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

321. Blood transfusion in cardiac surgery--does the choice of anesthesia or type of surgery matter? (Abstract)

Blood transfusion in cardiac surgery--does the choice of anesthesia or type of surgery matter? In spite of the evidence suggesting a significant morbidity associated with blood transfusions, the use of blood and blood products remain high in cardiac surgery. To successfully minimize the need for blood transfusion, a systematic approach is needed. The aim of this study was to investigate the influence of different anesthetic techniques, general vs combine epidural and general anesthesia, as well (...) as different surgery strategies, on-pump vs off-pump, on postoperative bleeding complications and the need for blood transfusions during perioperative period.Eighty-two consecutive patients scheduled for coronary artery bypass surgery were randomized according to surgical and anesthetic techniques into 4 different groups: group 1 (patients operated on off-pump, under general anesthesia); group 2 (patients operated on off-pump, with combined general and high thoracic epidural anesthesia); group 3 (patients

2013 Vojnosanitetski pregled Controlled trial quality: uncertain

322. Effects of continuous epidural anesthesia and postoperative epidural analgesia on pain management and stress response in patients undergoing major spinal surgery (Abstract)

Effects of continuous epidural anesthesia and postoperative epidural analgesia on pain management and stress response in patients undergoing major spinal surgery A prospective, randomized study was used to compare 2 anesthesia/analgesia methods for reconstructive spine surgery.To assess the efficacy and influence of 2 anesthetic methods on clinical outcome and stress response during reconstructive spine surgery.Pain control is an important goal of the postoperative care after spinal surgery (...) . Some prior studies have suggested that epidural anesthesia with or without postoperative epidural analgesia may blunt the surgical stress response after major surgery. This treatment approach has not been fully investigated for patients undergoing major spinal surgery. We hypothesized that the stress response after major spine surgery would be attenuated by continuous epidural anesthesia/analgesia with ropivacaine, fentanyl, and epinephrine.Eighty-five patients were randomly allocated to 2 groups

2013 EvidenceUpdates Controlled trial quality: uncertain

323. Infraclavicular brachial plexus block for regional anaesthesia of the lower arm. (Abstract)

Infraclavicular brachial plexus block for regional anaesthesia of the lower arm. Several approaches exist to produce local anaesthetic blockade of the brachial plexus. It is not clear which is the technique of choice for providing surgical anaesthesia of the lower arm, although infraclavicular blockade (ICB) has several purported advantages. We therefore performed a systematic review of ICB compared to the other brachial plexus blocks (BPBs). This review was originally published in 2010 (...) ) and the www.clinicaltrials.gov trials registry. The searches for the original review were performed in September 2008.We included any randomized controlled trials (RCTs) that compared ICB with other BPBs as the sole anaesthetic technique for surgery on the lower arm.The primary outcome was adequate surgical anaesthesia within 30 minutes of block completion. Secondary outcomes included sensory block of individual nerves, tourniquet pain, onset time of sensory blockade, block performance time, block-associated pain

2013 Cochrane

324. Local anaesthetic sympathetic blockade for complex regional pain syndrome. Full Text available with Trip Pro

Local anaesthetic sympathetic blockade for complex regional pain syndrome. This is an update of the original Cochrane review published in The Cochrane Library, 2005, Issue 4, on local anaesthetic blockade (LASB) of the sympathetic chain used to treat complex regional pain syndrome (CRPS).To assess the efficacy of LASB for the treatment of pain in CRPS and to evaluate the incidence of adverse effects of the procedure.We updated searches of the Cochrane Pain, Palliative and Supportive Care Group (...) controlled trials (RCTs) that evaluated the effect of sympathetic blockade with local anaesthetics in children or adults with CRPS.The outcomes of interest were reduction in pain intensity levels, the proportion who achieved moderate or substantial pain relief, the duration of pain relief, and the presence of adverse effects in each treatment arm.We included an additional 10 studies (combined n = 363) in this update. Overall we include 12 studies (combined n = 386). All included studies were assessed

2013 Cochrane

325. Obstetric Anaesthetic Services

suite 24 hours a day. 2. There must be a nominated consultant in charge of obstetric anaesthesia with time allocated for this role. 3. There should be a clear line of communication from the duty anaesthetist to the supervising consultant at all times. 4. The workload of the obstetric anaesthetist continues to increase. As a basic minimum there must be 12 consultant sessions per week to cover emergency work on delivery suite. 5. Scheduled obstetric anaesthetic activities (e.g. elective caesarean (...) (increased maternal co-morbidities such as obesity, increased maternal age, increased assisted conception, increasing immigrant population) • Does not take account of the impact of the changes to training in anaesthesia (in particular the effect of the European Working Time Regulations on training, associated paperwork and reduced trainee numbers) • Does not reflect the increased demand for the delivery of additional anaesthetic services such as anaesthetic clinics, maternity high dependency units (HDUs

2013 Association of Anaesthetists of GB and Ireland

326. Local anaesthetics in intraosseous access

Local anaesthetics in intraosseous access BestBets: Local anaesthetics in intraosseous access Local anaesthetics in intraosseous access Report By: Michael Stewart - St5 Emergency Medicine Search checked by Shelley Regan - St5 Emergency Medicine Institution: Blackpool Victoria Hospital, Blackpool, UK Date Submitted: 24th July 2013 Last Modified: 24th July 2013 Status: Green (complete) Three Part Question In [conscious adults receiving drugs or fluids via the intraosseous route] is [an initial (...) flush with local anaesthetic or with saline] more effective at [reducing pain]? Clinical Scenario Having been unable to obtain intravenous access you have just placed an intraosseous needle in a 30-year-old intravenous drug user who has attended the emergency department with a Glasgow coma scale score of 6, pinpoint pupils and respiratory rate of 3 following an opiate overdose. You are about to inject lidocaine to reduce the pain of the infusion when a passing colleague suggests that it is a waste

2013 BestBETS

327. Neuraxial anaesthesia for lower-limb revascularization. (Abstract)

Neuraxial anaesthesia for lower-limb revascularization. Lower-limb revascularization is a surgical procedure that is performed to restore an adequate blood supply to the limbs. Lower-limb revascularization surgery is used to reduce pain and sometimes to improve lower-limb function. Neuraxial anaesthesia is an anaesthetic technique that uses local anaesthetics next to the spinal cord to block nerve function. Neuraxial anaesthesia may lead to improved survival. This systematic review (...) ; 696 participants; four trials), and lower-limb amputation (OR 0.84, 95% CI 0.38 to 1.84; 465 participants; three trials). Pneumonia was less common after neuraxial anaesthesia than after general anaesthesia (OR 0.37, 95% CI 0.15 to 0.89; 201 participants; two trials). Evidence was insufficient for cerebral stroke, duration of hospital stay, postoperative cognitive dysfunction, complications in the anaesthetic recovery room and transfusion requirements. No data described nerve dysfunction

2013 Cochrane

328. Intravenous versus inhalation anaesthesia for one-lung ventilation. Full Text available with Trip Pro

Intravenous versus inhalation anaesthesia for one-lung ventilation. This is an update of a Cochrane Review first published in The Cochrane Library, Issue 2, 2008.The technique called one-lung ventilation can confine bleeding or infection to one lung, prevent rupture of a lung cyst or, more commonly, facilitate surgical exposure of the unventilated lung. During one-lung ventilation, anaesthesia is maintained either by delivering an inhalation anaesthetic to the ventilated lung or by infusing (...) an intravenous anaesthetic. It is possible that the method chosen to maintain anaesthesia may affect patient outcomes. Inhalation anaesthetics may impair hypoxic pulmonary vasoconstriction (HPV) and increase intrapulmonary shunt and hypoxaemia.The objective of this review was to evaluate the effectiveness and safety of intravenous versus inhalation anaesthesia for one-lung ventilation.We searched the Cochrane Central Register of Controlled Trials (CENTRAL); The Cochrane Library (2012, Issue 11); MEDLINE

2013 Cochrane

329. A comparative evaluation of local application of the combination of eutectic mixture of local anesthetics and capsaicin for attenuation of venipuncture pain (Abstract)

A comparative evaluation of local application of the combination of eutectic mixture of local anesthetics and capsaicin for attenuation of venipuncture pain Topical capsaicin and eutectic mixture of local anesthetics (EMLA) have been found to be equally effective in minimizing the pain of venipuncture. After the injection of capsaicin, both tertiary amine local anesthetics and their quaternary ammonium derivatives can elicit a prolonged and predominantly sensory/nociceptor selective block. We

2013 EvidenceUpdates Controlled trial quality: uncertain

330. Combination of a reduced dose of an intrathecal local anesthetic with a small dose of an opioid: a meta-analysis of randomized trials Full Text available with Trip Pro

Combination of a reduced dose of an intrathecal local anesthetic with a small dose of an opioid: a meta-analysis of randomized trials We tested whether the combination of a reduced dose of a local anesthetic (LA) with an opioid compared with a standard dose of the same LA alone guaranteed adequate intraoperative anesthesia and postoperative analgesia and decreased LA-related adverse effects. We systematically searched (to November 2012) for randomized comparisons of combinations of a reduced (...) dose of an LA with a concomitant opioid (experimental) with a standard dose of the LA alone (control) in adults undergoing surgery with single-injection intrathecal anesthesia without general anesthesia. We included 28 trials (1393 patients). In experimental groups, the median decrease in LA doses was 40% (range, 12%-70%). There was no difference between experimental and control groups in the need for intraoperative opioids or general anesthesia for failed block or in the duration of postoperative

2013 EvidenceUpdates

331. Supplemental oxygen for caesarean section during regional anaesthesia. (Abstract)

Supplemental oxygen for caesarean section during regional anaesthesia. Supplementary oxygen is routinely administered to low-risk pregnant women during an elective caesarean section under regional anaesthesia; however, maternal and foetal outcomes have not been well established.The primary objective was to determine whether supplementary oxygen given to low-risk term pregnant women undergoing elective caesarean section under regional anaesthesia can prevent maternal and neonatal desaturation (...) under regional anaesthesia and compared outcomes with, and without, oxygen supplementation.Two review authors independently extracted data, assessed methodological quality and performed subgroup and sensitivity analyses.We included 10 trials with a total of 683 participants. Supplementary oxygen administration varied widely in dose and duration between trials. No cases of maternal desaturation were reported, although none of the 10 trials focused on maternal desaturation. Significant differences

2013 Cochrane

332. On the utility of diagnostic instruments for pediatric delirium in critical illness: an evaluation of the Pediatric Anesthesia Emergence Delirium Scale, the Delirium Rating Scale 88, and the Delirium Rating Scale-Revised R-98

On the utility of diagnostic instruments for pediatric delirium in critical illness: an evaluation of the Pediatric Anesthesia Emergence Delirium Scale, the Delirium Rating Scale 88, and the Delirium Rating Scale-Revised R-98 PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2013 PedsCCM Evidence-Based Journal Club

333. Administration of Anesthesia by Anesthesiologists Versus Non-Physicians for Patients Undergoing Cataract Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines

. For uncomplicated procedures, properly trained non-medical staff may administer subconjunctival or sub-Tenon’s blocks. An anesthesiologist should be available on site when local anesthetic blocks are being administered for more complex or longer cataract procedures. Administration of Anesthesiology by Anesthesiologists Versus Non-Physicians During Cataract Surgery 2 REFERENCES SUMMARIZED Health Technology Assessments No literature identified. Systematic Reviews and Meta-analyses No literature identified (...) . Randomized Controlled Trials No literature identified. Non-Randomized Studies 1. Bassett K, Smith SW, Cardiff K, Bergman K, Aghajanian J, Somogyi E. Nurse anaesthetic care during cataract surgery: a comparative quality assurance study. Can J Ophthalmol. 2007 Oct;42(5):689-94. PubMed: PM17891197 Economic Evaluations No literature identified. Guidelines and Recommendations 2. Local anaesthesia for ophthalmic surgery [Internet]. Joint Guidelines for the Royal College of Anaesthetists and the Royal College

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

334. Immediate Post-anaesthesia recovery

Recovery Room Book, 4 th edition. New York: Oxford University Press, 2009. 3. NCEPOD. Changing the Way we Operate. www.ncepod.org.uk/pdf/2001/01full.pdf (accessed 18/10/12). 4. Kluger MT, Bullock MFM. Recovery room incidents: a review of 419 reports from the Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia 2002; 57: 1060-66. 5. Healthcare Improvement Scotland. National Overview September 2005, Anaesthesia – Care Before, During and After Anaesthesia. http://www.healthcareimprovementscotland.org (...) requirements in the immediate postoperative period. 6.2 Can apply knowledge of effects of pharmacology of anaesthetic agents and of surgery upon the respiratory system. Understands the effects of anaesthesia and surgery on respiratory function. Describe the signs and symptoms of inadequate reversal of neuromuscular blockade and central respiratory depression. See competency 11. 6.3 Can assess respiration. Describes postoperative patterns of respiration. Describe the signs of obstructed breathing. Can

2013 Association of Anaesthetists of GB and Ireland

335. Locoregional anesthesia for endovascular aneurysm repair

Locoregional anesthesia for endovascular aneurysm repair Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2013 DARE.

336. Articane Provides Longer Lasting Anesthesia in Buccal Infiltration Compared to Lidocaine on Healthy Teeth

on healthy teeth than lidocaine 2% 1:100,000 epi with a 95% Cl. Evidence Search (("Carticaine"[Mesh]) AND "Lidocaine"[Mesh]) AND "Anesthesia"[Mesh] Comments on The Evidence Brandt and colleagues analyzed a set of randomized controlled trials and systematic reviews, with a total of 269 patients, comparing anesthetic length of both articaine 4% 1:100,000 epi and lidocaine 2% 1:100,000 epi. Lidocaine was used as the gold standard. Compilation of the article titles was done electronically, which resulted (...) Articane Provides Longer Lasting Anesthesia in Buccal Infiltration Compared to Lidocaine on Healthy Teeth UTCAT2437, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Articane Provides Longer Lasting Anesthesia in Buccal Infiltration Compared to Lidocaine on Healthy Teeth Clinical Question In a patient undergoing buccal infiltration is articaine longer lasting compared to lidocane on healthy teeth? Clinical Bottom Line

2013 UTHSCSA Dental School CAT Library

337. Children With Obstructive Sleep Apnea Receiving Dental Procedures Under General Anesthesia are at Increase Risk For Respiratory Complications During Recovery?

Children With Obstructive Sleep Apnea Receiving Dental Procedures Under General Anesthesia are at Increase Risk For Respiratory Complications During Recovery? UTCAT2348, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Children With Obstructive Sleep Apnea Receiving Dental Procedures Under General Anesthesia are at Increase Risk For Respiratory Complications During Recovery? Clinical Question For children with history (...) of obstructive sleep apnea undergoing dental rehabilitation under general anesthesia, as compared to the general population, would they have an increase risk of complications during recovery? Clinical Bottom Line Evidence shows that children with history of obstructive sleep apnea (1-3% of children) should be evaluated and followed up closely since they are at higher risk for respiratory complications after general anesthesia. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID

2013 UTHSCSA Dental School CAT Library

338. Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review

Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review Anesthesia among patients undergoing knee arthroplasty: a rapid review Anesthesia among patients undergoing knee arthroplasty: a rapid review Brener S 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 Brener S. Anesthesia among patients undergoing knee arthroplasty (...) : a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2013 Authors' objectives The objective of this rapid review is to examine the safety and effectiveness of regional anesthesia versus general anesthesia among patients undergoing primary knee arthroplasty. Authors' conclusions From the examination of 1 systematic review of randomized controlled trials as part of the rapid review: Based on very low quality of evidence, there was no significant difference in mortality for patients who

2013 Health Technology Assessment (HTA) Database.

339. Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia

Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia Movafegh A, Amini S, Sharifnia H, Torkamandi H, Hayatshahi A, Javadi 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. CRD summary The aim was to evaluate the cost and adverse events of two neuromuscular blockers, atracurium and cisatracurium, for patients having surgery under anaesthesia. The authors concluded that the two drugs appeared to have similar safety profiles, but atracurium was cheaper. The study

2013 NHS Economic Evaluation Database.

340. Cohort study: Single surgical procedure with general anaesthesia early in life is associated with subsequent impaired language development and cognitive function

with subsequent impaired language development and cognitive function Article Text Harm Cohort study Single surgical procedure with general anaesthesia early in life is associated with subsequent impaired language development and cognitive function Andreas W Loepke Statistics from Altmetric.com Commentary on: Ing C , Dimaggio C , Whitehouse A , et al . Long-term differences in language and cognitive function after childhood exposure to anesthesia . Context Thus far, more than 250 studies in immature animals (...) Cohort study: Single surgical procedure with general anaesthesia early in life is associated with subsequent impaired language development and cognitive function Single surgical procedure with general anaesthesia early in life is associated with subsequent impaired language development and cognitive function | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time

2013 Evidence-Based Medicine