are essential prerequisites for the effective monitoring of outcome following surgery and the evaluation of innovations in perioperative care. Enhanced Recovery (ER) programs raise the exciting prospect of reduced resource utilisation in combination with improved (or at least equivalent) outcomes. Careful monitoring of process (compliance with ER elements) and outcome are essential if this goal is to be achieved without unintended harm to patients (e.g. increased readmission due to postoperative morbidity arising in the community).</p><p>Risk (case-mix) adjustment is necessary to separate the influence of patient and care factors and thereby minimise the effects of case-mix variation on evaluation of care quality. Outcome measures that are useful when evaluating ER programs include: length of hospital stay, readmission rate, total hospital stay, morbidity/complications, patient reported outcome measures and death. Description of postoperative morbidity should use validated measures, rather than <em>ad hoc</em> lists of medical diagnoses.</p></div>","PeriodicalId":81055,"journal":{"name":"Current anaesthesia and critical care","volume":"21 3","pages":"Pages 129-136"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cacc.2010.01.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88465138","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: 12
Thinking differently: Working to spread enhanced recovery across England 以不同的方式思考:努力在整个英格兰推广增强的复苏
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-02-04 DOI: 10.1016/j.cacc.2009.12.003
Janine Roberts, Monty Mythen, Alan Horgan
{"title":"Thinking differently: Working to spread enhanced recovery across England","authors":"Janine Roberts,&nbsp;Monty Mythen,&nbsp;Alan Horgan","doi":"10.1016/j.cacc.2009.12.003","DOIUrl":"10.1016/j.cacc.2009.12.003","url":null,"abstract":"<div><p>Awareness of enhanced recovery has moved swiftly since the Enhanced Recovery Partnership Programme was launched in 2009 as a joint venture between the Department of Health, NHS Improvement, NHS Institute for Innovation and Improvement, and the national Cancer Action Team.</p><p>The innovative approach to elective surgery has demonstrated improved patient experience and clinical outcomes while also achieving efficiency savings, increased quality and productivity, and decreased length of stay.</p></div>","PeriodicalId":81055,"journal":{"name":"Current anaesthesia and critical care","volume":"21 3","pages":"Pages 137-141"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cacc.2009.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83387800","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: 11
Stoelting's Anesthesia and Co-existing Disease 斯托尔汀麻醉与共存疾病
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-02-13 DOI: 10.1016/j.cacc.2010.02.001
Nick Bunker
{"title":"Stoelting's Anesthesia and Co-existing Disease","authors":"Nick Bunker","doi":"10.1016/j.cacc.2010.02.001","DOIUrl":"10.1016/j.cacc.2010.02.001","url":null,"abstract":"","PeriodicalId":81055,"journal":{"name":"Current anaesthesia and critical care","volume":"21 3","pages":"Page 156"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cacc.2010.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90453376","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: 7
Anaesthetics at the heart of Enhanced Recovery 麻醉药是促进康复的核心
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-03-07 DOI: 10.1016/j.cacc.2010.02.005
Martin Kuper
{"title":"Anaesthetics at the heart of Enhanced Recovery","authors":"Martin Kuper","doi":"10.1016/j.cacc.2010.02.005","DOIUrl":"10.1016/j.cacc.2010.02.005","url":null,"abstract":"","PeriodicalId":81055,"journal":{"name":"Current anaesthesia and critical care","volume":"21 3","pages":"Page 107"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cacc.2010.02.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83190616","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
Enhanced recovery after colorectal surgery 增强结直肠手术后的恢复
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-02-12 DOI: 10.1016/j.cacc.2010.02.002
M. Grover
{"title":"Enhanced recovery after colorectal surgery","authors":"M. Grover","doi":"10.1016/j.cacc.2010.02.002","DOIUrl":"10.1016/j.cacc.2010.02.002","url":null,"abstract":"<div><p>Enhanced recovery represents a quantum leap in peri-operative management of patients undergoing colorectal surgery. Each of the elements of enhanced recovery are evidence based and together when used in concert provide an easy framework upon which to base future peri-operative care. The following article outlines the facets of enhanced recovery and the evidence base behind them. The role of the anaesthetist is central to the implementation of enhanced recovery and as such particular emphasis is given to fasting guidelines and carbohydrate loading pre-operatively and peri-operative fluid therapy.</p></div>","PeriodicalId":81055,"journal":{"name":"Current anaesthesia and critical care","volume":"21 3","pages":"Pages 121-124"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cacc.2010.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72425030","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: 16
An orthopaedic enhanced recovery pathway 矫形强化康复途径
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-02-04 DOI: 10.1016/j.cacc.2010.01.003
Tom Wainwright , Robert Middleton
{"title":"An orthopaedic enhanced recovery pathway","authors":"Tom Wainwright ,&nbsp;Robert Middleton","doi":"10.1016/j.cacc.2010.01.003","DOIUrl":"10.1016/j.cacc.2010.01.003","url":null,"abstract":"<div><p>The use of enhanced recovery pathways within elective surgery has increased in recent years but uptake outside of specialist centres is still slow, despite the growing evidence base to support their introduction. This article will briefly outline what is meant by an enhanced recovery pathway (ERP) and outline the central characteristics and features which make up an ERP. The procedural details and results of an orthopaedic ERP which has been used in 2391 consecutive hip and knee joint replacement patients at a NHS district general hospital within the United Kingdom will then be outlined.</p><p>The results of this unit illustrate that when a standardised, multi-disciplinary pathway is implemented and managed correctly, dramatic reductions to length of stay can be achieved. In combination, high levels of both staff and patient satisfaction are achieved along with good clinical outcomes. It is proposed that if such ways of working are implemented in other hospitals major economic and capacity savings could be realised at the same time as improving patient care.</p></div>","PeriodicalId":81055,"journal":{"name":"Current anaesthesia and critical care","volume":"21 3","pages":"Pages 114-120"},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cacc.2010.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76400866","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: 80
Continuing Professional Development: Enhanced Recovery MCQs and self-assessment answers 持续专业发展:增强恢复mcq和自我评估答案
Current anaesthesia and critical care Pub Date : 2010-06-01 Epub Date: 2010-03-09 DOI: 10.1016/j.cacc.2010.02.007
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引用次数: 0
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