British journal of anaesthesia
-
The ProSeal laryngeal mask airway (PLMA) is a new laryngeal mask device with a modified cuff and a drainage tube. ⋯ The PLMA is a reliable airway management device that can give an effective glottic seal in paralysed and non-paralysed patients. The device allows the easy passage of a gastric tube, causes a minimal haemodynamic response to insertion, and an acceptable incidence of sore throat.
-
Randomized Controlled Trial Clinical Trial
Glucose, insulin and potassium for heart protection during cardiac surgery.
Coronary artery bypass grafting with hypothermic cardiac arrest and cardiopulmonary bypass (CPB) is associated with myocardial injury. Our study investigated whether an infusion of glucose, insulin and potassium (GIK) during elective coronary artery bypass surgery decreases myocardial cell death. ⋯ The results suggest that GIK does not decrease the irreversible myocardial damage associated with routine coronary artery bypass surgery.
-
Comment Letter Case Reports
Use of remifentanil in fast atrial fibrillation.
-
Randomized Controlled Trial Multicenter Study Clinical Trial
Randomized crossover comparison of the proseal with the classic laryngeal mask airway in unparalysed anaesthetized patients.
The ProSeal is a wire-reinforced laryngeal mask airway with an additional drain tube that leads to the distal tip of the laryngeal cuff. The design should improve the seal with the larynx. ⋯ The ProSeal is more difficult to insert than the classic laryngeal mask airway but allows positive pressure ventilation more reliably than the classic laryngeal mask airway.
-
With the increasing number of critically ill patients, and shortage of intensive care unit and ward beds, some postoperative patients stay for an unnecessarily long period in the postanaesthesia care unit (PACU), until a suitable bed is available. ⋯ Patient overflow to the PACU is a common problem that requires attention. Guidelines for medical and nursing coverage, patient triage, and communication with relatives need to be outlined.