Anaesthesia, critical care & pain medicine
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Anaesth Crit Care Pain Med · Feb 2017
ReviewCriteria for choosing an intravenous infusion line intended for multidrug infusion in anaesthesia and intensive care units.
The aims are to identify critical parameters influencing the drug mass flow rate of infusion delivery to patients during multidrug infusion and to discuss their clinical relevance. ⋯ To prevent the potentially serious effects of flow rate variability on patients, clinicians should receive instruction on the fluid dynamics of an IV administration set and so be able to take steps to minimise flow rate changes during IV therapy.
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Anaesth Crit Care Pain Med · Feb 2017
Comparative StudyComparison of the visualisation of the subclavian and axillary veins: An ultrasound study in healthy volunteers.
To compare the area of the lumen of the axillary and subclavian veins using ultrasound (US) in 50 healthy volunteers. ⋯ The present US study shows that visualisation of the axillary vein under US is greater than that for the subclavian vein, mainly due to a better alignment with the long axis of the axillary vein leading to a greater cross-sectional area of the axillary vein.
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Anaesth Crit Care Pain Med · Feb 2017
Observational StudyUltrasonographic diaphragmatic excursion is inaccurate and not better than the MRC score for predicting weaning-failure in mechanically ventilated patients.
To assess the ability of diaphragmatic ultrasound (US) to predict weaning failure in mechanically ventilated patients undergoing a first spontaneous breathing trial (SBT). ⋯ A decrease in MDE values may be associated with an unfavourable weaning outcome. Diaphragmatic excursion measured by ultrasound is however unable by itself to predict weaning failure at the bedside of patients undergoing a first spontaneous breathing trial and does not provide any additional value compared to the MRC score.
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Anaesth Crit Care Pain Med · Dec 2016
Evaluation of a continuous improvement programme of enhanced recovery after caesarean delivery under neuraxial anaesthesia.
To assess the performance of a multidisciplinary programme for enhanced recovery after caesarean delivery under neuraxial anaesthesia. ⋯ Improved practices in rehabilitation after caesarean can be obtained by setting up a multidisciplinary programme as part of a quality approach.