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Journal articles on the topic 'Anaesthesia and intensive care'

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Published: 14 September 2024

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1

Stoddart, J. C. "Anaesthesia and intensive care." Anaesthesia 44, no. 3 (March 1989): 193. http://dx.doi.org/10.1111/j.1365-2044.1989.tb11219.x.

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2

Vanstrum, Glenn. "Anaesthesia and Intensive Care." Critical Care Medicine 18, no. 10 (October 1990): 1194. http://dx.doi.org/10.1097/00003246-199010000-00045.

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3

Cooper, Michael G., Jeanette Thirlwell, Richard J. Bailey, Stephanie Brown, and Caitlin Murphy. "Anaesthesia and Intensive Care." Anaesthesia and Intensive Care 43, no. 1_suppl (July 2015): 1. http://dx.doi.org/10.1177/0310057x150430s101.

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4

Downey, G. B., and A. J. O'Connell. "Audit of Unbooked Paediatric Post-Anaesthesia Admissions to Intensive Care." Anaesthesia and Intensive Care 24, no. 4 (August 1996): 464–71. http://dx.doi.org/10.1177/0310057x9602400409.

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We performed an audit of booked and unbooked admissions to a paediatric intensive care unit (PICU) after anaesthesia over a 19 month period in order to determine whether unbooked admissions were predictable, or whether there were any preventable anaesthetic factors responsible for PICU admission, and to evaluate the necessity of PICU admission in all study patients. Data was collected from the PICU database and from the medical records, especially the anaesthesia records, of unbooked admissions. There were 640 admissions to the PICU from the operating theatres, with 35 (5%) unbooked. Of the unbooked admissions, 71% were considered predictable and 20% had preventable features. There was an appropriate use of intensive care resources by these unbooked patients, with 77% having PICU-specific therapies (compared with 88% of booked cases). This quality assurance tool was relatively easy to perform, however it has numerous limitations hampering future routine use.
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5

MEAKIN, GEORGE H. "Pharmacology for Anaesthesia and Intensive Care." Current Anaesthesia & Critical Care 12, no. 3 (June 2001): 186–87. http://dx.doi.org/10.1054/cacc.2001.0302.

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6

Shaefi, Shahzad, and James P. Rathmell. "Pharmacology for Anaesthesia and Intensive Care." Journal of Trauma: Injury, Infection, and Critical Care 65, no. 6 (December 2008): 1569. http://dx.doi.org/10.1097/ta.0b013e31818b20b4.

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7

Sneyd, R. "Evidence-Based Anaesthesia and Intensive Care." British Journal of Anaesthesia 98, no. 2 (February 2007): 278–79. http://dx.doi.org/10.1093/bja/ael348.

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8

McLeod, G. A. "Pharmacology for Anaesthesia and Intensive Care." British Journal of Anaesthesia 100, no. 5 (May 2008): 731. http://dx.doi.org/10.1093/bja/aen056.

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9

Farling, P. A. "Radiology for Anaesthesia and Intensive Care." British Journal of Anaesthesia 104, no. 3 (March 2010): 391. http://dx.doi.org/10.1093/bja/aeq008.

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10

Gribomont, Bernard Francois. "Monitoring in Anaesthesia and Intensive Care." Anesthesia & Analgesia 80, no. 2 (February 1995): 435–36. http://dx.doi.org/10.1097/00000539-199502000-00059.

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11

Dobbs, P. "Drugs in Anaesthesia and Intensive Care." British Journal of Anaesthesia 107, no. 4 (October 2011): 650. http://dx.doi.org/10.1093/bja/aer253.

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12

TEKERES, M. "Pharmacology for Anaesthesia and Intensive Care." European Journal of Anaesthesiology 17, no. 8 (August 2000): 531. http://dx.doi.org/10.1097/00003643-200008000-00026.

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13

Booij, Leo H. D. J., and Simon J. van Leeuwen. "Ethics in anaesthesia and intensive care." Current Opinion in Anaesthesiology 10, no. 2 (April 1997): 147–53. http://dx.doi.org/10.1097/00001503-199704000-00016.

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14

Baum, Victor C. "Monitoring in Anaesthesia and Intensive Care." Critical Care Medicine 23, no. 9 (September 1995): 1614. http://dx.doi.org/10.1097/00003246-199509000-00035.

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15

Herbert, Luke. "Ophthalmology in anaesthesia and intensive care." Anaesthesia & Intensive Care Medicine 5, no. 9 (September 2004): 304–7. http://dx.doi.org/10.1383/anes.5.9.304.49906.

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16

Doyle, D. "Pharmacology for Anaesthesia and Intensive Care." British Journal of Anaesthesia 114, no. 3 (March 2015): 534–35. http://dx.doi.org/10.1093/bja/aev004.

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17

Tempe, Deepak K. "Drugs in Anaesthesia and Intensive Care." British Journal of Anaesthesia 118, no. 3 (March 2017): 477. http://dx.doi.org/10.1093/bja/aex028.

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18

Gribomont, Bernard Francois. "Monitoring in Anaesthesia and Intensive Care." Anesthesia & Analgesia 80, no. 2 (February 1995): 435–36. http://dx.doi.org/10.1213/00000539-199502000-00059.

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19

Featherstone, P. J., C. M. Ball, and R. N. Westhorpe. "Fibreoptics in Anaesthesia and Intensive Care." Anaesthesia and Intensive Care 43, no. 5 (September 2015): 557–58. http://dx.doi.org/10.1177/0310057x1504300501.

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20

Erasmus, P. "Evidence-Based Anaesthesia and Intensive Care." Anaesthesia 62, no. 4 (March 21, 2007): 429–30. http://dx.doi.org/10.1111/j.1365-2044.2007.05034.x.

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21

McKinstry, C. "Radiology for Anaesthesia and Intensive Care." Anaesthesia 58, no. 4 (March 18, 2003): 407. http://dx.doi.org/10.1046/j.1365-2044.2003.03152.x.

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22

Horncastle, E., and A. B. Lumb. "Hyperoxia in anaesthesia and intensive care." BJA Education 19, no. 6 (June 2019): 176–82. http://dx.doi.org/10.1016/j.bjae.2019.02.005.

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23

Gratrix, Andrew P., and Simon M. Enright. "Epilepsy in anaesthesia and intensive care." Continuing Education in Anaesthesia Critical Care & Pain 5, no. 4 (August 2005): 118–21. http://dx.doi.org/10.1093/bjaceaccp/mki032.

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24

Randell, Tarja T. "Bronchofibreoscopy in Anaesthesia and Intensive Care." Annals of Medicine 23, no. 3 (January 1991): 205–6. http://dx.doi.org/10.3109/07853899109148049.

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25

Tyagi, A., R. Kumar, A. Bhattacharya, and A. K. Sethi. "Filters in Anaesthesia and Intensive Care." Anaesthesia and Intensive Care 31, no. 4 (August 2003): 418–33. http://dx.doi.org/10.1177/0310057x0303100412.

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26

Adams, J. P., and P. G. Murphy. "Obesity in anaesthesia and intensive care." British Journal of Anaesthesia 85, no. 1 (July 2000): 91–108. http://dx.doi.org/10.1093/bja/85.1.91.

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27

Farling, P. "Radiology for Anaesthesia and Intensive Care." British Journal of Anaesthesia 90, no. 5 (May 2003): 711. http://dx.doi.org/10.1093/bja/aeg559.

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28

Hammerton-Fraser, A. "Computing in anaesthesia and intensive care." Journal of Biomedical Engineering 7, no. 4 (October 1985): 344. http://dx.doi.org/10.1016/0141-5425(85)90070-6.

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29

Demajo, Wilfred. "Pharmacology for Anaesthesia and Intensive Care." Canadian Journal of Anesthesia/Journal canadien d'anesthésie 56, no. 2 (January 24, 2009): 181. http://dx.doi.org/10.1007/s12630-008-9032-3.

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30

Van Den Berg, A. A., D. Savva, N. M. Honjol, and N. V. Rama Prabhu. "Comparison of Total Intravenous, Balanced Inhalational and Combined Intravenous-Inhalational Anaesthesia for Tympanoplasty, Septorhinoplasty and Adenotonsillectomy." Anaesthesia and Intensive Care 23, no. 5 (October 1995): 574–82. http://dx.doi.org/10.1177/0310057x9502300508.

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Two hundred and thirty-five consecutive Saudi patients aged between two and fifty-three years undergoing elective tympanoplasty (n = 32), septorhinoplasty (n = 68) or adenotonsillectomy (n=135) were studied. They were randomized to receive either a total intravenous anaesthetic (10 ears, 23 noses, 44 throats) consisting of propofol for induction of anaesthesia followed by a propofol infusion, a combined intravenous-inhalational anaesthetic (11 ears, 22 noses, 46 throats) consisting of the above with isoflurane in oxygen-enriched air, or a balanced inhalational anaesthetic (11 ears, 23 noses, 45 throats) consisting of thiopentone for induction of anaesthesia and oxygen in nitrous oxide with isoflurane for maintenance. During tympanoplasty, all three anaesthetic techniques produced stable heart rates and arterial pressures. During septorhinoplasty, blood pressure rose in patients who received total intravenous anaesthesia, while combined and balanced techniques produced haemodynamic stability. During adenotonsillectomy, total intravenous anaesthesia produced a rise in both heart rate and blood pressure, the combined technique produced a rise in heart rate alone while balanced anaesthesia produced haemodynamic stability. Postoperatively, vomiting, pain scores and analgesic requirements were similar following all three types of anaesthetic within each surgical site subgroup. Our findings support the choice of balanced inhalational anaesthesia for all three types of ENT surgery and, where cost and facilities permit, total intravenous anaesthesia for tympanoplasty and combined intravenous-inhalational anaesthesia for septorhinoplasty.
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31

Haller, G., P. S. Myles, M. Langley, J. Stoelwinder, and J. Mcneil. "Assessment of an Unplanned Admission to the Intensive Care Unit as a Global Safety Indicator in Surgical Patients." Anaesthesia and Intensive Care 36, no. 2 (March 2008): 190–200. http://dx.doi.org/10.1177/0310057x0803600209.

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An unplanned intensive care unit admission within 24 hours of a procedure with an anaesthetist in attendance (UIA) is a recommended clinical indicator. It is designed to identify preventable iatrogenic complications. Often understood as a specific anaesthetic outcome, its value has been repeatedly questioned. Iatrogenic complications however, often result from successive mishaps. In the specific context of an UIA these complications can be related both to anaesthesia and surgery. UIA is therefore probably more a global indicator of the safety of surgical care (anaesthetic and surgical) rather than a specific anaesthetic outcome. Its utility as such is however unknown. The purpose of this study was to assess the value of UIA as a global measure of avoidable iatrogenic complications in surgical patients. Using computerised patient records and medical charts, all patients with an UIA over a study period of five years were identified. The proportion, cause and preventability of iatrogenic complications amongst these patients were assessed. A total of 188 UIA patients were identified by peer reviewers. Of these, 87% to 92% had a complication caused by anaesthesia and/or surgery. Anaesthesia was found to be responsible for 24% to 31% of iatrogenic complications. All other cases related to the combination of anaesthesia and surgery or surgery alone. Of these, 74% to 92% of complications were found to be preventable. Despite intrinsic limitations of the retrospective chart review method, UIA can be considered as a valuable tool to detect avoidable iatrogenic complications related to both surgical and anaesthetic care.
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32

Wadhwa, Bharti, Neha Hasija, and Kirti N. Saxena. "Regional Anaesthesia for the Neonate." Journal of Neonatal Surgery 6, no. 4 (October 8, 2017): 79. http://dx.doi.org/10.21699/jns.v6i4.665.

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Numerous regional and local anaesthesia techniques are available for safe use in neonates and can be administered either in combination with general anesthesia or in the awake neonate. Regional anaesthesia provides effective analgesia with reduced drug requirement which is especially beneficial in view of the immature physiology and metabolism in the neonate. The reduced requirement of anaesthetic drugs facilitates stable hemodynamics, faster recovery and a decreased length of stay in the neonatal intensive care unit.
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33

Leslie, K., P. S. Myles, A. Forbes, M. T. V. Chan, T. G. Short, and S. K. Swallow. "Recovery from Bispectral Index-guided Anaesthesia in a Large Randomized Controlled Trial of Patients at High Risk of Awareness." Anaesthesia and Intensive Care 33, no. 4 (August 2005): 443–51. http://dx.doi.org/10.1177/0310057x0503300404.

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Electroencephalographic monitors of anaesthetic depth are reported to assist anaesthetists in reducing recovery times. We explored the effect of bispectral index (BIS) monitoring on recovery times in a double-blind, randomized controlled trial of 2,463 patients at high risk of awareness. Patients were randomized to BIS-guided anaesthesia or routine care. In the BIS group, anaesthesia was adjusted to maintain a BIS value of 40–60 from the commencement of laryngoscopy to the start of wound closure, and 55–70 during wound closure. In the routine care group, anaesthesia was adjusted according to traditional clinical signs. In multivariate models, BIS monitoring, female gender, lower American Society of Anesthesiologists’ physical status and shorter duration of anaesthesia predicted faster time to eye-opening after anaesthesia, and faster time to post-anaesthesia care unit discharge. BIS monitoring did not affect times to tracheal extubation among patients admitted to the intensive care unit. We conclude that BIS monitoring has statistically significant, but clinically modest, effects on recovery times in high risk surgical patients.
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34

Williams, N., A. Strunin, and W. Heriot. "Pain and Vomiting after Vitreoretinal Surgery: A Potential Role for Local Anaesthesia." Anaesthesia and Intensive Care 23, no. 4 (August 1995): 444–48. http://dx.doi.org/10.1177/0310057x9502300405.

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Periconal local anaesthesia with subtenon supplementation was used to provide anaesthesia for 94 patients having vitreoretinal surgery. Of these, 44 patients also received general anaesthesia with neuromuscular block. None of these patients received opioid or antiemetic before or during surgery. In comparison with a retrospective control group, patients who had received local anaesthesia as part of their anaesthetic technique were less likely to be given a parenteral opioid (P< 0.001) or to vomit (P<0.001) within six hours of the completion of surgery. They also experienced significantly fewer bradycardic episodes during surgery (P=0 001). For patients having general anaesthesia, administration of an intraoperative antiemetic reduced the incidence of vomiting within six hours of the completion of surgery (P=0.008). For patients who did not receive local anaesthetic, shorter operating time was a factor associated with both reduced postoperative vomiting (P=0.0015) and administration of parenteral opioid (P=0.0014). It is suggested that the use of local anaesthesia as part of the anaesthetic technique for vitreoretinal surgery is associated with improved patient comfort.
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35

Stanley, T. H. "Opiate Anaesthesia." Anaesthesia and Intensive Care 15, no. 1 (February 1987): 38–59. http://dx.doi.org/10.1177/0310057x8701500107.

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Current use of opioids in anaesthesia is reviewed with particular emphasis on the use of opioids in anaesthetic doses, techniques that recently have become popular in cardiovascular anaesthesia. A major benefit of opioid anaesthesia (particularly fentanyl) is the cardiovascular stability which obtains during induction and throughout operation, even in patients with severely impaired cardiac function. Anaesthetic doses of morphine are associated with a higher incidence of cardiovascular disturbances and other problems. Pethidine is unsuitable for cardiovascular surgery because of severe haemodynamic disturbances when high doses are given. Sufentanil and alfentanil may prove more suitable alternatives. High doses of opioids can reduce or prevent hormonal and metabolic responses to the stress of surgery. Even very large doses of fentanyl or its new analogues do not prevent marked increases in plasma catecholamine concentrations in response to cardiopulmonary bypass. The reduction in hormonal and metabolic stress response does not appear to continue postoperatively.
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36

White, Emert, and Don B. David. "Care of the eye during anaesthesia and intensive care." Anaesthesia & Intensive Care Medicine 8, no. 9 (September 2007): 383–86. http://dx.doi.org/10.1016/j.mpaic.2007.07.012.

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37

White, Emert, and Don B. David. "Care of the eye during anaesthesia and intensive care." Anaesthesia & Intensive Care Medicine 11, no. 10 (October 2010): 418–22. http://dx.doi.org/10.1016/j.mpaic.2010.07.002.

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38

Nair, Priya N., and Emert White. "Care of the eye during anaesthesia and intensive care." Anaesthesia & Intensive Care Medicine 15, no. 1 (January 2014): 40–43. http://dx.doi.org/10.1016/j.mpaic.2013.11.008.

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39

O'Driscoll, Anthony, and Emert White. "Care of the eye during anaesthesia and intensive care." Anaesthesia & Intensive Care Medicine 18, no. 1 (January 2017): 47–51. http://dx.doi.org/10.1016/j.mpaic.2016.10.014.

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40

Small, James, Emily Robertson, and Colin Runcie. "Care of the eye during anaesthesia and intensive care." Anaesthesia & Intensive Care Medicine 20, no. 12 (December 2019): 731–34. http://dx.doi.org/10.1016/j.mpaic.2019.10.008.

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41

Garland, A., and P. Hopton. "Airway closure in anaesthesia and intensive care." BJA Education 22, no. 4 (April 2022): 126–30. http://dx.doi.org/10.1016/j.bjae.2021.12.001.

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42

Biedrzycka, Aleksandra, and Romuald Lango. "Tissue oximetry in anaesthesia and intensive care." Anestezjologia Intensywna Terapia 48, no. 1 (March 11, 2016): 41–48. http://dx.doi.org/10.5603/ait.2016.0005.

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43

Thompson, J. P. "Recent Advances in Anaesthesia and Intensive Care." British Journal of Anaesthesia 96, no. 1 (January 2006): 143. http://dx.doi.org/10.1093/bja/aei622.

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44

Weir, C. J. "Recent Advances in Anaesthesia and Intensive Care." British Journal of Anaesthesia 100, no. 3 (March 2008): 426. http://dx.doi.org/10.1093/bja/aen005.

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45

FISHER, MALCOLM. "Anaphylactic Reactions in Anaesthesia and Intensive Care." Anesthesiology 67, no. 3 (September 1987): 450. http://dx.doi.org/10.1097/00000542-198709000-00042.

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46

Dearden, N. "Neurosurgical Anaesthesia and Intensive Care 2nd ed." Journal of Neurology, Neurosurgery & Psychiatry 51, no. 6 (June 1, 1988): 890–91. http://dx.doi.org/10.1136/jnnp.51.6.890-b.

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47

MORLEY, A. "Statistical Methods for Anaesthesia and Intensive Care." European Journal of Anaesthesiology 18, no. 10 (October 2001): 701. http://dx.doi.org/10.1097/00003643-200110000-00012.

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48

Kudchadkar, Sapna R. "Applied Anatomy for Anaesthesia and Intensive Care." Critical Care Medicine 44, no. 12 (December 2016): e1264-e1266. http://dx.doi.org/10.1097/ccm.0000000000002135.

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49

McMichael, Douglas Hale. "Applied Anatomy for Anaesthesia and Intensive Care." Anesthesiology 125, no. 2 (August 1, 2016): 442. http://dx.doi.org/10.1097/aln.0000000000001169.

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50

Bajekal, Rahul. "Eye signs in anaesthesia and intensive care." Anaesthesia & Intensive Care Medicine 5, no. 9 (September 2004): 310–11. http://dx.doi.org/10.1383/anes.5.9.310.49903.

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