Latest & greatest articles for anaesthesia

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This page lists the very latest high quality evidence on anaesthesia and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

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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 anesthesiologists in the progression of patient safety before and after surgery and medical procedures. The developments and research of Anaesthesia through the years has massively influences medicine and surgery today.

Case studies and clinical trials help aid researchers in the development of aftercare during postoperative recovery. Research is a vital part in the field of Anaesthesia, it allows anesthesiologists to improve the delivery of patient safety while unconscious.

Learn more on the emerging technology in Anaesthesia and the advancements in Anaesthesia practise by searching Trip.

Top results for anaesthesia

181. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. (PubMed)

Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Maternal hypotension, the most frequent complication of spinal anaesthesia for caesarean section, can be associated with severe nausea or vomiting which can pose serious risks to the mother (unconsciousness, pulmonary aspiration) and baby (hypoxia, acidosis and neurological injury).To assess the effects of prophylactic interventions for hypotension following spinal anaesthesia for caesarean section.We (...) searched the Cochrane Pregnancy and Childbirth Group's Trials Register (November 2005).Randomised controlled trials comparing interventions to prevent hypotension with placebo or alternative treatment in women having spinal anaesthesia for caesarean section.Three review authors independently assessed eligibility and methodological quality of studies, and extracted data.We included 75 trials (a total of 4624 women). Crystalloids were more effective than no fluids (relative risk (RR) 0.78, 95% confidence

2006 Cochrane

182. Regional versus general anaesthesia for caesarean section. (PubMed)

Regional versus general anaesthesia for caesarean section. Regional and general anaesthesia (GA) are commonly used for caesarean section (CS) and both have advantages and disadvantages. It is important to clarify what type of anaesthesia is more efficacious.To compare the effects of regional anaesthesia (RA) with those of GA on the outcomes of CS.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 December 2005), the Cochrane Central Register of Controlled Trials (...) (The Cochrane Library 2005, Issue 1), MEDLINE (1966 to December 2005), and EMBASE (1980 to December 2005).Randomised and quasi-randomised controlled trials evaluating the use of RA and GA in women who had CS for any indication.Two authors independently assessed trials for inclusion, data extraction and trial quality.Sixteen studies (1586 women) were included in this review. Women who had either epidural anaesthesia or spinal anaesthesia were found to have a significantly lower difference between pre

Full Text available with Trip Pro

2006 Cochrane

183. Opioid antagonists under heavy sedation or anaesthesia for opioid withdrawal. (PubMed)

Opioid antagonists under heavy sedation or anaesthesia for opioid withdrawal. Withdrawal (detoxification) is necessary prior to drug-free treatment. It may also represent the end point of long-term opioid replacement treatment such as methadone maintenance. The availability of managed withdrawal is essential to an effective treatment system.To assess the effectiveness of interventions involving the administration of opioid antagonists to induce opioid withdrawal with concomitant heavy sedation (...) or anaesthesia, in terms of withdrawal signs and symptoms, completion of treatment and adverse effects.We searched the Drugs and Alcohol Group register (October 2003), Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 4, 2004), Medline (January 1966 to January 2005), Embase (January 1985 to January 2005), PsycINFO (1967 to January 2005), and Cinahl (1982 to December 2004) and reference lists of studies.Controlled trials comparing antagonist-induced withdrawal under heavy sedation

Full Text available with Trip Pro

2006 Cochrane

184. Consent for anaesthesia 2 revised edition 2006

Consent for anaesthesia 2 revised edition 2006 2 Published by The Association of Anaesthetists of Great Britain and Ireland, 21 Portland Place, London W1B 1PY Telephone: 020 7631 8801/8804 E-mail: info@aagbi.org Website: www.aagbi.org January 2006 Consent for Anaesthesia Revised Edition 2006 Consent A5 10/1/06 15:49 Page 1MEMBERSHIP OF THE WORKING PARTY Dr D G Bogod Chairman; Editor-in-Chief, Anaesthesia. Professor W A Chambers Honorary Secretary, AAGBI; Scottish Representative Dr Les Gemill (...) and training 27 Section 11 References 30 1 Consent A5 10/1/06 15:49 Page 1Section 1 Recommendations • Information about anaesthesia, preferably in the form of a patient- friendly leaflet, should be provided to patients undergoing elective surgery before they meet their anaesthetist. • The anaesthetic room immediately before induction is not an acceptable place or time to provide elective patients with new information other than in exceptional circumstances. • The amount and the nature of information

2006 Association of Anaesthetists of GB and Ireland

185. Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia

Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia Review PS44(2006) AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 GUIDELINES TO FELLOWS ACTING ON APPOINTMENTS COMMITTEES FOR SENIOR STAFF IN ANAESTHESIA The College considers that it should provide advice to Appointments Committees in Australia or New Zealand when appointments in anaesthesia are being considered. This is best carried out by designating a specific Fellow to work (...) the Fellowship of this College or will hold that Fellowship by the date on which –he/she takes up appointment. 1.2 Hold another specialist qualification in anaesthesia. In this situation, the implications in respect of Overseas Trained Specialist Assessment by the College and registration as a specialist in Australia or New Zealand must be considered. 1.3 Have appropriate experience for the position under consideration. 1.4 Are participating in continuing medical education and quality assurance activities

2006 Australian and New Zealand College of Anaesthetists

186. The Anaesthesia Record. Recommendations on the Recording of an Episode of Anaesthesia Care

The Anaesthesia Record. Recommendations on the Recording of an Episode of Anaesthesia Care AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 THE ANAESTHESIA RECORD RECOMMENDATIONS ON THE RECORDING OF AN EPISODE OF ANAESTHESIA CARE INTRODUCTION The anaesthesia record is an essential part of the patient's medical record. The record should allow the anaesthetist to document all aspects of the anaesthesia management, including the pre and post-operative management (...) , that are of relevance to the anaesthesia. The anaesthesia record provides information that may assist other staff involved in the care of the patient and to any subsequent anaesthetists. It may also be of medico-legal importance and can be used for quality assurance and research purposes. The record must be signed by the anaesthetist/s. The information may be on a single record or may be covered by separate records for the pre-anaesthesia, anaesthesia and post- anaesthesia phases of the patient’s care. All

2006 Australian and New Zealand College of Anaesthetists

187. Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia

Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia PS02 2018 Page 1 PS02 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia 1. INTRODUCTION Credentialling in anaesthesia allows registered medical practitioners to provide clinical services at healthcare institutions. Credentialling is an integral part of the process of verification of professional standing (...) and quality assurance, sets the standard required for Continuing Professional Development (CPD) and offers its CPD program to all medical practitioners in Australia and New Zealand who provide anaesthesia services. New Fellows of the College are trained in broad areas of anaesthesia and capable of providing services in health care facilities with appropriate support. Some specific areas of complex anaesthesia practice may benefit from further training and relevant CPD subsequent to obtaining Fellowship

2006 Australian and New Zealand College of Anaesthetists

188. Recommendations for the Post-Anaesthesia Recovery Room

Recommendations for the Post-Anaesthesia Recovery Room PS04 2018 Page 1 PS04 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Post-Anaesthesia Care Unit 1. INTRODUCTION An appropriately planned, equipped, staffed and managed post-anaesthesia care unit (PACU) is essential for the safe management of patients who have recently undergone surgery or other procedures, irrespective of the type of anaesthesia or sedation used. The spectrum of healthcare facilities (...) . Facility design and resources, including staff and equipment, should align with the procedure, proposed anaesthesia or sedation and patient complexity (including age and co-morbidities) as well as the post procedure destination of the patient. 2. PURPOSE The purpose of this document is: 2.1 To assist healthcare facilities to provide PACUs that are designed, equipped, and staffed to deliver safe patient care. 2.2 To inform clinicians of ANZCA’s expectations for PACUs. 3. SCOPE This document is intended

2006 Australian and New Zealand College of Anaesthetists

189. Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia

Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia Review PS44(2006) AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 GUIDELINES TO FELLOWS ACTING ON APPOINTMENTS COMMITTEES FOR SENIOR STAFF IN ANAESTHESIA The College considers that it should provide advice to Appointments Committees in Australia or New Zealand when appointments in anaesthesia are being considered. This is best carried out by designating a specific Fellow to work (...) the Fellowship of this College or will hold that Fellowship by the date on which –he/she takes up appointment. 1.2 Hold another specialist qualification in anaesthesia. In this situation, the implications in respect of Overseas Trained Specialist Assessment by the College and registration as a specialist in Australia or New Zealand must be considered. 1.3 Have appropriate experience for the position under consideration. 1.4 Are participating in continuing medical education and quality assurance activities

2006 Australian and New Zealand College of Anaesthetists

190. The Anaesthesia Record. Recommendations on the Recording of an Episode of Anaesthesia Care

The Anaesthesia Record. Recommendations on the Recording of an Episode of Anaesthesia Care AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 THE ANAESTHESIA RECORD RECOMMENDATIONS ON THE RECORDING OF AN EPISODE OF ANAESTHESIA CARE INTRODUCTION The anaesthesia record is an essential part of the patient's medical record. The record should allow the anaesthetist to document all aspects of the anaesthesia management, including the pre and post-operative management (...) , that are of relevance to the anaesthesia. The anaesthesia record provides information that may assist other staff involved in the care of the patient and to any subsequent anaesthetists. It may also be of medico-legal importance and can be used for quality assurance and research purposes. The record must be signed by the anaesthetist/s. The information may be on a single record or may be covered by separate records for the pre-anaesthesia, anaesthesia and post- anaesthesia phases of the patient’s care. All

2006 Australian and New Zealand College of Anaesthetists

191. Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia

Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia PS02 2018 Page 1 PS02 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia 1. INTRODUCTION Credentialling in anaesthesia allows registered medical practitioners to provide clinical services at healthcare institutions. Credentialling is an integral part of the process of verification of professional standing (...) and quality assurance, sets the standard required for Continuing Professional Development (CPD) and offers its CPD program to all medical practitioners in Australia and New Zealand who provide anaesthesia services. New Fellows of the College are trained in broad areas of anaesthesia and capable of providing services in health care facilities with appropriate support. Some specific areas of complex anaesthesia practice may benefit from further training and relevant CPD subsequent to obtaining Fellowship

2006 Australian and New Zealand College of Anaesthetists

192. Recommendations for the Post-Anaesthesia Recovery Room

Recommendations for the Post-Anaesthesia Recovery Room PS04 2018 Page 1 PS04 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Post-Anaesthesia Care Unit 1. INTRODUCTION An appropriately planned, equipped, staffed and managed post-anaesthesia care unit (PACU) is essential for the safe management of patients who have recently undergone surgery or other procedures, irrespective of the type of anaesthesia or sedation used. The spectrum of healthcare facilities (...) . Facility design and resources, including staff and equipment, should align with the procedure, proposed anaesthesia or sedation and patient complexity (including age and co-morbidities) as well as the post procedure destination of the patient. 2. PURPOSE The purpose of this document is: 2.1 To assist healthcare facilities to provide PACUs that are designed, equipped, and staffed to deliver safe patient care. 2.2 To inform clinicians of ANZCA’s expectations for PACUs. 3. SCOPE This document is intended

2006 Australian and New Zealand College of Anaesthetists

193. Cost minimisation and cost effectiveness in anaesthesia for total hip replacement surgery, in Belgium: a study comparing three general anaesthesia techniques

Cost minimisation and cost effectiveness in anaesthesia for total hip replacement surgery, in Belgium: a study comparing three general anaesthesia techniques Cost minimisation and cost effectiveness in anaesthesia for total hip replacement surgery, in Belgium: a study comparing three general anaesthesia techniques Cost minimisation and cost effectiveness in anaesthesia for total hip replacement surgery, in Belgium: a study comparing three general anaesthesia techniques Demeere J L, Merckx C (...) , Demeere N Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of general anaesthesia in total hip replacement surgery was studied. Three techniques (propofol, desflurane and sevoflurane) were compared. Type of intervention

2006 NHS Economic Evaluation Database.

194. Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing

Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing NHSC Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation (...) of the quality of this assessment has been made for the HTA database. Citation NHSC. Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing. Birmingham: National Horizon Scanning Centre (NHSC). 2006 Authors' objectives This study examines the use of Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia. Timeliness warning Available on request from NHSC. Final publication URL Indexing Status Subject indexing assigned

2006 Health Technology Assessment (HTA) Database.

195. Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis

Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis Ruppen W, Derry S, McQuay H J (...) , Moore R A CRD summary This review reported no cases of epidural haematomas or persistent neurological injury, and few transient neurological injuries following epidural analgesia or anaesthesia. The authors estimated that the maximum risks for epidural haematoma were 1 in 1,700, 1 in 1,400 and 1 in 1,700 for epidural anaesthesia in cardiac, thoracic and vascular surgery, respectively. The review had some methodological weaknesses, but the authors’ conclusions appear appropriate and are likely

2006 DARE.

196. Paravertebral blocks for anaesthesia and analgesia: a systematic review

Paravertebral blocks for anaesthesia and analgesia: a systematic review Paravertebral blocks for anaesthesia and analgesia: a systematic review Paravertebral blocks for anaesthesia and analgesia: a systematic review Thavaneswaran P, Maddern G, Cooter R, Moyes D, Rudkin G Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Thavaneswaran P (...) , Maddern G, Cooter R, Moyes D, Rudkin G. Paravertebral blocks for anaesthesia and analgesia: a systematic review. Stepney: Australian Safety and Efficacy Register of New Interventional Procedures -Surgical (ASERNIP-S). ASERNIP-S Report No. 47. 2006 Authors' objectives The objective of this review was to make recommendations on the safety and efficacy of thoracic and lumbar paravertebral blocks (PVB) on the basis of a systematic assessment of the peer-reviewed literature. Paravertebral blocks

2006 Health Technology Assessment (HTA) Database.

197. Paravertebral blocks for anaesthesia and analgesia: a systematic review

Paravertebral blocks for anaesthesia and analgesia: a systematic review Paravertebral blocks for anaesthesia and analgesia: a systematic review Paravertebral blocks for anaesthesia and analgesia: a systematic review Thavaneswaran P, Maddern G, Cooter R, Moyes D, Rudkin G CRD summary This review assessed the efficacy and safety of thoracic and lumbar paraveterbral blocks (PVB) for anaesthesia and analgesia. The authors concluded that paraveterbral block was at least as safe and effective (...) as general anaesthesia and alternative analgesia techniques. This was a generally well-conducted review of heterogeneous studies. The conclusions are likely to be reliable. Authors' objectives To assess the efficacy and safety of thoracic and lumbar paravertebral blocks (PVB) for surgical anaesthesia compared to: general anaesthesia or other regional anaesthetic techniques; and regional blocks or analgesic drugs for postoperative analgesia. Searching MEDLINE, EMBASE, The Cochrane Library, Science

2006 DARE.

198. Guidelines on Consent for Anaesthesia or Sedation

Guidelines on Consent for Anaesthesia or Sedation AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 Review PS26 (2005) GUIDELINES ON CONSENT FOR ANAESTHESIA OR SEDATION INTRODUCTION Consent should be obtained for all medical treatment. It is a basic tenet of our society that everyone has a right to determine what is done to his/her own body, and is entitled to know the implications of any treatment before it is administered and to seek clarification of any issues that may (...) be of concern. GENERAL PRINCIPLES The standard for consent in Australia is established by the common law. In New Zealand it is embodied in the Code of Health and Disability Services Consumers’ Rights. Consent for treatment provided by an anaesthetist is different from a statement as to the necessity for anaesthesia (which may form part of the consent for an operative procedure). Although legal processes that test the validity of consent differ, both Australian and New Zealand law state that the provision

2005 Australian and New Zealand College of Anaesthetists

199. Guidelines on Consent for Anaesthesia or Sedation

Guidelines on Consent for Anaesthesia or Sedation AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 Review PS26 (2005) GUIDELINES ON CONSENT FOR ANAESTHESIA OR SEDATION INTRODUCTION Consent should be obtained for all medical treatment. It is a basic tenet of our society that everyone has a right to determine what is done to his/her own body, and is entitled to know the implications of any treatment before it is administered and to seek clarification of any issues that may (...) be of concern. GENERAL PRINCIPLES The standard for consent in Australia is established by the common law. In New Zealand it is embodied in the Code of Health and Disability Services Consumers’ Rights. Consent for treatment provided by an anaesthetist is different from a statement as to the necessity for anaesthesia (which may form part of the consent for an operative procedure). Although legal processes that test the validity of consent differ, both Australian and New Zealand law state that the provision

2005 Australian and New Zealand College of Anaesthetists

200. Towards evidence-based guidelines for the prevention of venous thromboembolism: systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis

Towards evidence-based guidelines for the prevention of venous thromboembolism: systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis Towards evidence-based guidelines for the prevention of venous thromboembolism: systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis Towards evidence-based guidelines for the prevention of venous thromboembolism: systematic reviews (...) of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis Roderick P, Ferris G, Wilson K, Halls H, Jackson D, Collins R, Baigent C Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Roderick P, Ferris G, Wilson K, Halls H, Jackson D, Collins R, Baigent C. Towards evidence-based guidelines for the prevention

2005 Health Technology Assessment (HTA) Database.