Anaesthesia and intensive care
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Anaesth Intensive Care · Oct 1997
Comparative StudyAnaesthetists' attitudes towards an anaesthesia simulator. A comparative survey: U.S.A. and Australia.
Anaesthesia simulation has been suggested as a method to enhance the training of clinicians without exposing patient to risk. Recently, two anaesthesia simulators have become commercially available in the U. S. ⋯ The most frequent comment related to the cost. There is majority support for the purchase of an anaesthesia simulator but there is widespread concern for its high cost. In general, anaesthesia simulation is perceived more as an education tool rather than an instrument for (re)certification.
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Anaesth Intensive Care · Oct 1997
Case ReportsTricyclic poisoning--successful management of ventricular fibrillation following massive overdose of imipramine.
Serious complications from tricyclic antidepressant (TCA) overdose are uncommon. We present a case of massive imipramine overdose complicated by ventricular fibrillation and a prolonged period of cardiovascular collapse. A total of 400 mmol of sodium bicarbonate, 5 mg of adrenaline and 80 mg of sotalol were given during 50 minutes of cardiac arrest. ⋯ The highest TCA plasma level we could find in the published literature was 4873 ng/ml4; our patient's peak TCA level was 6000 ng/ml. Tricyclic antidepressant overdose is a common cause of intensive care unit admission. It has a low mortality rate.
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Anaesth Intensive Care · Oct 1997
Biography Historical ArticleClearing the airway--the development of the pharyngeal airway.