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141. Awareness during anaesthesia. Full Text available with Trip Pro

Awareness during anaesthesia. 5822096 1969 11 05 2013 11 21 0007-1447 4 5674 1969 Oct 04 British medical journal Br Med J Awareness during anaesthesia. 51 Leaming H L HL eng Journal Article England Br Med J 0372673 0007-1447 K50XQU1029 Nitrous Oxide S88TT14065 Oxygen AIM IM Anesthesia, Inhalation Cognition Female Humans Nitrous Oxide Oxygen Pregnancy 1969 10 4 1969 10 4 0 1 1969 10 4 0 0 ppublish 5822096 PMC1629629

1969 British medical journal

142. Awareness during Caesarean Section under General Anaesthesia Full Text available with Trip Pro

Awareness during Caesarean Section under General Anaesthesia Investigation of a series of 150 obstetric patients, the majority undergoing caesarean section, showed the expected figure of 2% with factual recall. There was, however, a 17.3% occurrence of unpleasant recall-associated in 10 cases (6.6% of the total) with recall of pain. There was a negative correlation between the giving of a narcotic within six hours of the operation and the occurrence of unpleasant recall. Several other (...) aetiological factors-age, parity, preoperative emotional tension, ventilation, nitrous oxide wash-out with oxygen, and nitrous oxide concentration-were investigated and no relation was found between them and unpleasant recall. It is suggested, therefore, that premedication still has an important function in light anaesthesia, using muscle relaxants, to prevent any form of unpleasant operative awareness.

1969 British medical journal

143. Awareness during anaesthesia. Full Text available with Trip Pro

Awareness during anaesthesia. 5764265 1969 03 21 2018 11 30 0007-1447 1 5642 1969 Feb 22 British medical journal Br Med J Awareness during anaesthesia. 508 Crawford J S JS Harley N F NF Bland E P EP Shah E L EL eng Journal Article England Br Med J 0372673 0007-1447 7C0697DR9I Atropine DL48G20X8X Scopolamine AIM IM Anesthesia Atropine adverse effects Cesarean Section Cognition Female Humans Pregnancy Scopolamine 1969 2 22 1969 2 22 0 1 1969 2 22 0 0 ppublish 5764265 PMC1982594

1969 British medical journal

144. Awareness during anaesthesia. Full Text available with Trip Pro

Awareness during anaesthesia. 5764707 1969 03 27 2013 11 21 0007-1447 1 5643 1969 Mar 01 British medical journal Br Med J Awareness during anaesthesia. 572-3 Smith A M AM McNeil W T WT eng Journal Article England Br Med J 0372673 0007-1447 97O6X78C53 Benperidol AIM IM Anesthesia, Obstetrical Benperidol administration & dosage Cesarean Section Cognition Consciousness Female Humans 1969 3 1 1969 3 1 0 1 1969 3 1 0 0 ppublish 5764707 PMC1982249

1969 British medical journal

145. Awareness during anaesthesia. A prospective study. (Abstract)

Awareness during anaesthesia. A prospective study. One hundred and thirty-eight patients were anaesthetized using a nitrous-oxide-oxygen technique with neuromuscular blockage under standard conditions. None showed any evidence of awareness during the course of anaesthesia, irrespective of the type of premedication used.

1977 British Journal of Anaesthesia Controlled trial quality: uncertain

146. Awareness during endotracheal intubation: A comparison of ketamine and thiopentone. (Abstract)

Awareness during endotracheal intubation: A comparison of ketamine and thiopentone. As a result of a report suggesting an unacceptably high incidence (2%) of awareness during endotracheal intubation, two groups of patients were anaesthetized in a standard manner using a rapid induction technique. In one group of 38 patients anaesthesia was induced with thiopentone 3 mg/kg and in the other group of 39 patients anaesthesia was induced with ketamine 2 mg/kg. Suxamethonium 1 mg/kg was given (...) immediately following the induction agent, to facilitate endotracheal intubation. The patients were interviewed after operation. A rapid induction technique did not result in unacceptable awareness with either induction agent.

1977 British Journal of Anaesthesia Controlled trial quality: uncertain

147. The effect of diazepam and lorazepam on awareness during anaesthesia for Caesarian section. (Abstract)

The effect of diazepam and lorazepam on awareness during anaesthesia for Caesarian section. One hundred-and-eighty-three patients having general anaesthesia for Caesarian section were given lorazepam or diazepam intravenously immediately following delivery. The incidence of unpleasant recall was comparable with the reports of other workers. There was no evidence of a specific retrograde amnesic effect by either drug. Neither agent appeared to affect cardiovascular stability, uterine contraction

1977 Anaesthesia Controlled trial quality: uncertain

148. Use of Local Anesthesia for Pediatric Dental Patients

/anxiolysis can help the patient have a positive experience during adminis- tration of local anesthesia. 3-5 In pediatric dentistry, the dental professional should be aware of proper dosage (based on weight) to minimize the chance of toxicity and the prolonged duration of anesthesia, which can lead to accidental lip, tongue, or soft tissue trauma. 6 Knowledge of gross and neuroanatomy of the head and neck allows for proper placement of the anesthetic solution and helps minimize complications (e.g (...) of local anesthetics and also elevate arterial carbon dioxide, both of which will increase CNS sensitivity to convulsions. In addition, narcotics such as meperidine have convulsant properties when excessive doses are administered. For patients undergoing general anesthesia, the anesthesia care provider needs to be aware of the concomitant use of a local anesthetic containing epinephrine, as epinephrine can produce dysrhythmias when used with halogenated hydro- carbons (e.g., halothane). 1 Local

2015 American Academy of Pediatric Dentistry

149. Bispectral index for improving anaesthetic delivery and postoperative recovery. Full Text available with Trip Pro

can reduce the risk of intraoperative awareness, consumption of anaesthetic agents, recovery time and total cost of anaesthesia in surgical patients undergoing general anaesthesia.In this updated version, we searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2013, Issue 1), MEDLINE (1990 to 31 January 2013), EMBASE (1990 to 31 January 2013) and reference lists of articles. Previously, we searched to May 2009.We included randomized controlled trials (...) comparing BIS with standard practice criteria for titration of anaesthetic agents.Two authors independently assessed trial quality, extracted data and analysed the data. We contacted study authors for further details.We included 36 trials. In studies using clinical signs as standard practice, the results demonstrated a significant effect of the BIS-guided anaesthesia in reducing the risk of intraoperative awareness among surgical patients at high risk for awareness (7761 participants; odds ratio

2014 Cochrane

150. Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

(only one high-quality RCT) Strong Preoperative weight loss Preoperative weight loss should be recommended prior to bariatric surgery Patients on glucose - lowering drugs should be aware of the risk of hypoglycaemia Postoperative complications: High Postoperative weight loss: Low (inconsistency, low quality) Strong Glucocorticoids Eight mg dexamethasone should be administered i.v., preferably 90 min prior to induction of anaesthesia for reduction of PONV as well as inflammatory response Low (no RCTs (...) Maintenance as opposed to liberal fluid regimens: Moderate Reduce stress response: Moderate Open surgery: High Laparoscopic surgery: Moderate Maintenance fluid regimens: Strong PONV A multimodal approach to PONV prophylaxis should be adopted in all patients Low Strong Standardised anaesthetic protocol The current evidence does not allow recommendation of specific anaesthetic agents or techniques Low Weak Airway management Anaesthetists should be aware of the specific difficulties in managing bariatric

2016 ERAS Society

151. Nurse anaesthetist students' experiences of patient dignity in perioperative practice—a hermeneutic study Full Text available with Trip Pro

sphere.Discussion and reflection based on the personal experience of the students during their practice are ways to strengthen ethical awareness and promote an ethical and dignified caring culture.

2017 Nursing open

152. Guidelines on Pre-Anaesthesia Consultation and Patient Preparation Background Paper

. Awareness should be raised amongst medical practitioners and nurses about the inherent risks of postoperative respiratory depression occurring in obese patients in particular, who may or may not have a diagnosis of sleep apnoea and who are receiving, or have received, opioid analgesia. 3. Fasting guidelines 3.1. Several Fellows expressed concerns regarding the currency of ANZCA fasting guidelines (contained in PS15 Recommendations for the Perioperative Care of Patients Selected for Day Care Surgery

2016 Australian and New Zealand College of Anaesthetists

153. Guidelines on Pre-Anaesthesia Consultation and Patient Preparation

anaesthesia should be familiar with the principles outlined in the Medical Board of Australia’s Good Medical Practice: A Code of Conduct for Doctors in Australia 1 and the New Zealand Medical Council’s Good Medical Practice 2 . There must also be an awareness of patient autonomy and patients’ rights to privacy as set out by the Privacy Act 1993 (NZ) 3 , the Privacy Act 1998 (Cth) 4 and the Privacy Amendment (Private Sector) Act 2000 (Cth) 5 . Supporting Anaesthetists’ Professionalism and Performance

2016 Australian and New Zealand College of Anaesthetists

154. Statement on the Assistant for the Anaesthetist Background Paper

The pathways to becoming assistants are varied. Consequently it is essential that training outcomes and competencies are standardised across Australia and New Zealand, irrespective of training pathway. Course providers need to be aware of the standard, to ensure that their graduates meet the standard. ISSUES As there was considerable interest from stakeholders, including the nursing profession, anaesthesia technicians, course providers, and Fellows, the document development group (DDG) responsible

2016 Australian and New Zealand College of Anaesthetists

155. Guidelines for the Perioperative Care of Patients Selected for Day Care Surgery Background Paper

medical co-morbidities can be identified and dealt with in a timely manner. The document development group (DDG) was aware that more DSPs are being performed after hours (typically emergencies) resulting in patients being discharged the next day but within six to eight hours of their procedure. 2.1 Facilities involved in DSP The following issues regarding the range of healthcare facilities and services provided were considered: ? Differentiation between DSP and “Day of Surgery Admission”. “Day (...) in a different anaesthetist taking over immediately before surgery should be avoided. ? Awareness should be raised amongst medical practitioners and nurses about the inherent risks of post-operative respiratory depression occurring in obese patients in particular, who may or may not have a diagnosis of sleep apnoea and who are receiving, or have received, opioid analgesia. ? The AAGBI/BADS 2011 document noted that even though the incidence of complications with procedures is increased with increasing BMI

2016 Australian and New Zealand College of Anaesthetists

156. Statement on the Assistant for the Anaesthetist

; and microbiology. 6.3 Teaching and assessment on non-technical skills, including: communication; cultural competence; working in a team environment; and situational awareness. 6.4 Supervised practical experience in anaesthetising locations, which should be documented in a logbook describing the type of instruction received and the competencies demonstrated. 6.5 Assignments and/or learning activities appropriate to the curriculum. 6.6 Assessments, which confirm the participants can demonstrate the knowledge (...) pain alternatives and list the equipment that may be required. 7.11 Work environment Discuss and demonstrate non-technical skills including: ? Communication. ? Cultural competence. ? Working in a team environment. ? Situational awareness. 8. CONTINUING PROFESSIONAL DEVELOPMENT Anaesthesia assistants must maintain and upgrade their knowledge and skills with regular continuing education activities. Management must ensure that staff establishments and rostering practices allow for continuing education

2016 Australian and New Zealand College of Anaesthetists

157. Public opinion towards castration without anaesthesia and lack of access to pasture in beef cattle production. Full Text available with Trip Pro

information; positive information). Most participants were aware that the two management practices are common in beef production systems and were opposed to them. Involvement in animal production was associated with greater acceptance of both management practices and participants that had visited a beef production farm before the study were more likely to support castration without anaesthesia in Survey 1. Belonging to any socioeconomic group and providing negative or positive information had no impact

2018 PLoS ONE

158. Perioperative Management of Elderly Patients with Gastrointestinal Malignancies: The Contribution of Anesthesia Full Text available with Trip Pro

Perioperative Management of Elderly Patients with Gastrointestinal Malignancies: The Contribution of Anesthesia Elderly patients suffering from gastrointestinal malignancies are particularly prone to perioperative complications. Elderly patients often present with reduced physiological reserves, and comorbidities can limit treatment options and promote complications. Surgeons and anesthesiologists must be aware of strategies required to deal with this vulnerable subgroup.We provide a brief

2017 Visceral medicine

160. SCAI/CCAS/SPA Expert Consensus Statement for Anesthesia and Sedation Practice: Recommendations for Patients Undergoing Diagnostic and Therapeutic Procedures in the Pediatric and Congenital Cardiac Catheterization Laboratory

echocardio- gram, X-ray, or EKG. 6. Necessary postoperative medications, including but not limited to antiarrhythmics, vasopressors, iNO, and anticoagulation, antiemetics and intravenous flu- id therapy. 7. Indwelling catheters and lines. 8. Last dose of sedation and neuromuscular blockade. 9. What could have gone better during the procedure. ENHANCING AWARENESS OF THE CONGENITAL CARDIAC CATHETERIZATION LAB AS A PHYSIOLOGICAL LABORATORYAND A UNIQUE HIGH-RISK ENVIRONMENT Although the PCCCL continues (...) to transition from a diagnostic tool to an interventional and therapeutic theater, (much like an operating room), hemodynamic assessment continues to be of paramount importance in establishing a diagnosis and assessing the need for intervention (catheter-based or surgery). Awareness of the effect that anesthetic agents and ventilator strate- gies have on these parameters must be considered when planning the case. Therefore, direct communica- tion between the cardiologist and anesthesiologist is mandatory

2016 Society for Cardiovascular Angiography and Interventions

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