BJA: British Journal of Anaesthesia最新文献

Use of sildenafil in patients with severe COVID-19 pneumonitis 西地那非在重症COVID-19肺炎患者中的应用

BJA: British Journal of Anaesthesia Pub Date : 2022-04-01 DOI: 10.1016/j.bja.2022.04.004

Charles Mcfadyen, B. Garfield, J. Mancio, C. Ridge, T. Semple, Archie G M Keeling, S. Ledot, Brijesh Patel, C. Samaranayake, C. McCabe, S. Wort, S. Price, L. Price

引用次数: 8

Anaesthesia practice in the first wave of the COVID-19 outbreak in the United States: a population-based cohort study 美国第一波COVID-19疫情中的麻醉实践:一项基于人群的队列研究

BJA: British Journal of Anaesthesia Pub Date : 2022-04-01 DOI: 10.1016/j.bja.2022.04.003

V. Athanassoglou, H. Zhong, J. Poeran, Jiabin Liu, C. Cozowicz, A. Illescas, S. Memtsoudis

引用次数: 0

Silver linings: will the COVID-19 pandemic instigate long overdue mental health support services for healthcare workers? 一线希望:COVID-19大流行是否会促使医护人员获得早该提供的精神卫生支持服务?

BJA: British Journal of Anaesthesia Pub Date : 2022-03-23 DOI: 10.1016/j.bja.2022.03.012

T. Stephens, E. Vail, J. Billings

引用次数: 3

Absent visitors: the wider implications of COVID-19 on cardiothoracic ICU staff: the VINCI Study 缺席访客:COVID-19对心胸ICU工作人员的更广泛影响:VINCI研究

BJA: British Journal of Anaesthesia Pub Date : 2022-02-24 DOI: 10.1016/j.bja.2021.12.026

Leah R Hughes, B. Shelley, J. McPeake

引用次数: 0

Injury-prone: peripheral nerve injuries associated with prone positioning for COVID-19-related acute respiratory distress syndrome 俯卧位:与covid -19相关急性呼吸窘迫综合征俯卧位相关的周围神经损伤

BJA: British Journal of Anaesthesia Pub Date : 2020-07-02 DOI: 10.1101/2020.07.01.20144436

引用次数: 64

Second victim response in anaesthesiologists after difficult airway management: an international survey 麻醉医师在困难气道管理后的第二次受害者反应:一项国际调查

BJA: British Journal of Anaesthesia Pub Date : 2020-07-01 DOI: 10.1016/j.bja.2020.04.028

J. Samuels, T. Dill, R. Greif, S. Perera, B. Mcguire, C. Hagberg

引用次数: 0

High-flow nasal oxygen reduces the incidence of hypoxaemia and intra-procedural interruptions during gastrointestinal endoscopy 高流量鼻吸氧减少了低氧血症的发生率和胃肠内镜术中中断

BJA: British Journal of Anaesthesia Pub Date : 2020-07-01 DOI: 10.1016/j.bja.2020.04.045

F. Mir, K. Horner, A. Fong, S. Hammond, P. Waikar, Anil K Patel, S. Nouraei

引用次数: 0

Comparative Study on Environmental Impacts of Reusable and Single-use Bronchoscopes 重复使用支气管镜与一次性支气管镜对环境影响的比较研究

BJA: British Journal of Anaesthesia Pub Date : 2018-11-15 DOI: 10.11648/J.AJEP.20180704.11

B. Sørensen, Henrik Grüttner

{"title":"Comparative Study on Environmental Impacts of Reusable and Single-use Bronchoscopes","authors":"B. Sørensen, Henrik Grüttner","doi":"10.11648/J.AJEP.20180704.11","DOIUrl":"https://doi.org/10.11648/J.AJEP.20180704.11","url":null,"abstract":"The introduction of single-use alternatives has stressed the need for environmental comparisons between reusable and single-use devises in the healthcare sector. Discarding of single-use devices intuitively causes concern among staff in hospitals, other users and people with environmental concerns as to whether the single use is environmentally friendly. This study aims to compare carbon dioxide (CO2)-equivalent emissions and resource consumption from a single-use bronchoscope (Ambu® aScopeTM 4) to a reusable flexible bronchoscope. The comparison is made using a simplified life-cycle-assessment methodology. The analysis shows that the materials used for the cleaning operations of the reusable scopes are a key factor affecting the impact factors assessed; energy consumption, emission of CO2-equivalent and consumption of scarce resources. Initially, it is assumed that each reusable scope is cleaned using one set of personal protective equipment (PPE) per cleaning operation, but since cleaning practice may vary the consequence of cleaning more scopes with one set of PPE is also assessed. Using one set of protective wear per operation and the materials for cleaning and disinfection determine that reusable scopes have comparable or higher material and energy consumption as well as higher emissions of CO2-equivalents and values of resource consumption. Cleaning two or more reusable scopes per set of PPE makes the impacts fairly comparable. Other aspects that may impact the results are also assessed, including energy consumption for washing and drying units, differences in use of PPE and differences in the disposal of PPE or single-use scopes. As the three assessed parameters are highly dependent on cleaning procedures and the use of protective equipment, it cannot be concluded from these results which type of bronchoscope affects the environmental factors investigated here the most.","PeriodicalId":8987,"journal":{"name":"BJA: British Journal of Anaesthesia","volume":"30 5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90798174","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: 34

Perioperative &agr;-receptor blockade in phaeochromocytoma surgery: an observational case series† 嗜铬细胞瘤手术围手术期&agr;受体阻断:观察病例系列

BJA: British Journal of Anaesthesia Pub Date : 2017-02-01 DOI: 10.1093/bja/aew392

H. Groeben, B. J. Nottebaum, P. Alesina, A. Traut, H. Neumann, M. Walz

{"title":"Perioperative &agr;-receptor blockade in phaeochromocytoma surgery: an observational case series†","authors":"H. Groeben, B. J. Nottebaum, P. Alesina, A. Traut, H. Neumann, M. Walz","doi":"10.1093/bja/aew392","DOIUrl":"https://doi.org/10.1093/bja/aew392","url":null,"abstract":"Background. Mortality associated with surgery for phaeochromocytoma has dramatically decreased over the last decades. Many factors contributed to the dramatic decline of the mortality rate, and the influence of an &agr;-receptor blockade is unclear and has never been tested in a randomized trial. We evaluated intraoperative haemodynamic conditions and the incidence of complications in patients with and without &agr;-receptor blockade undergoing surgery for catecholamine producing tumours. Methods. Haemodynamic conditions and perioperative complications were assessed in 110 patients with (B) and 166 without (N) &agr;-receptor blockade. Data were analysed as a consecutive case series of 303 cases and subsequently via propensity score matching, and presented as mean and confidence interval (CI). Results. No difference in maximal intraoperative systolic arterial pressures (B = 178 mm Hg (CI 169-187) vs N = 185 mm Hg (CI 177-193; P = 0.2542) and hypertensive episodes above 250 mm Hg were found (P = 0.7474) for the closed case series. No major complications occurred. Propensity score matching (75 pairs) revealed a significant difference of 17 mm Hg in maximal intraoperative systolic bp for these selected pairs (P = 0.024). Conclusions. Only a slight difference in mean maximal systolic arterial pressure was detected between patients with or without an &agr;-receptor blockade. There was no difference in the incidence of excessive hypertensive episodes between groups and no major complications occurred. The basis for the general recommendation of perioperative &agr;- receptor blockade for phaeochromocytoma surgery demands further study.","PeriodicalId":8987,"journal":{"name":"BJA: British Journal of Anaesthesia","volume":"9 1","pages":"182–189"},"PeriodicalIF":0.0,"publicationDate":"2017-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75727824","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: 90

Association between the availability of videolaryngoscopes and the incidence of emergency surgical airway in the perioperative setting of a large academic medical centre: a retrospective observational study 大型学术医疗中心围手术期使用视频喉镜与急诊外科气道发生率之间的关系:一项回顾性观察性研究

BJA: British Journal of Anaesthesia Pub Date : 2016-12-01 DOI: 10.1093/BJA/AEW374

M. Fei, J. Wanderer, Y. Jiang, P. S. Jacques

引用次数: 7