1
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Bailey CR. Patients have great expectations, but there is more to do. Anaesthesia 2023; 78:1199-1202. [PMID: 37499115 DOI: 10.1111/anae.16105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/06/2023] [Indexed: 07/29/2023]
Affiliation(s)
- C R Bailey
- Department of Anaesthesia and Peri-operative Medicine, Guy's and St. Thomas' NHS Foundation Trust, London, UK
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2
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Kelly FE, Frerk C, Bailey CR, Cook TM, Ferguson K, Flin R, Fong K, Groom P, John C, Lang AR, Meek T, Miller KL, Richmond L, Sevdalis N, Stacey MR. Human factors in anaesthesia: a narrative review. Anaesthesia 2023; 78:479-490. [PMID: 36630729 DOI: 10.1111/anae.15920] [Citation(s) in RCA: 16] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/08/2022] [Indexed: 01/12/2023]
Abstract
Healthcare relies on high levels of human performance, as described by the 'human as the hero' concept. However, human performance varies and is recognised to fall in high-pressure situations, meaning that it is not a reliable method of ensuring safety. Other safety-critical industries embed human factors principles into all aspects of their organisations to improve safety and reduce reliance on exceptional human performance; there is potential to do the same in anaesthesia. Human factors is a broad-based scientific discipline which aims to make it as easy as possible for workers to do things correctly. The human factors strategies most likely to be effective are those which 'design out' the chance of an error or adverse event occurring. When errors or adverse events do happen, barriers are in place to trap them and reduce the risk of progression to patient and/or worker harm. If errors or adverse events are not trapped by these barriers, mitigations are in place to minimise the consequences. Non-technical skills form an important part of human factors barriers and mitigation strategies and include: situation awareness; decision-making; task management; and team working. Human factors principles are not a substitute for proper investment and appropriate staffing levels. Although applying human factors science has the potential to save money in the long term, its proper implementation may require investment before reward can be reaped. This narrative review describes what is known about human factors in anaesthesia to date.
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Affiliation(s)
- F E Kelly
- Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK
| | - C Frerk
- Department of Anaesthesia and Critical Care, Northampton General Hospital, Northampton, UK.,College of Life Sciences/Leicester Medical School, University of Leicester, UK
| | - C R Bailey
- Department of Anaesthetics, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - T M Cook
- Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.,School of Medicine, Bristol University, Bristol, UK
| | - K Ferguson
- Department of Anaesthesia, Aberdeen Royal Infirmary, Aberdeen, UK
| | - R Flin
- School of Psychology, Aberdeen Business School, Robert Gordon University, Aberdeen, UK
| | - K Fong
- Department of Anaesthesia, University College London Hospitals NHS Foundation Trust, London, UK.,Department of Science, Technology, Engineering and Public Policy, University College London, UK
| | - P Groom
- Department of Anaesthesia, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
| | - C John
- Department of Anaesthesia, University College Hospital's NHS Foundation Trust, London, UK
| | - A R Lang
- Human Factors Research Group, Faculty of Engineering, University of Nottingham, UK
| | - T Meek
- Department of Anaesthesia, James Cook University Hospital, Middlesbrough, UK
| | - K L Miller
- Department of Anaesthesia, Birmingham Women's and Children's Hospital NHS Foundation Trust, Birmingham, UK
| | - L Richmond
- Department of Anaesthesia, Swansea Bay University Health Board, Swansea, UK
| | - N Sevdalis
- Centre for Implementation Science, King's College London, UK
| | - M R Stacey
- Department of Anaesthetics, Intensive Care and Pain Medicine, University Hospital of Wales, Cardiff, UK
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3
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Kelly FE, Frerk C, Bailey CR, Cook TM, Ferguson K, Flin R, Fong K, Groom P, John C, Lang AR, Meek T, Miller KL, Richmond L, Sevdalis N, Stacey MR. Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. Anaesthesia 2023; 78:458-478. [PMID: 36630725 DOI: 10.1111/anae.15941] [Citation(s) in RCA: 21] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/14/2022] [Indexed: 01/12/2023]
Abstract
Human factors is an evidence-based scientific discipline used in safety critical industries to improve safety and worker well-being. The implementation of human factors strategies in anaesthesia has the potential to reduce the reliance on exceptional personal and team performance to provide safe and high-quality patient care. To encourage the adoption of human factors science in anaesthesia, the Difficult Airway Society and the Association of Anaesthetists established a Working Party, including anaesthetists and operating theatre team members with human factors expertise and/or interest, plus a human factors scientist, an industrial psychologist and an experimental psychologist/implementation scientist. A three-stage Delphi process was used to formulate a set of 12 recommendations: these are described using a 'hierarchy of controls' model and classified into design, barriers, mitigations and education and training strategies. Although most anaesthetic knowledge of human factors concerns non-technical skills, such as teamwork and communication, human factors is a broad-based scientific discipline with many other additional aspects that are just as important. Indeed, the human factors strategies most likely to have the greatest impact are those related to the design of safe working environments, equipment and systems. While our recommendations are primarily provided for anaesthetists and the teams they work with, there are likely to be lessons for others working in healthcare beyond the speciality of anaesthesia.
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Affiliation(s)
- F E Kelly
- Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK
| | - C Frerk
- Department of Anaesthesia and Critical Care, Northampton General Hospital, Northampton, UK.,University of Leicester, College of Life Sciences/Leicester Medical School, Leicester, UK
| | - C R Bailey
- Department of Anaesthetics, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - T M Cook
- Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK.,Bristol University, Bristol, UK
| | - K Ferguson
- Department of Anaesthesia, Aberdeen Royal Infirmary, Aberdeen, UK
| | - R Flin
- Aberdeen Business School, Robert Gordon University, Aberdeen, UK
| | - K Fong
- Department of Anaesthesia, University College London Hospitals NHS Foundation Trust, London, UK.,Department of Science, Technology, Engineering and Public Policy, University College London, UK
| | - P Groom
- Department of Anaesthesia, Liverpool University Hospitals NHS Foundation Trust, Aintree, Liverpool, UK
| | - C John
- University College Hospital's NHS Foundation Trust, London, UK
| | - A R Lang
- Human Factors Research Group, Faculty of Engineering, University of Nottingham, UK
| | - T Meek
- Department of Anaesthesia, James Cook University Hospital, Middlesbrough, UK
| | - K L Miller
- Department of Paediatric Anaesthesia, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK
| | - L Richmond
- Department of Anaesthesia, Swansea Bay University Health Board, Swansea, UK
| | - N Sevdalis
- Centre for Implementation Science, King's College London, UK
| | - M R Stacey
- Department of Anaesthetics, Intensive Care and Pain Medicine, University Hospital of Wales, Cardiff, UK
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4
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Bailey CR, El-Boghdadly K. How to write a Science Letter for Anaesthesia. Anaesthesia 2023; 78:385-387. [PMID: 35944281 DOI: 10.1111/anae.15830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2022] [Indexed: 11/30/2022]
Affiliation(s)
- C R Bailey
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - K El-Boghdadly
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.,King's College London, UK
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5
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Bailey CR. Tranexamic acid in total knee arthroplasty. Anaesthesia 2023; 78:275-278. [PMID: 36599643 DOI: 10.1111/anae.15960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/12/2022] [Indexed: 01/06/2023]
Affiliation(s)
- C R Bailey
- Department of Anaesthesia, Guy's and St. Thomas' NHS Foundation Trust, London, UK
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6
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Bailey CR. Neuromuscular blockade in the ICU: if you can't measure it, you can't manage it. Anaesthesia 2022; 77:953-955. [PMID: 35837837 DOI: 10.1111/anae.15809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2022] [Indexed: 11/26/2022]
Affiliation(s)
- C R Bailey
- Department of Anaesthetics, Guy's and St. Thomas' NHS Foundation Trust, London, UK
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7
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Agarwal S, El‐Boghdadly K, Bailey CR, Carlisle JB, Charlesworth M, Duggan LV, Irwin MG, Klein AA, Laycock H, Mariano ER, Moppett IK, Morton B, Savic L, Smith AF, Vercueil AE, Wiles MD. Position statement from the Editors of
Anaesthesia
on equity, diversity and inclusion. Anaesthesia 2022; 77:1018-1022. [DOI: 10.1111/anae.15763] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/08/2022] [Indexed: 01/02/2023]
Affiliation(s)
- S. Agarwal
- Department of Anaesthesia Manchester University Hospitals NHS Trust Manchester UK
- Manchester University Manchester UK
| | - K. El‐Boghdadly
- Department of Anaesthesia and Peri‐operative Medicine Guy's and St Thomas' NHS Foundation Trust London UK
- King's College London London UK
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8
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Bailey CR, George ML. Colorectal cancer surgery: is further research necessary? Anaesthesia 2022; 77:748-750. [PMID: 35262183 DOI: 10.1111/anae.15706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2022] [Indexed: 11/29/2022]
Affiliation(s)
- C R Bailey
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - M L George
- Department of Colorectal Surgery, Guy's and St Thomas' NHS Foundation Trust, London, UK
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9
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Affiliation(s)
- D J N Wong
- Department of Anaesthesia and Peri-operative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - C R Bailey
- Department of Anaesthesia and Peri-operative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.,King's College London, London, UK
| | - K El-Boghdadly
- Department of Anaesthesia and Peri-operative Medicine, Guy's and St Thomas' NHS Foundation Trust, London, UK.,King's College London, London, UK
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10
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Bailey CR, Radhakrishna S, Asanati K, Dill N, Hodgson K, McKeown C, Pawa A, Plaat F, Wilkes A. Ergonomics in the anaesthetic workplace: Guideline from the Association of Anaesthetists. Anaesthesia 2021; 76:1635-1647. [PMID: 34251028 PMCID: PMC9292255 DOI: 10.1111/anae.15530] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/28/2021] [Indexed: 11/26/2022]
Abstract
Ergonomics in relation to anaesthesia is the scientific study of the interaction between anaesthetists and their workspace environment in order to promote safety, performance and well-being. The foundation for avoiding pain or discomfort at work is to adopt and maintain a good posture, whether sitting or standing. Anaesthetists should aim to keep their posture as natural and neutral as possible. The successful practice of anaesthesia relies on optimisation of ergonomics and lack of attention to detail in this area is associated with impaired performance. The anaesthetic team should wear comfortable clothing, including appropriately-sized personal protective equipment where necessary. Temperature, humidity and light should be adequate at all times. The team should comply with infection prevention and control guidelines and monitoring as recommended by the Association of Anaesthetists. Any equipment or machinery that is mobile should be positioned where it is easy to view or reach without having to change the body or head position significantly when interacting with it. Patients who are supine should, whenever possible, be raised upwards to limit the need to lean towards them. Any item required during a procedure should be positioned on trays or trolleys that are close to the dominant hand. Pregnancy affects the requirements for standing, manually handling, applying force when operating equipment or moving machines and the period over which the individual might have to work without a break. Employers have a duty to make reasonable adjustments to accommodate disability in the workplace. Any member of staff with a physical impairment needs to be accommodated and this includes making provision for a wheelchair user who needs to enter the operating theatre and perform their work.
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Affiliation(s)
- C R Bailey
- Department of Anaesthesia, Guy's and St. Thomas' NHS Foundation Trust, Council Member, Association of Anaesthetists and Co-Chair of the Working Party, London, UK
| | - S Radhakrishna
- Department of Anaesthesia, University Hospitals of Coventry and Warwickshire, Difficult Airway Society representative and Co-Chair of the Working Party, Coventry, UK
| | | | - N Dill
- British Anaesthetic Respiratory Equipment Manufacturers Association (BAREMA), Bromley, UK
| | - K Hodgson
- South East Scotland School of Anaesthesia, Member of the Association of Anaesthetists Training Committee, UK
| | | | - A Pawa
- Department of Anaesthesia, Guy's and St. Thomas' NHS Foundation Trust, President of Regional Anaesthesia (RA) UK, London, UK
| | - F Plaat
- Department of Anaesthesia, Imperial College Healthcare NHS Trust, Council Member, Royal College of Anaesthetists, London, UK
| | - A Wilkes
- Department of Anaesthesia, Edinburgh, UK
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11
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Kelly FE, Bailey CR, Aldridge P, Brennan PA, Hardy RP, Henrys P, Hussain A, Jenkins M, Lang A, McGuire N, McNarry A, Osborn M, Pittilla L, Ralph M, Sarkar S, Taft D. Fire safety and emergency evacuation guidelines for intensive care units and operating theatres: for use in the event of fire, flood, power cut, oxygen supply failure, noxious gas, structural collapse or other critical incidents: Guidelines from the Association of Anaesthetists and the Intensive Care Society. Anaesthesia 2021; 76:1377-1391. [PMID: 33984872 DOI: 10.1111/anae.15511] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/26/2021] [Indexed: 12/21/2022]
Abstract
The need to evacuate an ICU or operating theatre complex during a fire or other emergency is a rare event but one potentially fraught with difficulty: Not only is there a risk that patients may come to harm but also that staff may be injured and unable to work. Designing newly-built or refurbished ICUs and operating theatre suites is an opportunity to incorporate mandatory fire safety features and improve the management and outcomes of such emergencies: These include well-marked manual fire call points and oxygen shut off valves (area valve service units); the ability to isolate individual zones; multiple clear exit routes; small bays or side rooms; preference for ground floor ICU location and interconnecting routes with operating theatres; separate clinical and non-clinical areas. ICUs and operating theatre suites should have a bespoke emergency evacuation plan and route map that is readily available. Staff should receive practical fire and evacuation training in their clinical area of work on induction and annually as part of mandatory training, including 'walk-through practice' or simulation training and location of manual fire call points and fire extinguishers, evacuation routes and location and operation of area valve service units. The staff member in charge of each shift should be able to select and operate fire extinguishers and lead an evacuation. Following an emergency evacuation, a network-wide response should be activated, including retrieval and transport of patients to other ICUs if needed. A full investigation should take place and ongoing support and follow-up of staff provided.
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Affiliation(s)
- F E Kelly
- Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK
| | - C R Bailey
- Department of Anaesthesia, Guy's and St. Thomas' NHS Foundation Trust, London, UK
| | - P Aldridge
- Fire, Security and Corporate Affairs, Leeds Teaching Hospitals NHS Trust and General Secretary, National Association of Healthcare Fire Officers, UK
| | - P A Brennan
- Portsmouth Hospitals University Trust, Portsmouth, UK
| | - R P Hardy
- Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK
| | - P Henrys
- BOC Ltd, British Compressed Gas Association Medical Gas Committee
| | - A Hussain
- AH Fire Ltd, Member of the National Association of Healthcare Fire Officers, UK
| | - M Jenkins
- Intensive Care Unit, Royal United Hospitals NHS Foundation Trust, Bath, UK
| | - A Lang
- Human Factors Research Group, Faculty of Engineering, University of Nottingham, Nottingham, UK
| | - N McGuire
- Devices, Medicines and Healthcare products Regulatory Agency
| | - A McNarry
- Department of Anaesthesia, Western General Hospital, Edinburgh, UK
| | - M Osborn
- Department of Oncology, Royal United Hospitals Bath NHS Foundation Trust, Bath, UK
| | - L Pittilla
- North of England Paediatric Critical Care Network and Paediatric Critical Care Society
| | - M Ralph
- NHS Improvement (Department of Health) and Chair, Medical Gas Association
| | - S Sarkar
- Department of Anaesthesia and Intensive Care Medicine, Sherwood Forest Hospitals NHS Foundation Trust, Nottinghamshire, UK
| | - D Taft
- Health and Safety Executive
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12
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Shelton CL, Klein AA, Bailey CR, El-Boghdadly K. The Anaesthesia Case Report (ACRE) checklist: a tool to promote high-quality reporting of cases in peri-operative practice. Anaesthesia 2021; 76:1077-1081. [PMID: 33440026 DOI: 10.1111/anae.15391] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2020] [Indexed: 12/11/2022]
Abstract
Case reports have fulfilled an important role in the development of anaesthesia and continue to be highly relevant to modern practice. Despite this, they are sometimes criticised for being insufficiently rigorous to meaningfully inform clinical practice or research design. Reporting checklists are a useful tool to improve rigour in research and, although case report checklists have previously been developed, no existing checklist focuses on the peri-operative setting. In order to address the need for a case reports checklist that better accommodates peri-operative care, we used an established tool as the basis for developing the 12-item Anaesthesia Case Report checklist. This was refined using an iterative approach through feedback from journal editors with experience of handling case reports, patient and public involvement, and trialling its use on Anaesthesia Reports submissions. The Anaesthesia Case Report checklist differs from existing checklists by aligning with peri-operative practice; it places less emphasis on making diagnoses and focuses on the way in which clinical challenges, for example, related to the patient's comorbidities or operative interventions, are addressed. Adopting a standardised approach to the content of case reports presents clear benefits to authors, editors and peer reviewers through streamlining the processes involved in writing and publication. The Anaesthesia Case Report checklist provides a pragmatic framework for comprehensive and transparent reporting. We hope it will facilitate the authorship of high-quality case reports with the potential to further improve the quality and safety of peri-operative care.
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Affiliation(s)
- C L Shelton
- Department of Anaesthesia, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.,Lancaster Medical School, Lancaster University, Lancaster, UK
| | - A A Klein
- Department of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK
| | - C R Bailey
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.,Kings College London, UK
| | - K El-Boghdadly
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK.,Kings College London, UK
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13
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Affiliation(s)
- C R Bailey
- Department of Anaesthesia Guy's and St Thomas' NHS Foundation Trust London UK.,Kings College London London UK
| | - C L Shelton
- Department of Anaesthesia Wythenshawe Hospital, Manchester University NHS Foundation Trust Manchester UK.,Lancaster Medical School, Faculty of Health and Medicine Lancaster University Lancaster UK
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14
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Affiliation(s)
- C R Bailey
- Department of Anaesthesia, Guy's and St, Thomas' NHS Foundation Trust, London, UK
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15
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Affiliation(s)
- V Ponnaiah
- Guy's and St. Thomas' NHS Foundation Trust, London, UK
| | - C R Bailey
- Guy's and St. Thomas' NHS Foundation Trust, London, UK
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16
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Abstract
Dexmedetomidine is an α2 adrenoreceptor agonist that may be administered by the intranasal route as a sole sedative agent in children. It is odourless, colourless and tasteless and is formulated in a concentration of 100µg.ml-1. We performed a review of published randomised controlled trials in order to determine the efficacy of intranasal dexmedetomidine for sedation in children. Fourteen trials were eligible for inclusion in the review and contained a total of 1809 patients ranging in age from one month to 14 years. Intranasal dexmedetomidine was administered in a dose range of 1-4µg.kg-1 and was compared with various other sedatives. Dexmedetomidine was administered by either drops or a mucosal atomiser device. The procedures ranged from non-painful examinations such as magnetic resonance imaging scans and transthoracic echocardiography to painful procedures such as dentistry and venous cannulation. Administration of 2µg.kg-1 appears to be the optimal dose.
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Affiliation(s)
- J Lewis
- KCL School of Medicine, London, UK
| | - C R Bailey
- Department of Anaesthetics, Evelina London Children's Hospital, Guys and St Thomas' NHS Foundation Trust, London, UK
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17
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Bailey CR. Should we be switching from reusable bronchoscopes to disposable due to the risks of cross contamination? A reply. Anaesthesia 2020; 75:698. [DOI: 10.1111/anae.15023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C. R. Bailey
- Guy's and St. Thomas’ NHS Foundation Trust London UK
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18
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Laycock H, Bailey CR. The influence of first author sex on acceptance rates of submissions to
Anaesthesia Cases
: a reply. Anaesthesia 2020; 75:420. [DOI: 10.1111/anae.14979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
| | - C. R. Bailey
- Guy's and St. Thomas’ NHS Foundation Trust London UK
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19
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Laycock H, Bailey CR. The influence of first author sex on acceptance rates of submissions to Anaesthesia Cases. Anaesthesia 2019; 74:1432-1438. [PMID: 31373389 DOI: 10.1111/anae.14797] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/13/2019] [Indexed: 11/29/2022]
Abstract
More than 50% of medical students and 45% of practising doctors are female in the UK. In the specialty of anaesthesia, 32% of consultants are female. However, compared with males, females are under-represented as authors of articles published in high-impact journals. We investigated the proportion of female first authors by examining the case reports submitted to Anaesthesia Cases since its inception in 2013. We defined authors by their sex (male or female), that is, biological characteristics, rather than their gender. There were a total of 802 submissions to Anaesthesia Cases over 4.5 years. Sixteen submissions were excluded and of the remaining 786 submissions, 279 were accepted and 507 rejected, an acceptance rate of 35.5%. Twenty (2.5%) authors' sex could not be identified. The overall proportion of female first authors was 37.1%. The proportion of female first authors of accepted case reports was 42.1% and females were first authors of rejected case reports in 34.4%. We found that, compared with previous studies on female sex and gender bias in publishing, there was a relatively high proportion of female first authors publishing in Anaesthesia Cases and female first authors were more likely to be accepted than male first authors. Authorship is considered to reflect career success and there continues to be sex/gender inequity that must be tackled at all levels, from application to medical school, through research funding, journals and Editorial Boards.
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Affiliation(s)
- H Laycock
- Department of Pain Medicine, Imperial College, London, UK
| | - C R Bailey
- Department of Anaesthesia, Guys and St. Thomas' NHS Foundation Trust, London, UK
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20
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Bailey CR, Ahuja M, Bartholomew K, Bew S, Forbes L, Lipp A, Montgomery J, Russon K, Potparic O, Stocker M. Guidelines for day-case surgery 2019: Guidelines from the Association of Anaesthetists and the British Association of Day Surgery. Anaesthesia 2019; 74:778-792. [PMID: 30963557 DOI: 10.1111/anae.14639] [Citation(s) in RCA: 133] [Impact Index Per Article: 26.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2019] [Indexed: 12/18/2022]
Abstract
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.
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Affiliation(s)
- C R Bailey
- Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, Chair of Working Party, Association of Anaesthetists, London, UK
| | - M Ahuja
- Department of Anaesthesia, Royal Wolverhampton Hospitals NHS Trust, Elected Member, British Association of Day Surgery, Wolverhampton, UK
| | - K Bartholomew
- Department of Anaesthesia, Calderdale and Huddersfield NHS Foundation Trust, Elected Member, Association of Paediatric Anaesthetists of Great Britain and Ireland, Huddersfield, UK
| | - S Bew
- Department of Anaesthesia, Leeds Teaching Hospitals NHS Trust, Elected Member, Association of Paediatric Anaesthetists of Great Britain and Ireland, Leeds, UK
| | - L Forbes
- Department of Anaesthesia, Ninewells Hospital, Elected Member Trainee Committee, Association of Anaesthetists, Dundee, Scotland
| | - A Lipp
- Department of Anaesthesia, Norfolk and Norwich University Hospital, Elected Member, British Association of Day Surgery, Norwich, UK
| | - J Montgomery
- Department of Anaesthesia, Torbay and South Devon NHS Foundation Trust, Elected Member, British Association of Day Surgery, Torbay, UK
| | - K Russon
- Department of Anaesthesia, Rotherham NHS Foundation Trust, Elected Member, British Association of Day Surgery, Rotherham, UK
| | - O Potparic
- Department of Anaesthesia, Chelsea and Westminster NHS Foundation Trust, SAS Committee, Association of Anaesthetists, London, UK
| | - M Stocker
- Department of Anaesthesia, Torbay and South Devon, NHS Foundation Trust, President, British Association of Day Surgery, Torbay, UK
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21
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Affiliation(s)
- A. Shah
- Nuffield Department of Anaesthesia John Radcliffe Hospital OxfordUK
- Radcliffe Department of Medicine University of OxfordUK
| | - C. R. Bailey
- Department of Anaesthesia Guys and St. Thomas’ NHS Foundation Trust London UK
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Klein AA, Bailey CR, Charlton A, Lawson C, Nimmo AF, Payne S, Ruck Keene A, Shortland R, Smith J, Torella F, Wade P. Association of Anaesthetists: anaesthesia and peri-operative care for Jehovah's Witnesses and patients who refuse blood. Anaesthesia 2018; 74:74-82. [DOI: 10.1111/anae.14441] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/15/2018] [Indexed: 12/23/2022]
Affiliation(s)
- A. A. Klein
- Department of Anaesthesia and Intensive Care; Royal Papworth Hospital, Cambridge; UK and Chair, Working Party, Association of Anaesthetists
| | - C. R. Bailey
- Anaesthetic Department; Guys and St. Thomas’ NHS Foundation Trust, London; UK and Association of Anaesthetists Council Member
| | - A. Charlton
- Haematology; NHS Blood and Transplant; and Newcastle upon Tyne NHS Foundation Trust; Newcastle UK
| | - C. Lawson
- Northern School of Anaesthesia and Intensive Care Medicine; UK and Group of Anaesthetists in Training (GAT) Committee Member
| | - A. F. Nimmo
- Department of Anaesthesia; Royal Infirmary of Edinburgh; and Royal College of Anaesthetists Representative; Edinburgh UK
| | | | - A. Ruck Keene
- Honorary Research Lecturer; University of Manchester; Wellcome Trust Research Fellow; Kings College London; UK
| | - R. Shortland
- Hospital Liaison Committee for Jehovah's Witnesses; Cambridge
| | - J. Smith
- Department of Anaesthesia and Intensive Care; Freeman Hospital; Newcastle upon Tyne and Association of Paediatric Anaesthetists of Great Britain and Ireland (APAGBI) representative
| | - F. Torella
- Liverpool Vascular and Endovascular Service; Liverpool,UK and School of Physical Sciences, University of Liverpool and Royal College of Surgeons representative
| | - P. Wade
- Hospital Information Services for Jehovah's Witnesses; London
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Bailey CR, Nathanson MH. Non-invasive blood pressure measurement displays - a reply. Anaesthesia 2018; 73:1300. [PMID: 30216423 DOI: 10.1111/anae.14434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C R Bailey
- Association of Anaesthetists, London, UK
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Bailey CR, Nouraie R, Huitink JM. An indication for a throat pack? A reply. Anaesthesia 2018; 73:1038. [DOI: 10.1111/anae.14382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- C. R. Bailey
- Guys and St Thomas’ NHS Foundation Trust; London UK
| | - R. Nouraie
- Auckland District Health Board; Auckland New Zealand
| | - J. M. Huitink
- VU University Medical Center; Airway Management Academy; Amsterdam The Netherlands
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Affiliation(s)
- V. M. Yuen
- Department of Anaesthesiology; Hong Kong Children's Hospital; Hong Kong HKSAR
| | - C. R. Bailey
- Department of Anaesthesia; Evelina London Children's Hospital; Guys and St Thomas’ NHS Foundation Trust; London UK
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Klein AA, Bailey CR, Charlton AJ, Evans E, Guckian-Fisher M, McCrossan R, Nimmo AF, Payne S, Shreeve K, Smith J, Torella F. Association of Anaesthetists guidelines: cell salvage for peri-operative blood conservation 2018. Anaesthesia 2018; 73:1141-1150. [DOI: 10.1111/anae.14331] [Citation(s) in RCA: 79] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/20/2018] [Indexed: 01/03/2023]
Affiliation(s)
- A. A. Klein
- Department of Anaesthesia and Intensive Care; Royal Papworth Hospital; Cambridge UK
| | - C. R. Bailey
- Department of Anaesthesia, Guys and St; Thomas' NHS Foundation Trust; London UK
| | - A. J. Charlton
- NHS Blood and Transplant; Newcastle upon Tyne NHS Foundation Trust; Newcastle UK
| | - E. Evans
- Department of Obstetric Anaesthesia; St George's University Hospitals NHS Foundation Trust; London UK
| | - M. Guckian-Fisher
- Immediate Past President; The Association for Peri-operative Practice (AFPP); UK
| | - R. McCrossan
- Northern School of Anaesthesia; Royal Victoria Infirmary; Newcastle upon Tyne NHS Foundation Trust; Newcastle UK
| | - A. F. Nimmo
- Department of Anaesthesia; Royal Infirmary of Edinburgh; Edinburgh UK
| | | | - K. Shreeve
- Better Blood Transfusion Team; Welsh Blood Service; Co-chair of UK Cell Salvage Action Group; UK
| | - J. Smith
- Department of Paediatric Cardiothoracic Anaesthesia and Intensive Care; Freeman Hospital; Newcastle upon Tyne NHS Foundation Trust; Newcastle UK
| | - F. Torella
- Liverpool Vascular and Endovascular Service; Liverpool UK
- School of Physical Sciences; University of Liverpool; Liverpool UK
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Affiliation(s)
- C. R. Bailey
- Department of Anaesthesia; Guys and St Thomas' NHS Foundation Trust; London UK
| | - R. Nouraie
- Department of Otolaryngology, Head and Neck Surgery; Auckland District Health Board; Auckland New Zealand
| | - J. M. Huitink
- Department of Anesthesiology; VU University Medical Center and Airway Management Academy; Amsterdam The Netherlands
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El-Boghdadly K, Wiles MD, Atton S, Bailey CR. Adherence to guidance on registration of randomised controlled trials published in Anaesthesia. Anaesthesia 2018; 73:556-563. [DOI: 10.1111/anae.14103] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/17/2017] [Indexed: 11/30/2022]
Affiliation(s)
- K. El-Boghdadly
- Department of Anaesthesia, Guys and St; Thomas’ NHS Foundation Trust; London UK
| | - M. D. Wiles
- Department of Anaesthesia; Sheffield Teaching Hospital NHS Foundation Trust; Sheffield UK
| | | | - C. R. Bailey
- Department of Anaesthetics, Guys and St; Thomas’ NHS Foundation Trust; London UK
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Bailey CR. Neuromuscular monitoring and the cost of antagonism: when will we learn? A reply. Anaesthesia 2017; 72:1559-1560. [DOI: 10.1111/anae.14125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- C. R. Bailey
- Guys and St. Thomas' NHS Foundation Trust; London UK
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Affiliation(s)
- C R Bailey
- Department of Anaesthesia, Evelina London Childrens' Hospital, Guys and St. Thomas' NHS Foundation Trust, London, UK
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Affiliation(s)
- C. R. Bailey
- Department of Anaesthetics; Guys and St.Thomas’ NHS Foundation Trust; London UK
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Affiliation(s)
- I Ahmad
- Department of Anaesthesia, Guys and St. Thomas' Hospitals, London, UK.
| | - C R Bailey
- Department of Anaesthesia, Guys and St. Thomas' Hospitals, London, UK
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Affiliation(s)
- I Ahmad
- Guy's and St. Thomas' Hospital, London, UK.
| | - C R Bailey
- Guy's and St. Thomas' Hospital, London, UK
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Affiliation(s)
- K. El-Boghdadly
- Department of Anesthesia; Toronto Western Hospital; Toronto Ontario Canada
| | - C. R. Bailey
- Department of Anaesthetics; Evelina London Children's Hospital; Guys and St. Thomas’ NHS Foundation Trust; London UK
| | - M. D. Wiles
- Department of Anaesthetics; Sheffield Teaching Hospital NHS Foundation Trust; Sheffield UK
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Affiliation(s)
- C. R. Bailey
- Evelina London Children's Hospital; Guy's and St. Thomas' NHS Foundation Trust; London UK
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Affiliation(s)
| | - C. R. Bailey
- Evelina London Childrens Hospital; Guys and St Thomas' NHS Foundation Trust; London UK
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Affiliation(s)
- C. R. Bailey
- Department of Anaesthetics; Guy's & St Thomas' NHS Foundation Trust; London UK
| | - A. A. Klein
- Department of Anaesthetics and Intensive Care; Papworth Hospital; Cambridge UK
| | - B. J. Hunt
- Kings College University; London UK
- Consultant Haematologist, Guy's & St Thomas' NHS Foundation Trust; London UK
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Smith P, Bailey CR. A performance comparison of the paediatric i-gel™with other supraglottic airway devices. Anaesthesia 2014; 70:84-92. [DOI: 10.1111/anae.12830] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/21/2014] [Indexed: 11/28/2022]
Affiliation(s)
- P. Smith
- Department of Anaesthetics; Great Ormond Street Hospital NHS Foundation Trust; London UK
| | - C. R. Bailey
- Department of Anaesthetics; Guys and St. Thomas' NHS Foundation Trust; London UK
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Bailey CR, Prime SL. TMS over the right parietal cortex disrupts audiovisual binding in the line motion illusion. J Vis 2014. [DOI: 10.1167/14.10.1096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Affiliation(s)
- A. Palanisamy
- Department of Anesthesiology, Perioperative and Pain Medicine; Brigham and Women's Hospital; Harvard Medical School; Boston Massachussetts USA
| | - C. R. Bailey
- Department of Anaesthestics; Evelina London Childrens Hospital; Guy's and St. Thomas' NHS Foundation Trust; London UK
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Affiliation(s)
- A. A. Klein
- Department of Anaesthesia; Papworth Hospital; Cambridge; UK
| | - C. R. Bailey
- Department of Anaesthesia; Guys and St. Thomas' NHS Foundation Trust; London; UK
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McMurphy CP, Duff GC, Harris MA, Sanders SR, Chirase NK, Bailey CR, Ibrahim RM. Effect of Humic/Fulvic Acid in Beef Cattle Finishing Diets on Animal Performance, Ruminal Ammonia and Serum Urea Nitrogen Concentration. Journal of Applied Animal Research 2009. [DOI: 10.1080/09712119.2009.9706995] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Bailey CR, Duff GC, Sanders SR, Cuneo SP, McMurphy CP, Limesand SW, Marchello JA, Schafer DW, Rhoads ML, Hallford DM. Effects of ovariectomy and anabolic steroid implantation on the somatotrophic axis in feedlot heifers. S AFR J ANIM SCI 2008. [DOI: 10.4314/sajas.v38i3.4127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Abstract
This study was designed to evaluate the effects of monensin with or without grain supplementation on reproduction of beef cows consuming bermudagrass hay. Monensin supplemented at 200 mg head-1 d-1, with or without grain supplementation, shortened the period from calving to conception and increased calving percentage in beef cows consuming bermudagrass hay. Key words: Monensin, beef cows, reproduction
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Abstract
In the year under review there have been steady advances in anaesthesia. Premedication in children is best achieved with oral midazolam formulated in flavoured syrups, and the inhalational induction of anaesthesia may be accomplished using sevoflurane. Pain management of the most common surgical procedure performed in children, tonsillectomy/adenoidectomy, is still sub-optimal, but combinations of opioids and non-steroidal anti-inflammatory drugs are helpful. There are, however, some concerns regarding the possible increases in postoperative blood loss after tonsillectomy when non-steroidal anti-inflammatory drugs are used. Middle ear surgery leads to a high incidence of postoperative nausea and vomiting, and these are best managed by utilizing a total intravenous anaesthetic technique with propofol, the avoidance of nitrous oxide, and administration of dexamethasone and a 5-hydroxytryptamine receptor antagonist such as ondansetron.
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Affiliation(s)
- C R Bailey
- Department of Anaesthetics, Guys Hospital, London, UK.
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Colaco CALS, Bailey CR, Keeble J, Walker KB. BCG (Bacille Calmette-Guérin) HspCs (heat-shock protein-peptide complexes) induce T-helper 1 responses and protect against live challenge in a murine aerosol challenge model of pulmonary tuberculosis. Biochem Soc Trans 2005; 32:626-8. [PMID: 15270692 DOI: 10.1042/bst0320626] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The need for an effective TB (tuberculosis) vaccine remains acute, with tuberculosis still one of the major killers worldwide and 3 million new infections annually. We report here on the immune responses elicited by HspCs (heat-shock protein-peptide complexes) isolated from BCG (Bacille Calmette-Guérin) vaccine. These HspCs elicit both the appropriate cellular and protective immune responses required to merit their further development as TB vaccine candidates.
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Affiliation(s)
- C A L S Colaco
- ImmunoBiology Limited, Babraham BioIncubator, Babraham, Cambridge CB2 4AT, UK.
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Bailey CR, Duff GC, Cheatham RC, Sanders SR, Whitney TW, Mendivil OB, Treichel JL. Dietary urea concentration and acid-base balance in feedlot steers fed a high concentrate steam-flaked corn-based diet. Can J Anim Sci 2004. [DOI: 10.4141/a04-044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This experiment investigated the effects of dietary urea fed at 0, 0.5, 1.0 or 1.5% [dry mater (DM) basis] of the diet on systemic acid-base balance in feedlot steers. Results indicated that increasing urea concentrations in feedlot diets had no effect on arterial pH, blood gas profile, serum urea nitrogen, or urine pH. Key words: Acid-base balance, beef cattle, urea
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