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61. The Anaesthesia Team 2018

of anaesthetists and their patients. We influence policy, raise public awareness and are at the forefront of safer anaesthesia across the world. Association of Anaesthetists is the brand name used to refer to both the Association of Anaesthetists of Great Britain & Ireland and its related charity, AAGBI Foundation (England & Wales no. 293575 and in Scotland no. SC040697).

2019 Association of Anaesthetists of GB and Ireland

63. Suicide amongst anaesthetists

. The aims of the following guidelines are: increase awareness of suicide and associated vulnerabilities, risk factors and precipitants; to emphasise safe ways to respond to individuals in distress, both for them and for colleagues workingalongsidethem;andtosupportindividuals,departmentsandorganisationsincopingwithasuicide. Correspondenceto:S.Shinde Email:samantha.shinde@googlemail.com Accepted:19September2019 Keywords: anaesthetists;ideation;stress;suicidal;suicide (...) resources together and make them accessible to anaesthetists. Introduction The link between anaesthesia 1 and suicide has long been recognised [6–12]. Supporting anaesthetists’ well-being is oneofthemainactivitiesoftheAssociationofAnaesthetists, whichhasbecomeincreasinglyconcernedaboutreportsof suicide within the specialty. The aim of this guidance is to raise awareness of suicide and its risk factors, and of possibleinterventionandsupport 2 –both forcolleagues at risk and those managing the aftermath

2019 Association of Anaesthetists of GB and Ireland

64. During Conscious Sedation the Risk of Adverse Events Is Likely Increased in Obese Children Compared to Those of Healthy Weight

patients are possibly more likely to have adverse events during conscious sedation. It is important for dentists to be aware of the complications that exist in treating these patients and understand what adverse events occur in order to prevent or manage such situations accordingly. Specialty/Discipline (General Dentistry) (Pediatric Dentistry) Keywords Childhood obesity, sedation, adverse event ID# 3394 Date of submission: 10/31/2019 E-mail asare@livemail.uthscsa.edu Author Abrefi Asare, DDS, MS Co

2019 UTHSCSA Dental School CAT Library

65. Safe provision of anaesthesia in magnetic resonance units

is always possible. All staff should be aware of the departmental emergency quench procedure. Patientsafety It is crucial that patient safety is the main focus for the whole team, and that patients understand the additional risks involved with procedures within the MR scanner. All patients must be screened for devices and implants that may contra-indicate a safe scan. This is the responsibility of the imaging department operating the scanner, who will have local rules tracing responsibility back (...) ]. Mostofthemajorneurostimulatorandpumpmanufacturers requirethesedevicestobecheckedafteranMRscan,andit is important to liaise with the supervising pain or neurosurgical team when these patients are booked for an MRscan. Biohacking(self-implantedtechnologicalenhancement ofthehumanbody) Clinicians need to be aware of body modi?cation- incorporatingimplants(suchastransdermalorextra-ocular devices). These may be implanted with speci?c technological functions – a practice known as ‘biohacking’. Examples include implantation of multiple tiny magnets

2019 Association of Anaesthetists of GB and Ireland

67. CPR Update Series Part 5 – Avoiding excessive ventilation

hands only CPR are becoming increasingly popular and effective. 2 As there are a wide variety of situations and ways to deliver rescue breaths, there may be health region or institution specific guidelines for ventilation during CPR. Be sure to be aware of your local pattern of practice. Uploaded by References 1. Field J, Hazinski M, Sayre M, et al. Part 1: executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation

2018 CandiEM

70. CRACKCast E195 – Procedural Sedation and Analgesia

condition, past medical history, and response to previous PSA agents to select the best sedatives and analgesics. We encourage you to read more about the pharmacologic agents presented here so you can select the best medications possible for your patients in the future. [1] Define the following terms: Anxiolysis, Dissociation, and PSA. Anxiolysis – a state of decreased apprehension concerning a particular situation in which the patient’s level of awareness does not change Dissociation – a trancelike

2018 CandiEM

71. Intraoperative awareness--comparison of its incidence in women undergoing general anaesthesia for caesarean section and for gynaecological procedures. Full Text available with Trip Pro

Intraoperative awareness--comparison of its incidence in women undergoing general anaesthesia for caesarean section and for gynaecological procedures. Intraoperative awareness (IA) is diagnosed when patients can recall their surroundings or an event related to the surgery that occurred while they were under general anaesthesia. The female gender and Caesarean section are considered to be contributing factors. The aim of the present study was to analyse the frequency of IA in patients undergoing (...) structured interviews were conducted 2 hours after anaesthesia and on postoperative days 7 and 30.337 patients were enrolled into the study. 45 patients reported diverse sensations connected to the anaesthesia (Group A - 7 patients, B - 9 patients, C - 2 patients, D - 28 patients). There were mainly dream sensations, but IA was present in 3 cases. In all of the cases, IA was recognised during the first interview. One episode of awareness appeared in group B, and the other two appeared in group D. One

2014 Anaesthesiology intensive therapy Controlled trial quality: uncertain

72. Awareness and apgar score in elective Cesarean section under general anesthesia with propofol or Isoflurane: A prospective, randomized, double-blinded clinical trial study. Full Text available with Trip Pro

Awareness and apgar score in elective Cesarean section under general anesthesia with propofol or Isoflurane: A prospective, randomized, double-blinded clinical trial study. Awareness is a postoperative recall of events experienced under general anesthesia. In this study, we compared the incidence of awareness between two routine methods used, inhalation (Isoflurane) and intravenous protocol (Propofol), in elective Cesarean section, and also evaluated the effect of these two different methods (...) , electrocardiography (ECG), and also Etco2 and o2sat were recorded throughout the surgery and finally analyzed and compared.From 90 patients, four cases of confirmed awareness were found in the propofol group and three cases in the Isoflurane group (8/9% vs. 6/7%), but the apgar scores were comparable between the two groups. Meanwhile there were no significant differences between the two groups in basic information, neonatal apgar scores, hemodynamic changes, and BIS, Electromyography (EMG), and signal quality

2014 Advanced biomedical research Controlled trial quality: uncertain

73. Impact of right-handedness on anaesthetic sensitivity, intra-operative awareness and postoperative mortality. (Abstract)

Impact of right-handedness on anaesthetic sensitivity, intra-operative awareness and postoperative mortality. Anatomical, neurological and behavioural research has suggested differences between the brains of right- and non-right-handed individuals, including differences in brain structure, electroencephalogram patterns, explicit memory and sleep architecture. Some studies have also found decreased longevity in left-handed individuals. We therefore aimed to determine whether handedness (...) independently affects the relationship between volatile anaesthetic concentration and the bispectral index, the incidence of definite or possible intra-operative awareness with explicit recall, or postoperative mortality. We studied 5585 patients in this secondary analysis of data collected in a multicentre clinical trial. There were 4992 (89.4%) right-handed and 593 (10.6%) non-right-handed patients. Handedness was not associated with (a) an alteration in anaesthetic sensitivity in terms

2014 Anaesthesia

74. Intraoperative Anaesthesia Awareness Following Induction of Anaesthesia

Intraoperative Anaesthesia Awareness Following Induction of Anaesthesia Intraoperative Anaesthesia Awareness Following Induction of Anaesthesia - 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. Intraoperative (...) Anaesthesia Awareness Following Induction of Anaesthesia (ConsCIOUS) 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. Read our for details. ClinicalTrials.gov Identifier: NCT02248623 Recruitment Status : Completed First Posted : September 25, 2014 Last Update Posted : April 6, 2016 Sponsor: University of Wisconsin, Madison Collaborators: University of Groningen

2014 Clinical Trials

75. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods and analysis of data. Full Text available with Trip Pro

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods and analysis of data. Accidental awareness during general anaesthesia with recall is a potentially distressing complication of general anaesthesia that can lead to psychological harm. The 5th National Audit Project was designed to investigate the reported incidence, predisposing factors, causality and impact of accidental awareness. A nationwide network of local co-ordinators across all (...) UK and Irish public hospitals reported all new patient reports of accidental awareness to a central database, using a system of monthly anonymised reporting over a calendar year. The database collected the details of the reported event, anaesthetic and surgical technique, and any sequelae. These reports were categorised into main types by a multidisciplinary panel, using a formalised process of analysis. The main categories of accidental awareness were: certain or probable; possible; during

2014 Anaesthesia

76. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors. Full Text available with Trip Pro

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors. We present the main findings of the 5th National Audit Project on accidental awareness during general anaesthesia. Incidences were estimated using reports of accidental awareness as the numerator, and a parallel national anaesthetic activity survey to provide denominator data. The incidence of certain/probable and possible accidental awareness cases was ~1:19 600 (...) anaesthetics (95% CI 1:16 700-23 450). However, there was considerable variation across subtypes of techniques or subspecialties. The incidence with neuromuscular blockade was ~1:8200 (1:7030-9700), and without it was ~1:135 900 (1:78 600-299 000). The cases of accidental awareness during general anaesthesia reported to 5th National Audit Project were overwhelmingly cases of unintended awareness during neuromuscular blockade. The incidence of accidental awareness during caesarean section was ~1:670 (1:380

2014 Anaesthesia

77. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. Full Text available with Trip Pro

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. The 5th National Audit Project of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland into accidental awareness during general anaesthesia yielded data related to psychological aspects from the patient, and the anaesthetist, perspectives; patients' experiences ranged from isolated (...) auditory or tactile sensations to complete awareness. A striking finding was that 75% of experiences were for < 5 min, yet 51% of patients (95% CI 43-60%) experienced distress and 41% (95% CI 33-50%) suffered longer-term adverse effect. Distress and longer-term harm occurred across the full range of experiences but were particularly likely when the patient experienced paralysis (with or without pain). The patient's interpretation of what is happening at the time of the awareness seemed central to later

2014 Anaesthesia

78. Long-term psychosocial outcomes after intraoperative awareness with recall. Full Text available with Trip Pro

Long-term psychosocial outcomes after intraoperative awareness with recall. Posttraumatic stress disorder, a common psychiatric disorder in the general population, may follow a traumatic experience of awareness with recall during general anesthesia.We conducted a matched cohort design with 9 subjects after intraoperative awareness with recall during general anesthesia. A psychiatric diagnostic interview and questionnaire were performed on 9 matched controls and 9 subjects, a median of 17.2 (...) years from their documented awareness episode. The subjects and the matched controls completed a battery of questionnaires related to psychosocial well-being, after which they participated in a diagnostic Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Axis I Disorders.Patients with awareness did not seem to differ from their matched controls in subsequent psychosocial outcome, psychiatric morbidity, or quality of life.We found no indication

2014 Anesthesia and Analgesia

79. A national survey (NAP5-Ireland baseline) to estimate an annual incidence of accidental awareness during general anaesthesia in Ireland. (Abstract)

A national survey (NAP5-Ireland baseline) to estimate an annual incidence of accidental awareness during general anaesthesia in Ireland. As part of the 5th National Audit Project of the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland concerning accidental awareness during general anaesthesia, we issued a questionnaire to every consultant anaesthetist in each of 46 public hospitals in Ireland, represented by 41 local co-ordinators. The survey (...) ascertained the number of new cases of accidental awareness becoming known to them for patients under their care or supervision for a calendar year, as well as their career experience. Consultants from all hospitals responded, with an individual response rate of 87% (299 anaesthetists). There were eight new cases of accidental awareness that became known to consultants in 2011; an estimated incidence of 1:23 366. Two out of the eight cases (25%) occurred at or after induction of anaesthesia, but before

2014 Anaesthesia

80. 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data† Full Text available with Trip Pro

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data† Accidental awareness during general anaesthesia (AAGA) with recall is a potentially distressing complication of general anaesthesia that can lead to psychological harm. The 5th National Audit Project (NAP5) was designed to investigate the reported incidence, predisposing factors, causality, and impact of accidental awareness.A nationwide network of local co-ordinators (...) across all the UK and Irish public hospitals reported all new patient reports of accidental awareness to a central database, using a system of monthly anonymized reporting over a calendar year. The database collected the details of the reported event, anaesthetic and surgical technique, and any sequelae. These reports were categorized into main types by a multidisciplinary panel, using a formalized process of analysis.The main categories of accidental awareness were: certain or probable; possible

2014 British Journal of Anaesthesia

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