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  1. Article ; Online: The physiologically difficult airway: an emerging concept.

    Myatra, Sheila Nainan / Divatia, Jigeeshu Vasishtha / Brewster, David J

    Current opinion in anaesthesiology

    2022  Volume 35, Issue 2, Page(s) 115–121

    Abstract: Purpose of review: The physiologically difficult airway is one in which physiologic alterations in the patient increase the risk for cardiorespiratory and other complications during tracheal intubation and transition to positive pressure ventilation. ... ...

    Abstract Purpose of review: The physiologically difficult airway is one in which physiologic alterations in the patient increase the risk for cardiorespiratory and other complications during tracheal intubation and transition to positive pressure ventilation. This review will summarize the recent literature around the emerging concept of the physiologically difficult airway, describe its relevance and various patient types in which this entity is observed.
    Recent findings: Physiologic derangements during airway management occur due acute illness, pre-existing disease, effects of anesthetic agents, and positive pressure ventilation. These derangements are especially recognized in critically ill patients, but can also occur in otherwise healthy patients including obese, pregnant and pediatric patients who have certain physiological alterations. Critically ill patients may have a physiologically difficult airway due to the presence of acute respiratory failure, hypoxemia, hypotension, severe metabolic acidosis, right ventricular failure, intracranial hypertension, and risk of aspiration of gastric contents during tracheal intubation.
    Summary: Understanding the physiological alterations and the risks involved in patients with a physiologically difficult airway is necessary to optimize the physiology and adopt strategies to avoid complications during tracheal intubation. Further research will help us better understand the optimal strategies to improve outcomes in these patients.
    MeSH term(s) Airway Management/adverse effects ; Child ; Critical Illness/therapy ; Female ; Humans ; Hypotension/etiology ; Hypoxia/etiology ; Intubation, Intratracheal/adverse effects ; Pregnancy
    Language English
    Publishing date 2022-02-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 645203-6
    ISSN 1473-6500 ; 0952-7907
    ISSN (online) 1473-6500
    ISSN 0952-7907
    DOI 10.1097/ACO.0000000000001102
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  2. Article ; Online: The use of checklists in the intensive care unit: a scoping review.

    Erikson, Ethan J / Edelman, Daniel A / Brewster, Fiona M / Marshall, Stuart D / Turner, Maryann C / Sarode, Vineet V / Brewster, David J

    Critical care (London, England)

    2023  Volume 27, Issue 1, Page(s) 468

    Abstract: Background: Despite the extensive volume of research published on checklists in the intensive care unit (ICU), no review has been published on the broader role of checklists within the intensive care unit, their implementation and validation, and the ... ...

    Abstract Background: Despite the extensive volume of research published on checklists in the intensive care unit (ICU), no review has been published on the broader role of checklists within the intensive care unit, their implementation and validation, and the recommended clinical context for their use. Accordingly, a scoping review was necessary to map the current literature and to guide future research on intensive care checklists. This review focuses on what checklists are currently used, how they are used, process of checklist development and implementation, and outcomes associated with checklist use.
    Methods: A systematic search of MEDLINE (Ovid), Embase, Scopus, and Google Scholar databases was conducted, followed by a grey literature search. The abstracts of the identified studies were screened. Full texts of relevant articles were reviewed, and the references of included studies were subsequently screened for additional relevant articles. Details of the study characteristics, study design, checklist intervention, and outcomes were extracted.
    Results: Our search yielded 2046 studies, of which 167 were selected for further analysis. Checklists identified in these studies were categorised into the following types: rounding checklists; delirium screening checklists; transfer and handover checklists; central line-associated bloodstream infection (CLABSI) prevention checklists; airway management checklists; and other. Of 72 significant clinical outcomes reported, 65 were positive, five were negative, and two were mixed. Of 122 significant process of care outcomes reported, 114 were positive and eight were negative.
    Conclusions: Checklists are commonly used in the intensive care unit and appear in many clinical guidelines. Delirium screening checklists and rounding checklists are well implemented and validated in the literature. Clinical and process of care outcomes associated with checklist use are predominantly positive. Future research on checklists in the intensive care unit should focus on establishing clinical guidelines for checklist types and processes for ongoing modification and improvements using post-intervention data.
    MeSH term(s) Humans ; Checklist ; Critical Care ; Delirium ; Intensive Care Units
    Language English
    Publishing date 2023-11-30
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2041406-7
    ISSN 1466-609X ; 1364-8535
    ISSN (online) 1466-609X
    ISSN 1364-8535
    DOI 10.1186/s13054-023-04758-2
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  3. Article: Confidence in airway management proficiency: a mixed methods study of intensive care specialists in Australia and New Zealand.

    Shahab, Jordi / Begley, Jonathan L / Nickson, Christopher P / Simpson, Shannon / Ukor, Ida F / Brewster, David J

    Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine

    2023  Volume 24, Issue 3, Page(s) 202–211

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2023-10-18
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2401976-8
    ISSN 1441-2772
    ISSN 1441-2772
    DOI 10.51893/2022.3.SA1
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  4. Article ; Online: Adding kindness at handover to improve our collegiality: the K-ISBAR tool.

    Brewster, David J / Waxman, Bruce P

    The Medical journal of Australia

    2019  Volume 211, Issue 2, Page(s) 93–93.e1

    MeSH term(s) Humans ; Patient Handoff ; Quality Improvement
    Language English
    Publishing date 2019-06-12
    Publishing country Australia
    Document type Letter ; Comment
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja2.50238
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  5. Article: Tracheal Intubation in PICU: Making It Safe.

    Brewster, David J / Butt, Warwick

    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies

    2019  Volume 20, Issue 1, Page(s) 79–81

    MeSH term(s) Child ; Emergencies ; Humans ; Intensive Care Units, Pediatric ; Intubation, Intratracheal ; Registries
    Language English
    Publishing date 2019-01-07
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 2052349-X
    ISSN 1947-3893 ; 1529-7535
    ISSN (online) 1947-3893
    ISSN 1529-7535
    DOI 10.1097/PCC.0000000000001791
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  6. Article ; Online: Consensus statement: Safe Airway Society principles of airway management and tracheal intubation specific to the COVID-19 adult patient group.

    Brewster, David J / Groombridge, Christopher J / Gatward, Jonathan J

    The Medical journal of Australia

    2020  Volume 214, Issue 1, Page(s) 46–46.e1

    MeSH term(s) Adult ; Airway Management ; COVID-19 ; Humans ; Intubation, Intratracheal ; SARS-CoV-2
    Language English
    Publishing date 2020-12-08
    Publishing country Australia
    Document type Letter ; Comment
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja2.50889
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  7. Article ; Online: Rise and fall of the aerosol box; and what we must learn from the adoption of untested equipment.

    Brewster, David J / Begley, Jonathan L / Marshall, Stuart D

    Emergency medicine journal : EMJ

    2020  Volume 38, Issue 2, Page(s) 109–110

    Language English
    Publishing date 2020-11-20
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2020-210761
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  8. Article ; Online: The use of video laryngoscopy outside the operating room: A systematic review.

    Perkins, Emma J / Begley, Jonathan L / Brewster, Fiona M / Hanegbi, Nathan D / Ilancheran, Arun A / Brewster, David J

    PloS one

    2022  Volume 17, Issue 10, Page(s) e0276420

    Abstract: This study aimed to describe how video laryngoscopy is used outside the operating room within the hospital setting. Specifically, we aimed to summarise the evidence for the use of video laryngoscopy outside the operating room, and detail how it appears ... ...

    Abstract This study aimed to describe how video laryngoscopy is used outside the operating room within the hospital setting. Specifically, we aimed to summarise the evidence for the use of video laryngoscopy outside the operating room, and detail how it appears in current clinical practice guidelines. A literature search was conducted across two databases (MEDLINE and Embase), and all articles underwent screening for relevance to our aims and pre-determined exclusion criteria. Our results include 14 clinical practice guidelines, 12 interventional studies, 38 observational studies. Our results show that video laryngoscopy is likely to improve glottic view and decrease the incidence of oesophageal intubations; however, it remains unclear as to how this contributes to first-pass success, overall intubation success and clinical outcomes such as mortality outside the operating room. Furthermore, our results indicate that the appearance of video laryngoscopy in clinical practice guidelines has increased in recent years, and particularly through the COVID-19 pandemic. Current COVID-19 airway management guidelines unanimously introduce video laryngoscopy as a first-line (rather than rescue) device.
    MeSH term(s) Humans ; Laryngoscopy/methods ; Operating Rooms ; Intubation, Intratracheal/methods ; Pandemics ; COVID-19/epidemiology ; COVID-19/prevention & control ; Laryngoscopes ; Video Recording
    Language English
    Publishing date 2022-10-20
    Publishing country United States
    Document type Systematic Review ; Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0276420
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  9. Article ; Online: Adding kindness at handover to improve our collegiality: the K-ISBAR tool.

    Brewster, David J / Waxman, Bruce P

    The Medical journal of Australia

    2018  Volume 209, Issue 11, Page(s) 482–483

    MeSH term(s) Empathy ; Health Personnel/psychology ; Humans ; Interdisciplinary Communication ; Patient Handoff/standards ; Quality Improvement/organization & administration
    Language English
    Publishing date 2018-12-04
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 186082-3
    ISSN 1326-5377 ; 0025-729X
    ISSN (online) 1326-5377
    ISSN 0025-729X
    DOI 10.5694/mja18.00755
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  10. Article: Smartphone use and perceptions of their benefit and detriment within Australian anaesthetic practice.

    Perkins, Emma J / Edelman, Daniel A / Brewster, David J

    Anaesthesia and intensive care

    2020  Volume 48, Issue 5, Page(s) 366–372

    Abstract: The primary aim of this study was to evaluate the perceptions of Australian anaesthetists in relation to smartphone use within anaesthetic practice. In particular, we aimed to assess the frequency of smartphone use, the types and number of smartphone ... ...

    Abstract The primary aim of this study was to evaluate the perceptions of Australian anaesthetists in relation to smartphone use within anaesthetic practice. In particular, we aimed to assess the frequency of smartphone use, the types and number of smartphone applications used, how reliant anaesthetists perceive themselves to be on smartphones and whether they perceive them to be a factor that aids or distracts from their practice. Secondly, we assessed whether there is an association between the type, frequency, reliance and perceptions of smartphone use and the years of experience as an anaesthetist. A 24-item questionnaire addressing these questions was created and distributed to an email list of credentialled anaesthetists in Melbourne, Australia. A total of 113 consultant anaesthetists who practise at 55 hospitals in Melbourne completed the questionnaire. Our results suggest that the majority of anaesthetists are using smartphones regularly in their practice. About 74% of respondents agreed that they rely on their smartphone for their work. We found that respondents were more likely to rely on smartphones and consider them to aid patient safety than to consider them a distraction. This phenomenon was particularly apparent in those who had been a consultant anaesthetist for less than three years. Furthermore, those who had been a consultant anaesthetist for less than three years were more likely to have more smartphone apps relating to anaesthetics, use them more often and rely on them to a greater degree. Our results highlight the ubiquitous and perceived useful nature of smartphones in anaesthetic practice.
    MeSH term(s) Anesthesiology ; Anesthetics ; Australia ; Humans ; Smartphone ; Surveys and Questionnaires
    Chemical Substances Anesthetics
    Language English
    Publishing date 2020-10-06
    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 10.1177/0310057X20947427
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