This cohort study examines the natural history and response to treatment of sodium glucose cotransporter 2 (SGLT2) inhibitor–associated ketoacidosis compared with that type 1 diabetes–associated ketoacidosis.

Thyromental height test (TMHT) is a recently described anatomical bedside screening tool in predicting difficult laryngoscopy. It has been shown to be more accurate than the modified Mallampati score, thyromental distance (TMD), and sternomental with regard sensitivity positive predictive value (PPV). Airway assessment studies based on anatomic parameters of upper airway are limited subcontinent population. We attempted this study evaluate validate TMHT at 50 mm an Indian population...

More than 10% of adults undergoing colonoscopy have type 2 diabetes (T2D) (1). The use sodium–glucose cotransporter inhibitors (SGLT2i) has increased due to their glycemic control and benefits lowering cardiovascular morbidity mortality as well reducing diabetic nephropathy (2,3). Diabetic ketoacidosis (DKA) is a rare complication associated with SGLT2i. Precipitating factors include fasting, dietary modifications, intercurrent illnesses, surgical stress, insulin insufficiency,...

Summary Whether high‐flow vs. low‐flow nasal oxygen reduces hypoxaemia for sedation during endoscopic retrograde cholangiopancreatography is currently unknown. In this multicentre trial, 132 patients ASA physical status 3 or higher, BMI > 30 kg.m ‐2 with known suspected obstructive sleep apnoea were randomly allocated to up 60 l.min ‐1 at 100% F I O 2 4 . The group also received through an oxygenating mouthguard, totalling 8 Primary outcome was hypoxaemia, defined as S p < 90%...

Abstract Background Atrial fibrillation (AF) is the most common sustained arrhythmia, yet its underlying mechanisms remain poorly understood, leaving treatment options often suboptimal. The autonomic nervous system, and particularly ganglionated plexi (GP) within heart, may hold a critical role in AF pathogenesis. Emerging evidence points to structural functional remodeling GP neurons AF, but physiology of human still inadequately described. Transcutaneous vagus nerve stimulation (tVNS) has...

Abstract Background Various airway techniques have been employed for endoscopic procedures, with an aim to optimise patient outcomes by improving control and preventing hypoxia whilst avoiding the need intubation. The LMA® Gastro™ Airway, a novel dual channel supraglottic technique, has described as such device. Its utility alongside sedation low flow nasal cannula general anaesthesia (GA) intubation retrograde cholangiopancreatography (ERCP) procedures was evaluated. Methods Details of all...

A prospective, randomized double-blind trial was performed to compare the effects of 4% endotracheal tube cuff lignocaine and 1.5 mg/kg intravenous (IV) on coughing hemodynamics during extubation in patients undergoing elective craniotomies supine position. Forty-one received into after intubation (ETT group) 41 IV at before (IV group). Coughing assessed by a scale 3 time extubation. Hemodynamic parameters recorded 1-minute interval for 5 minutes were compared with baseline values skin...

Intraoperative hypothermia in open elective abdominal aortic aneurysm repair may be associated with increased hospital morbidity. This retrospective, single centre study investigated whether there was an association between intraoperative and postoperative in-hospital The data of 119 patients who underwent infrarenal January 2006 2011 were collected. electronic databases from the hospital, intensive care unit, transfusion medicine operating theatres linked by patient's unique identifiers...

Summary Following abdominal surgery, the provision of postoperative analgesia with local anaesthetic infusion through both transmuscular quadratus lumborum block and pre‐peritoneal catheter have been described. This study compared these two methods following laparotomy. Eighty‐two patients 18–85 years age scheduled to undergo elective surgery were randomly allocated receive either or block. In group, an 18‐gauge Tuohy needle was passed muscle under ultrasound guidance reach its anterior...

We report a case of torsade de pointes secondary to acute QT interval prolongation in patient with poorly controlled diabetes mellitus towards the end laparoscopic nephrectomy under sevoflurane anaesthesia. The was successfully resuscitated and made complete recovery. Our suggests that should be considered any poor glycaemic control during prolonged procedures.

Opioids have long been the mainstay of drugs used for intra-operative analgesia. Due to their well-known short and term side effects, use non-opioid analgesics has often encouraged decrease dose opioid required minimise these effects. The trends in using adjuvants among Australian Anaesthetists not examined before. This study attempted determine as part an sparing practice anaesthetists across Australia New Zealand.A survey was distributed 985 Zealand. questions focused on frequency...

Thiruvenkatarajan, Venkatesan FANZCA; Dharmalingam, Ashok Armstrong-Brown, Allysan Weiss, Alan FRANZCP; Waite, Susan Van Wijk, Roelof FANZCA Author Information

Abstract Background Endoscopic retrograde cholangiopancreatography (ERCP) is an increasingly common intervention in the treatment of pancreaticobiliary disorders. Patients are often elderly with complex co-morbidities. While monitored anaesthesia care sedation commonly used for most cases, few would require general endotracheal tube. Both low-flow and high-flow nasal cannulas (HFNC) established ways delivering supplemental oxygen, but it unclear whether one technique better than other. HFNC...

Takotsubo cardiomyopathy (TTC) is a rare but life-threatening condition that still not completely understood. Characterised by rapidly reversible ventricular dysfunction without any prior coronary artery disease, it can imitate myocardial infarction and lead to death if managed appropriately. This report examines case of intraoperative cardiac arrest in patient with no previous discusses the factors may have precipitated this event, as well ways distinguishing cause based on clinical course...

Background and Aims: During endoscopic sinus surgery, anaesthetic conditions significantly impact the intraoperative surgical field bleeding during emergence. While endotracheal tube (ETT) has been traditionally used in a reinforced laryngeal mask airway (RLMA) that produces less upper stimulation may result smoother Methods: A randomised controlled trial of 72 patients undergoing elective surgery was conducted, with allocation technique to either ETT throat pack or RLMA. The primary outcome...

In Australia, neuromuscular blocking agents are the leading cause of perioperative anaphylaxis. Current investigation suspected anaphylaxis includes tryptase levels, serum immunoglobulin E (IgE) and skin testing, including intradermal testing prick testing. The gold standard for diagnosis a hypersensitivity reaction is challenge test, but this poses risk to patient safety. An alternative known as basophil activation test (BAT) form cellular in vitro using flow cytometry measure degree...