journal
https://read.qxmd.com/read/38000001/exploring-anaesthetists-views-on-the-carbon-footprint-of-anaesthesia-and-identifying-opportunities-and-challenges-for-reducing-its-impact-on-the-environment
#21
JOURNAL ARTICLE
Matilde Breth-Petersen, Alexandra L Barratt, Forbes McGain, Justin J Skowno, George Zhong, Andrew D Weatherall, Katy Jl Bell, Kristen M Pickles
A shift in practice by anaesthetists away from anaesthetic gases with high global warming potential towards lower emission techniques (e.g. total intravenous anaesthesia) could result in significant carbon savings for the health system. The purpose of this qualitative interview study was to understand anaesthetists' perspectives on the carbon footprint of anaesthesia, and views on shifting practice towards more environmentally sustainable options. Anaesthetists were recruited from four hospitals in Western Sydney, Australia...
March 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38318652/ability-of-anaesthetists-to-identify-the-position-of-the-right-internal-jugular-vein-using-anatomical-landmarks-a-double-blind-study
#22
JOURNAL ARTICLE
Apurv Sehgal, Bethany Walker, Fideron Sl Tsang, Sameen Anodiyil, David W Hewson
No abstract text is available yet for this article.
February 6, 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38318644/development-of-a-symbiotic-culture-of-bacteria-and-yeast-scoby-farm-to-manufacture-artificial-skin-for-front-of-neck-airway-access-simulation
#23
JOURNAL ARTICLE
Jeremy S Young, Raja R Palepu, Melita Macdonald, James R Mcalpine, James R Broadbent
No abstract text is available yet for this article.
February 6, 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38145507/the-introduction-of-blood-gases-into-clinical-practice
#24
JOURNAL ARTICLE
Christine M Ball, Peter J Featherstone
No abstract text is available yet for this article.
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38006613/the-new-diploma-of-rural-generalist-anaesthesia-supporting-australian-rural-and-remote-communities
#25
JOURNAL ARTICLE
Peter T Gilchrist, Neil St M Beaton, Jodie N Atkin, Lindy J Roberts
In 2023, a Diploma of Rural Generalist Anaesthesia (DipRGA) was implemented across Australia. Developed collaboratively by the Australian and New Zealand College of Anaesthetists (ANZCA), the Australian College of Rural and Remote Medicine (ACRRM) and the Royal Australian College of General Practitioners (RACGP), the 12-month qualification is completed during or following ACRRM or RACGP Rural Generalist Fellowship training. Focused on the needs of rural and remote communities for elective and emergency surgery, maternity care, resuscitative care for medical illness or injury, and stabilisation for retrieval, the DipRGA supports rural generalist anaesthetists working within collaborative teams in geographically isolated settings...
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38006611/airway-management-of-lingual-tonsillar-hypertrophy-a-narrative-review
#26
REVIEW
Patrick Wong, Jamie W Sleigh
Lingual tonsillar hypertrophy is rarely identified on routine airway assessment but may cause difficulties in airway management. We conducted a narrative review of case reports of lingual tonsillar hypertrophy to examine associated patient factors, success rates of airway management techniques and complications. We searched the literature for anaesthetic management of cases with lingual tonsillar hypertrophy. We found 89 patients in various case reports, from which we derived 92 cases to analyse. 64% of cases were assessed as having a normal airway...
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38000008/inflammation-risk-before-cardiac-surgery-and-the-treatment-effect-of-intraoperative-dexamethasone
#27
RANDOMIZED CONTROLLED TRIAL
Andrew J Toner, Tomas B Corcoran, Philip S Vlaskovsky, Arno P Nierich, Chris R Bain, Jan M Dieleman
Patients who exhibit high systemic inflammation after cardiac surgery may benefit most from pre-emptive anti-inflammatory treatments. In this secondary analysis ( n  = 813) of the randomised, double-blind Intraoperative High-Dose Dexamethasone for Cardiac Surgery trial, we set out to develop an inflammation risk prediction model and assess whether patients at higher risk benefit from a single intraoperative dose of dexamethasone (1 mg/kg). Inflammation risk before surgery was quantified from a linear regression model developed in the placebo arm, relating preoperatively available covariates to peak postoperative C-reactive protein...
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38000004/what-is-a-case-control-study-comment-on-oral-midodrine-does-not-expedite-liberation-from-protracted-vasopressor-infusions-a-case-control-study
#28
JOURNAL ARTICLE
Paul S Myles
No abstract text is available yet for this article.
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38000002/publication-outcomes-among-intensive-care-trainees
#29
JOURNAL ARTICLE
Eddie Shen, Jayesh Dhanani, Elissa M Milford, Vanessa Raileanu, Kevin B Laupland
There is a paucity of literature describing the research productivity among trainees in intensive care medicine. We sought to examine the occurrence and determinants of successful publication outcomes associated with intensive care training. The study cohort consisted of all individuals admitted to fellowship of the College of Intensive Care Medicine of Australia and New Zealand (CICM) from 2012 to 2019. The primary outcome measure of this study was manuscripts indexed on PubMed within one year after and four years prior to admittance to CICM fellowship...
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37999999/response-to-what-is-a-case-control-study-comment-on-oral-midodrine-does-not-expedite-liberation-from-protracted-vasopressor-infusions-a-case-control-study
#30
JOURNAL ARTICLE
Alexander Jt Wood, Rashmi Rauniyar, Angela Jacques, Robert N Palmer, Bradley Wibrow, Matthew H Anstey
No abstract text is available yet for this article.
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37994838/metabolic-crisis-in-maple-syrup-urine-disease-an-unusual-complication-of-a-rare-disease-a-case-report
#31
JOURNAL ARTICLE
Hemang P Doshi, Hemal H Vachharajani, Michael C Tchan, Mohamed A Nasreddine, Kate E Billmore
A 19-year-old woman with known maple syrup urine disease presented to hospital with metabolic crisis in the setting of influenza type A infection and intractable vomiting, rapidly progressing to acute cerebral oedema manifesting as refractory seizures and decreased level of consciousness needing emergency intubation and mechanical ventilation, continuous veno-venous haemodiafiltration and thiopentone coma. A computed tomography scan and magnetic resonance imaging of the brain demonstrated classic signs of cerebral oedema secondary to a metabolic crisis from the metabolic disorder...
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37802489/prevention-of-airway-fires-during-tracheostomy-is-preferable-comment-on-simulation-training-results-in-performance-retention-for-the-management-of-airway-fires-a-prospective-observational-study
#32
LETTER
https://read.qxmd.com/read/37717183/risk-factors-for-mortality-in-severe-covid-19-exploring-the-interplay-of-immunomodulatory-therapy-and-coinfection
#33
JOURNAL ARTICLE
Annaleise R Howard-Jones, Stephen Huang, Sam R Orde, James M Branley
Patients with severe clinical manifestations of coronavirus disease 2019 (COVID-19) present particular diagnostic and management challenges to critical care physicians, including identifying and responding to concurrent bacterial and fungal coinfections. This study evaluates risk factors for in-hospital mortality in patients admitted to the intensive care unit with severe COVID-19 during circulation of the B.1.617.2 (Delta) variant, including the impact of immunomodulators and bacterial and/or fungal coinfection...
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37712714/preliminary-pharmacokinetics-and-patient-experience-of-jet-injected-dexmedetomidine-in-healthy-adults
#34
JOURNAL ARTICLE
Nicola M Whittle, Jamie W Sleigh, James W McKeage, Jonathan Termaat, Logan J Voss, Brian J Anderson
Jet injection is a drug delivery system without a needle. A compressed liquid drug formulation pierces the skin, depositing the drug into the subcutaneous or intramuscular tissues. We investigated the pharmacokinetics and patient experience of dexmedetomidine administered using jet injection in six healthy adult study participants. This needleless jet injection device was used to administer dexmedetomidine 0.5 μg/kg to the subcutaneous tissues overlying the deltoid muscle. Serum concentrations of dexmedetomidine were assayed at approximately 5 minutes, 15 minutes, 30 minutes, 1 hour and 4 hours after administration...
January 2024: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38041614/comment-on-the-financial-and-environmental-impact-of-purchased-anaesthetic-agents-in-an-australian-tertiary-hospital
#35
JOURNAL ARTICLE
Robert R Tooley, Dale A Currigan, Christopher H Mitchell
No abstract text is available yet for this article.
December 2, 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38006612/jg-farrell-and-the-lung-an-early-description-of-intensive-care-delirium-in-literature
#36
JOURNAL ARTICLE
John G O'Connell, Finbarr J Condon-English, Brian P O'Brien
No abstract text is available yet for this article.
November 25, 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/38006606/observational-study-of-the-effect-of-ketamine-infusions-on-sedation-depth-inflammation-and-clinical-outcomes-in-mechanically-ventilated-patients-with-sars-cov-2
#37
JOURNAL ARTICLE
David Wyler, Marc C Torjman, Ron Leong, Michael Baram, William Denk, Sara C Long, Richard J Gawel, Eugene R Viscusi, Irving W Wainer, Eric S Schwenk
Severely ill patients with COVID-19 are challenging to sedate and often require high-dose sedation and analgesic regimens. Ketamine can be an effective adjunct to facilitate sedation of critically ill patients but its effects on sedation level and inflammation in COVID-19 patients have not been studied. This retrospective, observational cohort study evaluated the effect of ketamine infusions on inflammatory biomarkers and clinical outcomes in mechanically ventilated patients with SARS-CoV-2 infection. A total of 186 patients were identified (47 received ketamine, 139 did not)...
November 25, 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37999998/assessing-the-impact-of-covid-19-on-australian-public-interest-in-critical-care
#38
JOURNAL ARTICLE
Rachel H T Yeong, Christopher B Hodge, Premkumar Gunasekaran
No abstract text is available yet for this article.
November 24, 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37882577/from-conflict-to-controversy-the-use-and-abuse-of-human-albumin-solutions-after-the-second-world-war
#39
REVIEW
Peter J Featherstone, Christine M Ball
No abstract text is available yet for this article.
November 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37818753/hypercarbia-and-high-flow-nasal-oxygen-use-during-anaesthesia-risking-a-failure-to-thrive
#40
JOURNAL ARTICLE
Gavin G Pattullo, Martin D Culwick, Yasmin Endlich, Ross D MacPherson
Prevention of arterial oxygen desaturation during anaesthesia with high-flow nasal oxygen (HFNO) has gained greater acceptance for a widening range of procedures. However, during HFNO use there remains the potential for development of significant anaesthesia-associated apnoea or hypoventilation and the possibility of hypercarbia, with harmful cardiovascular or neurological sequelae. The aim of this study was to determine whether any HFNO-related hypercarbia adverse incidents had been reported on webAIRS, an online database of adverse anaesthesia-related incidents...
November 2023: Anaesthesia and Intensive Care
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