19,293 results match your criteria Anaesthesia[Journal]


Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.

Anaesthesia 2019 Apr 15. Epub 2019 Apr 15.

Department of Anaesthesia and Peri-operative Medicine, London Health Sciences Centre, London, ON, Canada.

We have reviewed accidental spinal administration of tranexamic acid. We performed a MEDLINE search of cases of administration of tranexamic acid during epidural or spinal anaesthesia between 1960 and 2018. No reports of epidural administration were identified. Read More

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http://dx.doi.org/10.1111/anae.14662DOI Listing
April 2019
1 Read

Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.

Anaesthesia 2019 Apr 15. Epub 2019 Apr 15.

Department of Anaesthesia, St Michael's Hospital, Bristol, UK.

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https://onlinelibrary.wiley.com/doi/abs/10.1111/anae.14632
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http://dx.doi.org/10.1111/anae.14632DOI Listing
April 2019
10 Reads

Attitudes of postnatal women and maternity staff towards audio recording of consent discussions.

Anaesthesia 2019 Apr 11. Epub 2019 Apr 11.

Imperial College London, UK.

Audio recording consent discussions, and giving a copy of the recording to the patient to keep, might improve the consent process and reduce the risk of misunderstandings, complaints or medicolegal claims. However, there may be concerns over confidentiality and how being recorded could affect the consent discussion. We ascertained the views of 50 postnatal women and 100 maternity staff (25 anaesthetists, 25 obstetricians and 50 midwives) on making audio recordings of consent discussions. Read More

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http://dx.doi.org/10.1111/anae.14660DOI Listing

Dose-response relationship of perineural dexamethasone for interscalene brachial plexus block: a randomised, controlled, triple-blind trial.

Anaesthesia 2019 Apr 11. Epub 2019 Apr 11.

Department of Anaesthesia, AZ Groeninge, Kortrijk, Belgium.

Perineural dexamethasone has a ceiling dose of 4 mg for prolongation of analgesia duration after injection of long-acting local anaesthetic for peripheral nerve block, but evidence for doses < 4 mg is lacking. This randomised controlled triple-blind trial tested the hypothesis that increasing doses of perineural dexamethasone between 1 mg and 4 mg would prolong the duration of analgesia in a dose-dependent manner. Eighty ASA physical status 1-2 patients scheduled for shoulder arthroscopy under general anaesthesia with ultrasound-guided interscalene brachial plexus block were randomly allocated to receive saline (control), dexamethasone 1 mg, 2 mg, 3 mg and 4 mg, together with 20 ml ropivacaine 0. Read More

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http://dx.doi.org/10.1111/anae.14650DOI Listing

Assessment of gastric emptying of maltodextrin, coffee with milk and orange juice during labour at term using point of care ultrasound: a non-inferiority randomised clinical trial.

Anaesthesia 2019 Apr 11. Epub 2019 Apr 11.

Department of Anaesthesia, University of Brasilia, Brazil.

Labouring women have been shown to have slower gastric emptying than non-pregnant subjects, and this argument is sometimes used to recommend fasting guidelines such as nil-by-mouth during labour. We performed a parallel group, randomised non-inferiority trial, comparing gastric emptying of 450 ml isocalorically-adjusted maltodextrin, coffee with milk or pulp-free orange juice, with 18 women in each group. The women were initially fasted for 2 h for clear fluids, 6 h for a light meal and 8 h for a high fat or high protein meal. Read More

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http://dx.doi.org/10.1111/anae.14671DOI Listing

Guidelines for day-case surgery 2019: Guidelines from the Association of Anaesthetists and the British Association of Day Surgery.

Anaesthesia 2019 Apr 8. Epub 2019 Apr 8.

Department of Anaesthesia, Torbay and South Devon, NHS Foundation Trust, President, British Association of Day Surgery, Torbay, UK.

Guidelines are presented for the organisational and clinical management of anaesthesia for day-case surgery in adults and children. The advice presented is based on previously published recommendations, clinical studies and expert opinion. Read More

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http://dx.doi.org/10.1111/anae.14639DOI Listing

Association between anaesthetic technique and unplanned admission to intensive care after thoracic lung resection surgery: the second Association of Cardiothoracic Anaesthesia and Critical Care (ACTACC) National Audit.

Anaesthesia 2019 Apr 8. Epub 2019 Apr 8.

Department of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.

Unplanned intensive care admission is a devastating complication of lung resection and is associated with significantly increased mortality. We carried out a two-year retrospective national multicentre cohort study to investigate the influence of anaesthetic and analgesic technique on the need for unplanned postoperative intensive care admission. All patients undergoing lung resection surgery in 16 thoracic surgical centres in the UK in the calendar years 2013 and 2014 were included. Read More

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http://dx.doi.org/10.1111/anae.14649DOI Listing

To salvage (routinely) or not to salvage: that is the question.

Authors:
C A Wong P Toledo

Anaesthesia 2019 Apr 8. Epub 2019 Apr 8.

Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

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http://dx.doi.org/10.1111/anae.14667DOI Listing
April 2019
3.382 Impact Factor

The impact of pre-operative intravenous iron on quality of life after colorectal cancer surgery: outcomes from the intravenous iron in colorectal cancer-associated anaemia (IVICA) trial.

Anaesthesia 2019 Apr 8. Epub 2019 Apr 8.

Department of Colorectal Surgery, Nottingham University Hospitals NHS Trust, Nottingham, UK.

Anaemia is associated with a reduction in quality of life, and is common in patients with colorectal cancer . We recently reported the findings of the intravenous iron in colorectal cancer-associated anaemia (IVICA) trial comparing haemoglobin levels and transfusion requirements following intravenous or oral iron replacement in anaemic colorectal cancer patients undergoing elective surgery. In this follow-up study, we compared the efficacy of intravenous and oral iron at improving quality of life in this patient group. Read More

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http://dx.doi.org/10.1111/anae.14659DOI Listing

The airway assessment has come of age-or has it?

Authors:
J A Law L V Duggan

Anaesthesia 2019 Apr 8. Epub 2019 Apr 8.

Department of Anesthesiology, University of British Columbia, Vancouver, BC, Canada.

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http://dx.doi.org/10.1111/anae.14658DOI Listing

Effect of body position on qualitative and quantitative ultrasound assessment of gastric fluid contents.

Anaesthesia 2019 Apr 8. Epub 2019 Apr 8.

Department of Anaesthesia and Intensive Care, Hospices Civils de Lyon, Hôpital Femme Mère Enfant, Lyon, France.

We assessed the impact of raising the upper section of the bed, and patient positioning, on ultrasound assessment of gastric fluid contents. We performed ultrasound examinations in 25 subjects lying on their back, left and right sides at bed angles of 0°, 30°, 45° and 90°; this was carried out while the subjects were fasted, and repeated 10 min after drinking ≥ 50 ml water. After drinking, gastric contents were detected more frequently in the 45° semirecumbent position compared with the supine and 30° positions. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/anae.14664
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http://dx.doi.org/10.1111/anae.14664DOI Listing
April 2019
1 Read

Outcomes following surgery: are we measuring what really matters?

Authors:
A Shah C R Bailey

Anaesthesia 2019 Apr 8. Epub 2019 Apr 8.

Department of Anaesthesia, Guys and St. Thomas' NHS Foundation Trust, London, UK.

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https://onlinelibrary.wiley.com/doi/abs/10.1111/anae.14562
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http://dx.doi.org/10.1111/anae.14562DOI Listing
April 2019
4 Reads

Sodium-glucose co-transporter type-2 inhibitors: is the message getting through?

Anaesthesia 2019 05;74(5):679

Wythenshawe Hospital, Manchester, UK.

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http://dx.doi.org/10.1111/anae.14619DOI Listing

Potential problems with titrating total intravenous anaesthesia.

Authors:
P A Ward

Anaesthesia 2019 05;74(5):676

Chelsea and Westminster Hospital, London, UK.

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https://onlinelibrary.wiley.com/doi/abs/10.1111/anae.14626
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http://dx.doi.org/10.1111/anae.14626DOI Listing
May 2019
2 Reads

International consensus statement on the peri-operative management of direct oral anticoagulants in cardiac surgery - a reply.

Authors:
G Erdoes

Anaesthesia 2019 05;74(5):682

University Hospital Bern, Bern, Switzerland.

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http://dx.doi.org/10.1111/anae.14655DOI Listing

Neuromuscular management and guidelines for the safe practice of total intravenous anaesthesia.

Anaesthesia 2019 05;74(5):675

Martini General Hospital, Groningen, the Netherlands.

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http://dx.doi.org/10.1111/anae.14644DOI Listing

Injection line pressure - inaccurate but still useful?

Authors:
M Lim

Anaesthesia 2019 05;74(5):680

Cardiff and Vale University Health Board, Cardiff, UK.

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https://onlinelibrary.wiley.com/doi/abs/10.1111/anae.14641
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http://dx.doi.org/10.1111/anae.14641DOI Listing
May 2019
1 Read

Injection line pressure - inaccurate but still useful? A reply.

Anaesthesia 2019 05;74(5):681

Montpellier University Hospital, University Montpellier, France.

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http://dx.doi.org/10.1111/anae.14653DOI Listing

Sodium-glucose co-transporter type-2 inhibitors: is the message getting through? A reply.

Authors:
M Nathanson

Anaesthesia 2019 05;74(5):680

Association of Anaesthetists, London, UK.

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http://dx.doi.org/10.1111/anae.14642DOI Listing

Analgesic efficacy of the Pecs II block: a systematic review and meta-analysis.

Anaesthesia 2019 May;74(5):663-673

Department of Anaesthesia, Toronto Western Hospital, University of Toronto, ON, Canada.

Surgery is the primary therapeutic intervention for breast cancer and can result in significant postoperative pain. We searched the current literature and performed a meta-analysis in order to compare the analgesic efficacy of the pectoral type-2 (Pecs II) block with systemic analgesia alone and with a thoracic paravertebral block for breast cancer surgery. Primary outcome was postoperative opioid consumption in the first 24 h after surgery. Read More

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http://dx.doi.org/10.1111/anae.14607DOI Listing

Pre-filled syringes and safe total intravenous anaesthesia practice.

Authors:
D K Whitaker

Anaesthesia 2019 05;74(5):674-675

Manchester, UK.

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http://dx.doi.org/10.1111/anae.14591DOI Listing

Intra-operative analgesia with remifentanil vs. dexmedetomidine: a systematic review and meta-analysis with trial sequential analysis.

Anaesthesia 2019 Apr 5. Epub 2019 Apr 5.

Department of Anaesthesia, Lausanne University Hospital, Lausanne, Switzerland.

Intra-operative remifentanil is associated with increased postoperative analgesic requirements and opioid consumption. Dexmedetomidine has characteristics suggesting it may substitute for intra-operative remifentanil during general anaesthesia, but existing literature has reported conflicting results. We undertook this meta-analysis to investigate whether general anaesthesia including dexmedetomidine would result in less postoperative pain than general anaesthesia including remifentanil. Read More

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http://dx.doi.org/10.1111/anae.14657DOI Listing
April 2019
3 Reads

Four years' experience of a ROTEM -guided algorithm for treatment of coagulopathy in obstetric haemorrhage.

Anaesthesia 2019 Apr 5. Epub 2019 Apr 5.

Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

We report four years of observational data from a large UK hospital and tertiary referral unit, following the introduction of a rotational thromboelastometry-guided algorithm for treatment of coagulopathy in major obstetric haemorrhage. Fibrinogen concentrate was used to treat acquired hypofibrinogenaemia as defined by a FibTEM A5 value of < 7 mm, or 7-12 mm with ongoing or high risk of haemorrhage. Of 32,647 deliveries over 4 years, 893 (2. Read More

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http://dx.doi.org/10.1111/anae.14628DOI Listing
April 2019
1 Read

Managing obstetric haemorrhage: is it time for a more personalised approach?

Authors:
A Shah R E Collis

Anaesthesia 2019 Apr 5. Epub 2019 Apr 5.

Department of Anaesthetics, Cardiff and Vale University Health Board, Cardiff, UK.

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http://dx.doi.org/10.1111/anae.14661DOI Listing
April 2019
1 Read

The Totaltrack video laryngeal mask: an evaluation in 300 patients.

Anaesthesia 2019 Apr 1. Epub 2019 Apr 1.

Institute for Biomedical Research of A Coruña (INIBIC), Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain.

The Totaltrack is a new video laryngeal mask, which combines a supraglottic airway with a videolaryngoscope. We evaluated the performance of this device in an observational study in 300 adult patients. The Totaltrack was inserted at the first attempt and the glottis seen in all cases. Read More

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http://dx.doi.org/10.1111/anae.14637DOI Listing
April 2019
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Associations of nadir haemoglobin level and red blood cell transfusion with mortality and length of stay in surgical specialties: a retrospective cohort study.

Anaesthesia 2019 Apr 1. Epub 2019 Apr 1.

School of Population and Global Health, The University of Western Australia, Perth, WA, Australia.

Few studies have investigated if, and how, red cell transfusion and anaemia interact. We analysed 60,955 admissions to three metropolitan hospitals in Western Australia between 2008 and 2017 to determine whether the relationship between red cell transfusion and outcomes in surgical patients differed by lowest (nadir) level of haemoglobin. At levels above 100 g. Read More

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http://dx.doi.org/10.1111/anae.14636DOI Listing
April 2019
1 Read

Recycling old data - an ethical and pragmatic way to generate new evidence?

Anaesthesia 2019 Apr 1. Epub 2019 Apr 1.

Department of Cardiothoracic Anaesthesia, Manchester Royal Infirmary, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

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http://dx.doi.org/10.1111/anae.14648DOI Listing

The association between platelet dysfunction and adverse outcomes in cardiac surgical patients.

Anaesthesia 2019 Apr 1. Epub 2019 Apr 1.

Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, ON, Canada.

Haemostatic activation during cardiopulmonary bypass is associated with prothrombotic complications. Although it is not possible to detect and quantify haemostatic activation directly, platelet dysfunction, as measured with point-of-care-assays, may be a useful surrogate. In this study, we assessed the association between cardiopulmonary bypass-associated platelet dysfunction and adverse outcomes in 3010 cardiac surgical patients. Read More

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http://dx.doi.org/10.1111/anae.14631DOI Listing
April 2019
1 Read

The effect of a novel intravenous fluid (Oxsealife®) on recovery from haemorrhagic shock in pigs.

Anaesthesia 2019 Mar 28. Epub 2019 Mar 28.

Departments of Anesthesiology, Critical Care and Hyperbaric Medicine, Englewood Hospital and Medical Center, Englewood, NJ, USA.

Blood transfusion is given according to haemoglobin thresholds aimed at restoration of arterial oxygen-carrying capacity. Patient survival after severe haemorrhagic shock depends on restoration of microvascular perfusion, tissue oxygen delivery, endothelial function and organ integrity. We investigated a novel crystalloid fluid designed for tissue oxygen delivery, Oxsealife , with components that generate microvascular nitric oxide and scavenge reactive oxygen species generated during ischaemia-reperfusion injury. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/anae.14627
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http://dx.doi.org/10.1111/anae.14627DOI Listing
March 2019
5 Reads

The NHS Improvement report on operating theatres: really 'getting it right first time'?

Authors:
J J Pandit

Anaesthesia 2019 Mar 27. Epub 2019 Mar 27.

Nuffield Department of Anaesthetics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

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http://dx.doi.org/10.1111/anae.14645DOI Listing

A new role for anaesthetists in environmentally-sustainable healthcare.

Anaesthesia 2019 Mar 28. Epub 2019 Mar 28.

Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.

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http://dx.doi.org/10.1111/anae.14647DOI Listing

Obstetric intra-operative cell salvage: a review of an established cell salvage service with 1170 re-infused cases.

Anaesthesia 2019 Mar 25. Epub 2019 Mar 25.

Department of Anaesthesia, Royal Cornwall Hospitals NHS Trust, Truro, UK.

The use of cell salvage during caesarean section has been increasing steadily, although there are concerns relating to cost, a perceived risk of amniotic fluid embolism, and fetal red cell sensitisation. We present observational data from almost a decade of use of intra-operative cell salvage in obstetrics. By the end of this period, we set up cell salvage collection for > 98% of all caesarean sections. Read More

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http://dx.doi.org/10.1111/anae.14630DOI Listing
March 2019
1 Read

Cardiac output monitoring with thermodilution pulse-contour analysis vs. non-invasive pulse-contour analysis.

Anaesthesia 2019 Mar 19. Epub 2019 Mar 19.

Service d'anesthésie-réanimation, CHU de Poitiers, France.

Intravenous fluid boluses guided by changes in stroke volume improve some outcomes after major surgery, but invasive measurments may limit use. From October 2016 to May 2018, we compared the agreement and trending ability of a photoplethysmographic device (Clearsight) with a PiCCO, calibrated by thermodilution, for haemodynamic variables in 20 adults undergoing major elective surgery. We analysed 4519 measurement pairs, including before and after 68 boluses of 250 ml crystalloid. Read More

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http://dx.doi.org/10.1111/anae.14638DOI Listing

Mathematical model of the risk of drug error during anaesthesia: the influence of drug choices, injection routes, operation duration and fatigue.

Anaesthesia 2019 Mar 18. Epub 2019 Mar 18.

Nuffield Department of Anaesthesia, Oxford University Hospitals NHS Trust, Oxford, UK.

The incidence of an anaesthetic drug error can be directly observed in large trials. In an alternative approach, we developed a probabilistic mathematical model in which the anaesthetist is modelled as a 'fallible entity' who makes repeated drug administration choices during an operation. This fallibility was factored in the model as an initial 'intrinsic error rate'. Read More

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http://dx.doi.org/10.1111/anae.14629DOI Listing

'Humanware': the human in the system.

Anaesthesia 2019 Mar 18. Epub 2019 Mar 18.

Faculty of Medical and Health Sciences, University of Auckland, New Zealand.

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http://dx.doi.org/10.1111/anae.14633DOI Listing

A right to be unconscious.

Anaesthesia 2019 05 14;74(5):557-559. Epub 2019 Mar 14.

University of Oxford, Oxford, UK.

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http://dx.doi.org/10.1111/anae.14635DOI Listing

Regional anaesthesia for rib fractures: too many choices, too little evidence.

Anaesthesia 2019 05 11;74(5):564-568. Epub 2019 Mar 11.

Department of Anaesthesia, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

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http://dx.doi.org/10.1111/anae.14634DOI Listing

Frailty assessment in the ICU: translation to 'real-world' clinical practice.

Anaesthesia 2019 Mar 11. Epub 2019 Mar 11.

Department of Internal Medicine, Yale School of Medicine, Yale University, New Haven, CT, USA.

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http://dx.doi.org/10.1111/anae.14617DOI Listing

Anaesthesia research in low- and middle-income countries.

Authors:
P Ranganathan

Anaesthesia 2019 04;74(4):548

Tata Memorial Hospital, Mumbai, India.

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http://dx.doi.org/10.1111/anae.14625DOI Listing

Discounting risk prediction models - a reply.

Authors:
J B Carlisle

Anaesthesia 2019 04;74(4):537-538

Torbay Hospital, Torbay, UK.

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http://dx.doi.org/10.1111/anae.14621DOI Listing

Discounting risk prediction models.

Anaesthesia 2019 04;74(4):535-536

National Institute of Academic Anaesthesia Health Services Research Centre, Royal College of Anaesthetists, London, UK.

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http://dx.doi.org/10.1111/anae.14615DOI Listing

Pre-operative chewing gum, and carbohydrates - a reply.

Anaesthesia 2019 04;74(4):541-542

Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.

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http://dx.doi.org/10.1111/anae.14622DOI Listing

Correction.

Authors:

Anaesthesia 2019 04;74(4):534

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http://dx.doi.org/10.1111/anae.14586DOI Listing

Pre-operative gum chewing: forbidden, allowed or recommended.

Anaesthesia 2019 04;74(4):539

Hospices Civils de Lyon, Femme Mère Enfant Teaching Hospital, Lyon, France.

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http://dx.doi.org/10.1111/anae.14616DOI Listing

Anaesthesia type and cement reactions in hip fracture surgery.

Anaesthesia 2019 Apr;74(4):543-544

Peterborough and Stamford Hospitals NHS Trust, Peterborough, UK.

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http://dx.doi.org/10.1111/anae.14623DOI Listing
April 2019
1 Read

Anaesthetic machine leak not detected by the universal leak test.

Authors:
J D Parker

Anaesthesia 2019 Apr;74(4):545-546

Portland District Health, Portland, Australia.

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http://dx.doi.org/10.1111/anae.14612DOI Listing

Paratracheal force, cricoid pressure and obstetric anaesthesia.

Anaesthesia 2019 04;74(4):547

Northwick Park Hospital, London, UK.

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http://dx.doi.org/10.1111/anae.14620DOI Listing