Latest & greatest articles for anaesthesia

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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

241. Intraoperative local anaesthesia for reduction of postoperative pain following general anaesthesia for dental treatment in children and adolescents. Full Text available with Trip Pro

Intraoperative local anaesthesia for reduction of postoperative pain following general anaesthesia for dental treatment in children and adolescents. Whilst carrying out dental procedures under general anaesthesia (GA), practitioners routinely give local anaesthetics (LA) intraoperatively to children. Local anaesthetics are used to help manage postoperative pain and reduce bleeding and the physiological response to procedures. Studies of effectiveness of intraoperative LA to date have reported (...) anaesthesia for dental treatment of children and young people aged 17 years or younger.We used standard methodological procedures expected by The Cochrane Collaboration. We performed data extraction and assessment of risk of bias independently and in duplicate. We contacted authors to clarify omissions in trial reports. In the 'Summary of findings' tables, we elected to report the outcomes pain, distress, postoperative bleeding, and physiological parameters related to the general anaesthetic, as we

2014 Cochrane

242. Out of Hours Activity (Anaesthesia)

Contributions were received from: Dr Andrew Hartle, Dr Peter McGuire, Dr Felicity Plaat, Dr Samantha Shinde, Dr Sean Tighe, Dr Isabeau Walker The Joint Position Statement was reviewed by the Council of AAGBI and RCoA prior to publication. References 1. Folkard S,Tucker P. Shift work, safety and productivity Occupational Medicine 2003; 53; 95 -101. 2. Howard SK, Rosekind MR et al. Fatigue in anaesthesia. Anesthesiology 2002; 97; 1281 -1294. 3. Fatigue and Anaesthetists 2014. http://www.aagbi.org/sites (...) Out of Hours Activity (Anaesthesia) Out of Hours Activity (Anaesthesia) Guiding Principles and Recommendations JOINT POSITION STATEMENT Association of Anaesthetists of Great Britain and Ireland and Royal College of Anaesthetists October 2014 1Definitions The times that can be considered to be “out of hours” (OOH) may be defined contractually or by reference to published national standards. In the current Consultant Contracts for England and Wales, OOH is defined by the concept of “premium time

2014 Association of Anaesthetists of GB and Ireland

243. Postoperative Pain and Preemptive Local Anesthetic Infiltration in Hallux Valgus Surgery (Abstract)

Postoperative Pain and Preemptive Local Anesthetic Infiltration in Hallux Valgus Surgery Several techniques of anesthesia are used in foot surgery. Preemptive analgesia helps to prevent the development of hypersensitivity in the perioperative period. The aim of our study was to assess the role of preemptive local anesthetic infiltration and postoperative pain after hallux valgus surgery.We evaluated 118 patients who underwent modified chevron and mini-invasive Mitchell-Kramer bunionectomy (...) of the first distal metatarsal. After spinal anesthesia each patient randomly received an infiltration of local anesthetic or the same amount of normal saline 10 minutes before the skin incision. We measured the intensity of pain 4, 8, 12, 16, 24, and 72 hours after the release of the tourniquet using a visual analogue scale (VAS). Rescue analgesia and all other side effects were noted.Preemptive analgesia resulted in less pain during the first 24 hours after surgery. The decrease of VAS score

2014 EvidenceUpdates

244. Tetracaine idocaine (Pliaglis) - local dermal anaesthesia

Tetracaine idocaine (Pliaglis) - local dermal anaesthesia Published 13 October 2014 Statement of Advice: tetracaine / lidocaine (Pliaglis 70 mg/g + 70 mg/g cream ® ) (No: 1000/14) Galderma (UK) Ltd 08 August 2014 ADVICE: in the absence of a submission from the holder of the marketing authorisation tetracaine / lidocaine (Pliaglis ® ) is not recommended for use within NHS Scotland. Indication under review: local dermal anaesthesia on intact skin prior to dermatological procedures in adults

2014 Scottish Medicines Consortium

245. Physician anaesthetists versus non-physician providers of anaesthesia for surgical patients. Full Text available with Trip Pro

Physician anaesthetists versus non-physician providers of anaesthesia for surgical patients. With increasing demand for surgery, pressure on healthcare providers to reduce costs, and a predicted shortfall in the number of medically qualified anaesthetists it is important to consider whether non-physician anaesthetists (NPAs), who do not have a medical qualification, are able to provide equivalent anaesthetic services to medically qualified anaesthesia providers.To assess the safety (...) and effectiveness of different anaesthetic providers for patients undergoing surgical procedures under general, regional or epidural anaesthesia. We planned to consider results from studies across countries worldwide (including developed and developing countries).We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE and CINAHL on 13 February 2014. Our search terms were relevant to the review question and not limited by study design or outcomes. We also carried out searches

2014 Cochrane

246. Comparative safety of anesthetic type for hip fracture surgery in adults: retrospective cohort study. Full Text available with Trip Pro

Comparative safety of anesthetic type for hip fracture surgery in adults: retrospective cohort study. To evaluate the effect of anesthesia type on the risk of in-hospital mortality among adults undergoing hip fracture surgery in the United States.Retrospective cohort study.Premier research database, United States.73,284 adults undergoing hip fracture surgery on hospital day 2 or greater between 2007 and 2011. Of those, 61,554 (84.0%) received general anesthesia, 6939 (9.5%) regional anesthesia (...) , and 4791 (6.5%) combined general and regional anesthesia.In-hospital all cause mortality.In-hospital deaths occurred in 1362 (2.2%) patients receiving general anesthesia, 144 (2.1%) receiving regional anesthesia, and 115 (2.4%) receiving combined anesthesia. In the multivariable adjusted analysis, when compared with general anesthesia the mortality risk did not differ significantly between regional anesthesia (risk ratio 0.93, 95% confidence interval 0.78 to 1.11) or combined anesthesia (1.00, 0.82

2014 BMJ

247. Anesthesia technique, mortality, and length of stay after hip fracture surgery. Full Text available with Trip Pro

Anesthesia technique, mortality, and length of stay after hip fracture surgery. More than 300,000 hip fractures occur each year in the United States. Recent practice guidelines have advocated greater use of regional anesthesia for hip fracture surgery.To test the association of regional (ie, spinal or epidural) anesthesia vs general anesthesia with 30-day mortality and hospital length of stay after hip fracture.We conducted a matched retrospective cohort study involving patients 50 years (...) or older who were undergoing surgery for hip fracture at general acute care hospitals in New York State between July 1, 2004, and December 31, 2011. Our main analysis was a near-far instrumental variable match that paired patients who lived at different distances from hospitals that specialized in regional or general anesthesia. Supplementary analyses included a within-hospital match that paired patients within the same hospital and an across-hospital match that paired patients at different

2014 JAMA

248. Needle Fractures During Local Anesthetic Delivery for Dental Procedures is a Rare Occurrence

to have the fragment surgically removed under general anesthesia using multi-plane x-rays or fluoroscopy. jada.ada.org/content/130/5/685.long Specialty/Discipline (Endodontics) (General Dentistry) (Oral Surgery) (Pediatric Dentistry) (Periodontics) (Prosthodontics) (Restorative Dentistry) (Dental Hygiene) Keywords Needle fractures, Breaking needles, dental local anesthetics ID# 2710 Date of submission: 05/05/2014 E-mail eric.mediavilla@ucdenver.edu Author Eric Mediavilla, DDS Co-author(s) Co-author(s (...) Needle Fractures During Local Anesthetic Delivery for Dental Procedures is a Rare Occurrence UTCAT2710, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Needle Fractures During Local Anesthetic Delivery for Dental Procedures is a Rare Occurrence Clinical Question What is the incidence of needle fracture during dental nerve blocks? Clinical Bottom Line The frequency of needle breakage during dental nerve blocks is rare

2014 UTHSCSA Dental School CAT Library

249. Effectiveness of an Audiovisual Video Eyeglass Distraction Technique on Pain Associated with Injection of Local Anesthesia for Children

Effectiveness of an Audiovisual Video Eyeglass Distraction Technique on Pain Associated with Injection of Local Anesthesia for Children UTCAT2724, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Effectiveness of an Audiovisual Video Eyeglass Distraction Technique on Pain Associated with Injection of Local Anesthesia for Children Clinical Question In dental restorative procedures on children ages 4 to 7, how effective (...) is an audiovisual video eyeglass distraction technique during dental treatment compared to no attempted distraction in alleviating an unpleasant or distressing stimulus arising during dental restorative procedures? Clinical Bottom Line There is a significant advantage to utilizing an audiovisual video eyeglass distraction technique to reduce pain associated with injections of local anesthetic compared to no therapy at all when working with pediatric patients ages 4 to 7 with baseline levels of anxiety. Best

2014 UTHSCSA Dental School CAT Library

250. Supplemental Intraosseous Anesthesia Improves the Success Rate of Inferior Alveolar Nerve Blocks in Molars with Irreversible Pulpitis.

molars, does the supplemental intraosseous anesthesia provide a superior clinical success rate compared to an inferior alveolar nerve block alone? Clinical Bottom Line In cases with patients being treated for irreversible pulpitis, a supplemental delivery of local anesthetic by means of intraosseous injection following an initial inferior alveolar nerve block aids in achieving successful pain free treatment. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author (...) intraosseous[All Fields] AND ("anaesthesia"[All Fields] OR "anesthesia"[MeSH Terms] OR "anesthesia"[All Fields]) ; supplemental[All Fields] AND intraosseous[All Fields] AND ("anaesthesia"[All Fields] OR "anesthesia"[MeSH Terms] OR "anesthesia"[All Fields]) Comments on The Evidence Validity: The sample sizes of the listed studies were relatively small, but each study was well-designed. The studies had a greater than 80% completion rate. Patients were enrolled in the study following a strict inclusion

2014 UTHSCSA Dental School CAT Library

251. The cost-effectiveness of clinic-based chloral hydrate sedation versus general anaesthesia for paediatric ophthalmological procedures

The cost-effectiveness of clinic-based chloral hydrate sedation versus general anaesthesia for paediatric ophthalmological procedures The cost-effectiveness of clinic-based chloral hydrate sedation versus general anaesthesia for paediatric ophthalmological procedures The cost-effectiveness of clinic-based chloral hydrate sedation versus general anaesthesia for paediatric ophthalmological procedures Burnett H, Lambley R, West S, Ungar WJ, Mireskandari K Record Status This is a bibliographic (...) record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Burnett H, Lambley R, West S, Ungar WJ, Mireskandari K. The cost-effectiveness of clinic-based chloral hydrate sedation versus general anaesthesia for paediatric ophthalmological procedures. Toronto: Technology Assessment at SickKids (TASK). 2014 Authors' objectives The primary objective was to determine the incremental cost of paediatric eye examinations

2014 Health Technology Assessment (HTA) Database.

252. Systematic review and meta-analysis of continuous local anaesthetic wound infiltration versus epidural analgesia for postoperative pain following abdominal surgery

Ventham NT, Hughes M, O'Neill S, Johns N, Brady RR, Wigmore SJ. Systematic review and meta-analysis of continuous local anaesthetic wound infiltration versus epidural analgesia for postoperative pain following abdominal surgery. British Journal of Surgery 2013; 100(10): 1280-1289 PubMedID Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Abdomen /surgery; Analgesia, Epidural; Anesthetics, Local /administration & Humans; Pain, Postoperative /drug therapy /prevention & Randomized (...) Systematic review and meta-analysis of continuous local anaesthetic wound infiltration versus epidural analgesia for postoperative pain following abdominal surgery Systematic review and meta-analysis of continuous local anaesthetic wound infiltration versus epidural analgesia for postoperative pain following abdominal surgery Systematic review and meta-analysis of continuous local anaesthetic wound infiltration versus epidural analgesia for postoperative pain following abdominal surgery Ventham

2014 DARE.

253. Epinephrine Use With Local Anesthesia in Post Myocardial Infarction Patients

the previous 3 months). Cohort Study Key results In this study there was no chest pain, arrhythmias, occurrence or worsening of left ventricular segmental hypocontractility or mitral regurgitation observed. The study concluded that: “dental extraction performed under anesthesia with 1:100,000 epinephrine does not imply additional ischemic risks, as long as performed with good anesthetic technique and maintenance of the pharmacological treatment prescribed by the cardiologist.” #2) Cintron/1986 Forty male (...) Epinephrine Use With Local Anesthesia in Post Myocardial Infarction Patients UTCAT2664, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Epinephrine Use With Local Anesthesia in Post Myocardial Infarction Patients Clinical Question In a patient who has had a MI, how long after their cardiac event is it safe to use standard levels of epinephrine in local anesthesia? Clinical Bottom Line There is no clearly specific

2014 UTHSCSA Dental School CAT Library

254. Anesthetics influence the incidence of acute kidney injury following valvular heart surgery Full Text available with Trip Pro

Anesthetics influence the incidence of acute kidney injury following valvular heart surgery Propofol has been shown to provide protection against renal ischemia/reperfusion injury experimentally, but clinical evidence is lacking. Here we studied the effect of propofol anesthesia on the occurrence of acute kidney injury following heart surgery with cardiopulmonary bypass. One hundred and twelve patients who underwent valvular heart surgery were randomized to receive either propofol (...) or sevoflurane anesthesia, both with sufentanil. Using Acute Kidney Injury Network criteria, significantly fewer patients developed acute kidney injury postoperatively in the propofol group compared with the sevoflurane group (6 compared with 21 patients). The incidence of severe renal dysfunction was significantly higher in the sevoflurane group compared with the propofol group (5 compared with none). The postoperative cystatin C was significantly lower in the propofol group at 24 and 48 h. Serum

2014 EvidenceUpdates Controlled trial quality: uncertain

255. Anesthetic Success Rate is Highest Using the Gow-Gates Mandibular Conduction Block in Terms of Alleviating Patient Dental Pain

the procedure, was significantly less with Gow-Gates technique than conventional inferior alveolar nerve block. However, the pain that occurred was during the reflection of the buccal mucoperiosteal flap. For the 78% of patients who received successful buccal nerve anesthesia with Gow-Gates, there was no statistical significance in anesthetic quality between the two groups. Two patients required a second Gow-Gates injection before onset of surgery, while eleven patients required a second conventional (...) Anesthetic Success Rate is Highest Using the Gow-Gates Mandibular Conduction Block in Terms of Alleviating Patient Dental Pain UTCAT2639, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Anesthetic Success Rate is Highest Using the Gow-Gates Mandibular Conduction Block in Terms of Alleviating Patient Dental Pain Clinical Question For patients experiencing dental pain, is anesthetic success higher with Gow-Gates

2014 UTHSCSA Dental School CAT Library

256. Administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery: clinical effectiveness, cost-effectiveness, and guidelines

- Summary of Abstracts. 2013 Authors' conclusions One non-randomized study and one evidence-based guideline were identified regarding the administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Anesthesiology; Anesthetics, Local; Cataract Extraction; Delivery of Health Care; Humans; Nurse Anesthetists Language Published English Country of organisation Canada Province (...) Administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery: clinical effectiveness, cost-effectiveness, and guidelines Administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery: clinical effectiveness, cost-effectiveness, and guidelines Administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery: clinical effectiveness, cost

2014 Health Technology Assessment (HTA) Database.

257. Anaesthetic regimens for day-procedure laparoscopic cholecystectomy. (Abstract)

Anaesthetic regimens for day-procedure laparoscopic cholecystectomy. Day surgery involves admission of selected patients to hospital for a planned surgical procedure with the patients returning home on the same day. An anaesthetic regimen usually involves a combination of an anxiolytic, an induction agent, a maintenance agent, a method of maintaining the airway (laryngeal mask versus endotracheal intubation), and a muscle relaxant. The effect of anaesthesia may continue after the completion (...) of surgery and can delay discharge. Various regimens of anaesthesia have been suggested for day-procedure laparoscopic cholecystectomy.To compare the benefits and harms of different anaesthetic regimens (risks of mortality and morbidity, measures of recovery after surgery) in patients undergoing day-procedure laparoscopic cholecystectomy.We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library (Issue 10, 2013), MEDLINE (PubMed) (1987 to November 2013), EMBASE

2014 Cochrane

258. Tracheal intubation with a flexible intubation scope versus other intubation techniques for obese patients requiring general anaesthesia. (Abstract)

Tracheal intubation with a flexible intubation scope versus other intubation techniques for obese patients requiring general anaesthesia. The prevalence of obesity (body mass index (BMI) > 30 kg/m(2)) is increasing in both developed and developing countries, leading to a rise in the numbers of obese patients requiring general anaesthesia. Obese patients are at increased risk of anaesthetic complications, and tracheal intubation can be more difficult. Flexible intubation scopes (FISs

2014 Cochrane

259. End-tidal Control software for use with Aisys closed circuit anaesthesia systems for automated gas control during general anaesthesia

, but was quicker to maintain steady concentrations. The service evaluation reported that the average fresh gas flow using End-tidal Control decreased significantly with increased duration of anaesthesia, resulting in reduced anaesthetic use. Adv Adverse e erse ev vents and safety ents and safety One observational study (n=80) reported that there were no complications associated with End-tidal Control. Four studies did not report on adverse events or safety. Of the 5 reviewed studies, only the randomised trial (...) recorded depth of anaesthesia. However, this was used as an exclusion criterion and not as an outcome measure. The audit study survey reported some issues for concern, including difficulty in changing the anaesthetic agent during surgery (not usually done during anaesthesia) and poor performance with circuit leaks. End-tidal Control software for use with Aisys closed circuit anaesthesia systems for automated gas control during general anaesthesia (MIB10) © NICE 2018. All rights reserved. Subject

2014 National Institute for Health and Clinical Excellence - Advice

260. Guidance on the provision of anaesthesia services for pre-operative assessment and preparation 2014

Guidance on the provision of anaesthesia services for pre-operative assessment and preparation 2014 Document Store | The Royal College of Anaesthetists User menu Search Document Store This page displays listings of ALL publications added to the site. You can narrow down the list by entering keywords in the 'Search' field, and selecting 'Apply'. To filter the publications by section, tick the check-boxes of the desired sections, and select 'Apply'. You can set the ordering of the results

2014 Royal College of Anaesthetists