Anaesthesia
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A case of extensive block with the combined spinal‐epidural technique during labourThe increasing use of combined spinal‐epidural analgesia in obstetric practice has arisen from a desire to achieve a rapid onset of analgesia while reducing the intensity of the motor block. Although the procedure has an excellent safety profile, as with any technique there are potential problems. Difficulty in assessing the position of the epidural catheter after establishment of the spin... ...
Anaesthesia - Tập 56 Số 4 - Trang 346-349 - 2001
Postdural puncture headache A comparison between 26‐ and 29‐gauge needles in young patientsSummary The incidence of postdural puncture headache after spinal anaesthesia with two types of 26‐ and 29‐gauge needles was investigated in 149 patients less than 30 years old. Ten patients, (6.7%), six men and four women, developed typical symptoms of postdural puncture headache, while six (4.0%) developed headache of other origin. There were no headaches in the 2... ...
Anaesthesia - Tập 44 Số 2 - Trang 147-149 - 1989
Tourniquet failure and arterial calcificationSummary A patient with Mönckeberg's calcinosis is presented in whom a pneumatic limb tourniquet failed to be effectitie because of calcification of the femoral artery wall. Bleeding from the operation site was noticed to be appreciably greater while the tourniquet was inflated since the cuff, though not occluding the femoral artery, acted as a very effective venous ... ...
Anaesthesia - Tập 36 Số 1 - Trang 48-50 - 1981
Difficult tracheal intubation in obstetricsSummary Difficult intubation has been classified into four grades, according to the view obtainable at laryngoscopy. Frequency analysis suggests that, in obstetrics, the main cause of trouble is grade 3, in which the epiglottis can be seen, but not the cords. This group is fairly rare so that a proportion of anaesthetists will not meet the problem in their first few... ...
Anaesthesia - Tập 39 Số 11 - Trang 1105-1111 - 1984
Anaemia in cardiac surgery – a retrospective review of a centre's experience with a pre‐operative intravenous iron clinicSummary Pre‐operative anaemia is associated with higher rates of transfusion and worse outcomes, including prolonged hospital stay, morbidity and mortality. Iron deficiency is associated with significantly lower haemoglobin levels throughout the peri‐operative period and more frequent blood transfusion. Correction of iron stores before surgery forms part of the firs... ...
Anaesthesia - Tập 76 Số 5 - Trang 629-638 - 2021
Eating in labour. A randomised controlled trial assessing the risks and benefitsThe aim of this study was to determine whether permitting women in labour to eat a light diet would: (i) alter their metabolic profile, (ii) influence the outcome of labour, and (iii) increase residual gastric volume and consequent risk of pulmonary aspiration. Women were randomised to receive either a light diet (eating group, n = 48) or water only (starved grou... ...
Anaesthesia - Tập 54 Số 4 - Trang 329-334 - 1999
Policies for oral intake during labourSummary A postal survey was conducted to gain information on the use of policies on oral intake, selection of mothers and type of intake given during established labour by all maternity units in England and Wales. A response rate of 91.6% (351 out of 383) was achieved; 79.5% of units had a written policy for oral intake, 96.4% of units allowed mothers some form of o... ...
Anaesthesia - Tập 46 Số 12 - Trang 1071-1073 - 1991
A comparison of tracheal intubation using the Airtraq® or the Macintosh laryngoscope in routine airway management: a randomised, controlled clinical trialSummary The Airtraq® laryngoscope is a novel single use tracheal intubation device. We compared the Airtraq® with the Macintosh laryngoscope in patients deemed at low risk for difficult intubation in a randomised, controlled clinical trial. Sixty consenting patients presenting for surgery requiring tracheal intubation were r... ...
Anaesthesia - Tập 61 Số 11 - Trang 1093-1099 - 2006
A comparison of direct and indirect laryngoscopes and the ILMA in novice users: a manikin studySummary Direct laryngoscopic tracheal intubation using the Macintosh laryngoscope is taught to many healthcare professionals as it is a potentially life‐saving procedure. However, it is a difficult skill to acquire and maintain. Several alternative intubation devices exist that may provide a better view of the glottis and require less skill to use. We conducted a pr... ...
Anaesthesia - Tập 62 Số 11 - Trang 1161-1166 - 2007
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