Anaesthesia and Intensive Care is an educational journal for those associated with anaesthesia, intensive care medicine and pain medicine
In the November issue of Anaesthesia and Intensive Care the cover note features the development of manikins as a training aid in resuscitation and an editorial by N.M. Gibbs which argues that articles published in a scientific journal should not be judged solely by the number of citations they receive.
Amongst the reviews in this edition is a paper by Hack et al which discusses new treatments such as haemopoietic stem cell transplantation and enzyme replacement therapy. Early and successful transplantation has dramatically improved long-term outcome and reduced anaesthetic complications in children with Hurler syndrome.
The association of deficiency in total body iron with an increased risk of reactive thrombocytosis is well known, but whether ‘functional iron deficiency’ is also associated with reactive thrombocytosis is unknown. Nicola et al conducted a retrospective case-control study to assess the relationships between functional iron deficiency, reactive thrombocytosis and risk of thromboembolism.
Culwick et al discuss bow-tie analysis, a risk analysis and management tool that has been readily adopted into routine practice in many high reliability industries such as engineering, aviation and emergency services. However, it has received little exposure so far in healthcare.
In their study on The effect of dabigatran on the kaolin-activated whole blood Thromboelastogram ‘Aho et al examine whether there is a consistent effect of dabigatran on the thromboelastogram (TEG) and whether this correlates with the effects of dabigatran on traditional coagulation parameters.
Mullany et al query whether a low medical emergency team (MET) dose may be associated with improved hospital mortality when combined with a modified early warning score (MEWS) and an intervention to improve communication.
Khandkar et al compared two commercially available quantitative neuromuscular function monitoring techniques, kinemyography (KMG) and electromyography (EMG), to assess whether KMG could be used interchangeably with EMG to exclude residual neuromuscular blockade (RNMB).
As usual the Correspondence section offers a variety of interesting topics.
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