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

221. Anaesthesia for hip fracture surgery in adults.

Anaesthesia for hip fracture surgery in adults. BACKGROUND: The majority of hip fracture patients are treated surgically, requiring anaesthesia. OBJECTIVES: To compare different types of anaesthesia for surgical repair of hip fractures (proximal femoral fractures) in adults. SEARCH STRATEGY: We searched the Cochrane Musculoskeletal Injuries Group specialised register (December 2000), MEDLINE (1996 to December Week 4 2000) and reference lists of relevant articles. SELECTION CRITERIA: Randomised (...) and quasi-randomised trials comparing different methods of anaesthesia for hip fracture surgery in skeletally mature persons. The primary focus of this review was the comparison of regional (spinal or epidural) anaesthesia versus general anaesthesia; this has been expanded to include other comparisons. The use of nerve blocks pre-operatively or in conjunction with general anaesthesia is evaluated in another review. The primary outcome was mortality. DATA COLLECTION AND ANALYSIS: Two reviewers

Cochrane2001

222. Opioid antagonists under sedation or anaesthesia for opioid withdrawal.

Opioid antagonists under sedation or anaesthesia for opioid withdrawal. BACKGROUND: Withdrawal (detoxification) is necessary prior to drug-free treatment. It may also represent the end point of long-term treatment such as methadone maintenance. The availability of managed withdrawal is essential to an effective treatment system. OBJECTIVES: To assess the effectiveness of interventions involving the administration of opioid antagonists to induce opioid withdrawal with concomitant heavy sedation (...) or anaesthesia. SEARCH STRATEGY: Multiple electronic databases (including MEDLINE, EMBASE, PsycLIT, Australian Medical Index, Cochrane Clinical Trials Register, and CINAHL) were systematically searched. Reference lists of retrieved studies, reviews and conference abstracts were handsearched. SELECTION CRITERIA: Randomised or quasi-randomised controlled trials that compared the administration of opioid antagonists under sedation or anaesthesia with another form of treatment. DATA COLLECTION AND ANALYSIS: One

Cochrane2001

223. Techniques for preventing hypotension during spinal anaesthesia for caesarean section.

Techniques for preventing hypotension during spinal anaesthesia for caesarean section. BACKGROUND: Maternal hypotension is the most frequent complication of a spinal anaesthetic for caesarean section with an incidence approaching 100%. Most workers define hypotension as a maternal systolic blood pressure below 70-80% of baseline recordings and/or an absolute value of < 90 -100mmHg. The frequent occurrence and rapid onset of hypotension during spinal anaesthesia has encouraged anaesthetists (...) : To assess the relative efficacy and side effects of prophylactic interventions for hypotension following spinal anaesthesia for caesarean section. SEARCH STRATEGY: The Cochrane Pregnancy and Childbirth Group Trials Register, the Cochrane Controlled Trials Register, other databases and bibliographies of relevant papers are searched according to the strategy developed for the Pregnancy and Childbirth Group as a whole. Date of last search: May 2001. SELECTION CRITERIA: All published or unpublished

Cochrane2001

224. Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials

Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A, Sage D, Futter M, Saville G, Clark T (...) , MacMahon S Authors' objectives To obtain reliable estimates of the effects of neuraxial blockade with epidural or spinal anaesthesia on post-operative morbidity and mortality Searching Current Contents (from 1995 to 1996), EMBASE Excerpta Medica (from 1980 to 1996), MEDLINE (from 1966 to 1996) and the Cochrane Library (1998) were searched. The keywords were 'regional anaesthesia', 'regional anaesthesia', 'spinal' or 'epidural', and the Cochrane Collaboration search terms for randomised trials

DARE.2000

225. External cephalic version with epidural anaesthesia after failure of a first trial with beta-mimetics

External cephalic version with epidural anaesthesia after failure of a first trial with beta-mimetics External cephalic version with epidural anaesthesia after failure of a first trial with beta-mimetics External cephalic version with epidural anaesthesia after failure of a first trial with beta-mimetics Rozenberg P, Goffinet F, de Spirlet M, Durand-Zaleski I, Blanie P, Fisher C, Lang A C, Nisand I 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 External cephalic version under epidural anaesthesia and beta-mimetic tocolysis after the failure of an initial attempt with tocolysis alone in women with breech presentation. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Women

NHS Economic Evaluation Database.2000

226. Perioperative local anaesthesia for reducing pain following tonsillectomy.

Perioperative local anaesthesia for reducing pain following tonsillectomy. BACKGROUND: Pain relief after tonsillectomy is an important part of post-operative management. Sometimes local anaesthetics are administed to the tonsillar region, but their effectiveness in relieving pain has not been formally assessed. OBJECTIVES: To assess the effects of pre- and post-operative local anaesthesia for pain reduction following tonsillectomy. SEARCH STRATEGY: Cochrane Controlled Trials Register, Medline (...) , Embase and the Oxford Pain Database. Reference lists from identified publications, including those in non-English language publications, were scanned. Date of the most recent search was September 1998. SELECTION CRITERIA: Randomised controlled trials of adults and/or children undergoing tonsillectomy alone with local anaesthetic (a) injected into the tonsillar region immediately prior to removal of the tonsils (b) injected into the tonsillar region after removal of the tonsils (c) sprayed

Cochrane2000

227. General versus spinal/epidural anaesthesia for surgery for hip fractures in adults.

General versus spinal/epidural anaesthesia for surgery for hip fractures in adults. BACKGROUND: The majority of hip fracture patients are treated surgically, requiring anaesthesia. OBJECTIVES: To compare different types of anaesthesia for surgical repair of hip fractures (proximal femoral fractures) in adults. This is primarily regional (spinal or epidural) anaesthesia versus inhalation general anaesthesia, but also includes ketamine anaesthesia versus inhalation general anaesthesia. SEARCH (...) STRATEGY: We searched the Cochrane Musculoskeletal Injuries Group trials register, Medline, selected orthopaedic and anaesthetic journals and conference proceedings, and reference lists of relevant articles. Date of the most recent search: August 1998. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing different methods of anaesthesia for hip fracture surgery in skeletally mature persons. Trials comparing the use of local nerve blocks are not considered in this review. Neither

Cochrane2000

228. Local versus general anaesthesia for carotid endarterectomy.

Local versus general anaesthesia for carotid endarterectomy. BACKGROUND: Carotid endarterectomy reduces the risk of stroke in people with recently symptomatic, severe carotid artery stenosis. However, there are significant perioperative risks which may be lessened by performing the operation under local rather than general anaesthetic. OBJECTIVES: The objective of this review was to assess the effect of endarterectomy under local compared with general anaesthetic. SEARCH STRATEGY: We searched (...) general anaesthetic. DATA COLLECTION AND ANALYSIS: One reviewer selected studies for inclusion and another independently checked the decisions. Two reviewers assessed trial quality and independently extracted the data. MAIN RESULTS: Three randomised trials involving 143 patients, and 17 non-randomised studies involving about 5970 patients were included. The methodological quality of the randomised trials was questionable. Two of the non-randomised studies were prospective and 12 reported

Cochrane2000

229. General versus spinal/epidural anaesthesia for surgery for hip fractures in adults.

General versus spinal/epidural anaesthesia for surgery for hip fractures in adults. BACKGROUND: The majority of hip fracture patients are treated surgically, requiring anaesthesia. OBJECTIVES: To compare different types of anaesthesia for surgical repair of hip fractures (proximal femoral fractures) in adults. This is primarily regional (spinal or epidural) anaesthesia versus inhalation general anaesthesia, but also includes ketamine anaesthesia versus inhalation general anaesthesia. SEARCH (...) STRATEGY: We searched the Cochrane Musculoskeletal Injuries Group trials register, Medline, selected orthopaedic and anaesthetic journals and conference proceedings, and reference lists of relevant articles. Date of the most recent search: August 1999. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing different methods of anaesthesia for hip fracture surgery in skeletally mature persons. Trials comparing the use of local nerve blocks are not considered in this review. Neither

Cochrane2000

230. A review of recovery from sevoflurane anaesthesia: comparisons with isoflurane and propofol including meta-analysis

A review of recovery from sevoflurane anaesthesia: comparisons with isoflurane and propofol including meta-analysis A review of recovery from sevoflurane anaesthesia: comparisons with isoflurane and propofol including meta-analysis A review of recovery from sevoflurane anaesthesia: comparisons with isoflurane and propofol including meta-analysis Robinson B J, Uhrich T D, Ebert T J Authors' objectives To compare the times of specific recovery events in adult patients anaesthetised (...) with an intravenous anaesthetic and receiving sevoflurane to similar patients receiving isoflurane or propofol for elective surgical procedures. Searching MEDLINE was searched from 1966 to July 1998 (keywords reported) to identify relevant trials published in English. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs). Specific interventions included in the review Intravenous anaesthesia using sevoflurane versus isoflurane or propofol. Participants included

DARE.1999

231. Morbidity and cost-effectiveness analysis of outpatient analgesia versus general anaesthesia for testicular sperm extraction in men with azoospermia due to defects in spermatogenesis

Morbidity and cost-effectiveness analysis of outpatient analgesia versus general anaesthesia for testicular sperm extraction in men with azoospermia due to defects in spermatogenesis Morbidity and cost-effectiveness analysis of outpatient analgesia versus general anaesthesia for testicular sperm extraction in men with azoospermia due to defects in spermatogenesis Morbidity and cost-effectiveness analysis of outpatient analgesia versus general anaesthesia for testicular sperm extraction in men (...) the analgesic technique of intravenous (i.v.) midazolam (initial dose of 2 mg) sedation and local anaesthetic with lignocaine spray, spermatic cord block with bupivacaine and scrotal infiltration with lignocaine, in men with non-obstructive azoospermia. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Patients with azoospermia due to primary gonadal failure. Setting Hospital. The economic study was carried out in Sheffield, UK. Dates to which data relate

NHS Economic Evaluation Database.1999

232. [Local anaesthesia in meatoplasty with pediculated flap, an efficient technique in the treatment of meatal stenosis]

[Local anaesthesia in meatoplasty with pediculated flap, an efficient technique in the treatment of meatal stenosis] La anestesia local en la meatoplastia con colgajo pediculado, una tecnica eficiente en el tratamiento de la estenosis de meato [Local anaesthesia in meatoplasty with pediculated flap, an efficient technique in the treatment of meatal stenosis] La anestesia local en la meatoplastia con colgajo pediculado, una tecnica eficiente en el tratamiento de la estenosis de meato [Local (...) anaesthesia in meatoplasty with pediculated flap, an efficient technique in the treatment of meatal stenosis] Marchal Escalona C, Caballero Alcantara J, Padilla Leon M, Elorza Maza I 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

NHS Economic Evaluation Database.1999

233. EEG bispectral index monitoring in sevoflurane or propofol anaesthesia: analysis of direct costs and immediate recovery

EEG bispectral index monitoring in sevoflurane or propofol anaesthesia: analysis of direct costs and immediate recovery EEG bispectral index monitoring in sevoflurane or propofol anaesthesia: analysis of direct costs and immediate recovery EEG bispectral index monitoring in sevoflurane or propofol anaesthesia: analysis of direct costs and immediate recovery Yli-Hankala A, Vakkuri A, Annila P, Korttila K 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 electroencephalogram (EEG) bispectral index (BIS) monitoring, with the aim of optimising the use of hypnotics, analgesics, neuromuscular blocking agents, and antihypertensive drugs during anaesthesia. Type of intervention Other: anaesthesia monitoring. Economic study type

NHS Economic Evaluation Database.1999

234. A multicentre comparison of the costs of anaesthesia with sevoflurane or propofol

A multicentre comparison of the costs of anaesthesia with sevoflurane or propofol A multicentre comparison of the costs of anaesthesia with sevoflurane or propofol A multicentre comparison of the costs of anaesthesia with sevoflurane or propofol Smith I, Terhoeve P A, Hennart D, Feiss P, Harmer M, Pourriat J L, Johnson I A T 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 Three strategies for day-case anaesthesia were compared. The first strategy consisted of induction of anaesthesia with intravenously (IV) administered propofol followed by IV propofol to maintain a state of anaesthesia. The second strategy induced anaesthesia with IV propofol and maintained anaesthesia with inhalation of sevoflurane. The third strategy both

NHS Economic Evaluation Database.1999

235. Cardiac arrhythmias in children during outpatient general anaesthesia for dentistry: a prospective randomised trial.

Cardiac arrhythmias in children during outpatient general anaesthesia for dentistry: a prospective randomised trial. 10584723 2000 02 29 2000 02 29 2015 06 16 0140-6736 354 9193 1999 Nov 27 Lancet (London, England) Lancet Cardiac arrhythmias in children during outpatient general anaesthesia for dentistry: a prospective randomised trial. 1864-6 Deaths in children associated with outpatient general dental anaesthesia may be attributable to sudden cardiovascular collapse precipitated (...) by ventricular arrhythmias. A causal link between halothane anaesthesia, ventricular arrhythmias, and deaths has been suggested. We did a prospective, randomised trial to investigate the frequency and character of arrhythmias during anaesthesia with halothane and the alternative anaesthetic agent, sevoflurane. 150 children, aged 3-15 years, who needed dental extraction under general anaesthesia were randomly assigned sevoflurane or halothane supplementation of 66% nitrous oxide in oxygen with spontaneous

Lancet1999

236. A qualitative systematic review of incisional local anaesthesia for postoperative pain relief after abdominal operations

A qualitative systematic review of incisional local anaesthesia for postoperative pain relief after abdominal operations A qualitative systematic review of incisional local anaesthesia for postoperative pain relief after abdominal operations A qualitative systematic review of incisional local anaesthesia for postoperative pain relief after abdominal operations Moiniche S, Mikkelsen S, Wetterslev J, Dahl J B Authors' objectives To investigate the effect of wound infiltration with local (...) anaesthesia for postoperative pain control. Searching The Cochrane Library (Issue 4, 1997) and MEDLINE (1966-1997) were searched without language restriction (search terms provided). Reference lists of retrieved reports and review articles were also searched for further references. No abstracts or unpublished observations were included. Authors were not contacted for original data. Study selection Study designs of evaluations included in the review Randomised, double-blind comparisons of local anaesthesia

DARE.1998

237. A meta-analysis of nausea and vomiting following maintenance of anaesthesia with propofol or inhalational agents

A meta-analysis of nausea and vomiting following maintenance of anaesthesia with propofol or inhalational agents A meta-analysis of nausea and vomiting following maintenance of anaesthesia with propofol or inhalational agents A meta-analysis of nausea and vomiting following maintenance of anaesthesia with propofol or inhalational agents Sneyd J R, Carr A, Byrom W D, Bilski A J Authors' objectives To investigate the incidence of post-operative nausea and vomiting following maintenance (...) of anaesthesia with propofol, compared with inhalational agents. Searching The MEDLEY database, which contains published literature on Zeneca's pharmaceutical products, was searched. Propofol was used as a major descriptor with the subheadings 'induction' or 'maintenance'; or with 'inhalational anaesthetics' as a major descriptor, with the subheadings 'induction' or 'maintenance' together with 'comparison', 'nausea' and 'vomiting'. Studies reported in any language were considered. Study selection Study

DARE.1998

238. The use of inhalation sedation and local anaesthesia as an alternative to general anaesthesia for dental extractions in children

The use of inhalation sedation and local anaesthesia as an alternative to general anaesthesia for dental extractions in children The use of inhalation sedation and local anaesthesia as an alternative to general anaesthesia for dental extractions in children The use of inhalation sedation and local anaesthesia as an alternative to general anaesthesia for dental extractions in children Blain K M, Hill F J 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 inhalation sedation and local anaesthesia for dental extractions performed in children. Type of intervention Anaesthesia. Economic study type Cost-effectiveness analysis. Study population The study population comprised children referred for exodontia. Children who were

NHS Economic Evaluation Database.1998

239. Perioperative cost-finding analysis of the routine use of intraoperative forced-air warming during general endotracheal anaesthesia

Perioperative cost-finding analysis of the routine use of intraoperative forced-air warming during general endotracheal anaesthesia Perioperative cost-finding analysis of the routine use of intraoperative forced-air warming during general endotracheal anaesthesia Perioperative cost-finding analysis of the routine use of intraoperative forced-air warming during general endotracheal anaesthesia Fleisher L A, Metzger S E, Lam J, Harris A 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 Using forced air warming (FAW) in patients at low risk for perioperative cardiac complications who were having general anaesthesia for a surgical procedure. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study

NHS Economic Evaluation Database.1998

240. Comparison of sevoflurane and propofol for ambulatory anaesthesia in gynaecological surgery

Comparison of sevoflurane and propofol for ambulatory anaesthesia in gynaecological surgery Comparison of sevoflurane and propofol for ambulatory anaesthesia in gynaecological surgery Comparison of sevoflurane and propofol for ambulatory anaesthesia in gynaecological surgery Nathan N, Peyclit A, Lahrimi A, Feiss P 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 Two methods for gynaecological ambulatory anaesthesia were compared, propofol and sevoflurane 8%. The patients were premedicated with lorazepam. They then received alfentanil prior to anaesthesia induction with propofol or with sevoflurane 8% using the single breath vital capacity technique. Anaesthesia was maintained with nitrous oxide in both groups

NHS Economic Evaluation Database.1998