ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

This review considers some of the recent developments in the evolving field of day-case anaesthesia. In addition to the intraoperative care of patients, consideration will be given to their selection, assessment and continuing aftercare.

ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Anaesthetists increasingly need to be aware of the medicolegal aspects of their work and of their ethical responsibilities to their patients with respect to consent, 'do not resuscitate' orders and withdrawing or withholding life-sustaining treatment, as well as to their research subjects and their colleagues (including co-authors, co-researchers and those who may be impaired); recent literature in this area is reviewed.

ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Despite the technical advances and the great amount of research on upper airway management in recent years, improved patient outcome has not been demonstrated. This article reviews recently reported experience with the flexible fiberscope, the laryngeal mask airway (LMA) and percutaneous dilational tracheostomy as well as studies on functional airway anatomy and the forces applied at direct laryngoscopy. The American Society of Anesthesiologists (ASA) Task Force algorithm for management of the difficult airway is discussed.

ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

A full and detailed preoperative assessment is essential before any patient receives an anaesthetic. Preoperative preparation should be regarded as of similar importance to the conduct of the anaesthetic itself. Much interest has centred around the value of the preoperative investigations and the current consensus of opinion is that there should be a positive indication for every investigation — nothing should be regarded as routine. The traditional period of fasting has been re-examined and it is likely that the time-honoured rules will be rewritten. Patients will probably be allowed some access to clear fluids until 2–3 h preoperatively in the future. Evidence is accumulating that preoxygenation should probably be routine for all elective patients and not just the emergency and special cases. The search continues for the ideal premedicant. The new oc2-agonists may have a role to play, but the evidence is so far incomplete.

ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Examination of a year's literature in this field demonstrates no major advances. In what is of necessity a varied selection of topics there are some common threads. For improvements in the provision of an anaesthetic service we now have to look to large scale projects, both in literature reviews and clinical trials. This is evident in papers on: (1) learning and consciousness during anaesthesia; (2) a multicentre trial to identify independent predictors of adverse perioperative outcomes; and (3) a discussion of research into the proposed advantages of regional over general anaesthesia.

ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

The risk of perioperative central nervous system (CNS) injury is low, but not zero. Some patients may suffer from unrecognized intraoperative awareness. This review describes recent advances in CNS monitoring technology and clinical experience, focusing on the reduction of morbidity.

ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Anaesthesia equipment is becoming more elaborate, but the anaesthetist may not be keeping up with this equipment. Yet it is essential to do so, for faults and hazards are still occurring at all equipment levels, and the best safeguard for the patient is unceasing vigilance.

ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Many drugs used in anaesthesia and intensive care, particularly those with profound effects and short durations of action, require frequent adjustment of their rate of administration to optimize that effect. Technological advances have provided the opportunity to deliver such drugs more accurately to achieve the required clinical response. Administration of some drugs can be controlled automatically in negative feedback or closed loop fashion, by linking the monitor of the clinical effect with the pump used to deliver the drug.

ISSN:0952-7907    

出版商:OVID    

年代:1992

数据来源: OVID