Publications by authors named "I L Rapchuk"
Occupationally acquired COVID-19 is a hazard for healthcare workers (HCWs). In four hospitals of the Metro North Hospitals and Health Service in Queensland, Australia, we invited HCWs to report the nature of any anaesthesia interactions with COVID-19-positive and COVID-19-suspect patients. This was to assist workforce planning in future pandemics.
View Article and Find Full Text PDFBackground: Anaemic cardiac surgery patients are at greater risk of intraoperative red blood cell transfusion. This study questions the application of the World Health Organization population-based anaemia thresholds (haemoglobin <120 g L in non-pregnant females and <130 g L in males) as appropriate preoperative optimisation targets for cardiac surgery.
Methods: A retrospective cohort study was conducted on adults ≥18 yr old undergoing cardiopulmonary bypass surgery.
Context And Aims: To describe current fluid and vasopressor practices after cardiac surgery in Australia and New Zealand cardiothoracic intensive care units (ICU).
Design And Setting: This web-based survey was conducted in cardiothoracic ICUs in Australia and New Zealand.
Methods: Intensivists, cardiac surgeons, and anesthetists were contacted to complete the online survey that asked questions regarding first and second choice fluids and vasopressors and the tools and factors that influenced these choices.
Article Synopsis
- The study explored the effects of high flow nasal oxygen (HFNO) versus conventional oxygen therapy on patients with obesity after bariatric surgery, focusing on respiratory mechanics using electrical impedance tomography (EIT).
- Fifty patients participated in the trial, showing a higher delta end-expiratory lung index (EELI) in the HFNO group at 1 hour, but no significant differences in respiratory function or postoperative complications after 6 hours.
- The conclusion indicated that conducting a large-scale RCT on HFNO for this patient group may be impractical, suggesting that future research should aim at identifying patients most at risk for pulmonary complications.