Persistent 'can't intubate, can't oxygenate' crisis despite reversal of rocuronium with sugammadex: the importance of ti...
Published in Anaesthesia and intensive care
The art of providing anaesthesia in Greek mythology.
Published in Anaesthesia and intensive care
We endeavored to thoroughly review Greek mythology and collect tales dealing with anaesthesia and myochalasis (paralysis). Among the evaluated sources were the poems of Hesiod, the epics of Homer, the tragedies of the great Athenian poets (namely Aeschylus, Sophocles and Euripides) as well as the contributions of several Latin writers, including Ov...
Increased sedation requirements in patients receiving extracorporeal membrane oxygenation for respiratory and cardioresp...
Published in Anaesthesia and intensive care
Critically ill patients receiving extracorporeal membrane oxygenation (ECMO) are often noted to have increased sedation requirements. However, data related to sedation in this complex group of patients is limited. The aim of our study was to characterise the sedation requirements in adult patients receiving ECMO for cardiorespiratory failure. A ret...
The development and preliminary evaluation of a proposed new scoring system for videolaryngoscopy.
Published in Anaesthesia and intensive care
Clear documentation of anaesthetic technique, difficulties and complications is an essential part of good anaesthetic practice, particularly in the area of airway management. The current convention of describing intubation using a videolaryngoscope only in terms of a Cormack and Lehane score is at best unhelpful and at worst dangerous. In an attemp...
Bronchiolitis obliterans presenting as prolonged ventilator dependence in a patient with paraneoplastic pemphigus.
Published in Anaesthesia and intensive care
Audit of cardiac pathology detection using a criteria-based perioperative echocardiography service.
Published in Anaesthesia and intensive care
Transthoracic echocardiography is often used to screen patients prior to non-cardiac surgery to detect conditions associated with perioperative haemodynamic compromise and to stratify risk. However, anaesthetists' use of echocardiography is quite variable. A consortium led by the American College of Cardiology Foundation has developed appropriate u...
Gabapentin in the treatment of post-dural puncture headache: a case series.
Published in Anaesthesia and intensive care
Gabapentin has been reported to be useful in the management of epilepsy, neuropathic pain and post-dural puncture headache. Seventeen obstetric cases are presented in which gabapentin was used either as a primary therapy for the management of severe headache following a diagnosed dural puncture or as an analgesic adjunct in patients with dural punc...
The Phillips airway.
Published in Anaesthesia and intensive care
The Phillips airway was developed by George Ramsay Phillips. There is no known original description of the airway and the earliest known reference to it is from 1919. The airway and its modifications are described.
Low-dose remifentanil infusion during ventilator weaning and tracheal extubation in postoperative intensive care unit pa...
Published in Anaesthesia and intensive care
Discontinuation of sedatives for ventilator weaning and extubation can be associated with hyperdynamic responses, including hypertension and tachycardia. We examined the effects of a maintained low dose of remifentanil infusion on cardiovascular responses and coughing during extubation in postoperative intensive care unit patients sedated with prop...
Circumcision of neonates and children without appropriate anaesthesia is unacceptable practice.
Published in Anaesthesia and intensive care
