Anaesthesia and intensive care
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Anaesth Intensive Care · Aug 2005
Case ReportsBaclofen withdrawal: a cause of prolonged fever in the intensive care unit.
We report a case of baclofen withdrawal syndrome resulting from oral baclofen underdosing. A 24-year-old woman with type 1 neurofibromatosis receiving long-term baclofen therapy was admitted with presumed pneumonia which was successfully treated with antibiotics. The patient continued to have fever and autonomic instability without evidence of infection which entirely resolved within 24 hours of reinstitution of full preadmission dosing of oral baclofen. Baclofen withdrawal syndrome resulting from underdosing of oral baclofen should be considered as a potential source of prolonged fever in the intensive care unit.
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Anaesth Intensive Care · Aug 2005
Letter Case ReportsSensorineural hearing loss after general anaesthesia.
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Anaesth Intensive Care · Jun 2005
Assessment of internal diameter and cross-sectional area of right internal jugular vein pre-induction and post-intubation.
This prospective observational study compared the internal diameter and cross-sectional area of the right internal jugular vein pre-induction and post-initiation of positive pressure ventilation. Twenty patients undergoing coronary artery bypass surgery were studied. ⋯ There was a statistically significant increase in both measurements post-intubation. This study suggests that it may be easier and safer to perform cannulation of RIJV after institution of intermittent positive pressure ventilation in patients in the modified Trendelenburg position.
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Anaesth Intensive Care · Jun 2005
Biography Historical ArticleHubert Ingham Clements: a pioneer of Australian anaesthesia.
Hubert Ingham Clements was an inventor, designer and engineer who manufactured many pieces of apparatus for use in the scientific and medical practice, particularly in the field of anaesthesia from 1917 when he designed and manufactured suction pumps and anaesthetic machines. His products were ingenious, light and portable where desirable, but sturdy, extraordinarily reliable, of low maintenance and high performance. His contribution to the specialty of anaesthesia is acknowledged.