AnaesthesiaUK Journal

Duration of sleep contributes to next-day pain report in the general population

Thu, 10 Jul 2008 00:00:00 GMT

Research suggests that the experiences of pain and sleep are bi-directionally connected. However, there have been no reports of whether sleep and pain experiences are prospectively linked to one another on a day-to-day basis in the general population. This study utilised data from a naturalistic, micro-longitudinal, telephone study using ......
Pain - Pain 2008; 137: 202-7
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Acute pain: combination treatments and how we measure their efficacy

Thu, 10 Jul 2008 00:00:00 GMT

Analgesic consumption as an outcome measure for testing perioperative analgesic strategies has not been evaluated rigorously. The authors hypothesised that the analgesic consumption outcome measure is valid only when treatment groups achieve similar pain scores. Methods A meta-analysis of perioperative gabapentin was used to test this hypothesis. Results Trials ......
Pain - Br J Anaesth 2008; 101: 69-76
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Spinal anesthesia with sequential administration of plain and hyperbaric bupivacaine provides satisfactory analgesia with hemodynamic stability in cesarean section

Thu, 10 Jul 2008 00:00:00 GMT

of the major concerns in Caesarean section is hypotension during spinal anaesthesia. The authors evaluated the viability of sequential subarachnoid injection of two different baricities of bupivacaine in order to achieve adequate spinal anaesthesia with less hypotension. Methods In a double-blind, prospective study, 72 parturients undergoing Caesarean section were ......
Obstetrics - Int J Obstet Anesth 2008; 17: 217-22
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Vaginal twin delivery: a survey and review of location, anesthesia coverage and interventions

Thu, 10 Jul 2008 00:00:00 GMT

Twin pregnancies are associated with increased perinatal morbidity and mortality. However, there is no consensus as to whether vaginal twin delivery should take place in the labour room or operating theatre, or whether anaesthetists should be present. The authors carried out a survey of members of the California Society ......
Obstetrics - Int J Obstet Anesth 2008; 17: 212-6
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Effect of magnesium sulphate on urinary catecholamine excretion in severe tetanus

Thu, 10 Jul 2008 00:00:00 GMT

Severe tetanus is characterised by muscle spasms and autonomic dysfunction. The authors of this study recently showed that magnesium is associated with improved muscle spasm and cardiovascular control. In the present study, they investigated whether magnesium controls autonomic dysfunction by reducing catecholamine release and thus urinary excretion. Methods The ......
Intensive Care - Anaesthesia 2008; 63: 719-25
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The early phase of critical illness is a progressive acidic state due to unmeasured anions

Thu, 10 Jul 2008 00:00:00 GMT

The aims of the study were to evaluate: (1) the occurrence of acid-base disturbances in critically ill patients and their trend over the first 3 intensive care unit days; (2) whether Stewart's methods for assessing clinical acid-base disturbances offer advantages over the traditional theory in the diagnosis of acid-base ......
Intensive Care - Eur J Anaesthesiol 2008; 25: 566-71
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Residual neuromuscular blockade and critical respiratory events in the postanesthesia care unit

Thu, 10 Jul 2008 00:00:00 GMT

Incomplete recovery of neuromuscular function may contribute to adverse respiratory events in the post-anaesthesia care unit (PACU). These authors aimed to assess and quantify the severity of neuromuscular blockade in patients with signs or symptoms of critical respiratory events (CREs) in the PACU. Methods Data were collected over a ......
Anaesthesia - Anesth Analg 2008; 107: 130-7
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Cerebral microemboli during hip fracture fixation: a prospective study

Thu, 10 Jul 2008 00:00:00 GMT

It has been shown that cereal fat microembolism occurs during hip and knee replacement surgery. These authors examined the incidence of cereal microembolism (solid or gas) during a standard procedure of hip fracture fixation. Methods This was a prospective study of patients undergoing urgent surgery with a dynamic hip screw ......
Anaesthesia - Anesth Analg 2008; 107: 221-5
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The incidence of maternal fever during labor is less with intermittent than with continuous epidural analgesia: a randomized controlled trial

Tue, 10 Jun 2008 00:00:00 GMT

These authors carried out a prospective, randomised study to ascertain whether intermittent labour epidural analgesia (ILEA) was protective against maternal intrapartum fever, compared with continuous labour epidural analgesia (CLEA). Methods A total of 92 healthy, term nulliparous women in spontaneous labour were assigned to either (ILEA) or CLEA (emnem=46 ......
Obstetrics - Int J Obstet Anesth 2008; 17: 123-9
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Epidural vs. lumbar plexus infusions following total knee arthroplasty: randomized controlled trial

Mon, 09 Jun 2008 00:00:00 GMT

The optimal technique for providing best analgesia for total knee replacement, with minimal adverse effects, remains unclear. These authors carried out an observer-blinded, randomised trial of side-directed epidural infusion with lumbar plexus infusion after total knee arthroplasty. Methods A total of 60 patients scheduled for total knee replacement were ......
Pain - Eur J Anaesthesiol 2008; 25: 502-7
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