Anaesthesia in difficult situations.

Interrogating Assumptions about “ Difficult ” Patients and Situations

The phenomenon of health care professionals labeling patients as “difficult” is not limited to psychiatric settings and literature. In the broader medical literature, patients have been described in similar terms as “hateful” [3] or “heartsink” [4]. The description of this phenomenon in different health care settings during decades of practice and as explored in the health professions literatur...

Crisis management during anaesthesia: difficult intubation.

BACKGROUND Anaesthetists may experience difficulty with intubation unexpectedly which may be associated with difficulty in ventilating the patient. If not well managed, there may be serious consequences for the patient. A simple structured approach to this problem was developed to assist the anaesthetist in this difficult situation. OBJECTIVES To examine the role of a specific sub-algorithm f...

Obstetric difficult airway guidelines - decision-making in critical situations.

Consistency of sentence intelligibility across difficult listening situations.

PURPOSE The extent to which a sentence retains its level of spoken intelligibility relative to other sentences in a list under a variety of difficult listening situations was examined. METHOD The strength of this sentence effect was studied using the Central Institute for the Deaf Everyday Speech sentences and both generalizability analysis (Experiments 1 and 2) and correlation (Analyses 1 an...

Scandinavian clinical practice guidelines on general anaesthesia for emergency situations.

Emergency patients need special considerations and the number and severity of complications from general anaesthesia can be higher than during scheduled procedures. Guidelines are therefore needed. The Clinical Practice Committee of the Scandinavian Society of Anaesthesiology and Intensive Care Medicine appointed a working group to develop guidelines based on literature searches to assess evide...