25 research outputs found

    Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine

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    [This corrects the article DOI: 10.1186/s13054-016-1208-6.]

    25 Years of IIF Time Series Forecasting: A Selective Review

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    General anaesthetic and airway management practice for obstetric surgery in England: a prospective, multi-centre observational study

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    There are no current descriptions of general anaesthesia characteristics for obstetric surgery, despite recent changes to patient baseline characteristics and airway management guidelines. This analysis of data from the direct reporting of awareness in maternity patients' (DREAMY) study of accidental awareness during obstetric anaesthesia aimed to describe practice for obstetric general anaesthesia in England and compare with earlier surveys and best-practice recommendations. Consenting patients who received general anaesthesia for obstetric surgery in 72 hospitals from May 2017 to August 2018 were included. Baseline characteristics, airway management, anaesthetic techniques and major complications were collected. Descriptive analysis, binary logistic regression modelling and comparisons with earlier data were conducted. Data were collected from 3117 procedures, including 2554 (81.9%) caesarean deliveries. Thiopental was the induction drug in 1649 (52.9%) patients, compared with propofol in 1419 (45.5%). Suxamethonium was the neuromuscular blocking drug for tracheal intubation in 2631 (86.1%), compared with rocuronium in 367 (11.8%). Difficult tracheal intubation was reported in 1 in 19 (95%CI 1 in 16-22) and failed intubation in 1 in 312 (95%CI 1 in 169-667). Obese patients were over-represented compared with national baselines and associated with difficult, but not failed intubation. There was more evidence of change in practice for induction drugs (increased use of propofol) than neuromuscular blocking drugs (suxamethonium remains the most popular). There was evidence of improvement in practice, with increased monitoring and reversal of neuromuscular blockade (although this remains suboptimal). Despite a high risk of difficult intubation in this population, videolaryngoscopy was rarely used (1.9%)

    The effect of large ice sheets on earthquake genesis

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    Two continent-scale ice sheets-Antarctica and Greenland currently exist on earth. The interiors of both continents are virtually aseismic. Is this coincidental or does a causal connection exist between the two observations? An examination of this question is the subject of this paper. It is concluded that with a few reasonable assumptions, ice sheets will indeed inhibit earthquakes by stabilizing potentially seismogenic faults in the underlying brittle crust. This same mechanism may also provide an explanation for the intense late-glacial faulting in Fennoscandia reported elsewhere in this volume

    Overview of Research in The New Madrid Seismic Zone

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    Editor’s Preface

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    Intraplate Earthquakes in Europe—Source Parameters from Regional Moment Tensor Analysis

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    Plate tectonics provides a highly successful framework to describe a wide range of geological observations invoking the motion of lithospheric plates. In its simplest form the plates are rigid and earthquakes are confined to boundaries where plates move relative to each other
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