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Anaesthesia 2001 Sep;56(9):920-1

Fetal acidosis, spinal anaesthesia and phenylephrine.

Carpenter MR, Cooper DW

Publication Types:

PMID: 11550692, UI: 21434525

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Anaesthesia 2001 Sep;56(9):920

Before or after general anaesthesia?

Mayall MF, Calder I

Publication Types:

PMID: 11550691, UI: 21434524

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Anaesthesia 2001 Sep;56(9):908

Transient fixation on a nonnative language associated with anaesthesia.

Webster CS

Publication Types:

PMID: 11550683, UI: 21434516

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Anaesthesia 2001 Sep;56(9):917-8

Vascular access procedures for haemodialysis--potential hazard of regional anaesthesia.

Leonard IE, Chinappa V

Publication Types:

PMID: 11531692, UI: 21422890

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BMJ 2001 Sep 15;323(7313):629

Almost 30% of anaesthetic machines in UK do not have anti-hypoxia device.

Saunders DI, Meek T

Northern Schools of Anaesthesia, Royal Victoria Infirmary, Newcastle-Upon-Tyne NE1 4LP tim.meek@doctors.org.uk

[Medline record in process]

PMID: 11557718, UI: 21441288

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BMJ 2001 Aug 11;323(7308):342

Surgeons' attitudes to intraoperative death. Anaesthetic departments need action plans to deal with such catastrophes.

Seifert BC

Publication Types:

PMID: 11548681, UI: 21432316

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Br Dent J 2001 Jun 23;190(12):632-3

Needle stick injury.

Whatley R

Publication Types:

PMID: 11453144, UI: 21345696

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Br J Anaesth 2001 Sep;87(3):520-1

Sub-Tenon's anaesthesia--the local anaesthetic technique of choice for eye surgery?

Alwirtry A

[Medline record in process]

Publication Types:

PMID: 11556292, UI: 21439676

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Eur J Anaesthesiol 2001 Sep;18(9):623-5

'Awareness' and 'recall' during emergence from general anaesthesia.

Ho AM

Department of Anaesthesia and Intensive Care, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, Peoples' Republic of China.

[Medline record in process]

A case is presented in which memory of events during emergence from anaesthesia resulted in serious psychological sequelae. Communication with patients should begin almost immediately after anaesthesia has been terminated and should have prevented this unfortunate incident.

PMID: 11553259, UI: 21437528

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Eur J Anaesthesiol 2001 Sep;18(9):563-71

Training guidelines in anaesthesia of the European Board of Anaesthesiology Reanimation and Intensive Care.

[Medline record in process]

PMID: 11553250, UI: 21437519

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Eur J Anaesthesiol 2001 Oct;18(10):687-94

Antimicrobial activity of ropivacaine and other local anaesthetics.

Aydin ON, Eyigor M, Aydin N

Department of Anaesthesiology and Reanimation, Faculty of Medicine, Adnan Menderes University, 09100-Aydin, Turkey; Department of Microbiology and Clinical Microbiology, Faculty of Medicine, Adnan Menderes University, 09100-Aydin, Turkey.

[Medline record in process]

BACKGROUND: and objective It is claimed that local anaesthetics have antimicrobial properties. Our aim was to investigate the antimicrobial effects of different concentrations of ropivacaine, bupivacaine, lidocaine and prilocaine on Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa and Candida albicans. METHODS: All local anaesthetic dilutions were exposed to microorganisms for 0, 30, 60, 120, 240 min at room temperature. The inoculums taken from diluted suspensions were reinoculated on blood agar and incubated for 18-24 h at 35 degrees C and then the colonies were counted. RESULTS: Ropivacaine did not inhibit any of the microorganisms tested. Bupivacaine reduced the viable cells of P. aeruginosa at 0.5% and 0.25% solutions. Lidocaine 5% and 2% and prilocaine 2.0% dilutions reduced the viable cells of all microorganisms tested. Prilocaine 1.0% reduced the viable cells of E. coli, S. aureus and P. aeruginosa. Lidocaine 1% reduced only the viable cells of P. aeruginosa and prilocaine 0.5% reduced only E. coli. Conclusion Ropivacaine had no antimicrobial effect on microorganisms tested. Bupivacaine showed poor antimicrobial effectiveness. Lidocaine and prilocaine had more powerful antimicrobial effects than the other two local anaesthetics.

PMID: 11553246, UI: 21437515

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Eur J Anaesthesiol 2001 Oct;18(10):668-72

A comparison of cerebrospinal fluid pressure and block height after spinal anaesthesia in the right and left lateral position in pregnant women undergoing Caesarean section.

Kapur D, Grimsehl K

Department of Anaesthesia, Perth Royal Infirmary, Taymount Terrace, Perth, UK.

[Medline record in process]

BACKGROUND: and objective Little information exists on cerebrospinal fluid pressures in non-labouring pregnant women. The technique of spinal anaesthesia means that inadequate levels of sensory blockade are difficult to manage. If the block is found to be inadequate after surgery has commenced, then conversion to general anaesthesia may be the only option. It is important that any manoeuvre altering the spread of local anaesthetic is considered at the time of subarachnoid injection. This study investigates the feasibility of using a fine bore needle with an electronic transducer to measure cerebrospinal fluid pressure and whether this was affected by either of the two lateral positions. We also sought to measure whether the right or left lateral position affected subsequent block height and requirements for supplementary analgesia. METHODS: Two groups of 17 women presenting for elective Caesarean section were allocated to receive spinal anaesthesia in either the right or left lateral position. Cerebrospinal fluid pressure was measured by use of a rapid response electronic transducer connected to the hub of the spinal needle. Anaesthetic levels to cold sensation were assessed at 5, 10 and 15 min after injection of hyperbaric bupivacaine. During surgery, requirements for supplementary analgesia were recorded. RESULTS: There was no significant difference in cerebrospinal fluid pressure between the two positions. While there was a trend towards more rapid analgesia in the right lateral group, this did not reach statistical significance. Two blocks performed in the left lateral group were inadequate for surgery but this was not statistically significant. Overall, 39% of women required supplementary analgesia during surgery. The incidence was not significantly different between the two groups. Conclusion Adoption of either the right or left lateral position for placement of spinal anaesthesia results in no difference in cerebrospinal fluid pressure or quality of block. The technique described gives a reliable and reproducible method of cerebrospinal fluid pressure measurement.

PMID: 11553243, UI: 21437512

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