Anaesthesia and intensive care
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Anaesth Intensive Care · Dec 2001
Comparative StudyPost dural puncture headache following combined spinal epidural or epidural anaesthesia in obstetric patients.
A retrospective review of obstetric anaesthesia charts was performed for all parturients receiving regional anaesthesia over a 22-month period. The incidence of headache, post dural puncture headache (PDPH) and various other complications of regional anaesthesia that had been prospectively assessed were noted, as was the anaesthetic technique used (epidural or combined spinal epidural (CSE)). ⋯ Following a CSE technique, the epidural catheter more reliably produced effective analgesia/anaesthesia as compared with a standard epidural technique (1.49% versus 3.18% incidence of replaced catheters respectively). We conclude, based on the results of this retrospective review, that CSE is acceptable with respect to the occurrence of PDPH and that it is possible it is advantageous in relation to the correct placement of the epidural catheter
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Anaesth Intensive Care · Dec 2001
Comparative StudyComparison of three methods to estimate plasma bicarbonate in critically ill patients: Henderson-Hasselbalch, enzymatic, and strong-ion-gap.
We have previously found poor agreement between Henderson-Hasselbalch and enzymatic methods for estimating plasma bicarbonate concentration in critically ill patients. In this study we compared these two established methods with a new method for estimating bicarbonate using the strong-ion-gap equation. The strong-ion-gap is derived from the Stewart approach to acid-base physiology. ⋯ Comparing the enzymatic to the strong-ion-gap method, the bias was -11.2 mmol/l and the limits of agreement were -18.2 mmol/l to -4.2 mmol/l. This study found poor agreement between the two established bicarbonate assays and worse agreement between the established assays and the strong-ion-gap method. The strong-ion-gap method is currently too inaccurate for clinical application, but may have future use.
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Anaesth Intensive Care · Dec 2001
Enteral nutrition in the critically ill: a prospective survey in an Australian intensive care unit.
Nutritional support is routine practice in critically ill patients and enteral feeding is preferred to the parenteral route. However this direct delivery of nutrients to the gut is potentially ineffective for a variety of reasons. We performed a prospective audit of 40 consecutive intensive care patients to determine whether enteral feeding met the nutritional requirements of our patients. ⋯ Success of feeding was not related to the use of sedative orparalysing agents and had no correlation with plasma albumin concentration. There was no difference in the volume of feed delivered to patients who survived or died. Prokinetic agents were used in 25 patients and in these patients there was a trend towards improved delivery of feed.
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Anaesth Intensive Care · Dec 2001
Sevoflurane drawover anaesthesia with two Oxford Miniature Vaporizers in series.
The output of sevoflurane from a drawover system utilizing two Oxford Miniature Vaporizers (OMVs) in series has been shown in bench-testing to be predictable. We have shown that adequate anaesthesia can be achieved with one vaporizer in most situations if an intravenous induction is used. ⋯ Under these conditions, adequate operating conditions are easily produced. The method could be useful in field or military applications.