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61. Bair Hugger for measuring core temperature during perioperative care

recommends that adjustments may need to be made to indirect minimally invasive recorded temperature to obtain the core temperature, and that indirect estimates of core temperature should not be used during surgery. In 2010, the national patient safety agency (now NHS Improvement) released guidance stating that the method used for taking the temperature should be clearly identified and recorded. NICE is not aware of any CE-marked devices that appear to fulfil a similar function as the Bair Hugger (...) , but that it could make health care professionals more aware of inadvertent perioperative hypothermia. This would help ensure hypothermia is treated appropriately, potentially reducing costs by reducing complications. Specialist commentators Specialist commentators The following clinicians contributed to this briefing: Mr Tim Baker, practice educator, Adult Intensive Care Unit, University Hospital of South Manchester NHS Foundation Trust. No conflicts of interest. Bair Hugger for measuring core temperature

2017 National Institute for Health and Clinical Excellence - Advice

62. Increased Risk of Intraoperative Awareness in Patients with a History of Awareness. Full Text available with Trip Pro

Increased Risk of Intraoperative Awareness in Patients with a History of Awareness. Patients with a history of intraoperative awareness with explicit recall (AWR) are hypothesized to be at higher risk for AWR than the general surgical population. In this study, the authors assessed whether patients with a history of AWR (1) are actually at higher risk for AWR; (2) receive different anesthetic management; and (3) are relatively resistant to the hypnotic actions of volatile anesthetics.Patients

2013 Anesthesiology Controlled trial quality: uncertain

63. Home mechanical ventilation for patients with Amyotrophic Lateral Sclerosis: A CTS Clinical Practice Guideline

centres, it will be challenging to monitor adoption of the guideline. The most reliable data collection at present is by ALS clinics and by the Canadian ALS Research network and it is for this reason that a survey of awareness and compli- ance will be done through ALS clinics and the Canadian ALS Research network. At 12–24months post publication and dis- tribution, ALS clinics across Canada will be surveyed to assess their knowledge of and compliance with recommendations. Review and approval process

2019 Canadian Thoracic Society

64. Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

and the increased awareness of the importance of providing analgesia and anxiolysis, the need for sedation for procedures in physicians’ offices, dental offices, subspecialty procedure suites, imaging facilities, emer- gency departments, other inpatient hospital settings, and ambulatory surgery centers also has increased markedly. 1-52 In recognition of this need for both elective and emergency use of sedation in nontraditional settings, the American Academy of Pediatrics (AAP) and the American Academy (...) at any time on the basis of the judgment of the responsible practi- tioner. Although intended to encourage high-quality patient care, adherence to the recommendations in this document cannot guarantee a specific patient outcome. However, struc- tured sedation protocols designed to incorporate these safety principles have been widely implemented and shown to reduce morbidity. 11,23,24,27,30-33,35,39,41,44,47,51,74-84 These practice recom- mendations are proffered with the awareness that, regardless

2019 American Academy of Pediatric Dentistry

65. Randomised controlled trial of ketamine augmentation of electroconvulsive therapy to improve neuropsychological and clinical outcomes in depression (Ketamine-ECT study) Full Text available with Trip Pro

these using commas Statement of competing interests We believe that readers should be aware of any competing interests (conflicts of interest). The International Committee of Medical Journal Editors (ICMJE) define competing interests as including: financial relationships with industry (for example through employment, consultancies, stock, ownership, honoraria, and expert testimony), either directly or through immediate family; personal relationships; academic competition; and intellectual passion. If yes

2017 NIHR HTA programme

66. Anaesthesia

. But if you still have questions please contact us via jon.brassey@tripdatabase.com Anaesthesia Clinical Anaesthesia is used to induce a temporary medical state of controlled unconsciousness, inducing a loss of sensation or awareness. There are three main types of Anaesthesia: Local and Regional General Sedation Anaesthesia is primarily used during surgical procedures to block pain. While unconscious, blood flow and heart rate is monitored. Research and development in the use of Anaesthesia has helped

2018 Trip Latest and Greatest

67. Anesthesia

of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com Anesthesia Clinical anesthesia is used to induce a temporary medical state of controlled unconsciousness, inducing a loss of sensation or awareness. There are three main types of anesthesia: Local and Regional General Sedation Anesthesia is primarily used during surgical procedures to block pain. While unconscious, blood flow and heart rate is monitored. Research and development in the use of anesthesia has

2018 Trip Latest and Greatest

68. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures

surgical procedures performed on pediatric patients outside of the traditional operating room setting has increased in the past several decades. As a consequence of this change and the increased awareness of the importance of providing analgesia and anxiolysis, the need for sedation for procedures in physicians’ offices, dental offices, subspecialty procedure suites, imaging facilities, emergency departments, other inpatient hospital settings, and ambulatory surgery centers also has increased markedly (...) recommendations are proffered with the awareness that, regardless of the intended level of sedation or route of drug administration, the sedation of a pediatric patient represents a continuum and may result in respiratory depression, laryngospasm, impaired airway patency, apnea, loss of the patient’s protective airway reflexes, and cardiovascular instability. Procedural sedation of pediatric patients has serious associated risks. These adverse responses during and after sedation for a diagnostic

2019 American Academy of Pediatrics

69. 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

71. 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

72. 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

73. Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery 2019 Full Text available with Trip Pro

of the Advisory The purpose of this Advisory is to enhance awareness and reduce the frequency of perioperative visual loss during and after spine surgery. Focus of the Advisory This Advisory focuses on the perioperative management of patients who are undergoing spine procedures while they are positioned prone and receiving general anesthesia. This Advisory does not address the perioperative management of patients who receive regional anesthesia or sedation. This Advisory also does not include other causes

2019 American Society of Anesthesiologists

74. Anaesthetic practice in the independent sector

and guidelines adopted by the independent hospital. The independent hospital has the responsibility for ensuring that the Medical Advisory Committee has approved these regulations and guidelines, and that all anaesthetists are informed of the regulations and guidelines relevant to them. The hospital should make the anaesthetist aware of its disciplinary procedures. The anaesthetist should be prepared to share their appraisal documentation with the independent hospital. Some hospitals request a summary, while (...) and the Association is aware of local disputes about such remuneration arrangements. As stated previously, the Association is unable to suggest fee schedules but proposes that local arrangements are negotiated and made clear prior to undertaking NHS work in the independent sector. It is worth noting that in the NHS all consultants, regardless of specialty, are paid identical rates per session. This should be considered when negotiating fees for NHS patients cared for in the independent sector. The independent

2019 Association of Anaesthetists of GB and Ireland

75. Performance Measure Development, Use, and Measurement of Effectiveness Using the Guideline on Mechanical Ventilation in Acute Respiratory Distress Syndrome

evaluation framework, such as one that reports the acceptability, adoption, appropriateness, cost, feasibility, penetration, and sustainability ( ) of the PM, will be used to evaluate pilot-testing cycles. Table 2. Pathman-PRECEED schema to implement low–tidal volume ventilation performance measure pilot testing Types of Actions Phase of Implementation Awareness Agreement Adoption Adherence Predisposing interventions (preparation) Disseminate PM and intent to pilot test: • Educate ATS membership and ARDS

2019 American Thoracic Society

76. Perioperative Anaphylaxis Management Guidelines

monitoring of cardiovascular responses. 2.3 Because adrenaline has a narrow therapeutic window clinicians need to be aware of the potential for toxicity including accidental overdose, particularly during crisis management. 2.4 Intramuscular (I.M.) adrenaline into the lateral thigh should be considered in the initial management of perioperative anaphylaxis where I.V. access is not yet established or is lost, where haemodynamic monitoring is not in-situ at the start of the reaction, or while awaiting

2019 Australian and New Zealand College of Anaesthetists

77. 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

78. Guidelines for crises in anaesthesia - Quick Reference Handbook

and APL valve (Box E) 100 bpm sinus rhythm, treat as hypovolaemia: give i.v fluid bolus. • If heart rate >100 bpm and non-sinus ? 2-7 Tachycardia. ? Depth • Ensure correct depth of anaesthesia AND analgesia (consider risk of awareness). ? Exclude potential surgical causes (Box D) – discuss with surgical team. ? Consider causes in Box E and call for help if problem not resolving quickly. 2-4 The Association of Anaesthetists of Great Britain & Ireland 2018. www.aagbi.org/qrh Subject to Creative Commons (...) up to max 30 mg (tachyphylaxis limits further usefulness) Box C: CRITICAL CHANGES • Cardiac arrest ? 2-1 • Hypotension ? 2-4 • Bradycardia ? 2-6 • Local anaesthetic toxicity ? 3-10 START. ? Reassure the patient – remember that they may be fully aware. • Plan to ensure hypnosis as soon as clinical situation permits. ? Call for help and inform theatre team of the problem. ? Treat airway and breathing: • Give 100% oxygen. • Chin lift / jaw thrust may suffice. • Consider supraglottic airway

2019 Association of Anaesthetists of GB and Ireland

79. Post-Operative Care in the Kidney Transplant Recipient

in immunosuppression following transplantation reaches long-term maintenance levels. Management of the early and late phase complications of transplantation requires monitoring at reducing frequency, awareness of complications, access to investigation, and strategies for prevention and treatment of complications (ranging from early acute rejection, to late cardiovascular disease). There are regional differences in demographics, risk and organisation of services. The priority is agreement of local strategies (...) : Prescribing and the use of generic agents We suggest that KTRs should be made aware of the existence of generics and the importance of not switching between preparations without appropriate supervision (2D) Guideline 3.16 – KTR: Prescribing and the use of generic agents We suggest that drugs should be prescribed by brand name (whether branded or generic drugs are prescribed) (2D) Guideline 3.17 – KTR: Prescribing and the use of generic agents We suggest that KTRs should be closely monitored after

2017 Renal Association

80. Intravenous Regional Anaesthesia for Distal Forearm Fractures (Bier's Block)

available in department • ECG, BP and pulse oximeter to monitor patient throughout the procedure • Check air cylinder at least 1/4 th full if electronic machine not used. Electronic machines must be kept on charge when being stored between procedures. • Cuff checked for leaks (a common leak is split rubber o ring on clip for cuff ) • Drug to be used (prilocaine) • Drug dosage and preparation • Awareness of the location of stocked emergency drugs • IV access on normal side 22G – in case of complications

2017 Royal College of Emergency Medicine

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