Tracheal intubation
Publication date: Available online 29 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Barry McGuire, Kimberley HodgeAbstractTracheal intubation is the act of placing a tube into the trachea. The tube enables oxygen delivery and removal of carbon dioxide, while also allowing for the administration of pharmacological agents. Intubation is the most reliable method of maintaining an airway under anaesthesia, and for protection against aspiration of stomach contents. Traditionally, intubation is achieved by direct visualization of the glottis, but now indirect laryngoscopy (via a videolaryngoscope) is a...
Source: Anaesthesia and intensive care medicine - November 30, 2019 Category: Anesthesiology Source Type: research

Perioperative anaphylaxis
Publication date: Available online 29 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Nina Hjelde, Abdul G. LalkhenAbstractAnaphylaxis is defined as a ‘severe life-threatening generalized or systemic hypersensitivity reaction’. Anaphylactic shock is characterized by generalized vasodilation and increased capillary permeability, leading to reduction in cardiac output. The pathophysiology of anaphylaxis can be described as immunologic and non-immunologic. The National Audit Project 6 (NAP 6) has recently investigated perioperative anaphylaxis and this article will outline some key updates...
Source: Anaesthesia and intensive care medicine - November 30, 2019 Category: Anesthesiology Source Type: research

Pathophysiology of respiratory disease and its significance to anaesthesia
Publication date: Available online 26 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): S Kimber CraigAbstractSignificant changes occur in the respiratory physiology of healthy patients during anaesthesia. In patients with underlying respiratory pathology, the changes in respiratory physiology may lead to additional clinical problems during the conduct of anaesthesia and in the perioperative period. An understanding of the disease processes that can affect the lungs and pleura allows the anaesthetist to account for the potential complications of these conditions and manage the anaesthetic accordingly...
Source: Anaesthesia and intensive care medicine - November 27, 2019 Category: Anesthesiology Source Type: research

Critical incidents: the respiratory system
Publication date: Available online 26 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Edward TC. Miles, Tim M. CookAbstractRespiratory complications are expensive, not just in terms of the overall litigation burden faced by anaesthetists but also, and more importantly, the mortality and morbidity burden faced by our patients. Critical incidents arising in the respiratory system can cause rapid deterioration if left unchecked: trauma to airway structures can be debilitating or even life threatening; hypoxaemia may result in damage to other organ systems, most notably the brain. Each patient carries ...
Source: Anaesthesia and intensive care medicine - November 27, 2019 Category: Anesthesiology Source Type: research

Anaesthesia in the elderly
Publication date: Available online 25 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): David J. ChambersAbstractOlder people are undergoing increasingly complex surgery with much greater mortality and morbidity than the younger adult population. In this article, we discuss the physiological changes that take place in the older patient, and how these may affect anaesthetic technique. Perioperative risk in the elderly is discussed, with focus on emergency surgery and frailty. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 26, 2019 Category: Anesthesiology Source Type: research

General anaesthesia for ophthalmic surgery
Publication date: Available online 25 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Stuart Young, Aravind BasavarajuAbstractThe majority of ophthalmic surgeries are performed as day cases under topical or regional anaesthesia with or without intravenous sedation. However, general anaesthesia is necessary in certain circumstances e.g. local anaesthetic allergy or patients who are unable to cooperate or to lie flat or still. Patients for ophthalmic surgery are frequently elderly with multiple comorbidities, such as diabetes and hypertension. Patients with rare genetic syndromes may present for eye ...
Source: Anaesthesia and intensive care medicine - November 26, 2019 Category: Anesthesiology Source Type: research

Care of the eye during anaesthesia and intensive care
This article describes care of the eye during a period of vulnerability in anaesthesia and intensive care. Risk factors, mechanisms of injury, recognition and management of common and important eye injuries will be covered as well as good practice points and preventative measures pertinent to all anaesthetists and critical care practitioners. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 26, 2019 Category: Anesthesiology Source Type: research

Ocular anatomy and physiology relevant to anaesthesia
This article will discuss ocular anatomy in terms of the orbit and its contents, its associated muscles, nerves and blood supply, as well as basic ocular physiological principles. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 26, 2019 Category: Anesthesiology Source Type: research

Regional anaesthesia for eye surgery
Publication date: Available online 25 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Rachel Fulton, Craig UrquhartAbstractMany ophthalmic procedures are conducted under a range of local anaesthetic techniques. These range from topical drops through to sharp needle blocks with local anaesthetic. The most commonly used block is the sub-Tenon block; it provides excellent operating conditions while reducing complications and risks. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 26, 2019 Category: Anesthesiology Source Type: research

Eye signs in anaesthesia and intensive care
This article describes the signs associated with iatrogenic injury to the eye in the operating theatre and the intensive care unit. Patients are at risk of corneal abrasions, exposure keratopathy and chemosis. The prone patient encounters an additional risk of ischaemic optic neuropathy and acute glaucoma. In the intensive care setting, the intensivist should be alert to signs of ocular infection, for example, conjunctivitis, microbial keratitis and endophthalmitis. In the trauma patient, careful evaluation of the eye is required to rule out sight-threatening conditions such as retrobulbar haemorrhage, globe rupture, orbit...
Source: Anaesthesia and intensive care medicine - November 26, 2019 Category: Anesthesiology Source Type: research

Physiology of ageing
Publication date: Available online 25 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Frances Young, Simon MaguireAbstractThe impact that ageing has on organisms is a complex interaction between the processes of ageing at a cellular, organ and integrated systems level, and the effects of environmental factors such as nutrition, infection and trauma. Recovery from an insult that triggers a pathological response is never complete. The incremental fall in possible performance is part of the progressive diversity in ‘physiology’ that is the true hallmark of ageing. In this article we will o...
Source: Anaesthesia and intensive care medicine - November 26, 2019 Category: Anesthesiology Source Type: research

Anaesthesia for eye surgery in paediatrics
Publication date: Available online 26 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Tom Y. Pettigrew, Sarah J. SmithAbstractChildren are rarely able to tolerate being awake for any type of surgery under local anaesthesia, therefore the majority of paediatric eye surgery is performed under general anaesthesia. Most patients presenting on a paediatric ophthalmology operating list will be otherwise healthy children who are suitable for day surgery. However, some children may have eye abnormalities as part of a congenital disorder. The perioperative plan should be formulated after assessment of the c...
Source: Anaesthesia and intensive care medicine - November 26, 2019 Category: Anesthesiology Source Type: research

Self-assessment
Publication date: Available online 24 November 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Viyayanand Nadella (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 25, 2019 Category: Anesthesiology Source Type: research

Contents
Publication date: November 2019Source: Anaesthesia & Intensive Care Medicine, Volume 20, Issue 11Author(s): (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 20, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: November 2019Source: Anaesthesia & Intensive Care Medicine, Volume 20, Issue 11Author(s): (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - November 20, 2019 Category: Anesthesiology Source Type: research

Management of the airway in intensive care
This article outlines some of the specific difficulties faced by clinicians in ICU and attempts to provide some guidance as to how these may be overcome, or at least abated. Drug and equipment choices are discussed. A suggestion for a difficult airway algorithm for use in the ICU is put forward. The timing of tracheostomy is discussed. Finally, the importance of the team and the human factors that are at play are touched upon. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 26, 2019 Category: Anesthesiology Source Type: research

Ventilatory support in the intensive care unit
This article focuses on the functional features of positive-pressure ventilators, the modes of invasive and non-invasive mechanical ventilation, and the main ventilator settings. It also highlights the potential complications of mechanical ventilation, the basic principles of weaning, and the pathophysiological basis of patient-ventilator dyssynchrony. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 22, 2019 Category: Anesthesiology Source Type: research

Field anaesthesia and critical care equipment used by the British Military
This article provides a description and discussion of the key equipment used by the British Defence Medical Services (DMS) to provide anaesthesia and critical care in the field. There is a need to balance equipment clinical capability against its suitability for use in the field. By necessity, military anaesthesia and critical care equipment should be robust, portable, compact, easy to use, easy to maintain and clean, and require minimal consumables. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 21, 2019 Category: Anesthesiology Source Type: research

Self-assessment
Publication date: Available online 19 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Vijayanand Nadella (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 21, 2019 Category: Anesthesiology Source Type: research

Strong ion analysis at the bedside
Publication date: Available online 18 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Nithin Abraham Raju, Ryan Hughes, Matthew J. BrainAbstractQuantitative physicochemical models of human acid–base physiology filled a void between clinical acid–base analysis and general fluid physiology. Established approaches centred on the Henderson–Hasselbalch (HH) equation allow satisfactory bedside exploration of respiratory perturbations, but do not fully elucidate mechanisms of common non-respiratory ‘metabolic’ components. Though useful at the bedside, commonly used ‘rule...
Source: Anaesthesia and intensive care medicine - October 19, 2019 Category: Anesthesiology Source Type: research

Disinfection, sterilization and disposables
Publication date: Available online 18 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Anthony J. Wilson, Sandeep NayakAbstractMedical devices are one way by which healthcare-associated infections can be transmitted. Medical equipment can be categorized based on its risk of spreading infection and these categories aid decisions about whether to decontaminate or dispose of a used medical device. Decontamination is the process by which a reusable device is rendered safe for further use through cleaning and either disinfection or sterilization. It is frequently an automated process which usually involve...
Source: Anaesthesia and intensive care medicine - October 19, 2019 Category: Anesthesiology Source Type: research

Asthma and chronic obstructive pulmonary disease in the intensive care unit
This article addresses the physiological derangements in airflow obstruction, their treatment consequences and how to avoid the management pitfalls that are important contributors to the morbidity and mortality of both conditions. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 18, 2019 Category: Anesthesiology Source Type: research

The poisoned patient
Publication date: Available online 16 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Nora Gonzalez, Fin O'SullivanAbstractPoisoning is a common reason for admission to the intensive care unit. The majority of patients are due to deliberate self-harm with common poisons; however, there are occasional unusual poisons which require more detailed assessment. Patients are often obtunded or unwilling to co-operate so a knowledge of toxidromes to recognize symptoms that are related to groups of drugs that act on receptors is essential. Management of poisoned patients is generally supportive, including mea...
Source: Anaesthesia and intensive care medicine - October 18, 2019 Category: Anesthesiology Source Type: research

Initial assessment and management of trauma encountered in the field
This article covers the principles of trauma care relating to specific competencies within the military higher training module. The majority of these principles relate to the pre-hospital assessment and management of patients, introducing some of the nuances of military medicine in comparison to civilian practice. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 18, 2019 Category: Anesthesiology Source Type: research

Extracorporeal support of the respiratory system
Publication date: Available online 15 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Emma L. Hartley, Stuart GillonAbstractIn the last 20 years there have been significant advances in extracorporeal support of the respiratory system. What once was a highly complex intervention, undertaken as a salvage procedure in a handful of patients, has become more wide spread, both in terms of availability and underlying indications. We review the principles of equipment; physiological control of oxygenation and decarboxylation; associated complications; and role in clinical practice. The evidence for extracor...
Source: Anaesthesia and intensive care medicine - October 16, 2019 Category: Anesthesiology Source Type: research

Acute respiratory distress syndrome
This article will provide an update on the most recent evidence base on clinical practice, including the use of acute severe respiratory failure bundles and extracorporeal techniques to support lung protective ventilation. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 16, 2019 Category: Anesthesiology Source Type: research

Chemical casualties – Recognition and management
Publication date: Available online 15 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Kevin Wu, Fin O'SullivanAbstractPoisoning with chemical agents was once thought to be confined to the battlefield. However, over the past decade there has been an increase in the use of chemical weapon agents and toxic industrial chemicals as weapons of terror. As well as use during conflict, these poisons have been used in other attacks with deadly effects. These agents require particular treatments that fall out with standard medical practice to reduce harm and prevent contamination of medical treatment facilitie...
Source: Anaesthesia and intensive care medicine - October 16, 2019 Category: Anesthesiology Source Type: research

Surgical diathermy and electrical hazards: causes and prevention
This article outlines the basic physics of electricity, in particular the principles behind diathermy, the hazards posed by it and by other devices and the various measures available to reduce the risk of these. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 16, 2019 Category: Anesthesiology Source Type: research

Community-acquired pneumonia
Publication date: Available online 15 October 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Russell AllanAbstractCommunity-acquired pneumonia (CAP) is a common inflammatory process contained within the lung tissue in response to infection with non-hospital pathogens. Full resolution usually occurs with appropriate antimicrobial therapy. A significant proportion of patients develop severe CAP where there is failure to contain the local immune response and these patients may require admission to the intensive care unit (ICU). The CURB-65 severity score is a rapid, objective way of predicting mortality and c...
Source: Anaesthesia and intensive care medicine - October 15, 2019 Category: Anesthesiology Source Type: research

Contents
Publication date: October 2019Source: Anaesthesia & Intensive Care Medicine, Volume 20, Issue 10Author(s): (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 10, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: October 2019Source: Anaesthesia & Intensive Care Medicine, Volume 20, Issue 10Author(s): (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - October 10, 2019 Category: Anesthesiology Source Type: research

Pharmacology in the management of chronic pain
This article will summarize common pharmacological options in current clinical use for the management of chronic pain. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - September 27, 2019 Category: Anesthesiology Source Type: research

Paediatric chronic pain
Publication date: Available online 26 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Paul M. RolfeAbstractChronic pain in childhood is common and if untreated may lead to significant pain-related disability, emotional disturbance and poor school attendance. Many children and adolescents are successfully managed outside of specialist paediatric pain management clinics in a wide range of clinical settings. However, some children require the expertise of a multidisciplinary pain management team in a dedicated paediatric centre. Following multidisciplinary assessment an individualized pain management...
Source: Anaesthesia and intensive care medicine - September 27, 2019 Category: Anesthesiology Source Type: research

Contents
Publication date: September 2019Source: Anaesthesia & Intensive Care Medicine, Volume 20, Issue 9Author(s): (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - September 18, 2019 Category: Anesthesiology Source Type: research

Editorial Board
Publication date: September 2019Source: Anaesthesia & Intensive Care Medicine, Volume 20, Issue 9Author(s): (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - September 18, 2019 Category: Anesthesiology Source Type: research

Self-assessment
Publication date: Available online 16 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Viyayanand Nadella (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - September 17, 2019 Category: Anesthesiology Source Type: research

Visceral pain
Publication date: Available online 13 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Anu Kansal, John HughesAbstractPain is one of the most common symptoms that patient presents with. Visceral organs were thought to be insensitive to pain in the past, but we now know this is not true. It is more common than somatic pain and originates from the internal organs in the thorax, abdomen or pelvis. These organs are innervated by the parasympathetic (vagus and sacral parasympathetic fibres) and sympathetic (thoracolumbar sympathetic chain: T1–L2) nervous systems. The afferent and efferent fibres t...
Source: Anaesthesia and intensive care medicine - September 14, 2019 Category: Anesthesiology Source Type: research

Chronic pain: psychological formulation and MDT working
This article presents two alternative models for formulating and providing therapy for individuals experiencing chronic pain; cognitive behaviour therapy and acceptance and commitment therapy. Psychologically informed strategies to support healthcare professionals in their interactions with people with chronic pain are presented. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - September 11, 2019 Category: Anesthesiology Source Type: research

Critical care transfers: core principles and logistics
Publication date: Available online 10 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Euan J. McIntosh, Chris Lochrin, Wayne AutonAbstractIn the UK over 11,000 critically ill patients are transferred between hospitals each year. In addition, a significant number of critically ill patients are transferred to hospital from locations outside hospital such as rural general practice surgeries or the community. While specialist teams are available for some transfers, the majority are conducted by teams from the referring hospital. The aim of this article is to give an overview of the principles of criti...
Source: Anaesthesia and intensive care medicine - September 11, 2019 Category: Anesthesiology Source Type: research

Physiology of patient transfer by land and air
Publication date: Available online 6 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): James J. Hale, David P. Hall, Mark J.G. DunnAbstractPatient transfer is an important part of many patients’ journeys through the healthcare system. In the UK, the majority of transfers are undertaken by land ambulance but some are by air utilizing helicopters or fixed wing aircraft. The transfer of patients is challenging often involving unstable critically ill patients, trainee staff, time pressure, out of hours work and unfamiliar transfer equipment. Patients are exposed to a number of physical factors inc...
Source: Anaesthesia and intensive care medicine - September 7, 2019 Category: Anesthesiology Source Type: research

Implantable technology for pain management
Publication date: Available online 6 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): G. Baranidharan, Ibrahim MohamedAbstractNeuropathic pain is a well-recognized chronic pain condition. This can have a significant impact in patients' quality of life. Neuromodulation is defined by the International Neuromodulation Society as ‘the therapeutic alteration of activity in the central or peripheral nervous system either electrically or pharmacologically’. Electrical stimulation can be performed at the motor cortex, deep brain, spinal cord, dorsal root ganglion, peripheral nerve and periphera...
Source: Anaesthesia and intensive care medicine - September 7, 2019 Category: Anesthesiology Source Type: research

Complex neuropathic pain states
Publication date: Available online 6 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Rhian P. Lewis, Indre KriukelyteAbstractIn this article we discuss complex neuropathic pain states: diabetic peripheral neuropathic pain (DPNP), phantom limb pain (PLP), central post-stroke pain (CPSP), and complex regional pain syndrome (CRPS). Pain in these conditions can often be severe, significantly affect quality of life and be resistant to current treatment options. Multidisciplinary assessment and treatment is essential. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - September 7, 2019 Category: Anesthesiology Source Type: research

Pain management in palliative care: art or science
Publication date: Available online 6 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Brigid BassamAbstractPain management in palliative care is both an art and a science. Essential to good pain control is an understanding not only of the pathophysiology of the origin of the pain, but also the impact that the pain is having, as the palliative patient may have to live with the symptoms of disease for months or even years. Interventions can then be targeted and at various times, may include a range of pharmacological treatments, psychological or spiritual support and possibly the involvement of other...
Source: Anaesthesia and intensive care medicine - September 7, 2019 Category: Anesthesiology Source Type: research

Radiofrequency techniques in pain management
Publication date: Available online 6 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Victor Mendis, Ramy Mottaleb, Sahiba SethiAbstractRadiofrequency techniques are minimally invasive procedures used to provide prolonged pain relief compared to local anaesthetic blocks and forms part of a multidisciplinary approach in managing chronic pain. A generator produces a high-frequency current that passes from an electrode to an earthing plate. The electromagnetic field created around the tip of the electrode then has an effect on the surrounding nervous tissue resulting in pain relief. (Source: Anaesthes...
Source: Anaesthesia and intensive care medicine - September 7, 2019 Category: Anesthesiology Source Type: research

Percutaneous cervical cordotomy for cancer-related pain
Publication date: Available online 6 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Manish Gupta, Manohar L. SharmaAbstractThe anatomic rationale of cordotomy involves interruption of pain fibres in the spinothalamic tract. Cordotomy is indicated in cancer patients with limited life expectancy who have severe, unilateral pain. The goal in patients with limited life expectancy should be to improve the quality of survival, which includes improving the patient's ability to interact with others, and to reduce the amount of time spent in contact with healthcare providers. Analgesic optimization alone ...
Source: Anaesthesia and intensive care medicine - September 6, 2019 Category: Anesthesiology Source Type: research

Opioids in the management of persistent non-cancer pain
Publication date: Available online 6 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Shun Yamanaka, Lucy MillerAbstractOne in five Europeans suffers from persistent pain which, for the majority, is non-oncological in origin. Patients with persistent non-cancer pain (PNCP) are a heterogeneous group in whom there is significant biological, psychological and societal comorbidity. Recently, there has been a large increase in opioid prescribing for PNCP, despite its limited evidence base and adverse side effect profile, including opioid dependence. This review examines the effectiveness and safety of l...
Source: Anaesthesia and intensive care medicine - September 6, 2019 Category: Anesthesiology Source Type: research

Drugs affecting the autonomic nervous system
Publication date: Available online 6 September 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Matthew Charlton, Jonathan P. ThompsonAbstractThe autonomic nervous system (ANS) is a complex system of nervous and humoral mechanisms that modulates the function of the autonomous or visceral organs. Autonomic control of organs aims to maintain homoeostasis in health. Many drugs used in clinical practice can have either primary or secondary effects on the function of autonomic nervous system. (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - September 6, 2019 Category: Anesthesiology Source Type: research

Obstetric haemorrhage
Publication date: Available online 29 August 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Rosanne Ching, Thomas Mount, Kirsty MacLennanAbstractObstetric haemorrhage remains a significant cause of maternal morbidity and mortality. It is the leading obstetric cause for admission to intensive care units. Knowledge of risk factors and early recognition of haemorrhage enables rapid activation of a coordinated multidisciplinary team response. Clear unit protocols for the management of massive haemorrhage that are reinforced by team drills help to increase awareness in the multidisciplinary team, improve perfor...
Source: Anaesthesia and intensive care medicine - August 30, 2019 Category: Anesthesiology Source Type: research

Self-assessment
Publication date: Available online 26 August 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Vijayanand Nadella (Source: Anaesthesia and intensive care medicine)
Source: Anaesthesia and intensive care medicine - August 27, 2019 Category: Anesthesiology Source Type: research

Failed intubation in obstetrics
Publication date: Available online 26 August 2019Source: Anaesthesia & Intensive Care MedicineAuthor(s): Rhys Clayton, Matthew DevlinAbstractFailed intubation in obstetrics remains a topical issue, a rare but potentially devastating complication of obstetric general anaesthesia. The 2015 guidelines produced following several years of collaborative work between the Difficult Airway Society (DAS) and Obstetric Anaesthetist's Association (OAA) remain the definitive text. While deaths from failed intubation have declined significantly over 30 years, the incidence of failed intubation remains fairly constant at 1:300, with ...
Source: Anaesthesia and intensive care medicine - August 27, 2019 Category: Anesthesiology Source Type: research