Anaesthesia and intensive care
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Anaesth Intensive Care · Nov 2020
Adult cardiopulmonary bypass in Australian and New Zealand public hospitals: A survey of practice.
A telephone survey of cardiac anaesthetists and perfusionists at the 29 public hospitals providing adult cardiac surgical services in Australia and New Zealand was carried out between December 2019 and January 2020. The aim was to investigate current practice with regard to selected contentious elements of anaesthetic and perfusion management during cardiopulmonary bypass; primarily relating to bypass circuit priming, blood conservation methods and point-of-care coagulation testing. There was a 100% response rate. ⋯ The cardiopulmonary bypass circuit prime solution was primarily a balanced crystalloid in most hospitals; however, there was significant variation regarding the addition of human albumin, mannitol, sodium bicarbonate and other medications. Many of the interventions examined were used on a case-by-case basis. These findings support the need for further research to define more evidence-based practice of these interventions.
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Anaesth Intensive Care · Nov 2020
2019 World Congress of Intensive Care: Hosted by the Australian and New Zealand Intensive Care Society, the Australian College of Critical Care Nurses, and the World Federation of Societies of Intensive and Critical Care Medicine, 14-18 October 2019, Melbourne Convention and Exhibition Centre, Melbourne, Australia.
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Anaesth Intensive Care · Nov 2020
Clinical TrialBlind intubation through an i-gel® in the prone position: A prospective cohort study.
Accidental extubation in the prone position is a medical emergency in which quick and low resource demanding airway management is required. Regaining oxygenation is the primary goal, but sometimes intubation may be required to regain oxygenation. Blind intubation through an i-gel® (Intersurgical Ltd, Wokingham, Berkshire, UK) may be a quick and low resource demanding method. ⋯ Overall, the success rate was 36%. Blind intubation using an i-gel as an intubation conduit in the prone position is not recommended. Netherlands Trial Register number NL6387 (NTR7659).