MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Anaesthesia' source. Wed, 08 Feb 2012 07:39:15 +0100 http://www.medworm.com/index.php?rid=5659300&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07048.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5659300 Wed, 01 Feb 2012 05:00:00 +0100 5659300 http://www.medworm.com/index.php?rid=5646871&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06999.x SummaryIn a randomised crossover study, 60 ambulance paramedics attempted tracheal intubation of a manikin model of a Cormack and Lehane grade 3/4 view using a Portex stylet, Portex and Frova single‐use bougies, and a Portex reusable bougie. Tracheal intubation within 30 s was achieved by 34/60 (57%) using the stylet, 18/60 (30%) using a Portex single‐use bougie, 16/60 (27%) using a Frova single‐use bougie and 5/60 (8%) using a Portex reusable bougie. The proportion intubating within 30 s was significantly higher with the stylet compared with any bougie (p < 0.001), but significantly lower with a Portex reusable bougie than any other device (p < 0.004). Participants rated the Portex reusable bougie as significantly more difficult to use than the other devices (p &... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5646871 Wed, 01 Feb 2012 05:00:00 +0100 5646871 http://www.medworm.com/index.php?rid=5646872&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06980.x We describe the aetiology, presentation and treatment of spontaneous intracranial hypotension and review the similarities with our patient’s clinical presentation. We hypothesise as to how our intervention may have resulted in a dural tear. (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5646872 Tue, 31 Jan 2012 05:00:00 +0100 5646872 http://www.medworm.com/index.php?rid=5627943&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07000.x SummaryAmetop® gel (4% tetracaine) is used to provide topical anaesthesia for venous cannulation. Rapydan® patch (7% lidocaine and 7% tetracaine) has been developed to provide topical anaesthesia by a different mechanism, that of heat assisted delivery. We compared the topical anaesthetic effect of these agents for venous cannulation. One hundred healthy adults undergoing day‐case surgery were randomly assigned to receive either Rapydan (n = 50) or Ametop (n = 50) before venous cannulation. Pain on insertion was scored on a visual analogue scale between 0 and 100 (where 100 = unbearable pain). Median(IQR[range]) pain scores were not different between groups with 11 (5–20 [0–72]) for Rapydan and 10 (5–24 [0–95]) for Ametop (p = 0.63). Adequate topical anaesthesia... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5627943 Thu, 26 Jan 2012 12:16:15 +0100 5627943 http://www.medworm.com/index.php?rid=5619606&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06994.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5619606 Mon, 23 Jan 2012 12:16:24 +0100 5619606 http://www.medworm.com/index.php?rid=5627945&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06982.x SummaryI report the case of a 57‐year‐old patient admitted to the intensive care unit with severe community‐acquired pneumonia, complicated by prolonged mechanical ventilation of the lungs and intractable cardiac failure. He underwent percutaneous coronary angioplasty of the right coronary artery, but this did not improve his clinical condition. He was subsequently found to be suffering from mitral valve prolapse, that was felt to be the cause of recurrent episodes of severe pulmonary oedema. As open surgery was felt to be not feasible, the patient underwent percutaneous repair of his mitral valve using the MitraClip® device, and, after months of ventilatory support, was then weaned from the ventilator in a matter of days. While the procedure itself and the technology employed are s... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5627945 Mon, 23 Jan 2012 05:00:00 +0100 5627945 http://www.medworm.com/index.php?rid=5627944&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06997.x We describe a patient using remifentanil patient‐controlled analgesia who suffered a respiratory arrest requiring a brief period of ventilation. In our institution, remifentanil patient‐controlled analgesia has been offered to women in labour since 2009. Up to this point, we had not observed any critical incidents in over 130 patients using this mode of analgesia in our labour suite. (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5627944 Mon, 23 Jan 2012 05:00:00 +0100 5627944 http://www.medworm.com/index.php?rid=5607895&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07029.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607895 Fri, 20 Jan 2012 12:17:44 +0100 5607895 http://www.medworm.com/index.php?rid=5607894&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07028.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607894 Fri, 20 Jan 2012 12:17:42 +0100 5607894 http://www.medworm.com/index.php?rid=5607893&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07041.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607893 Fri, 20 Jan 2012 12:17:33 +0100 5607893 http://www.medworm.com/index.php?rid=5607892&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07040_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607892 Fri, 20 Jan 2012 12:17:31 +0100 5607892 http://www.medworm.com/index.php?rid=5607891&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07040_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607891 Fri, 20 Jan 2012 12:17:30 +0100 5607891 http://www.medworm.com/index.php?rid=5607890&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07039_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607890 Fri, 20 Jan 2012 12:17:28 +0100 5607890 http://www.medworm.com/index.php?rid=5607889&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07039_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607889 Fri, 20 Jan 2012 12:17:26 +0100 5607889 http://www.medworm.com/index.php?rid=5607888&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07038_3.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607888 Fri, 20 Jan 2012 12:17:24 +0100 5607888 http://www.medworm.com/index.php?rid=5607887&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07038_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607887 Fri, 20 Jan 2012 12:17:22 +0100 5607887 http://www.medworm.com/index.php?rid=5607886&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07038_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607886 Fri, 20 Jan 2012 12:17:20 +0100 5607886 http://www.medworm.com/index.php?rid=5607885&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07037.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607885 Fri, 20 Jan 2012 12:17:18 +0100 5607885 http://www.medworm.com/index.php?rid=5607883&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07035_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607883 Fri, 20 Jan 2012 12:17:15 +0100 5607883 http://www.medworm.com/index.php?rid=5607882&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07035_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607882 Fri, 20 Jan 2012 12:17:13 +0100 5607882 http://www.medworm.com/index.php?rid=5607881&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07034.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607881 Fri, 20 Jan 2012 12:17:11 +0100 5607881 http://www.medworm.com/index.php?rid=5607880&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07033_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607880 Fri, 20 Jan 2012 12:17:10 +0100 5607880 http://www.medworm.com/index.php?rid=5607879&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07033_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607879 Fri, 20 Jan 2012 12:17:08 +0100 5607879 http://www.medworm.com/index.php?rid=5607878&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07032.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607878 Fri, 20 Jan 2012 12:17:06 +0100 5607878 http://www.medworm.com/index.php?rid=5607877&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07031.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607877 Fri, 20 Jan 2012 12:17:05 +0100 5607877 http://www.medworm.com/index.php?rid=5607876&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07030_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607876 Fri, 20 Jan 2012 12:17:03 +0100 5607876 http://www.medworm.com/index.php?rid=5607875&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07030_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607875 Fri, 20 Jan 2012 12:17:02 +0100 5607875 http://www.medworm.com/index.php?rid=5607874&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06945.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607874 Fri, 20 Jan 2012 12:17:00 +0100 5607874 http://www.medworm.com/index.php?rid=5607873&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06941.x We present a case of a parturient with babesiosis and Lyme disease who was scheduled for elective caesarean section. The caesarean section was performed under spinal anaesthesia, and the patient had a coronary artery dissection 4 days postoperatively. Neuraxial anaesthesia and possible mechanisms for the coronary artery dissection in a patient with babesiosis and Lyme disease are discussed. (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607873 Fri, 20 Jan 2012 12:16:58 +0100 5607873 http://www.medworm.com/index.php?rid=5607872&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06918.x SummaryApproximately 50 years ago, pharmacogenetics was described as a new field of medicine that may explain human drug action. Anaesthesia played a key role in the early investigations. An understanding of how a person’s DNA influences drug metabolism and effectiveness may allow individually tailored prescriptions, improving outcomes and safety. The ultimate goal of pharmacogenetic research is to offer tailored personalised medicine to improve both the efficacy of medication and patient safety by helping to predict risk of adverse outcomes. In this review, we present a selection of historical landmarks where anaesthesia has been a catalyst for pharmacogenetic development. We examine the level of evidence and cite examples of candidate genes and common polymorphisms known to alter the... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607872 Fri, 20 Jan 2012 12:16:56 +0100 5607872 http://www.medworm.com/index.php?rid=5607871&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06977.x SummaryNon‐technical skills are recognised as crucial to good anaesthetic practice. We designed and evaluated a specialty‐specific tool to assess non‐technical aspects of trainee performance in theatre, based on a system previously found reliable in a recruitment setting. We compared inter‐rater agreement (multir‐ater kappa) for live assessments in theatre with that in a selection centre and a video‐based rater training exercise. Twenty‐seven trainees participated in the first in‐theatre assessment round and 40 in the second. Round‐ 1 scores had poor inter‐rater agreement (mean kappa = 0.20) and low reliability (generalisability coefficient G = 0.50). A subsequent assessor training exercise showed good inter‐rater agreement, (mean kappa = 0.79) but did not... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607871 Fri, 20 Jan 2012 12:16:54 +0100 5607871 http://www.medworm.com/index.php?rid=5607870&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06961.x This study evaluated the effect of limiting maximal infusion‐pump flow rate on suppression of remifentanil‐induced cough during target‐controlled infusion. Two hundred and ten patients were randomly assigned to receive remifentanil at an effect‐site concentration of 4.0 ng.ml−1 with maximal flow rate limited to 100 (group R100), 200 (group R200), or 1200 ml.h−1 (group R1200). The number of episodes of cough were recorded and graded as mild (1–2), moderate (3–4), or severe (5 or more). The incidence of cough was 2.9% in group R100, 5.7% in group R200 and 25.7% in group R1200. Patients in group R100 and R200 had a significantly lower incidence of cough than those in group R1200 (p < 0.05). Zero, two and five patients coughed a moderate amount in groups R100, R200 a... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607870 Fri, 20 Jan 2012 12:16:51 +0100 5607870 http://www.medworm.com/index.php?rid=5607869&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06943.x SummaryA new Airtraq® laryngoscope has been developed for nasal intubation. We prospectively compared tracheal intubation efficiency of the Airtraq for nasotracheal intubation vs that of the Macintosh laryngoscope in 200 patients. Depending on pre‐operative airway evaluation, the patients were allocated to expected easy (n = 100) or difficult (n = 100) intubation groups, on the basis of mouth opening ≤ 2.5 cm, modified Mallampati score of 4, history of difficult intubation, obvious tumour or swelling. Patients were randomly allocated to the Macintosh or nasotracheal Airtraq technique. All easy intubations were successfully performed with the respective technique. In the expected difficult intubation group, the success rate was higher (47/50 vs 33/50; p < 0.01), the glottis ... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607869 Fri, 20 Jan 2012 12:16:48 +0100 5607869 http://www.medworm.com/index.php?rid=5607868&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07019.x SummaryWe speculated that asymptomatic patients undergoing routine surgery might be at higher risk of subsequent cardiac events. We studied 183 534 patients with no prior admission for heart disease, aged 50–75 years, admitted electively for one of five operations considered medium to low risk of peri‐operative cardiac morbidity, between January 1997 and December 2005. Controls were generated from linked records. Within 3 years 3444 (1.9%) patients undergoing operations had subsequent myocardial infarction/acute coronary syndrome (MI/ACS) compared with 3708 (2.0%) controls (p < 0.001). Overall 8406 (4.6%) patients undergoing surgery had MI/ACS compared with 9306 (5.1%) controls (p < 0.001). Of patients undergoing surgery, 20.2% died compared with 25.7% of controls (... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607868 Fri, 20 Jan 2012 12:16:43 +0100 5607868 http://www.medworm.com/index.php?rid=5607867&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07027.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607867 Fri, 20 Jan 2012 12:16:41 +0100 5607867 http://www.medworm.com/index.php?rid=5607866&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07026.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5607866 Fri, 20 Jan 2012 12:16:39 +0100 5607866 http://www.medworm.com/index.php?rid=5523872&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07005.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5523872 Thu, 22 Dec 2011 00:47:57 +0100 5523872 http://www.medworm.com/index.php?rid=5523874&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07004.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5523874 Tue, 20 Dec 2011 05:00:00 +0100 5523874 http://www.medworm.com/index.php?rid=5523873&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07007.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5523873 Tue, 20 Dec 2011 05:00:00 +0100 5523873 http://www.medworm.com/index.php?rid=5504227&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06987.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5504227 Fri, 16 Dec 2011 00:48:03 +0100 5504227 http://www.medworm.com/index.php?rid=5504229&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06986.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5504229 Thu, 15 Dec 2011 05:00:00 +0100 5504229 http://www.medworm.com/index.php?rid=5504228&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06990.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5504228 Thu, 15 Dec 2011 05:00:00 +0100 5504228 http://www.medworm.com/index.php?rid=5494520&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06957.x Summary 1. There should be protocol‐driven, fast‐track admission of patients with hip fractures through the emergency department. 2. Patients with hip fractures require multidisciplinary care, led by orthogeriatricians. 3. Surgery is the best analgesic for hip fractures. 4. Surgical repair of hip fractures should occur within 48 hours of hospital admission. 5. Surgery and anaesthesia must be undertaken by appropriately experienced surgeons and anaesthetists. 6. There must be high‐quality communication between clinicians and allied health professionals. 7. Early mobilisation is a key part of the management of patients with hip fractures. 8. Pre‐operative management should include consideration of planning for discharge from hospital. 9. Measures should be taken t... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494520 Tue, 13 Dec 2011 00:52:58 +0100 5494520 http://www.medworm.com/index.php?rid=5494519&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07017.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494519 Tue, 13 Dec 2011 00:52:57 +0100 5494519 http://www.medworm.com/index.php?rid=5494518&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07016.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494518 Tue, 13 Dec 2011 00:52:55 +0100 5494518 http://www.medworm.com/index.php?rid=5494517&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06965_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494517 Tue, 13 Dec 2011 00:52:54 +0100 5494517 http://www.medworm.com/index.php?rid=5494516&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06965_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494516 Tue, 13 Dec 2011 00:52:52 +0100 5494516 http://www.medworm.com/index.php?rid=5494515&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06976.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494515 Tue, 13 Dec 2011 00:52:50 +0100 5494515 http://www.medworm.com/index.php?rid=5494514&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06971.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494514 Tue, 13 Dec 2011 00:52:49 +0100 5494514 http://www.medworm.com/index.php?rid=5494513&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06968.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494513 Tue, 13 Dec 2011 00:52:47 +0100 5494513 http://www.medworm.com/index.php?rid=5494512&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06970.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494512 Tue, 13 Dec 2011 00:52:46 +0100 5494512 http://www.medworm.com/index.php?rid=5494511&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06951.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494511 Tue, 13 Dec 2011 00:52:44 +0100 5494511 http://www.medworm.com/index.php?rid=5494510&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06949.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494510 Tue, 13 Dec 2011 00:52:43 +0100 5494510 http://www.medworm.com/index.php?rid=5494509&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06969.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494509 Tue, 13 Dec 2011 00:52:41 +0100 5494509 http://www.medworm.com/index.php?rid=5494508&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07015_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494508 Tue, 13 Dec 2011 00:52:40 +0100 5494508 http://www.medworm.com/index.php?rid=5494507&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07015_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494507 Tue, 13 Dec 2011 00:52:38 +0100 5494507 http://www.medworm.com/index.php?rid=5494506&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07014_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494506 Tue, 13 Dec 2011 00:52:37 +0100 5494506 http://www.medworm.com/index.php?rid=5494505&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07014_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494505 Tue, 13 Dec 2011 00:52:35 +0100 5494505 http://www.medworm.com/index.php?rid=5494504&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07013.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494504 Tue, 13 Dec 2011 00:52:33 +0100 5494504 http://www.medworm.com/index.php?rid=5494503&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07012.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494503 Tue, 13 Dec 2011 00:52:32 +0100 5494503 http://www.medworm.com/index.php?rid=5494502&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07011.x SummaryThe innate immune system is responsible for a rapid inflammatory response to pathogens that is essential for the clearance of infections. Although this response is vital, it is nonetheless potentially harmful, and dysregulated inflammation is a feature of many disease states. Thus, the mechanisms that regulate the release of soluble mediators of inflammation are an active focus of investigation. The activation by infections of two key components of the innate immune system, the Toll‐like receptors (TLRs) and complement, leading to the release of soluble mediators of inflammation, is critical to microbial killing and clearance. Both TLRs and complement are independently capable of triggering pro‐inflammatory responses, but their synergistic interaction resulting from a substantia... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494502 Tue, 13 Dec 2011 00:52:29 +0100 5494502 http://www.medworm.com/index.php?rid=5494501&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06993.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494501 Tue, 13 Dec 2011 00:52:15 +0100 5494501 http://www.medworm.com/index.php?rid=5494500&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06992.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494500 Tue, 13 Dec 2011 00:52:14 +0100 5494500 http://www.medworm.com/index.php?rid=5494499&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.07010.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5494499 Tue, 13 Dec 2011 00:52:12 +0100 5494499 http://www.medworm.com/index.php?rid=5399952&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06972.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399952 Sun, 13 Nov 2011 00:51:01 +0100 5399952 http://www.medworm.com/index.php?rid=5399951&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06964.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399951 Sun, 13 Nov 2011 00:50:59 +0100 5399951 http://www.medworm.com/index.php?rid=5399950&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06973.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399950 Sun, 13 Nov 2011 00:50:58 +0100 5399950 http://www.medworm.com/index.php?rid=5399949&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06966.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399949 Sun, 13 Nov 2011 00:50:56 +0100 5399949 http://www.medworm.com/index.php?rid=5399948&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06950.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399948 Sun, 13 Nov 2011 00:50:54 +0100 5399948 http://www.medworm.com/index.php?rid=5399947&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06948.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399947 Sun, 13 Nov 2011 00:50:52 +0100 5399947 http://www.medworm.com/index.php?rid=5399946&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06985_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399946 Sun, 13 Nov 2011 00:50:51 +0100 5399946 http://www.medworm.com/index.php?rid=5399945&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06985_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399945 Sun, 13 Nov 2011 00:50:49 +0100 5399945 http://www.medworm.com/index.php?rid=5399944&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06975_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399944 Sun, 13 Nov 2011 00:50:47 +0100 5399944 http://www.medworm.com/index.php?rid=5399943&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06975_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399943 Sun, 13 Nov 2011 00:50:46 +0100 5399943 http://www.medworm.com/index.php?rid=5399942&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06974_4.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399942 Sun, 13 Nov 2011 00:50:44 +0100 5399942 http://www.medworm.com/index.php?rid=5399941&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06974_3.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399941 Sun, 13 Nov 2011 00:50:42 +0100 5399941 http://www.medworm.com/index.php?rid=5399940&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06974_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399940 Sun, 13 Nov 2011 00:50:41 +0100 5399940 http://www.medworm.com/index.php?rid=5399939&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06974_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399939 Sun, 13 Nov 2011 00:50:39 +0100 5399939 http://www.medworm.com/index.php?rid=5399938&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06910.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399938 Sun, 13 Nov 2011 00:50:37 +0100 5399938 http://www.medworm.com/index.php?rid=5399937&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06890.x SummaryThere has been a great deal of progress in our understanding and management of rheumatoid arthritis in recent years. The peri‐operative management of rheumatoid arthritis patients can be challenging and anaesthetists need to be familiar with recent developments and potential risks of this multi system disease.You can respond to this article at http://www.anaesthesiacorrespondence.com (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399937 Sun, 13 Nov 2011 00:50:32 +0100 5399937 http://www.medworm.com/index.php?rid=5399936&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06984.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399936 Sun, 13 Nov 2011 00:50:16 +0100 5399936 http://www.medworm.com/index.php?rid=5399935&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06967.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399935 Sun, 13 Nov 2011 00:50:14 +0100 5399935 http://www.medworm.com/index.php?rid=5399931&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06962.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399931 Sun, 13 Nov 2011 00:49:38 +0100 5399931 http://www.medworm.com/index.php?rid=5399934&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06896.x This study suggests that MEOWS is a useful bedside tool for predicting morbidity. Adjustment of the trigger parameters may improve positive predictive value.You can respond to this article at http://www.anaesthesiacorrespondence.com (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399934 Wed, 09 Nov 2011 05:00:00 +0100 5399934 http://www.medworm.com/index.php?rid=5399933&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06963.x SummaryIt remains unclear whether type 2 diabetics treated with either insulin or oral hypoglycaemic agents have the same incidence of cardiac morbidity and mortality after major non‐cardiac surgery. We prospectively studied 360 type 2 diabetic patients undergoing major non‐cardiac surgery of which 105 were treated with insulin only, 171 were treated with oral hypoglycaemics only and 84 were treated with a combination of insulin and oral hypoglycaemics. All‐cause mortality after 30 days and after 12 months was highest in the insulin (10% and 26%) and lowest in the oral hypoglycaemics group (2% and 13%; p = 0.02 and 0.007, respectively). Insulin treatment was independently associated with increased mortality after 30 days (hazard ratio 3.93; 95% CI 1.22–12.64; p = 0.022) a... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399933 Wed, 09 Nov 2011 05:00:00 +0100 5399933 http://www.medworm.com/index.php?rid=5399932&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06960.x In conclusion, the laryngeal mask airway Supreme performed as well as the laryngeal mask airway Unique and is a useful alternative for airway maintenance, particularly in children who require evacuation of gastric contents during anaesthesia.You can respond to this article at http://www.anaesthesiacorrespondence.com (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5399932 Wed, 09 Nov 2011 05:00:00 +0100 5399932 http://www.medworm.com/index.php?rid=5384204&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06955.x SummaryDual‐lumen haemodiafiltration catheters enable continuous renal replacement therapy in the critically ill and are often co‐located with central venous catheters used to infuse drugs. The extent to which infusions are immediately aspirated by an adjacent haemodiafiltration catheter remains unknown. A bench model was constructed to evaluate this effect. A central venous catheter and a haemodiafiltration catheter were inserted into a simulated central vein and flow generated using centrifugal pumps within the simulated vein and haemodiafiltration circuit. Ink was used as a visual tracer and creatinine solution as a quantifiable tracer. Tracers were completely aspirated by the haemodiafiltration catheter unless the infusion was at least 1 cm downstream to the arterial port. No tra... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5384204 Tue, 08 Nov 2011 05:00:00 +0100 5384204 http://www.medworm.com/index.php?rid=5384203&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06958.x SummaryThe role of the revised cardiac risk index in risk stratification has recently been challenged by studies reporting on the superior predictive ability of pre‐operative B‐type natriuretic peptides. We found that in 850 vascular surgical patients initially risk stratified using B‐type natriuretic peptides, reclassification with the number of revised cardiac risk index risk factors worsened risk stratification (p < 0.05 for > 0, > 2, > 3 and > 4 risk factors, and p = 0.23 for > 1 risk factor). When evaluated with pre‐operative B‐type natriuretic peptides, none of the revised cardiac risk index risk factors were independent predictors of major adverse cardiac events in vascular patients. The only independent predictor was B‐type natriureti... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5384203 Tue, 01 Nov 2011 04:00:00 +0100 5384203 http://www.medworm.com/index.php?rid=5346720&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06956.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5346720 Wed, 26 Oct 2011 02:08:58 +0100 5346720 http://www.medworm.com/index.php?rid=5346721&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06942.x SummaryThe prevalence and severity of aortic stenosis in unselected patients admitted with a hip fracture is unknown. Derriford Hospital operates a routine weekday, pre‐operative, targeted bedside echocardiography examination on all patients admitted with a hip fracture. We carried out a prospective service evaluation for 13 months from October 2007 on all 501 admissions, of which 374 (75%) underwent pre‐operative echocardiography. Of those patients investigated, 8 (2%) had severe, 24 (6%) moderate and 113 (30%) had mild aortic stenosis or aortic sclerosis. Eighty‐seven of 278 (31%) patients with no murmur detected clinically on admission had aortic stenosis on echocardiography and of the 96 patients in whom a murmur was heard pre‐operatively, 30 (31%) had a normal echocardiogram... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5346721 Mon, 24 Oct 2011 04:00:00 +0100 5346721 http://www.medworm.com/index.php?rid=5334894&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06947.x This study demonstrates proof of concept that using transoesophageal echocardiography for estimating the pulmonary artery wedge pressure may not be sufficiently accurate for clinical use.You can respond to this article at http://www.anaesthesiacorrespondence.com (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5334894 Fri, 21 Oct 2011 23:51:04 +0100 5334894 http://www.medworm.com/index.php?rid=5334895&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06946.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5334895 Fri, 21 Oct 2011 04:00:00 +0100 5334895 http://www.medworm.com/index.php?rid=5334896&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06925.x SummarySevere sepsis is a common cause of admission to the intensive care unit and is associated with a high hospital mortality. This audit explored the current use of, and attitudes towards, recombinant activated protein C therapy across Scotland, and compared these with current guidance. Patients with severe sepsis were followed for three days. Consideration and/or usage of recombinant activated protein C were compared with two different guidelines. Ninety‐seven patients were admitted to the intensive care unit over the audit period. Recombinant activated protein C was used in nine of these patients. Depending on the criteria used, between 50% and 81% of the patients who qualified for recombinant activated protein C therapy did not receive it. Subsequent to the audit, a survey was perf... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5334896 Wed, 19 Oct 2011 04:00:00 +0100 5334896 http://www.medworm.com/index.php?rid=5323524&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06959.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323524 Mon, 17 Oct 2011 23:54:36 +0100 5323524 http://www.medworm.com/index.php?rid=5323523&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06953_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323523 Mon, 17 Oct 2011 23:54:31 +0100 5323523 http://www.medworm.com/index.php?rid=5323521&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06952.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323521 Mon, 17 Oct 2011 23:54:27 +0100 5323521 http://www.medworm.com/index.php?rid=5323520&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06904.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323520 Mon, 17 Oct 2011 23:54:25 +0100 5323520 http://www.medworm.com/index.php?rid=5323519&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06905.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323519 Mon, 17 Oct 2011 23:54:24 +0100 5323519 http://www.medworm.com/index.php?rid=5323518&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06908_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323518 Mon, 17 Oct 2011 23:54:22 +0100 5323518 http://www.medworm.com/index.php?rid=5323517&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06908_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323517 Mon, 17 Oct 2011 23:54:20 +0100 5323517 http://www.medworm.com/index.php?rid=5323516&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06901.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323516 Mon, 17 Oct 2011 23:54:19 +0100 5323516 http://www.medworm.com/index.php?rid=5323515&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06907.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323515 Mon, 17 Oct 2011 23:54:17 +0100 5323515 http://www.medworm.com/index.php?rid=5323514&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06903.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323514 Mon, 17 Oct 2011 23:54:15 +0100 5323514 http://www.medworm.com/index.php?rid=5323513&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06954.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323513 Mon, 17 Oct 2011 23:54:13 +0100 5323513 http://www.medworm.com/index.php?rid=5323512&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06902.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323512 Mon, 17 Oct 2011 23:54:12 +0100 5323512 http://www.medworm.com/index.php?rid=5323511&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06906.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323511 Mon, 17 Oct 2011 23:54:10 +0100 5323511 http://www.medworm.com/index.php?rid=5323510&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06909_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323510 Mon, 17 Oct 2011 23:54:08 +0100 5323510 http://www.medworm.com/index.php?rid=5323509&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06909_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323509 Mon, 17 Oct 2011 23:54:06 +0100 5323509 http://www.medworm.com/index.php?rid=5323508&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06899.x SummaryPressure infusion devices are used in clinical practice to apply large volumes of fluid over a short period of time. Although air infusion is a major complication, they have limited capability to detect and remove air during pressure infusion. In this investigation, we tested the air elimination capabilities of the Fluido® (The Surgical Company), Level 1® (Level 1 Technologies Inc.) and Ranger® (Augustine Medical GmbH) pressure infusion devices. Measurements were undertaken with a crystalloid solution during an infusion flow of 100, 200, 400 and 800 ml.min−1. Four different volumes of air (25, 50, 100 and 200 ml) were injected as boluses in one experimental setting, or infused continuously over the time needed to perfuse 2 l saline in the other setting. The perfusion flui... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323508 Mon, 17 Oct 2011 23:54:03 +0100 5323508 http://www.medworm.com/index.php?rid=5323507&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06926.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323507 Mon, 17 Oct 2011 23:53:46 +0100 5323507 http://www.medworm.com/index.php?rid=5323506&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06914.x SummaryTo provide further evidence for the lipid sink theory, we have developed an in vitro model to assess the effect of Intralipid® 20% on methaemoglobin formation by drugs of varying lipid solubility. Progressively increasing Intralipid concentrations from 4 to 24 mg.ml−1 suppressed methaemoglobin formation by the lipid soluble drug glyceryl trinitrate in a dose‐dependent manner (p < 0.001). Both dose and timing of administration of Intralipid to blood previously incubated with glyceryl trinitrate for 10 and 40 min resulted in significant suppression of methaemoglobin formation (p < 0.0001 and p < 0.05, respectively). Mathematical modelling demonstrated that the entire process of methaemoglobin formation by glyceryl trinitrate was slowed down in the presenc... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5323506 Mon, 17 Oct 2011 23:53:00 +0100 5323506 http://www.medworm.com/index.php?rid=5313751&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06944.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5313751 Wed, 12 Oct 2011 04:00:00 +0100 5313751 http://www.medworm.com/index.php?rid=5284916&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06891.x SummaryThe purpose of this study was to determine whether the Intubation Difficulty Scale is meaningful when used with indirect laryngoscopes. Data were analysed from previously published clinical trials from our group that compared the indirect laryngoscopes with the Macintosh laryngoscope. For each laryngoscope type, the Intubation Difficulty Scale score obtained for each tracheal intubation was correlated with data for duration of the intubation attempt and with the user rated difficulty of the intubation attempt. The strengths of the correlations between these indices were then compared for tracheas intubated with the Macintosh vs the indirect laryngoscopes. The Intubation Difficulty Scale performed well when compared with data for duration and user rated difficulty of the intubation a... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5284916 Tue, 04 Oct 2011 04:00:00 +0100 5284916 http://www.medworm.com/index.php?rid=5284915&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06898.x SummaryWe assessed the effect of magnesium on the amount of bleeding, coagulation profiles and surgical conditions during lumbar discectomy under general anaesthesia. Forty patients, of ASA physical status 1–2 and aged 18–65 years, undergoing single‐level microscopic lumbar discectomy, were randomly assigned to magnesium sulphate (50 mg.kg−1 in 100 ml saline over 10 min followed by a continuous infusion of 20 mg.kg.h−1) or saline. The mean (SD) estimated blood loss was 190 (95) and 362 (170) ml in the magnesium and saline groups, respectively (mean difference = 172 ml; 95% CI 84–260 ml). The median (IQR [range]) Fromme’s scale score for surgical conditions for the magnesium and saline groups were 2 (2–3 [2–3]) and 3 (2–3 [3–4]), respectively (p &... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5284915 Tue, 04 Oct 2011 04:00:00 +0100 5284915 http://www.medworm.com/index.php?rid=5284914&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06911.x SummaryWe undertook a review of studies comparing complications of centrally or peripherally inserted central venous catheters. Twelve studies were included. Catheter tip malpositioning (9.3% vs 3.4%, p = 0.0007), thrombophlebitis (78 vs 7.5 per 10 000 indwelling days, p = 0.0001) and catheter dysfunction (78 vs 14 per 10 000 indwelling days, p = 0.04) were more common with peripherally inserted catheters than with central catheter placement, respectively. There was no difference in infection rates. We found that the risks of tip malpositioning, thrombophlebitis and catheter dysfunction favour clinical use of centrally placed catheters instead of peripherally inserted central catheters, and that the two catheter types do not differ with respect to catheter‐related infecti... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5284914 Tue, 04 Oct 2011 04:00:00 +0100 5284914 http://www.medworm.com/index.php?rid=5284913&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06912.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5284913 Tue, 04 Oct 2011 04:00:00 +0100 5284913 http://www.medworm.com/index.php?rid=5284912&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06913.x SummaryWe investigated the forces required to remove thoracic epidural catheters to determine the effect of patient position on removal. Eighty‐four patients undergoing open thoracotomy and thoracic patient‐controlled epidural analgesia were enrolled. Catheterisation was performed under fluoroscopic guidance before surgery, and the patients were allocated to one of three position groups for removal: prone; sitting; and lateral. On the third postoperative day, the peak tension during withdrawal in the assigned position was measured. No differences in mean (SD) forces were found between groups: prone 1.61 (0.39) N, supine 1.62 (0.61) N and lateral 1.36 (0.56) N (p = 0.140). The withdrawal forces required to remove thoracic epidural catheters were not affected by the position. T... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5284912 Tue, 04 Oct 2011 04:00:00 +0100 5284912 http://www.medworm.com/index.php?rid=5284919&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06873.x SummaryThe purpose of this study was to assess the effect of antenatal weight gain on baseline heart rate variability and incidence of hypotension in singleton parturients with a normal pre‐pregnancy body mass index, presenting at term for elective caesarean section under spinal anaesthesia. Sixty‐six parturients, of ASA physical status 1–2, were allocated to one of three groups according to their weight gain during pregnancy: < 11 kg; 11–16 kg; and > 16 kg. Mean (SD) approximate entropy of baseline heart rate was significantly higher in the < 11 kg group (0.27 (0.11)) compared with the 11–16 kg group (0.14 (0.08)) and the > 16 kg group (0.14 (0.07)) (both p < 0.001). The incidence of hypotension in the < 11 kg group (17/22; 77%) was sign... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5284919 Mon, 03 Oct 2011 04:00:00 +0100 5284919 http://www.medworm.com/index.php?rid=5284918&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06895.x We describe the management and recovery of a 28‐year‐old man following a history of overdose by nasal inhalation of cocaine. The patient was presented in a comatose state suffering from seizures and marked cardiovascularly instability. Intravenous lipid emulsion was administered following initial resuscitation and tracheal intubation, as a means of treating persistent cardiac arrhythmias and profound hypotension. Following lipid emulsion therapy, the patient’s life‐threatening cardiovascular parameters rapidly improved and he recovered well without any side effects, thus being discharged within 2 days.You can respond to this article at http://www.anaesthesiacorrespondence.com (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5284918 Mon, 03 Oct 2011 04:00:00 +0100 5284918 http://www.medworm.com/index.php?rid=5284917&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06897.x SummaryWe investigated the deterioration in plasticity of the multi‐use Portex Tracheal Guide (‘bougie’) with repeated sterilisation. Six bougies were prepared by washing them between 0 and 100 times (in accordance with the manufacturer’s guidelines). Two tests were employed: a bench test in which rapid serial photographs were taken of the bougies uncoiling from a preformed curve; and a manikin‐based test in which the six bougies were used in a simulated difficult airway. The bench test demonstrated a progressive deterioration in plasticity with repeated washing. However, the manikin‐based test showed no significant difference between bougies in the incidence of oesophageal placement (p = 0.74). Time to placement differed significantly only between the two most‐washed bou... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5284917 Mon, 03 Oct 2011 04:00:00 +0100 5284917 http://www.medworm.com/index.php?rid=5313750&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06924.x We examined the light intensity delivered by the Trachlight™ reusable lightwand and the effect of repeated sterilisation on this light intensity. Using a light meter and test chamber, the light intensity of 12 new Trachlights and 31 Trachlights available in operating theatres was measured. In addition, five new devices underwent 30 repeated sterilisations with light intensity measurement after each cleaning. There was no difference between the light intensity of new Trachlights (median (IQR [range]) 2282 (2202–2780 [1970–4400])) lux and the devices currently in service (2295 (2018–2796 [1649–3280]) lux (p = 0.27)). The median (range) number of uses for devices currently in service was only 3 (0–9). There was, however, significant light intensity loss after 10, 20 and 30 cle... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5313750 Sat, 01 Oct 2011 04:00:00 +0100 5313750 http://www.medworm.com/index.php?rid=5284911&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06917.x SummaryTarget controlled infusion (TCI) devices can be associated with significant safety concerns when used during magnetic resonance imaging (MRI). We tested the safety and compatibility of newer TCI systems in a 3‐Tesla MRI environment. Two Asena PK and two Agilia TCI pumps were used to administer TCI propofol (at target blood concentrations of 0.5 and 6.0 μg.ml−1) using the Marsh model under magnetic fields of up to 50 G with a T2‐weighted sequence. We assessed the devices for projectile risk, accuracy of drug delivery, alarm function and effects on MR image quality. Both devices did not demonstrate any significant deflection at the tested field strengths, and performed within acceptable limits (cumulative error in total delivered volume < 3%; maximum 10‐min interval ... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5284911 Sat, 01 Oct 2011 04:00:00 +0100 5284911 http://www.medworm.com/index.php?rid=5250088&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06888.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5250088 Sun, 25 Sep 2011 07:50:26 +0100 5250088 http://www.medworm.com/index.php?rid=5250090&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06874.x SummaryHead injury is one of the major causes of trauma‐related morbidity and mortality in all age groups in the United Kingdom, and anaesthetists encounter this problem in many areas of their work. Despite a better understanding of the pathophysiological processes following traumatic brain injury and a wealth of research, there is currently no specific treatment. Outcome remains dependant on basic clinical care: management of the patient’s airway with particular attention to preventing hypoxia; avoidance of the extremes of lung ventilation; and the maintenance of adequate cerebral perfusion, in an attempt to avoid exacerbating any secondary injury. Hypertonic fluids show promise in the management of patients with raised intracranial pressure. Computed tomography scanning has had a maj... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5250090 Fri, 23 Sep 2011 04:00:00 +0100 5250090 http://www.medworm.com/index.php?rid=5250089&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06875.x SummaryWe developed a closed‐loop system to control the depth of anaesthesia and neuromuscular blockade using the bispectral index and the electromyogram simultaneously and evaluated the clinical performance of this combined system for general anaesthesia. Twenty‐two adult patients were included in this study. Anaesthesia was induced by a continuous infusion of remifentanil at 0.4 μg.kg−1.min−1 (induction dose) and then 0.25 μg.kg−1.min−1 (maintenance dose) and propofol at 2 mg.kg−1 3 min later. The combined automatic control was started 2 min after tracheal intubation. The depth of anaesthesia was recorded using bispectral index monitoring using a target value of 40. The target value of neuromuscular blockade, using mivacurium, was a T1/T10 twitch height of 10%. ... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5250089 Fri, 23 Sep 2011 04:00:00 +0100 5250089 http://www.medworm.com/index.php?rid=5250095&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06889.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5250095 Thu, 22 Sep 2011 04:00:00 +0100 5250095 http://www.medworm.com/index.php?rid=5250094&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06892.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5250094 Thu, 22 Sep 2011 04:00:00 +0100 5250094 http://www.medworm.com/index.php?rid=5250093&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06893.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5250093 Thu, 22 Sep 2011 04:00:00 +0100 5250093 http://www.medworm.com/index.php?rid=5250092&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06919.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5250092 Thu, 22 Sep 2011 04:00:00 +0100 5250092 http://www.medworm.com/index.php?rid=5250091&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06923.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5250091 Thu, 22 Sep 2011 04:00:00 +0100 5250091 http://www.medworm.com/index.php?rid=5236609&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06915.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5236609 Wed, 21 Sep 2011 16:37:12 +0100 5236609 http://www.medworm.com/index.php?rid=5236612&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06900.x SummaryThe purpose of this study was to assess whether ultrasonography is useful for determining uncuffed tracheal tube sizes for paediatric patients. The equation for selecting the correctly sized tracheal tube was developed using data on the subglottic diameter measured by ultrasonography and air leak test. The efficacy of the new equation was evaluated by comparing it with the conventional age‐based formula (4 + age/4) in another 100 patients. Tracheal tube sizes were selected using two methods, and air leakage pressure was measured after each intubation. The ultrasonographic method allowed the correct tube size to be selected in 60% of cases, whereas the age‐based method enabled this in 31% of cases (p < 0.001). Ultrasound can offer a useful means of selecting correct tr... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5236612 Tue, 20 Sep 2011 04:00:00 +0100 5236612 http://www.medworm.com/index.php?rid=5236611&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06788.x SummarySurgical aortic valve replacement is the conventional treatment for symptomatic aortic valve stenosis; however, the technique of transfemoral transcatheter aortic valve implantation has recently been developed for older patients at high risk for surgery. We assessed whether this procedure could be safely performed under sedation in 100 patients. Their predicted surgical mortality was 21.6% and mean (SD) age 80 (6.6) years. Sedation was provided by remifentanil infusion (0–0.2 μg.kg−1.min−1) and midazolam (1–3 mg), as required. All patients were closely haemodynamically monitored throughout by an anaesthetist and inotropic drugs administered as indicated by invasive monitoring. Sedation alone was required in 83 patients; in 17 patients sedation had to be converted to gen... Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5236611 Tue, 20 Sep 2011 04:00:00 +0100 5236611 http://www.medworm.com/index.php?rid=5236610&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06894.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5236610 Tue, 20 Sep 2011 04:00:00 +0100 5236610 http://www.medworm.com/index.php?rid=5224557&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06869.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224557 Sat, 17 Sep 2011 20:51:58 +0100 5224557 http://www.medworm.com/index.php?rid=5224556&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06870.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224556 Sat, 17 Sep 2011 20:51:56 +0100 5224556 http://www.medworm.com/index.php?rid=5224555&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06849.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224555 Sat, 17 Sep 2011 20:51:54 +0100 5224555 http://www.medworm.com/index.php?rid=5224554&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06844_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224554 Sat, 17 Sep 2011 20:51:53 +0100 5224554 http://www.medworm.com/index.php?rid=5224553&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06844_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224553 Sat, 17 Sep 2011 20:51:51 +0100 5224553 http://www.medworm.com/index.php?rid=5224552&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06880.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224552 Sat, 17 Sep 2011 20:51:49 +0100 5224552 http://www.medworm.com/index.php?rid=5224551&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06876_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224551 Sat, 17 Sep 2011 20:51:47 +0100 5224551 http://www.medworm.com/index.php?rid=5224550&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06876_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224550 Sat, 17 Sep 2011 20:51:46 +0100 5224550 http://www.medworm.com/index.php?rid=5224549&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06878.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224549 Sat, 17 Sep 2011 20:51:44 +0100 5224549 http://www.medworm.com/index.php?rid=5224548&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06877.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224548 Sat, 17 Sep 2011 20:51:42 +0100 5224548 http://www.medworm.com/index.php?rid=5224547&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06843_2.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224547 Sat, 17 Sep 2011 20:51:41 +0100 5224547 http://www.medworm.com/index.php?rid=5224546&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06843_1.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224546 Sat, 17 Sep 2011 20:51:39 +0100 5224546 http://www.medworm.com/index.php?rid=5224545&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06847.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224545 Sat, 17 Sep 2011 20:51:38 +0100 5224545 http://www.medworm.com/index.php?rid=5224544&cid=s_28812_5_f&fid=28812&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2044.2011.06850.x (Source: Anaesthesia) Anaesthesia journals http://www.medworm.com/rss/comments.php?id=5224544 Sat, 17 Sep 2011 20:51:36 +0100 5224544