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  1. Article: Giant internal jugular vein.

    Bos, Michiel J / Van Zundert, Andre Aj

    Indian journal of anaesthesia

    2019  Volume 63, Issue 4, Page(s) 329–330

    Language English
    Publishing date 2019-04-18
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.IJA_59_19
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 1841: Show issues Location:
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  2. Article: Demystifying the role of anaesthetists in clinical coding in the Australian healthcare system.

    Smith, Samuel L / Mockeridge, Brydie R / van Zundert, André Aj

    Anaesthesia and intensive care

    2022  Volume 50, Issue 6, Page(s) 480–488

    Abstract: Despite the self-evident importance of hospital funding, many anaesthetists remain unsure of exactly how their daily work relates to hospital reimbursement. A lack of awareness of the nuances of the Australian hospital activity-based funding system has ... ...

    Abstract Despite the self-evident importance of hospital funding, many anaesthetists remain unsure of exactly how their daily work relates to hospital reimbursement. A lack of awareness of the nuances of the Australian hospital activity-based funding system has the potential to affect anaesthetic department reimbursement and thus resourcing. Activity-based funding relies on clinical coders reviewing clinical documentation and quantifying the care given to a patient during an admission. Errors in funding allocation may arise when there is a disconnect between the work performed and the information coded. In anaesthesia, there are several factors impeding this process, including clinical understanding of coding, system setup and coders' understanding of anaesthesia. This article explores these factors from the clinical anaesthetist's point of view and suggests solutions, such as awareness and education, clinician-coder cooperation and redesign of documentation systems at a systems level that anaesthetic departments can incorporate.
    MeSH term(s) Humans ; Clinical Coding ; Australia ; Anesthetists ; Anesthetics ; Delivery of Health Care
    Chemical Substances Anesthetics
    Language English
    Publishing date 2022-07-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 187524-3
    ISSN 1448-0271 ; 0310-057X
    ISSN (online) 1448-0271
    ISSN 0310-057X
    DOI 10.1177/0310057X221082665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1017: Show issues Location:
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  3. Article: Only with an optimal position of the supraglottic airway

    Zundert, André Aj Van / Wyssusek, Kerstin H

    Indian journal of anaesthesia

    2018  Volume 62, Issue 3, Page(s) 241–242

    Language English
    Publishing date 2018-04-11
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/ija.IJA_135_18
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 1841: Show issues Location:
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  4. Article: Bi-national survey of intraoperative cuff pressure monitoring of endotracheal tubes and supraglottic airway devices in operating theatres.

    Lee, Julie / Reynolds, Heather / Pelecanos, Anita M / van Zundert, André Aj

    Anaesthesia and intensive care

    2019  Volume 47, Issue 4, Page(s) 378–384

    MeSH term(s) Equipment Design ; Humans ; Intubation, Intratracheal ; Monitoring, Intraoperative ; Surveys and Questionnaires
    Keywords covid19
    Language English
    Publishing date 2019-07-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 187524-3
    ISSN 1448-0271 ; 0310-057X
    ISSN (online) 1448-0271
    ISSN 0310-057X
    DOI 10.1177/0310057X19850581
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1017: Show issues Location:
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  5. Article: Videolaryngoscopes differ substantially in illumination of the oral cavity: A manikin study.

    Pieters, Barbe Ma / van Zundert, André Aj

    Indian journal of anaesthesia

    2016  Volume 60, Issue 5, Page(s) 325–329

    Abstract: Background and aims: Insufficient illumination of the oral cavity during endotracheal intubation may result in suboptimal conditions. Consequently, suboptimal illumination and laryngoscopy may lead to potential unwanted trauma to soft tissues of the ... ...

    Abstract Background and aims: Insufficient illumination of the oral cavity during endotracheal intubation may result in suboptimal conditions. Consequently, suboptimal illumination and laryngoscopy may lead to potential unwanted trauma to soft tissues of the pharyngeal mucosa. We investigated illumination of the oral cavity by different videolaryngoscopes (VLS) in a manikin model.
    Methods: We measured light intensity from the mouth opening of a Laerdal intubation trainer comparing different direct and indirect VLS at three occasions, resembling optimal to less-than-optimal intubation conditions; at the photographer's dark room, in an operating theatre and outdoors in bright sunlight.
    Results: Substantial differences in luminance were detected between VLS. The use of LED light significantly improved light production. All VLS produced substantial higher luminance values in a well-luminated environment compared to the dark photographer's room. The experiments outside-in bright sunlight-were interfered with by direct sunlight penetration through the synthetic material of the manikin, making correct measurement of luminance in the oropharynx invalid.
    Conclusion: Illumination of the oral cavity differs widely among direct and indirect VLS. The clinician should be aware of the possibility of suboptimal illumination of the oral cavity and the potential risk this poses for the patient.
    Language English
    Publishing date 2016-05-19
    Publishing country India
    Document type Journal Article
    ZDB-ID 412570-8
    ISSN 0019-5049
    ISSN 0019-5049
    DOI 10.4103/0019-5049.181593
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: 2021 Update on airway management from the Anaesthesia Continuing Education Airway Management Special Interest Group.

    Van Zundert, André Aj / Endlich, Yasmin / Beckmann, Linda A / Bradley, William Pl / Chapman, Gordon A / Heard, Andrew Mb / Heffernan, Drew / Jephcott, Christopher Ga / Khong, Geraldine Ls / Rehak, Adam / Semenov, Richard A / Stefanutto, Tiscia B / O'Sullivan, Ellen

    Anaesthesia and intensive care

    2021  Volume 49, Issue 4, Page(s) 257–267

    Abstract: Airway Management is the key for anaesthetists dealing with patients undergoing diagnostic procedures and surgical interventions. The present coronavirus pandemic underpins even more how important safe airway management is. It also highlights the need to ...

    Abstract Airway Management is the key for anaesthetists dealing with patients undergoing diagnostic procedures and surgical interventions. The present coronavirus pandemic underpins even more how important safe airway management is. It also highlights the need to apply stringent precautions to avoid infection and ongoing transmission to patients, anaesthetists and other healthcare workers (HCWs). In light of this extraordinary global situation the aim of this article is to update the reader on the varied aspects of the ever-changing tasks anaesthetists are involved in and highlight the equipment, devices and techniques that have evolved in response to changing technology and unique patient and surgical requirements.
    MeSH term(s) Airway Management ; Anesthesia ; Education, Continuing ; Humans ; Pandemics ; Public Opinion
    Language English
    Publishing date 2021-06-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 187524-3
    ISSN 1448-0271 ; 0310-057X
    ISSN (online) 1448-0271
    ISSN 0310-057X
    DOI 10.1177/0310057X20984784
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1017: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  7. Article ; Online: Videolaryngoscopes differ substantially in illumination of the oral cavity

    Barbe MA Pieters / Andre AJ van Zundert

    Indian Journal of Anaesthesia, Vol 60, Iss 5, Pp 325-

    A manikin study

    2016  Volume 329

    Abstract: Background and Aims: Insufficient illumination of the oral cavity during endotracheal intubation may result in suboptimal conditions. Consequently, suboptimal illumination and laryngoscopy may lead to potential unwanted trauma to soft tissues of the ... ...

    Abstract Background and Aims: Insufficient illumination of the oral cavity during endotracheal intubation may result in suboptimal conditions. Consequently, suboptimal illumination and laryngoscopy may lead to potential unwanted trauma to soft tissues of the pharyngeal mucosa. We investigated illumination of the oral cavity by different videolaryngoscopes (VLS) in a manikin model. Methods: We measured light intensity from the mouth opening of a Laerdal intubation trainer comparing different direct and indirect VLS at three occasions, resembling optimal to less-than-optimal intubation conditions; at the photographer′s dark room, in an operating theatre and outdoors in bright sunlight. Results: Substantial differences in luminance were detected between VLS. The use of LED light significantly improved light production. All VLS produced substantial higher luminance values in a well-luminated environment compared to the dark photographer′s room. The experiments outside-in bright sunlight-were interfered with by direct sunlight penetration through the synthetic material of the manikin, making correct measurement of luminance in the oropharynx invalid. Conclusion: Illumination of the oral cavity differs widely among direct and indirect VLS. The clinician should be aware of the possibility of suboptimal illumination of the oral cavity and the potential risk this poses for the patient.
    Keywords Airway ; anaesthetic techniques-laryngoscopy ; equipment-laryngoscopes ; intubation ; Anesthesiology ; RD78.3-87.3 ; Surgery ; RD1-811 ; Medicine ; R
    Language English
    Publishing date 2016-01-01T00:00:00Z
    Publisher Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article: Frequency and clinical spectrum of in-flight medical incidents during domestic and international flights.

    Epstein, Catherine R / Forbes, James M / Futter, Christopher L / Hosegood, Ian M / Brown, Russell G / Van Zundert, Andre Aj

    Anaesthesia and intensive care

    2019  Volume 47, Issue 1, Page(s) 16–22

    Abstract: Most medical practitioners are not specifically trained to diagnose or manage in-flight medical incidents, yet there may occur a moral obligation to do so when least expected. We felt that knowledge of the frequency of emergency versus non-serious ... ...

    Abstract Most medical practitioners are not specifically trained to diagnose or manage in-flight medical incidents, yet there may occur a moral obligation to do so when least expected. We felt that knowledge of the frequency of emergency versus non-serious medical incidents, in addition to the clinical spectrum of incidents most often encountered, would be of interest to medical practitioners and, in particular, critical care physicians, who happen to find themselves asked to assist with such events. To this end we collaborated with the Department of Medical Services of a major Australian airline to define the incidence, severity, and type of all in-flight medical events encountered over the course of a year's flights. We audited in-flight medical data collected over a continuous 12-month period, which covered 131,890 international and domestic flight sectors transporting more than 27 million passengers. There was an average of 296 medical events per month (3555 in total) making the per-flight incidence of a medical event approximately 1:40 (2.7%). Of these in-flight incidents, 915 (26%) were graded as emergencies, with the commonest descriptors of such incidents being either loss of consciousness (37%) or a suspected cardiovascular event (12%). Six of these 915 emergencies proved fatal. Twenty-one flights were diverted due to medical incidents (<0.016% of all flights), with 52% of these attributed to suspected cardiac events. In this series, medical in-flight events were recorded in approximately one in 40 flights, whereas medical emergencies occurred in approximately one in 150 flights.
    MeSH term(s) Aerospace Medicine ; Aircraft ; Australia ; Emergencies ; Humans ; Travel
    Language English
    Publishing date 2019-02-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 187524-3
    ISSN 1448-0271 ; 0310-057X
    ISSN (online) 1448-0271
    ISSN 0310-057X
    DOI 10.1177/0310057X18811748
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Anesthesia and perioperative pain relief in the frail elderly patient

    Tom C.R.V Van Zundert / Stephen P Gatt / André A.J van Zundert

    Saudi Journal of Anaesthesia, Vol 17, Iss 4, Pp 566-

    2023  Volume 574

    Abstract: Demand for anesthesia and analgesia for the frail elderly is continuously increasing as the likelihood of encountering very elderly, very vulnerable, and very compromised patients has, ever so subtly, increased over the last three decades. The ... ...

    Abstract Demand for anesthesia and analgesia for the frail elderly is continuously increasing as the likelihood of encountering very elderly, very vulnerable, and very compromised patients has, ever so subtly, increased over the last three decades. The anesthesiologist has, increasingly, been obliged to offer professional services to frail patients. Fortunately, there has been a dramatic improvement in medications, methods of drug delivery, critical monitoring, and anesthesia techniques. Specific methodologies peculiar to the frail are now taught and practiced across all anesthesia subspecialties. However, administering anesthesia for the frail elderly is vastly different to giving an anesthetic to the older patient. Frail patients are increasingly cared for in specialized units—geriatric intensive therapy units, post-acute care services, palliative, hospices, and supportive care and aged care facilities. Several medications (e.g., morphine-sparing analgesics) more suited to the frail have become universally available in most centers worldwide so that best-practice, evidence-based anesthesia combinations of drugs and techniques are now increasingly employed. Every anesthetic and pain management techniques in the frail elderly patient are going to be discussed in this review.
    Keywords elderly ; emergency surgery ; frailty ; general anesthesia ; geriatric anesthesia ; geriatric medicine ; perioperative pain in the frail ; regional anesthesia ; surgical pain in the elderly ; Anesthesiology ; RD78.3-87.3
    Subject code 616
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Operating 12-hour staff shifts on COVID-19 patients ; a harmful and unwanted proposal.

    Van Zundert, Tom C.R.V. / Van Overloop, Jorne / Tran, De Q / Van Zundert, André A.J.

    Anesthesia & Analgesia

    2020  Volume Publish Ahead of Print

    Keywords Anesthesiology and Pain Medicine ; covid19
    Language English
    Publisher Ovid Technologies (Wolters Kluwer Health)
    Publishing country us
    Document type Article ; Online
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ane.0000000000005202
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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