Anaesthetic Complications requiring Intensive Care: A Five Year Review

Barnes, P. J.; Havill, J. H.; Cotev, Shamay

doi:10.1097/00132586-198206000-00061

Cited by 5 publications

(6 citation statements)

References 0 publications

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“…It is not surprising that prolonged surgical duration leads to increased ICU admission, as longer procedures tend to be more technically difficult, result in increased time under anesthesia, and are overall more prone to perioperative and postoperative complications. [13][14][15][16] Along the same line, the use of a general anesthetic is usually reserved for more complex, in-depth surgical cases that carry an inherent high risk of complications. This could explain why general anesthesia was associated with increased unplanned ICU admissions compared with cases that only required MAC, neuraxial, or regional anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Unplanned Intensive Care Unit Admissions in Postoperative Pediatric Patients

Landry

Gabriel

Beutler

et al. 2016

J Intensive Care Med

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This study establishes a rate of unplanned ICU admission following surgery in the heterogeneous pediatric population. This is the first study to utilize such a large data set encompassing a wide range of practice environments to identify risk factors leading to unplanned postoperative ICU admissions. Our study revealed that patient, surgical, and anesthetic complexity each contributed to an increased number of unplanned ICU admissions in the pediatric population.

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Section: Discussionmentioning

confidence: 99%

Analysis of Unplanned Intensive Care Unit Admissions in Postoperative Pediatric Patients

Landry

Gabriel

Beutler

et al. 2016

J Intensive Care Med

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“…Differences in study design and methods of medical record review may explain methodological diversity. Only three studies were multi-centre studies [26,41,44]. All other studies were case studies investigating unplanned admissions on one ICU.…”

Section: Discussionmentioning

confidence: 99%

Incidence and preventability of adverse events requiring intensive care admission: a systematic review

Vlayen

Verelst

Bekkering

et al. 2011

Evaluation Clinical Practice

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Adverse events are an important reason for (re)admission to the ICU and a considerable proportion of these are preventable. It was not possible to estimate an overall incidence and preventability rate of these events as we found considerable heterogeneity. To decrease adverse events that necessitate ICU admission, several systems are recommended such as early detection of patients with clinical instability on general wards and the implementation of rapid response teams. Step-down or intermediate care units could be a useful strategy for patients who require monitoring to avoid ICU readmissions. However, the effectiveness of such systems needs to be investigated.

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“…5. An induction combination of thiopentone and suxamethonium produced anaphylactoid reactions in seven patients (numbers 6,9,24,25,26,27,29); four were positive for suxamethonium, two for thiopentone. 6.…”

Section: Intradermal Testingmentioning

confidence: 99%

“…3,4 In 1977 there were three rep'--'orted deaths in New Zealand due to hypersensitivity to anaesthetic drugs,5 and in a five-year period, a large New Zealand metropolitan hospital admitted six patients to its Inten~ive Therapy Unit because of severe allergic reactions during anaesthesia. 6 There is no way of identifying the individual at risk for an anaphylactoid response although some groups of patients exhibit relative risk factors. v For the patient who has survived an anaphylactoid reaction during anaesthesia, it is essential to confirm the diagnosis and to identify the drug in order to avoid the same reaction in subsequent anaesthetics.…”

mentioning

confidence: 99%

Intradermal Drug Testing following Anaphylactoid Reactions during Anaesthesia

Sage

1981

Anaesth Intensive Care

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Intradermal testing of intravenous anaesthetic drugs was performed on 34 patients following acute anaphylactoid reactions during anaesthesia. Twenty-three patients had positive skin tests and 18 of these were positive for a single drug. Muscle relaxants were the drugs implicated most commonly. Intradermal testing is safe and provides useful and often specific positive information, but falsenegative results probably occur.

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Anaesthetic Complications requiring Intensive Care: A Five Year Review

Cited by 5 publications

References 0 publications

Analysis of Unplanned Intensive Care Unit Admissions in Postoperative Pediatric Patients

Analysis of Unplanned Intensive Care Unit Admissions in Postoperative Pediatric Patients

Incidence and preventability of adverse events requiring intensive care admission: a systematic review

Intradermal Drug Testing following Anaphylactoid Reactions during Anaesthesia

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