journal
https://read.qxmd.com/read/37802488/serum-lidocaine-lignocaine-concentrations-during-prolonged-perioperative-infusion-in-patients-undergoing-breast-cancer-surgery-a-secondary-analysis-of-a-randomised-controlled-trial
#41
RANDOMIZED CONTROLLED TRIAL
Andrew J Toner, Martin A Bailey, Stephan A Schug, Michael Phillips, Jacobus Pj Ungerer, Andrew A Somogyi, Tomas B Corcoran
Perioperative lidocaine (lignocaine) infusions are being employed with increasing frequency. The determinants of systemic lidocaine concentrations during prolonged administration are unclear. In the Long-term Outcomes after Lidocaine Infusions for PostOperative Pain (LOLIPOP) pilot trial, the impact of infusion duration and body size metrics on serum lidocaine concentrations was examined with regression models in 48 women undergoing breast cancer surgery. Lidocaine was delivered as an intravenous bolus (1.5 mg/kg) and infusion (2 mg/kg per h) intraoperatively, followed by a 12-h subcutaneous infusion (1...
November 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37802486/adult-perioperative-cardiac-arrest-an-overview-of-684-cases-reported-to-webairs
#42
JOURNAL ARTICLE
Matthew R Bright, Yasmin Endlich, Zachary Dj King, Leigh D White, Sandra I Concha Blamey, Martin D Culwick
There were 684 perioperative cardiac arrests reported to webAIRS between September 2009 and March 2022. The majority involved patients older than 60 years, classified as American Society of Anesthesiologists Physical Status 3 to 5, undergoing an emergency or major procedure. The most common precipitants included airway events, cardiovascular events, massive blood loss. medication issues, and sepsis. The highest mortality rate was 54% of the 46 cases in the miscellaneous category (this included 34 cases of severe sepsis, which had a mortality of 65%)...
November 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37786341/incidents-relating-to-paediatric-regional-anaesthesia-in-the-first-8000-cases-reported-to-webairs
#43
JOURNAL ARTICLE
Manisha M Mistry, Yasmin Endlich
Regional anaesthesia is an essential tool in the armamentarium for paediatric anaesthesia. While largely safe and effective, a range of serious yet preventable adverse events can occur. Incidence and risk factors have been described, but few detailed case series exist relating to paediatric regional anaesthesia. Across Australia and New Zealand, a web-based anaesthesia incident reporting system enables voluntary reporting of detailed anaesthesia-related events in adults and children. From this database, all reports involving paediatric regional anaesthesia (age less than 17 years) were retrieved...
November 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37737092/analysis-of-anaesthesia-incidents-during-caesarean-section-reported-to-webairs-between-2009-and-2022
#44
JOURNAL ARTICLE
Victoria A Eley, Martin D Culwick, Alicia T Dennis
Anaesthesia for caesarean section occurs commonly and places specific demands on anaesthetists. We analysed 469 narratives concerning anaesthesia for caesarean section, entered by Australian and New Zealand anaesthetists into the webAIRS incident reporting system between 2009 and 2022. As expected, compared with the remaining 8978 database entries, the 469 incidents were more likely to be emergency cases (relative risk (RR) 1.95), more likely to occur between 18:00 and 22:00 hours (RR 1.81) and between 22:00 and 07:59 hours (RR 4...
November 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37802487/clinical-incident-reporting-extending-the-learning-opportunities-through-webairs
#45
EDITORIAL
Neville M Gibbs
No abstract text is available yet for this article.
October 6, 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37717182/investigation-of-the-hotdog-polymer-resistive-patient-warming-device
#46
LETTER
Teneal E Baxter, Wallace G Grimmett
No abstract text is available yet for this article.
September 17, 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37688434/supply-of-opioids-and-information-provided-to-patients-after-surgery-in-an-australian-hospital-a-cross-sectional-study
#47
JOURNAL ARTICLE
Ian Sh Fong, Chin Hang Yiu, Matthew D Abelev, Sara Allaf, David A Begley, Bernadette A Bugeja, Kok Eng Khor, Joanne Rimington, Jonathan Penm
Opioids are commonly prescribed to manage pain after surgery. However, excessive supply on discharge can increase patients' risk of persistent opioid use and contribute to the reservoir of unused opioids in the community that may be misused. This study aimed to evaluate the use of opioids in Australian surgical patients after discharge and patient satisfaction with the provision of opioid information after discharge. This prospective cohort study was conducted at a tertiary referral and teaching hospital. Surgical patients were called 7-28 days after discharge to identify their opioid use and the information that they received after discharge...
September 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37688433/prevalence-and-predictors-of-long-term-opioid-use-following-orthopaedic-surgery-in-an-australian-setting-a-multicentre-prospective-cohort-study
#48
MULTICENTER STUDY
Shania Liu, Jennifer A Stevens, Ashleigh E Collins, Jed Duff, Joanna R Sutherland, Morgan D Oddie, Justine M Naylor, Asad E Patanwala, Benita M Suckling, Jonathan Penm
Opioid analgesics prescribed for the management of acute pain following orthopaedic surgery may lead to unintended long-term opioid use and associated patient harms. This study aimed to examine the prevalence of opioid use at 90 days after elective orthopaedic surgery across major city, regional and rural locations in New South Wales, Australia. We conducted a prospective, observational cohort study of patients undergoing elective orthopaedic surgery at five hospitals from major city, regional, rural, public and private settings between April 2017 and February 2020...
September 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37340681/location-location-location-the-variable-geography-of-opioid-use-and-misuse
#49
EDITORIAL
David Jones
No abstract text is available yet for this article.
September 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37340679/perioperative-pain-management-in-thoracic-surgery-a-survey-of-practices-in-australia-and-new-zealand
#50
JOURNAL ARTICLE
Michael J Busser, Shakeel M Kunju, Usha Gurunathan
There are few data on current trends in pain management for thoracic surgery in Australia and New Zealand. Several new regional analgesia techniques have been introduced for these operations in the past few years. Our survey aimed to assess current practice and perceptions towards various modalities of pain management for thoracic surgery among anaesthetists in Australia and New Zealand. A 22-question electronic survey was developed and distributed in 2020 with the assistance of the Australian and New Zealand College of Anaesthetists Cardiac Thoracic Vascular and Perfusion Special Interest Group...
September 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37340678/prevalence-and-predictors-of-opioid-use-before-orthopaedic-surgery-in-an-australian-setting-a-multicentre-cross-sectional-observational-study
#51
MULTICENTER STUDY
Shania Liu, Jennifer A Stevens, Ashleigh E Collins, Jed Duff, Joanna R Sutherland, Morgan D Oddie, Justine M Naylor, Asad E Patanwala, Benita M Suckling, Jonathan Penm
Opioid analgesics are commonly used by patients awaiting orthopaedic surgery, and preoperative opioid use is associated with a greater burden of postoperative pain, suboptimal surgical outcomes and higher healthcare costs. This study aimed to examine the prevalence of total opioid use before elective orthopaedic surgery with a focus on regional and rural hospitals in New South Wales, Australia. This was a cross-sectional, observational study of patients undergoing orthopaedic surgery conducted between April 2017 and November 2019 across five hospitals that included a mix of metropolitan, regional, rural, private and public settings...
September 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37314218/complete-heart-block-of-multifactorial-aetiology-following-sugammadex-administration
#52
LETTER
Jellsingh Jeyadoss, Damian Jg Johnson, David J Brownlie, Venkatesan Thiruvenkatarajan
No abstract text is available yet for this article.
September 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37565612/the-commercialisation-of-insulin
#53
JOURNAL ARTICLE
Christine M Ball, Peter J Featherstone
No abstract text is available yet for this article.
August 11, 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37415322/the-development-of-albumin-solutions-in-the-second-world-war
#54
JOURNAL ARTICLE
Peter J Featherstone, Christine M Ball
No abstract text is available yet for this article.
July 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37341507/corrigendum-to-the-effect-of-alcohol-policy-on-intensive-care-unit-admission-patterns-in-central-australia-a-before-after-cross-sectional-study
#55
(no author information available yet)
No abstract text is available yet for this article.
July 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37340724/prophylactic-cannula-cricothyroidotomy-and-percutaneous-oxygen-insufflation-with-the-rapid-o2%C3%A2-a-simple-and-effective-tool-for-enhancing-safety-in-difficult-airway-management
#56
JOURNAL ARTICLE
Sivan Wexler, Stavros N Prineas
Prophylactic cannula cricothyroidotomy is a recognised technique for actual or potential difficult airway management, where it confers a number of technical and non-technical benefits. Oxygenation with this technique is traditionally achieved by way of pressure-regulated, high flow jet ventilation and requires specialised equipment and considerable expertise for safe use, neither of which are always readily available. As an alternative, we describe the management of two patients with progressive upper airway obstruction in whom prophylactic cannula cricothyroidotomy and oxygen insufflation were performed using equipment which we consider is safer, widely available and already familiar to most anaesthetists throughout Australia...
July 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37340723/pass-rates-of-four-p2-n95-respirators-or-filtering-facepiece-respirators-in-australian-healthcare-providers-a-prospective-observational-study
#57
JOURNAL ARTICLE
Caitlin Sr Low, Sean Z Ngui, Matthew J Casey, Chloe Vuong, Afsana Afroz, Shomik Sengupta, Laurence Weinberg
P2/N95 respirators or filtering facepiece respirators may not have the same pass rate on quantitative fit testing. The aim of this study was to investigate the pass rate of four commonly used filtering facepiece respirators in Australian healthcare providers. The secondary objectives included assessing the ease of donning, doffing and comfort of wearing these four filtering facepiece respirators for more than 30 minutes. A multivariable analysis was also conducted to assess if certain variables (e.g. age, sex, body mass index, ethnicity, facial width and length) were associated with passing or failing fit testing...
July 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37340680/post-surgical-discharge-opioid-prescribing-use-and-handling-after-introduction-of-a-stewardship-program
#58
JOURNAL ARTICLE
Megan L Allen, Anurika P De Silva, Sabine Braat, Karin Jones, Angela Chia, Timothy R Hucker, Sally L Brooks, Malcolm Hogg, Chuan-Whei Lee, Daryl L Williams, Charles C Kim
SummaryOpioids are often used to provide postsurgical analgesia but may cause harm if used inappropriately. We introduced an opioid stewardship program in three Melbourne hospitals to reduce the inappropriate use of opioids after patient discharge. The program had four pillars: prescriber education, patient education, a standardised quantity of discharge opioids, and general practitioner (GP) communication. Following introduction of the program, we undertook this prospective cohort study. The study aimed to describe post-program discharge opioid prescribing, patient opioid use and handling, and the impact of patient demographics, pain and surgical treatment factors on discharge prescribing...
July 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37340677/influence-of-laminectomy-on-the-lumbosacral-cerebrospinal-fluid-volume-a-retrospective-magnetic-resonance-imaging-study
#59
JOURNAL ARTICLE
Seokha Yoo, Yeji Han, Youngwon Kim, Sun-Kyung Park, Young-Jin Lim, Jin-Tae Kim
The cerebrospinal fluid volume affects the block height of spinal anaesthesia. Laminectomy of the lumbar spine may result in increased lumbosacral cerebrospinal fluid volume. This study aimed to test the hypothesis that the lumbosacral cerebrospinal fluid volume of patients with a history of lumbar laminectomy would be larger than that of patients with normal lumbar spine anatomy using magnetic resonance imaging. Lumbosacral spine magnetic resonance images of 147 patients who underwent laminectomy at the L2 vertebrae or below (laminectomy group) and 115 patients without a history of spinal surgery (control group) were retrospectively reviewed...
July 2023: Anaesthesia and Intensive Care
https://read.qxmd.com/read/37314224/dynamic-three-dimensional-printing-the-future-of-bronchoscopic-simulation-training
#60
JOURNAL ARTICLE
Rao Fu, Nicole G Hone, James R Broadbent, Bernard J Guy, Jeremy S Young
High-fidelity models are required for technical mastery of bronchoscopic procedures in the fields of anaesthesia, intensive care, surgery and respiratory medicine. Our group has created a three-dimensional (3D) airway model prototype to emulate physiological and pathological movement. Developed from the concepts of our previously described 3D printed paediatric trachea for airway management training, this model produces movements created by injection of air or saline through a side Luer Lock port. The anaesthesia and intensive care applications of the model could include bronchoscopic navigation through narrow pathologies and simulated bleeding tumours...
July 2023: Anaesthesia and Intensive Care
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