Publications by authors named "G Kunst"
Article Synopsis
- Nitrous oxide (NO) is a major greenhouse gas contributing to the healthcare sector's carbon footprint, with pre-utilisation losses of up to 95%, which can potentially be minimized by decommissioning NO manifolds.
- A study involving 18 hospitals in Greater London collected data on NO utilization over five days, revealing that only 18% of procured NO was utilized, leading to estimated pre-utilisation losses of over 5 million liters.
- The results indicated strong support among anaesthetists for decommissioning manifolds, highlighting both environmental and economic advantages in improving NO management.
In this study, we try to combine traditional archaeozoological biometry, based on outer bone measurements, with stable isotope analyses of bone collagen. Right from the start of archaeozoological research in Central and Western Europe, the important size variability in Roman domestic cattle has puzzled scholars. According to an established view, these differences in bone size are attributed either to the simultaneous presence of different types or even breeds or to the result of crossbreeding of smaller, native, and larger Roman cattle.
View Article and Find Full Text PDFImportance: Supplementing potassium in an effort to maintain high-normal serum concentrations is a widespread strategy used to prevent atrial fibrillation after cardiac surgery (AFACS), but is not evidence-based, carries risks, and is costly.
Objective: To determine whether a lower serum potassium concentration trigger for supplementation is noninferior to a high-normal trigger.
Design, Setting, And Participants: This open-label, noninferiority, randomized clinical trial was conducted at 23 cardiac surgical centers in the United Kingdom and Germany.
Background: The 7th National Audit Project of the Royal College of Anaesthetists studied peri-operative cardiac arrest because of existing knowledge gaps in this important topic. This applies in particular to cardiology patients receiving anaesthetic care, because numbers, types and complexity of minimally invasive interventional procedures requiring planned and unplanned anaesthesia in the cardiac intervention suite is increasing.
Methods: We analysed collected data to determine the epidemiology, clinical features, management and outcomes of peri-operative cardiac arrest in adult patients receiving anaesthetic care for cardiology procedures.
Article Synopsis
- The study investigates the effects of volatile anaesthetics versus propofol on heart protection during high-risk cardiac surgeries, given concerns about ischaemia-reperfusion injury.
- Conducted as a feasibility trial, 50 patients requiring coronary artery bypass graft surgery were randomized to receive either propofol or total inhalational anaesthesia, evaluating recruitment and outcome data collection.
- The trial successfully recruited the targeted number of patients, demonstrating feasibility for further research on anaesthesia types in this surgical context, despite interruptions due to the COVID-19 pandemic.