Anaesthesia and intensive care
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Anaesth Intensive Care · Dec 1993
Randomized Controlled Trial Comparative Study Clinical TrialCombined epidural and general anaesthesia versus general anaesthesia for abdominal aortic surgery: a prospective randomised trial.
Fifty patients undergoing elective abdominal aortic surgery were randomised to receive either combined epidural and general anaesthesia and postoperative epidural analgesia (CEGA) or general anaesthesia and postoperative intravenous morphine infusion (GA). Prospective data was collected in order to compare the two groups. This included intraoperative cardiovascular changes and postoperative complications. ⋯ Two patients in the CEGA group died postoperatively compared to one in the GA group (not significant). There was no significant difference between groups in the total number or type of postoperative complications. Combining epidural anaesthesia with general anaesthesia altered intraoperative cardiovascular management but did not affect postoperative outcome.
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Anaesth Intensive Care · Dec 1993
The Training/Examination Programme in Intensive Care, Australian and New Zealand College of Anaesthetists: 2. Examination.
The structure of the Final Examination in Intensive Care for the award of Diploma of Fellow of the Australian and New Zealand College of Anaesthetists is based on a model explicated in the College's Objectives of Training in Intensive Care. There are five sections in the examination: short answer questions, essay questions, investigations, orals and a clinical. The first examination was held in October 1979. ⋯ Eighty-three per cent of the candidates passed at the first attempt. The failure rate has been highest in the clinical section. The examination is regarded as a hard examination but one which is helpful in training and subsequent practice.
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Anaesth Intensive Care · Dec 1993
Randomized Controlled Trial Clinical TrialWarm local anaesthetic--effect on latency of onset of axillary brachial plexus block.
A double-blind, controlled trial was conducted to determine whether warming local anaesthetic reduces the onset time of axillary brachial plexus block. Forty patients were randomised into two groups. ⋯ A solution of 40 ml of lignocaine 1.5% with adrenaline 1:200,000 was used for all patients. Warming the local anaesthetic was not demonstrated to reduce the latency of onset of blockade.