The Journal Club

Blood

Date: 15 November 2000
Summary:
A few sanguine asides! (And that's it for 2000).

Tramadol - a new look!

Date: 8 November 2000
Summary:
Is tramadol sorely neglected?

Hypothermia in regional anaesthetics and diabetics

Date: 1 November 2000
Summary:
Our grumpy editor again bursts into flame!

Calcium channel blockers for extubation??

Date: 25 October 2000
Summary:
Forget the intubation response! What about ex tubation?

A giant leap towards small volumes!

Date: 23 August 2000
Summary:
We look at the ARDSnet study; our editor is grumpy.

Organ preservation : a few vignettes

Date: 16 August 2000
Summary:
The field of organ preservation in anaesthesia is vast and complex. We do not pretend to cover the whole, merely taking a few peeks at fairly recent literature, and indulging in a little statistical quibbling.

Diaspirin cross-linked Haemoglobin: not the solution

Date: 26 July 2000
Summary:
The hunt for economical, effective blood substitutes (and the snark) continues.

A HESterical debate: Crystalloid vs Colloid

Date: 12 July 2000
Summary:
Is there any hope in finding an answer to the crystalloid:colloid debate? Here is a concise summary of the controversy, with pointers to recent fairly substantial reviews.

Who needs lung function tests anyway?

Date: 07 June 2000
Summary:
An in-depth view of lung function testing debunking the myths of specific values for PaO 2 , PaCO 2 , VO 2 max and not giving COAD patients oxygen.  A systematic outline of how to look at the results of tests when faced with a patient needing thoracic surgery.

Double lumen tubes, Myths exploded!

Date: 03 May 2000
Summary:
One should always be aware of potentially devastating consequences of anaesthetic interventions, even if such disasters are uncommon. Today we briefly explore airway rupture in the setting of double lumen tube placement, and then conclude with a rare aside.

Gas and Hot Air

Date: 15 March 2000
Summary:
Two interesting looks at oxygen.  Firstly we look at how to carry oxygen more effectively in plasma when the patient is losing blood.  Then at the potential benefits of increasing the amount of supplemental oxygen during anaesthesia and recovery.  We then look at a novel approach to carbon dioxide absorption.   Finally we have a peek at peep.

Propofol, pain and personality

Date: 8 March 2000
Summary:
Three articles relating to propofol in anaesthesia.  The first looks at targeted infusion, the second at recall during recovery and the third at the effects of adding thiopentone to the propofol. An in-depth look at a medically run acute pain service justifies their existence.  Lastly we are asked "does anaesthesia maketh the man?"

Waiting to Inhale

Date: 1 March 2000
Summary:
An excellent review of Xenon, telling us why we should be waiting for its arrival.  Two excellent articles, one on sevoflurane gas induction and the other on the stages of opioid induced respiratory depression.  An article on the pattern of respiration post operatively.   Finally we look at the cardiorespiratory changes, in infants, during laproscopy.

Epsom Salts and Exotica

Date: 23 February 2000
Summary:
Comprehensive review of the physiology and pharmacology of Magnesium Sulphate.  An interesting look into the incredibly complicated world of genetics and a glimpse of how we interfere with the immune system.

A regional roundup

Date: 16 February 2000
Summary:
Pointers to an excellent contemporary review of the epidural blood patch, as well as a few notes on TRI, intra-articular analgesia, and why you should be very scared with your next obstetric spinal.

A paediatric pot pourri

Date: 9 February 2000
Summary:
The highlight of this journal club is an article on paediatric low-flow anaesthesia that nobody (absolutely nobody) should miss.

Hot Topic: Cerebral complications after cardiac surgery

Date: 26 January 2000
Summary:
All too often, cardiopulmonary bypass surgery induces cognitive carnage. Recent articles in the Journal of Cardiothoracic and Vascular Anaesthesia look at monitoring methods, possible strategies to reduce damage, and also the vexing problem of awareness during cardiac surgery. Click here to read the whole review and find out whether the recent literature has contributed to dispelling the gloom!

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