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162. 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

164. Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation Drugs in Young Children and Pregnant Women

to be followed. The American College of Obstetricians and Gynecologists (The College), a 501(c)(3) organization, is the nation's leading group of physicians providing health care for women. As a private, voluntary, nonprofit membership organization of more than 57,000 members, The College strongly advocates for quality health care for women, maintains the highest standards of clinical practice and continuing education of its members, promotes patient education, and increases awareness among its members

2016 American College of Obstetricians and Gynecologists

167. Triazolam Does Not Affect the Success Rate of an Inferior Alveolar Nerve Block (IANB)

in anesthetizing these teeth, clinicians should be aware that conscious sedation with triazolam does not increase the IANB success rate. Other modalities that can be used as supplements must be considered. Specialty/Discipline (Endodontics) (General Dentistry) (Restorative Dentistry) Keywords triazolam, inferior alveolar nerve block, irreversible pulpitis ID# 3125 Date of submission: 12/01/2016 E-mail Author Saeed Bayat Movahed, DDS Co-author(s) Co-author(s) e-mail Faculty mentor/Co

2016 UTHSCSA Dental School CAT Library

168. Entonox: Ward administration of

. If the patient is unable to do this alternative analgesia should be given. Use of Entonox is designated as ‘minimal sedation’ however if used in combination with other sedatives or potent analgesia there is an increased risk of sedation ( ). Health care professionals administering Entonox should be trained in its use and familiar with the side effects and contra-indications. Staff should also be aware that Entonox is a habit-forming drug and has been subject to abuse. Documented cases of abuse in the UK (...) appropriate analgesic techniques, such as topical local anaesthetics and distraction, are proven to be effective. Please contact the Pain Control Service for guidance on other options for procedural pain management if required. Staff training Entonox should only be administered by staff that are: Competent in the administration of Entonox and basic life support ( ). Familiar with the side effects of Entonox and its contra-indications ( ). Aware of the criteria for patient selection and exclusion

2014 Publication 1593

169. Statement on Roles in Anaesthesia and Perioperative Care Background Paper

good patient outcomes. The way new or extended roles are introduced into the anaesthesia team can have a significant effect on how well people perform in those roles, and on the degree to which the change makes a positive contribution. In Scotland, an evaluation of a pilot placing PAs noted found that they worked most effectively, and were most satisfied, where their presence filled a distinct gap in the team. 28 The same study found that where other team members were not fully aware of the role

2015 Australian and New Zealand College of Anaesthetists

170. Recommendations 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

2015 Australian and New Zealand College of Anaesthetists

171. Practice Advisory on Anesthetic Care for Magnetic Resonance Imaging Full Text available with Trip Pro

is commercially available, and will require increased awareness among providers. Consistent with current guidelines published by the American College of Radiologists, categories of various levels of magnetic resonance imaging facilities have been eliminated. The updated American Society of Anesthesiologists Practice Advisory differs from documents published by other organizations by focusing specifically on anesthetic care of patients in the magnetic resonance imaging environment, whereas other organizations (...) ) periodic bolus injections in either zone III or IV. Advisory Statements for Anesthetic Care Although lighter levels of anesthesia may be appropriate during an MRI scan, the anesthesiologist should be aware that these lighter levels may result in airway complications ( e.g. , laryngospasm, coughing, or other airway compromise) that may necessitate interruption of the scan for urgent treatment and alteration of anesthetic depth. Institutional circumstances, patient characteristics, and anesthesiologist

2015 American Society of Anesthesiologists

172. Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice Full Text available with Trip Pro

or totally independent) Abnormal serum creatinine American Society of Anesthesiologists class (ASA) Increasing age More recently there has been increasing awareness that perioperative myocardial injury does not always present with any of the typical ischaemic features of chest pain, electrocardiogram changes, rhythm disturbance or heart failure. The VISION study measured troponins and showed a spectrum of results with 44% of troponin rises fulfilling the criteria for myocardial injury without fulfilling (...) can be drawn to the type of agents used and the monitoring of vital functions. Traditionally the anaesthesiologist has relied on clinical signs to try and ensure appropriate depth of anaesthesia and avoidance of awareness but also avoiding overdose and the resultant depression of a patient's physiological status. Depth of anaesthesia can now be measured by many devices but in terms of clinical evaluation the data on Bispectral Index (BIS) far exceeds other devices. Recent focus has been on using

2015 ERAS Society

173. Ultrasound imaging in the practice of anaesthesia

of percutaneous neural blocks in both adult and paediatric populations is established in Australian clinical practice (Barrington and Kluger 2013). Nerve blocks are used either as standalone anaesthesia or for postoperative analgesia in combination with systemic anaesthesia and may also be used for chronic pain. The benefits include, but are not limited to, better post-operative pain management and reduced morbidity. Increasing awareness of, and improvements in, ultrasound technology will impact clinical

2014 Medical Services Advisory Committee

174. Intrathecal Drug Delivery Systems for Cancer Pain: An Analysis of a Prospective, Multicenter Product Surveillance Registry. Full Text available with Trip Pro

to broaden awareness of this therapeutic option, needed for adequate cancer-related pain treatment, and as a viable tool addressing concerns with systemic opioid use.This prospective, long-term, multicenter (United States, Western Europe, and Latin America) registry started in 2003 to monitor the performance of SynchroMed Infusion Systems. Patient-reported outcomes were added in 2013. Before data acquisition, all sites obtained Ethics Committee/Institutional Review Board approval and written patient

2019 Anesthesia and Analgesia

175. A randomized controlled efficacy trial of mindfulness-based stress reduction compared with an active control group and usual care for fibromyalgia: the EUDAIMON study. (Abstract)

in pain catastrophising and fibromyalginess). Immediately post-treatment, the number needed to treat for 20% improvement in MBSR vs TAU and FibroQoL was 4.0 (95% confidence interval [CI] = 2.1-6.5) and 5.0 (95% CI = 2.7-37.3). An unreliable number needed to treat value of 9 (not computable 95% CI) was found for FibroQoL vs TAU. Changes produced by MBSR in functional impact were mediated by psychological inflexibility and the mindfulness facet acting with awareness. These findings are discussed

2019 Pain Controlled trial quality: predicted high

176. A Comparative Study Evaluating Effects of Intravenous Sedation by Dexmedetomidine and Propofol on Patient Hemodynamics and Postoperative Outcomes in Cardiac Surgery. Full Text available with Trip Pro

A Comparative Study Evaluating Effects of Intravenous Sedation by Dexmedetomidine and Propofol on Patient Hemodynamics and Postoperative Outcomes in Cardiac Surgery. The use of intravenous sedation during cardiac surgery to reduce awareness has been practised routinely during past few years and the two most commonly used drugs include propofol and dexmedetomidine, but their effects on hemodynamics and postoperative outcomes in cardiac surgery is continually being evaluated.The aim of this study

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

177. Propofol sparing effect of dexmedetomidine and magnesium sulfate during BIS targeted anesthesia: A prospective, randomized, placebo controlled trial. (Abstract)

Propofol sparing effect of dexmedetomidine and magnesium sulfate during BIS targeted anesthesia: A prospective, randomized, placebo controlled trial. Maintenance of adequate depth of anesthetic is crucial to prevent awareness and to reduce stress response associated with surgery. Goals of balanced general anesthetic are met by use of adjuvants to facilitate use of lower anesthetic dose, while ensuring adequate anesthetic depth. This study employed BIS monitoring to compare the anesthetic

2019 Journal of anaesthesiology, clinical pharmacology Controlled trial quality: uncertain

178. Intraoperative hypotension is a risk factor for postoperative acute kidney injury after femoral neck fracture surgery: a retrospective study. Full Text available with Trip Pro

disease, preoperative blood urea nitrogen (BUN), preoperative estimated glomerular filtration rate (eGFR), preoperative haemoglobin (Hb) level, type of operation, postoperative creatinine level and intraoperative hypotension (P <  0.05). After controlling for confounding variables, intraoperative hypotension was only the independent risk factor for acute kidney injury (P = 0.012).Acute kidney injury was found to occur frequently after surgery for femur neck fracture. Surgeons should be aware of acute

2019 BMC Musculoskeletal Disorders

179. An unusual delayed onset of systemic toxicity after fluoroscopy-guided cervical epidural steroid injection with levobupivacaine: A case report. (Abstract)

was administrated. After 50 minutes of injection, the patient showed CNS toxicity (unconsciousness, seizure) with normal blood pressure and tachycardia; therefore, she was immediately sedated with intravenous midazolam (3 mg), and 15 L/min of oxygen was administered. The patient fully recovered after 30 minutes of sedation without any sequelae.Delayed onset of LAST is a rare complication of a common procedure in CESI, so it is important to be aware of this complication and the presentation of toxicity.© 2019

2019 Pain Practice

180. Post-traumatic stress in the postoperative period: current status and future directions. (Abstract)

, with additionally elevated rates in specific surgical groups. Potential risk factors include the perceived uncontrollable nature of high-risk surgery, psychiatric history, intraoperative awareness, dissociation, surgical complications, medication administration, delirium, and pain. PTSD after surgery may manifest in ways that are distinct from traditional conceptualizations of PTSD. Identification of perioperative risk factors and stress symptoms in the early postoperative period may provide opportunities

2019 Canadian Journal Of Anaesthesia

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