Lung recruitment and positive airway pressure before extubation does not improve oxygenation in the post-anaesthesia care unit: a randomized clinical.

Slides:



Advertisements
Similar presentations
Chewing gum for the treatment of postoperative nausea and vomiting: a pilot randomized controlled trial  J.N. Darvall, M Handscombe, K Leslie  British.
Advertisements

Human factors in anaesthesia: lessons from aviation
Randomized controlled trial comparing the McGrath videolaryngoscope with the C-MAC videolaryngoscope in intubating adult patients with potential difficult.
Benefits and risks of epidural analgesia in cardiac surgery†
Oxygen delivery through high-flow nasal cannulae increase end-expiratory lung volume and reduce respiratory rate in post-cardiac surgical patients  A.
I. Garutti, L. Puente-Maestu, J. Laso, R. Sevilla, A. Ferrando, I
Effects of maintaining a remifentanil infusion on the recovery profiles during emergence from anaesthesia and tracheal extubation  J.-S. Nho, S.-Y. Lee,
Death or near-death in patients with obstructive sleep apnoea: a compendium of case reports of critical complications  Y. Subramani, M. Nagappa, J. Wong,
Why is the surgical high-risk patient still at risk?
Xylometazoline pretreatment reduces nasotracheal intubation-related epistaxis in paediatric dental surgery  Z.A. El-Seify, A.M. Khattab, A.A. Shaaban,
Bispectral index-guided induction of general anaesthesia in patients undergoing major abdominal surgery using propofol or etomidate: a double-blind, randomized,
Supplemental oxygen and surgical site infection: getting to the truth
G. Hedenstierna, L. Edmark, G. Perchiazzi 
Characteristics of pain in hospitalized medical patients, surgical patients, and outpatients attending a pain management centre  M.P. Rockett, G. Simpson,
Alternative intubation techniques vs Macintosh laryngoscopy in patients with cervical spine immobilization: systematic review and meta-analysis of randomized.
Type of anaesthesia and patient quality of recovery: a randomized trial comparing propofol–remifentanil total i.v. anaesthesia with desflurane anaesthesia 
K.-Y. Ho, W Tay, M.-C. Yeo, H Liu, S.-J. Yeo, S.-L. Chia, N.-N. Lo 
Effect of combining tramadol and morphine in adult surgical patients: a systematic review and meta-analysis of randomized trials  V. Martinez, L. Guichard,
Cost-effectiveness of a systematic e-assessed follow-up of postoperative recovery after day surgery: a multicentre randomized trial  K. Dahlberg, A. Philipsson,
High-frequency oscillation in adolescents
Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs for the reduction in morphine-related side-effects after major surgery:
Differential effects of lidocaine and remifentanil on response to the tracheal tube during emergence from general anaesthesia  J.H. Lee, B.-N. Koo, J.-J.
Does the prophylactic administration of magnesium sulphate to patients undergoing thoracotomy prevent postoperative supraventricular arrhythmias? A randomized.
Randomized controlled trial of goal-directed haemodynamic treatment in patients with proximal femoral fracture  E. Bartha, C. Arfwedson, A. Imnell, M.E.
Prospective, randomized, controlled trial of thoracic epidural or patient-controlled opiate analgesia on perioperative quality of life  M. Ali, D.C. Winter,
A different use of visual analytic techniques in anaesthetics
Postoperative pulmonary complications
High PEEP in acute respiratory distress syndrome: quantitative evaluation between improved arterial oxygenation and decreased oxygen delivery  M. Chikhani,
Impact of sleep deprivation on anaesthesia residents’ non-technical skills: a pilot simulation-based prospective randomized trial  A. Neuschwander, A.
Does motor block related to long-acting brachial plexus block cause patient dissatisfaction after minor wrist and hand surgery? A randomized observer-blinded.
Continuing to excel in anaesthesia through the ‘big five’: teaching, training, testing, quality, and research  A.A.J. Van Zundert, S.P. Gatt, R.P. Mahajan 
Role of the anaesthetist during cataract surgery under local anaesthesia in the UK: a national survey  K. Chandradeva, V. Nangalia, C.E. Hugkulstone 
Do team processes really have an effect on clinical performance
I.V. paracetamol as an adjunct to patient-controlled epidural analgesia with levobupivacaine and fentanyl in labour: a randomized controlled study  K.
Anaesthetists’ non-technical skills
Postoperative pulmonary complications, pulmonary and systemic inflammatory responses after lung resection surgery with prolonged one-lung ventilation.
Successful intubation using retrograde trans-tracheal illumination after laryngoscope light source failure  J Hudson, M Vu, E Vu  British Journal of Anaesthesia 
Emergency surgical airway management in Denmark: a cohort study of patients registered in the Danish Anaesthesia Database  C.V. Rosenstock, A.K.
Tracheal intubation in the critically ill: a multi-centre national study of practice and complications  G.D. Simpson, M.J. Ross, D.W. McKeown, D.C. Ray 
Analgesia and functional outcome after total knee arthroplasty: periarticular infiltration vs continuous femoral nerve block  F Carli, A Clemente, J.F.
Use of L’Abbé and pooled calibration plots to assess the relationship between severity of illness and effectiveness in studies of corticosteroids for.
Routine screening for pain combined with a pain treatment protocol in head and neck cancer: a randomised controlled trial  J.E. Williams, J. Peacock,
Spinal analgesia for laparoscopic colonic resection using an enhanced recovery after surgery programme: better analgesia, but no benefits on postoperative.
GlideScope® video laryngoscope: a randomized clinical trial in 203 paediatric patients†   J.-T. Kim, H.-S. Na, J.-Y. Bae, D.-W. Kim, H.-S. Kim, C.S. Kim,
Effect of supervised aerobic exercise rehabilitation on physical fitness and quality-of-life in survivors of critical illness: an exploratory minimized.
Do simple ventilation and gas exchange measurements predict early successful weaning from respiratory support in unselected general intensive care patients? 
Single-dose intravenous paracetamol or propacetamol for prevention or treatment of postoperative pain: a systematic review and meta-analysis  E.D. McNicol,
Effects of four intraoperative ventilatory strategies on respiratory compliance and gas exchange during laparoscopic gastric banding in obese patients 
Chewing gum for the treatment of postoperative nausea and vomiting: a pilot randomized controlled trial  J.N. Darvall, M Handscombe, K Leslie  British.
Methylnaltrexone to prevent intrathecal morphine-induced pruritus after Caesarean delivery: a multicentre, randomized clinical trial  M. Paech, B. Sng,
Parecoxib for analgesia after craniotomy
Self-citation in anaesthesia and critical care journals: introducing a flat tax  G Landoni, M Pieri, D Nicolotti, S Silvetti, P Landoni, P Silvani, M John,
G.B. Drummond, B. Lafferty  British Journal of Anaesthesia 
J Lee, S Gupta, C Price, A.P. Baranowski 
Effect of early tracheostomy on resource utilization and clinical outcomes in critically ill patients: meta-analysis of randomized controlled trials 
Peripheral venous pressure as an alternative to central venous pressure in patients undergoing laparoscopic colorectal surgery  S.H. Kim, S.Y. Park, J.
Immediate postoperative extubation in bilateral lung transplantation: predictive factors and outcomes†   M.-L. Felten, J.-D. Moyer, J.-F. Dreyfus, J.-Y.
Postoperative analgesia with parecoxib, acetaminophen, and the combination of both: a randomized, double-blind, placebo-controlled trial in patients undergoing.
S. Radhakrishna  British Journal of Anaesthesia 
Regional anaesthesia to improve pain outcomes in paediatric surgical patients: a qualitative systematic review of randomized controlled trials  S. Suresh,
Sugammadex for reversal of neuromuscular block after rapid sequence intubation: a systematic review and economic assessment†   D Chambers, M Paulden,
Controlled hypotension for middle ear surgery: a comparison between remifentanil and magnesium sulphate†   J.-H. Ryu, I.-S. Sohn, S.-H. Do  British Journal.
Effect of neuraxial anaesthesia on tumour progression in cervical cancer patients treated with brachytherapy: a retrospective cohort study  H Ismail,
Cricoid pressure force retention analysis using a simulator
Influence of shoulder position on central venous catheter tip location during infraclavicular subclavian approach  M Kang, H.-G. Ryu, I.-S. Son, J.-H.
Emerging modes of ventilation in the intensive care unit
Influence of head and neck position on ventilation using the air-Q® SP airway in anaesthetized paralysed patients: a prospective randomized crossover.
Association between day and time of admission to critical care and acute hospital outcome for unplanned admissions to adult general critical care units:
K. Ruetzler, G. Grubhofer, W. Schmid, D. Papp, S. Nabecker, D
R. Parke, S. McGuinness, R. Dixon, A. Jull 
Presentation transcript:

Lung recruitment and positive airway pressure before extubation does not improve oxygenation in the post-anaesthesia care unit: a randomized clinical trial  A.B. Lumb, S.J. Greenhill, M.P. Simpson, J. Stewart  British Journal of Anaesthesia  Volume 104, Issue 5, Pages 643-647 (May 2010) DOI: 10.1093/bja/aeq080 Copyright © 2010 The Author(s) Terms and Conditions

Fig 1 Consort flow chart showing patients' progress through the trial. British Journal of Anaesthesia 2010 104, 643-647DOI: (10.1093/bja/aeq080) Copyright © 2010 The Author(s) Terms and Conditions

Fig 2 Individual patients' (a–a)DO2 at randomization and in PACU (post-anaesthesia care unit) for each treatment group. British Journal of Anaesthesia 2010 104, 643-647DOI: (10.1093/bja/aeq080) Copyright © 2010 The Author(s) Terms and Conditions