How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

1,779 results for

awareness area:"Anesthesiology"

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Bispectral index for improving intraoperative awareness and early postoperative recovery in adults. Full Text available with Trip Pro

Bispectral index for improving intraoperative awareness and early postoperative recovery in adults. The use of clinical signs, or end-tidal anaesthetic gas (ETAG), may not be reliable in measuring the hypnotic component of anaesthesia and may lead to either overdosage or underdosage resulting in adverse effects because of too deep or too light anaesthesia. Intraoperative awareness, whilst uncommon, may lead to serious psychological disturbance, and alternative methods to monitor the depth (...) of anaesthesia may reduce the incidence of serious events. Bispectral index (BIS) is a numerical scale based on electrical activity in the brain. Using a BIS monitor to guide the dose of anaesthetic may have advantages over clinical signs or ETAG. This is an update of a review last published in 2014.To assess the effectiveness of BIS to reduce the risk of intraoperative awareness and early recovery times from general anaesthesia in adults undergoing surgery.We searched CENTRAL, MEDLINE, Embase, and Web

2019 Cochrane

2. Concise practice guidance on the prevention and management of accidental awareness during general anaesthesia

Concise practice guidance on the prevention and management of accidental awareness during general anaesthesia Guidelines The ‘NAP5 Handbook’ Concise practice guidance on the prevention and management of accidental awareness during general anaesthesia March 2019 Published by the Association of Anaesthetists and the Royal College of Anaesthetists2 Association of Anaesthetists Association of Anaesthetists 2 The ‘NAP5 Handbook’ Concise practice guidance on the prevention and management (...) of accidental awareness during general anaesthesia Membership of the working party J. J Pandit 1 , T. M Cook 2 , S. Shinde 3 , K. Ferguson 4 , J. Hitchman 5 , W. Jonker 6 , P . M Odor 7 , T. Meek 8 1 Consultant, Nuffield Department of Anaesthesia, Oxford University Hospitals NHS Trust, Oxford, UK (Co-Chair, Working Party on behalf of the Royal College of Anaesthetists) 2 Consultant, Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK (on behalf of Royal College

2019 Association of Anaesthetists of GB and Ireland

3. Nurses should inform patients of the possibility of awareness during bronchoscopy performed with procedural sedation Full Text available with Trip Pro

Nurses should inform patients of the possibility of awareness during bronchoscopy performed with procedural sedation Nurses should inform patients of the possibility of awareness during bronchoscopy performed with procedural sedation | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Nurses should inform patients of the possibility of awareness during bronchoscopy performed with procedural sedation Article Text Commentary Adult nursing Nurses

2018 Evidence-Based Nursing

4. Nitrous oxide-based versus nitrous oxide-free general anaesthesia and accidental awareness during general anaesthesia in surgical patients. Full Text available with Trip Pro

Nitrous oxide-based versus nitrous oxide-free general anaesthesia and accidental awareness during general anaesthesia in surgical patients. Accidental awareness during general anaesthesia (AAGA) is when a patient unintentionally becomes conscious during a procedure performed with general anaesthesia and subsequently has explicit recall of this event. Incidence estimates for AAGA vary, with the most common estimate being one to two cases per 1000 general anaesthetics. Evidence linking nitrous (...) using the GRADE approach. Other types of bias were generally low, or were rated unclear due to missing information.No studies were designed to measure AAGA as the primary outcome, and were therefore statistically underpowered to answer this review question. Despite the inclusion of 3520 participants, only three awareness events were reported by two studies. In one study the event was due to technical failure. Due to the rarity of the events, we did not consider it appropriate to pool the data

2016 Cochrane

5. Stuck on pain? Assessing children's vigilance and awareness of pain sensations. Full Text available with Trip Pro

Stuck on pain? Assessing children's vigilance and awareness of pain sensations. Attending towards pain is proposed as a key mechanism influencing the experience and chronification of pain. Persistent attention towards pain is proposed to drive poor outcomes in both adults and children with chronic pain. However, there are no validated self-report measures of pain-related attention for children.The goals of this study were to adapt the Pain Vigilance and Awareness Questionnaire (PVAQ) for use (...) validated for children. This paper presents a child version of the Pain Vigilance and Awareness Questionnaire (PVAQ-C), which indicates strong internal consistency, criterion validity and unique predictive validity, and provides evidence to support the Fear-Avoidance Model in youth with chronic pain.© 2020 European Pain Federation - EFIC®.

2020 European Journal of Pain

6. Pressure Pain Tolerance Predicts the Success of Emotional Awareness and Expression Therapy in Patients With Fibromyalgia. (Abstract)

Pressure Pain Tolerance Predicts the Success of Emotional Awareness and Expression Therapy in Patients With Fibromyalgia. Quantitative sensory testing may help predict treatment responses in individuals with chronic pain. Our objective was to determine whether evoked pain sensitivity at baseline predicted preferential treatment responses to either emotional awareness and expression therapy (EAET) or cognitive behavioral therapy (CBT) in individuals with fibromyalgia (FM).This was a secondary

2020 Clinical Journal of Pain

7. Retrospective analysis of cases of intraoperative awareness in a large multi-hospital health system reported in the early postoperative period. Full Text available with Trip Pro

Retrospective analysis of cases of intraoperative awareness in a large multi-hospital health system reported in the early postoperative period. Awareness with recall under general anesthesia remains a rare but important issue that warrants further study.We present a series of seven cases of awareness that were identified from provider-reported adverse event data from the electronic anesthesia records of 647,000 general anesthetics.The low number of identified cases suggests an under-reporting (...) bias. Themes that emerge from this small series can serve as important reminders to anesthesia providers to ensure delivery of an adequate anesthetic for each patient. Commonalities between a majority of our identified anesthetic awareness cases include: obesity, use of total intravenous anesthesia, use of neuromuscular blockade, and either a lack of processed electroencephalogram (EEG) monitoring or documented high depth of consciousness index values. An interesting phenomenon was observed in one

2020 BMC Anesthesiology

8. Awareness of epidural analgesia among pregnant women in Jeddah, Saudi Arabia Full Text available with Trip Pro

Awareness of epidural analgesia among pregnant women in Jeddah, Saudi Arabia Labor pain is one of the most severe forms of pain that women experience throughout their lifetime. Many pregnant women decide to have an epidural anesthesia to cope with labor pain. This study has focused on general awareness about epidural anesthesia among pregnant women in Jeddah, Saudi Arabia.This was a cross-sectional hospital-based study using a self-administered questionnaire, conducted in King Faisal Specialist

2017 Electronic physician

9. Intraoperative Awareness With Recall: A Descriptive, Survey-Based, Cohort Study. (Abstract)

Intraoperative Awareness With Recall: A Descriptive, Survey-Based, Cohort Study. Unintended intraoperative awareness with recall (AWR) is a potential complication of general anesthesia. Patients typically report recollections of (1) hearing sounds or conversations, (2) being unable to breathe or move, (3), feeling pain, and/or (4) experiencing emotional distress. The purpose of the current study was to identify and further characterize AWR experiences identified through postoperative surveys

2019 Anesthesia and Analgesia

10. Genetic Analysis of Patients Who Experienced Awareness with Recall while under General Anesthesia. Full Text available with Trip Pro

Genetic Analysis of Patients Who Experienced Awareness with Recall while under General Anesthesia. The incidence of explicit recall of intraoperative events, or awareness with recall, is less than 0.2%Anesthetic dosing is apparently adequate in 10 to 25% of awareness with recall patientsThe awareness with recall phenotype only reveals itself when patients are exposed to anesthesia WHAT THIS ARTICLE TELLS US THAT IS NEW: A preliminary study sought to determine whether there is evidence (...) that awareness with recall is caused by a few rare variants with high penetrance in 12 patients who had experienced awareness with recall in the presence of apparently adequate anesthesiaWhole exome sequencing was conducted and identified variants were filtered and prioritized to identify a candidate list that might be suitable for further investigation of causes of awareness with recallNo candidate gene(s) suggestive of a monogenic etiology were identified, possibly because of the application of a filtering

2019 Anesthesiology

11. International Multicenter Survey of Perioperative Management of External Ventricular Drains: Results of the EVD Aware Study. (Abstract)

International Multicenter Survey of Perioperative Management of External Ventricular Drains: Results of the EVD Aware Study. The perioperative management of patients with external ventricular drains (EVDs) is not well defined, and adherence to published management guidelines unknown. This study investigates practice, patterns, and variability in the perioperative management of patients with EVDs.A 31-question survey was sent to 1830 anesthesiologists from 27 institutions in North America (...) likely to include baseline neurological examination (P=0.023), hourly cerebrospinal fluid output (P=0.006) and color (P<0.001), intracranial pressure trends (P<0.001), and EVD clamp trial (P<0.001) data in their routine preanesthetic assessment of patients with EVDs. There was a low prevalence of routine intracranial pressure monitoring during patient transport of patients with EVDs (14.4%). Overall, 25.9% of respondents were aware of EVD guidelines, and 21% reported receiving formal training in EVD

2019 Journal of neurosurgical anesthesiology

12. Awareness, incidence and clinical significance of acute kidney injury after non-general anesthesia: A retrospective cohort study. Full Text available with Trip Pro

Awareness, incidence and clinical significance of acute kidney injury after non-general anesthesia: A retrospective cohort study. Postoperative acute kidney injury is associated with high mortality and poor prognosis. Additional investigations into the risk factors for this condition and the outcomes of patients who undergo surgeries under non-general anesthesia (GA) are necessary.This retrospective cohort study included data on all surgeries performed in adult patients from January 2006

2018 Medicine

13. Improving local anaesthetic systemic toxicity (LAST) awareness in maternity care using tailored educational tools Full Text available with Trip Pro

Improving local anaesthetic systemic toxicity (LAST) awareness in maternity care using tailored educational tools Local anaesthetic (LA) agents are widely used in maternity care. Although relatively safe, their use does carry risks, the most serious of which is systemic toxicity (LAST). LAST poses a major threat to maternal and neonatal safety due to the frequency of LA administration in maternity care and the under-recognition of toxicity in such settings, which has been reported globally. Our (...) aim was to prevent LAST occurrence in a District General Hospital (DGH) maternity unit by improving staff awareness through the implementation of a tailored educational programme. We used a standardised 14-point questionnaire to evaluate LAST awareness among staff of all disciplines. Domains of interest were LA maximum safe doses, LAST recognition, immediate management and use of antidote. Following baseline assessment, we implemented an educational programme in three stages. Each featured

2018 BMJ Open Quality

14. Awareness, incidence and clinical significance of acute kidney injury after non-general anesthesia: A retrospective cohort study: Erratum Full Text available with Trip Pro

Awareness, incidence and clinical significance of acute kidney injury after non-general anesthesia: A retrospective cohort study: Erratum 30278584 2018 11 14 1536-5964 97 39 2018 Sep Medicine Medicine (Baltimore) Awareness, incidence and clinical significance of acute kidney injury after non-general anesthesia: A retrospective cohort study: Erratum. e12628 10.1097/MD.0000000000012628 eng Journal Article United States Medicine (Baltimore) 2985248R 0025-7974 2018 10 4 6 0 2018 10 4 6 0 2018 10 4

2018 Medicine

15. Effect of magnesium sulfate on anesthesia depth, awareness incidence, and postoperative pain scores in obstetric patients: A double-blind randomized controlled trial Full Text available with Trip Pro

Effect of magnesium sulfate on anesthesia depth, awareness incidence, and postoperative pain scores in obstetric patients: A double-blind randomized controlled trial To assess the effects of magnesium on the depth of anesthesia and to determine the effects of magnesium on incidence of awareness and postoperative pain after caesarean section.  Methods: The study was designed as a double-blind, controlled, randomized study and conducted in Hacettepe University Hospital, Ankara, Turkey  between (...) and desflurane were kept constant. Bispectral index scores (BIS), fentanyl consumption and postoperative visual analogue scale (VAS) values were recorded. All of the patients had been followed-up for awareness until the postoperative first year. Results: Demographic variables of the patients were similar. BIS values were significantly higher in control groups throughout the operation (p less than 0.001). No significant difference was detected for intraoperative fentanyl consumption and awareness incidence

2018 Saudi medical journal Controlled trial quality: uncertain

16. Lebanese women׳s awareness and attitude toward epidural anesthesia during labor Full Text available with Trip Pro

Lebanese women׳s awareness and attitude toward epidural anesthesia during labor Women׳s choice to use epidural anesthesia (EA) for relief of labor pain varies from one culture to another. A descriptive cross-sectional design was used to gather data from a sample of 200 women in childbearing age. Data was gathered from general population in Lebanon. Demographic data, knowledge and attitudes questionnaires towards EA were used to gather data for this study. The data in this article provides (...) demographic data about Lebanese women and their awareness and attitudes towards epidural anesthesia. The analyzed data is provided in the tables included in this article.

2018 Data in brief

17. Accidental awareness during general anaesthesia - a narrative review. Full Text available with Trip Pro

Accidental awareness during general anaesthesia - a narrative review. Unintended accidental awareness during general anaesthesia represents failure of successful anaesthesia, and so has been the subject of numerous studies during the past decades. As return to consciousness is both difficult to describe and identify, the reported incidence rates vary widely. Similarly, a wide range of techniques have been employed to identify cases of accidental awareness. Studies which have used the isolated (...) forearm technique to identify responsiveness to command during intended anaesthesia have shown remarkably high incidences of awareness. For example, the ConsCIOUS-1 study showed an incidence of responsiveness around the time of laryngoscopy of 1:25. On the other hand, the 5th Royal College of Anaesthetists National Audit Project, which reported the largest ever cohort of patients who had experienced accidental awareness, used a system to identify patients who spontaneously self-reported accidental

2018 Anaesthesia

18. Inhalation of volatile anesthetics via a laryngeal mask is associated with lower incidence of intraoperative awareness in non-critically ill patients. Full Text available with Trip Pro

Inhalation of volatile anesthetics via a laryngeal mask is associated with lower incidence of intraoperative awareness in non-critically ill patients. Increased incidence of intraoperative awareness was reported in critically ill patients during major operations, particularly under total intravenous (TIVA) or endotracheal general anesthesia (ETGA). However, the incidence and effect of anesthesia techniques on awareness in generally healthy, non-critically ill patients during operations have yet (...) to receive significant attention.This retrospective matched case-control study was conducted between January 2009 to December 2014. Surgical patients (ASA physical status I-III) whom reported intraoperative awareness during this study period were interviewed and their medical records were reviewed. The potential risk factors for awareness were compared with the non-case matched controls, who were randomly selected from the database. A total of 61436 patients were included and 16 definite cases

2017 PLoS ONE

19. A Survey of Charge Sensitivity and Charge Awareness Among Intensive Care Unit Providers in a Large Academic Medical Center. (Abstract)

A Survey of Charge Sensitivity and Charge Awareness Among Intensive Care Unit Providers in a Large Academic Medical Center. Little is known about charge sensitivity or charge awareness among intensive care unit (ICU) providers in the United States. In a survey of 295 ICU providers at a large, academic medical center, 92.5% of respondents agreed that controlling health care expenses is partly their responsibility. However, 87.4% of respondents reported that they did not know the charges for most (...) of the tests and medications they prescribe. Among surveyed participants, the correct charge for a medical procedure or test was selected only 35% of the time. While ICU providers overwhelmingly agree that controlling expenses is their responsibility, charge awareness is low and likely limits their ability to make value-based decisions.

2018 Anesthesia and Analgesia

20. Incidence of Intraoperative Awareness in Indian Patient Population

Incidence of Intraoperative Awareness in Indian Patient Population Incidence of Intraoperative Awareness in Indian Patient Population - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Incidence (...) of Intraoperative Awareness in Indian Patient Population The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03571945 Recruitment Status : Recruiting First Posted : June 28, 2018 Last Update Posted : November 27, 2018 See Sponsor: Sir

2018 Clinical Trials

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>