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. Meta-analytic comparison of prophylactic antiemetic efficacy for postoperative nausea and vomiting: propofol anaesthesia vs omitting nitrous oxide vs total i.v. anaesthesia with propofol

Meta-analytic comparison of prophylactic antiemetic efficacy for postoperative nausea and vomiting: propofol anaesthesia vs omitting nitrous oxide vs total i.v. anaesthesia with propofol Meta-analytic comparison of prophylactic antiemetic efficacy for postoperative nausea and vomiting: propofol anaesthesia vs omitting nitrous oxide vs total i.v. anaesthesia with propofol Meta-analytic comparison of prophylactic antiemetic efficacy for postoperative nausea and vomiting: propofol anaesthesia vs (...) omitting nitrous oxide vs total i.v. anaesthesia with propofol Tramer M, Moore A, McQuay H Authors' objectives To compare the incidence of post-operative nausea and vomiting (PONV) within three different anaesthetic regimens. Searching MEDLINE was searched from 1966 to 1995. Reference lists and review articles were also scanned. Only published articles were sought, but ther were no language restrictions (see Other Publications of Related Interest). Study selection Study designs of evaluations included

DARE.1997

242. Cost-effectiveness of inhalational, balanced and total intravenous anaesthesia for ambulatory knee surgery

Cost-effectiveness of inhalational, balanced and total intravenous anaesthesia for ambulatory knee surgery Cost-effectiveness of inhalational, balanced and total intravenous anaesthesia for ambulatory knee surgery Cost-effectiveness of inhalational, balanced and total intravenous anaesthesia for ambulatory knee surgery Alhashemi J A, Miller D R, O'Brien H V, Hull K 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 Inhalation, balanced and total intravenous anaesthesia for ambulatory knee surgery. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population ASA Physical Status I-II patients undergoing arthroscopic knee surgery in an ambulatory care setting. Exclusion criteria were

NHS Economic Evaluation Database.1997

243. Pharmacoeconomics of intravenous regional anaesthesia vs general anaesthesia for outpatient hand surgery

Pharmacoeconomics of intravenous regional anaesthesia vs general anaesthesia for outpatient hand surgery Pharmacoeconomics of intravenous regional anaesthesia vs general anaesthesia for outpatient hand surgery Pharmacoeconomics of intravenous regional anaesthesia vs general anaesthesia for outpatient hand surgery Chilvers C R, Kinahan A, Vaghadia H, Merrick P M 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 Intravenous regional anaesthesia or general anaesthesia in outpatient hand surgery. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Patients undergoing hand or wrist surgery within an institutionand receiving either GA or IVRA. Setting Hospital. The economic analysis

NHS Economic Evaluation Database.1997

244. Spinal, epidural or propofol anaesthesia for out-patient knee arthroscopy

Spinal, epidural or propofol anaesthesia for out-patient knee arthroscopy Spinal, epidural or propofol anaesthesia for out-patient knee arthroscopy Spinal, epidural or propofol anaesthesia for out-patient knee arthroscopy Dahl V, Gierloff C, Omland E, Raeder J C 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 Regional versus general anaesthesia for outpatient knee arthroscopy. Type of intervention Treatment; Anaesthesia. Economic study type Cost-effectiveness analysis. Study population ASA I-II patients scheduled for elective knee arthroscopy. Setting An outpatient surgery centre. The study took place in Oslo, Norway. Dates to which data relate The time period to which the effectiveness and cost data relate was not stated

NHS Economic Evaluation Database.1997

245. Laparoscopic tubal ligation in a minimally invasive surgical unit under local anaesthesia compared to a conventional operating room approach under general anaesthesia

Laparoscopic tubal ligation in a minimally invasive surgical unit under local anaesthesia compared to a conventional operating room approach under general anaesthesia Laparoscopic tubal ligation in a minimally invasive surgical unit under local anaesthesia compared to a conventional operating room approach under general anaesthesia Laparoscopic tubal ligation in a minimally invasive surgical unit under local anaesthesia compared to a conventional operating room approach under general (...) anaesthesia Hatasaka H H, Sharp H T, Dowling D D, Teahon K, Peterson C M 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 Laparoscopic tubal ligation in a minimally invasive surgical unit under local anaesthesia. Type of intervention

NHS Economic Evaluation Database.1997

246. [Cost analysis of the combined epidural anaesthesia in comparison with general anaesthesia in coloproctology surgery]

[Cost analysis of the combined epidural anaesthesia in comparison with general anaesthesia in coloproctology surgery] Analisis de minimizacion de costes de la anestesia epidural comparada con la anestesia general en la cirugia oncologica coloproctologica [Cost analysis of the combined epidural anaesthesia in comparison with general anaesthesia in coloproctology surgery] Analisis de minimizacion de costes de la anestesia epidural comparada con la anestesia general en la cirugia oncologica (...) coloproctologica [Cost analysis of the combined epidural anaesthesia in comparison with general anaesthesia in coloproctology surgery] Sabate A, Pena M J, Vila C, Alemany O 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 two

NHS Economic Evaluation Database.1997

247. Outpatient haemorrhoidectomy under local anaesthesia

Outpatient haemorrhoidectomy under local anaesthesia Outpatient haemorrhoidectomy under local anaesthesia Outpatient haemorrhoidectomy under local anaesthesia Lacerda-Filho A, Cunha-Melo J R 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 Outpatient haemorrhoidectomy under local anaesthesia. Type of intervention Treatment; Anesthesia. Economic study type Cost-effectiveness analysis. Study population Patients undergoing haemorrhoidectomy. Setting Secondary care, outpatient and inpatient departments. The economic study was conducted in Belo Horizonte, Brazil. Dates to which data relate No dates were stated. Source of effectiveness data Effectiveness data were derived from a single study. Link between effectiveness

NHS Economic Evaluation Database.1997

248. Omitting nitrous oxide in general anaesthesia: meta-analysis of intraoperative awareness and postoperative emesis in randomized controlled trials

Omitting nitrous oxide in general anaesthesia: meta-analysis of intraoperative awareness and postoperative emesis in randomized controlled trials Omitting nitrous oxide in general anaesthesia: meta-analysis of intraoperative awareness and postoperative emesis in randomized controlled trials Omitting nitrous oxide in general anaesthesia: meta-analysis of intraoperative awareness and postoperative emesis in randomized controlled trials Tramer M, Moore A, McQuay H Authors' objectives To carry out (...) a meta-analysis of randomised controlled trials (RCTs) to test the evidence that general anaesthetics which omit nitrous oxide are associated with a decreased incidence of post-operative nausea and vomiting. Searching MEDLINE was searched from 1966 to May 1995 for articles published in any language, using the keywords 'nitrous oxide' and 'vomiting' or 'nausea'. Reference lists of retrieved articles and review articles relating to post-operative nausea and vomiting were examined. Unpublished works

DARE.1996

249. Epidural anaesthesia and spinal haematoma

Epidural anaesthesia and spinal haematoma Epidural anaesthesia and spinal haematoma Epidural anaesthesia and spinal haematoma Wulf H Authors' objectives To present a comprehensive review of case reports about haematoma formation in the spinal canal due to epidural anaesthesia. Searching MEDLINE was searched for case reports published from 1966 to 1995 using the keywords 'epidural*', 'ana(e)sthesia', 'haematoma', 'epidural' and 'ana(e)sthesia complication'. Previous reviews and relevant (...) anaesthesia journals were examined for additional cases. Study selection Study designs of evaluations included in the review Case reports with definite haematomas were included. Specific interventions included in the review The intervention was epidural anaesthesia or attempted epidural anaesthesia. Participants included in the review Patients receiving epidural anaesthesia with definite spinal haematoma (confirmed at neurosurgical intervention or autopsy) were included. Outcomes assessed in the review

DARE.1996

250. Fuzzy logic control of inspired isoflurane and oxygen concentrations using minimal flow anaesthesia

Fuzzy logic control of inspired isoflurane and oxygen concentrations using minimal flow anaesthesia Fuzzy logic control of inspired isoflurane and oxygen concentrations using minimal flow anaesthesia Fuzzy logic control of inspired isoflurane and oxygen concentrations using minimal flow anaesthesia Curatolo M, Derighetti M, Petersen-Felix S, Feigenwinter P, Fischer M, Zbinden A M 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 Fuzzy logic control of inspired isoflurane and oxygen concentrations in minimal flow general anaesthesia. Type of intervention Anaesthesia. Economic study type Cost-effectiveness analysis. Study population Patients undergoing discectomy for lumbar or cervical disc herniation for which general

NHS Economic Evaluation Database.1996

251. Cost analysis of propofol versus thiopental induction anaesthesia in outpatient laparoscopic gynaecologic surgery

Cost analysis of propofol versus thiopental induction anaesthesia in outpatient laparoscopic gynaecologic surgery Cost analysis of propofol versus thiopental induction anaesthesia in outpatient laparoscopic gynaecologic surgery Cost analysis of propofol versus thiopental induction anaesthesia in outpatient laparoscopic gynaecologic surgery Wagner B K, O'Hara D 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 Use of Propofol and Thiopental anaesthesia in outpatient laparoscopic gynaecologic surgery. Type of intervention Anaesthetic. Economic study type Cost-effectiveness analysis. Study population Patients who underwent laparoscopic gynaecologic surgery. Setting Hospital. The economic study took place in New Jersey, USA

NHS Economic Evaluation Database.1995

252. Prevention of atelectasis during general anaesthesia.

Prevention of atelectasis during general anaesthesia. 7760608 1995 06 29 1995 06 29 2016 11 23 0140-6736 345 8962 1995 Jun 03 Lancet (London, England) Lancet Prevention of atelectasis during general anaesthesia. 1387-91 Atelectasis is an important cause of impaired gas exchange during general anaesthesia; it causes pulmonary shunting. We studied the effects of gas composition on the formation of atelectasis and on gas exchange during the induction of general anaesthesia. In 12 adult patients (...) , the lungs were ventilated with 30% oxygen in nitrogen during anaesthesia induction, and in another 12, a conventional technique was used (100% oxygen during induction and 40% oxygen in nitrogen thereafter). Extent of atelectasis was estimated by computed tomography and the ventilation-perfusion relation (VA/Q) by the multiple inert gas elimination technique. After anaesthesia induction, there was little atelectasis in the 30% oxygen group (mean 0.2 [SD 0.4] cm2) and a significantly greater amount (4.2

Lancet1995

253. Incidence and clinical importance of perioperative histamine release: randomised study of volume loading and antihistamines after induction of anaesthesia. Trial Group Mainz/Marburg.

Incidence and clinical importance of perioperative histamine release: randomised study of volume loading and antihistamines after induction of anaesthesia. Trial Group Mainz/Marburg. 7512679 1994 05 17 1994 05 17 2015 06 16 0140-6736 343 8903 1994 Apr 16 Lancet (London, England) Lancet Incidence and clinical importance of perioperative histamine release: randomised study of volume loading and antihistamines after induction of anaesthesia. Trial Group Mainz/Marburg. 933-40 Although histamine (...) release is recognised as a common event during anaesthesia and surgery, few clinicians judge the resultant cardiorespiratory disturbances serious enough to warrant prophylaxis with antihistamines. We have assessed the incidence and importance of histamine release in a randomised 2 x 2 factorial study. 240 patients representing a routine throughput of major general surgery were studied during a standardised induction of anaesthesia and preoperative loading of the circulation with either Ringer solution

Lancet1994

254. Cognitive and functional competence after anaesthesia in patients aged over 60: controlled trial of general and regional anaesthesia for elective hip or knee replacement.

Cognitive and functional competence after anaesthesia in patients aged over 60: controlled trial of general and regional anaesthesia for elective hip or knee replacement. 2390547 1990 09 28 1990 09 28 2017 02 19 0959-8138 300 6741 1990 Jun 30 BMJ (Clinical research ed.) BMJ Cognitive and functional competence after anaesthesia in patients aged over 60: controlled trial of general and regional anaesthesia for elective hip or knee replacement. 1683-7 To determine the influence of general (...) or regional anaesthesia on long term mental function in elderly patients. Prospective study of patients randomly allocated to receive general or regional anaesthesia. The patients' homes and a large teaching hospital in Cardiff. 146 Patients aged 60 and over scheduled for elective hip or knee replacement. Scores achieved in tests of cognitive function and functional competence. 72 Patients were allocated to receive general anaesthesia and 74 regional anaesthesia. Anaesthetic technique did not influence

BMJ1990 Full Text: Link to full Text with Trip Pro

255. Improved recovery and reduced postoperative stay after therapeutic suggestions during general anaesthesia.

Improved recovery and reduced postoperative stay after therapeutic suggestions during general anaesthesia. 2900410 1988 09 22 1988 09 22 2016 11 22 0140-6736 2 8609 1988 Aug 27 Lancet (London, England) Lancet Improved recovery and reduced postoperative stay after therapeutic suggestions during general anaesthesia. 491-3 The clinical value of therapeutic suggestions during general anaesthesia was assessed in a double-blind randomised placebo-controlled study. 39 unselected patients were (...) played an instruction tape. Evans C C Department of Academic Psychiatry, United Medical School, Guy's Hospital, London. Richardson P H PH eng 057434 Wellcome Trust United Kingdom Clinical Trial Journal Article Randomized Controlled Trial England Lancet 2985213R 0140-6736 AIM IM Anaesthesia. 1987 Jun;42(6):596-603 3618993 Pac Med Surg. 1966 Nov-Dec;74(6):297-300 5979496 Can Anaesth Soc J. 1972 Mar;19(2):173-83 5029471 Anesth Analg. 1973 Jan-Feb;52(1):128-32 4734291 Anesth Analg. 1974 Jul-Aug;53(4):488

Lancet1988 Full Text: Link to full Text with Trip Pro

256. Randomised trial of fentanyl anaesthesia in preterm babies undergoing surgery: effects on the stress response.

Randomised trial of fentanyl anaesthesia in preterm babies undergoing surgery: effects on the stress response. 2879174 1987 02 11 1987 02 11 2015 06 16 0140-6736 1 8524 1987 Jan 10 Lancet (London, England) Lancet Randomised trial of fentanyl anaesthesia in preterm babies undergoing surgery: effects on the stress response. 62-6 In a randomised controlled trial, preterm babies undergoing ligation of a patent ductus arteriosus were given nitrous oxide and d-tubocurarine, with (n = 8) or without (n (...) = 8) the addition of fentanyl (10 micrograms/kg intravenously) to the anaesthetic regimen. Major hormonal responses to surgery, as indicated by changes in plasma adrenaline, noradrenaline, glucagon, aldosterone, corticosterone, 11-deoxycorticosterone, and 11-deoxycortisol levels, in the insulin/glucagon, molar ratio, and in blood glucose, lactate, and pyruvate concentrations were significantly greater in the non-fentanyl than in the fentanyl group. The urinary 3-methylhistidine/creatinine ratios

Lancet1987

257. Randomised trial of fentanyl anaesthesia in preterm babies undergoing surgery: effects on the stress response.

Randomised trial of fentanyl anaesthesia in preterm babies undergoing surgery: effects on the stress response. 20928962 2010 10 07 2010 10 12 2015 06 16 0140-6736 1 8527 1987 Jan 31 Lancet (London, England) Lancet Randomised trial of fentanyl anaesthesia in preterm babies undergoing surgery: effects on the stress response. 243-8 In a randomised controlled trial, preterm babies undergoing ligation of a patent ductus arteriosus were given nitrous oxide and d-tubocurarine, with (n = 8) or without (...) (n = 8) the addition of fentanyl (10 micrograms/kg intravenously) to the anaesthetic regimen. Major hormonal responses to surgery, as indicated by changes in plasma adrenaline, noradrenaline, glucagon, aldosterone, corticosterone, 11-deoxycorticosterone, and 11-deoxycortisol levels, in the insulin/glucagon, molar ratio, and in blood glucose, lactate, and pyruvate concentrations were significantly greater in the non-fentanyl than in the fentanyl group. The urinary 3-methylhistidine/creatinine

Lancet1987

258. Hepatic glutathione S-transferase release after halothane anaesthesia: open randomised comparison with isoflurane.

Hepatic glutathione S-transferase release after halothane anaesthesia: open randomised comparison with isoflurane. 2882183 1987 05 14 1987 05 14 2016 11 23 0140-6736 1 8536 1987 Apr 04 Lancet (London, England) Lancet Hepatic glutathione S-transferase release after halothane anaesthesia: open randomised comparison with isoflurane. 771-4 Plasma concentrations of hepatic glutathione S-transferase (GST) are a more sensitive measure of acute hepatic damage than aminotransferase activity. Plasma GST (...) concentrations have been measured by radioimmunoassay in an open randomised study after halothane or isoflurane anaesthesia. The concentration of GST was significantly increased after anaesthesia in patients who received halothane in 30% oxygen/70% nitrous oxide (n = 37) and in patients who received halothane in 100% oxygen (n = 17). The frequency of abnormal GST concentrations, defined as 4 micrograms/l or more, was 35% and 24%, respectively. GST concentrations usually reached a peak 3-6 h after the end

Lancet1987