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

81. Non-pharmacological interventions for assisting the induction of anaesthesia in children. (PubMed)

Non-pharmacological interventions for assisting the induction of anaesthesia in children. Induction of general anaesthesia can be distressing for children. Non-pharmacological methods for reducing anxiety and improving co-operation may avoid the adverse effects of preoperative sedation.To assess the effects of non-pharmacological interventions in assisting induction of anaesthesia in children by reducing their anxiety, distress or increasing their co-operation.In this updated review we searched (...) in trials.We included 28 trials (2681 children) investigating 17 interventions of interest; all trials were conducted in high-income countries. Overall we judged the trials to be at high risk of bias. Except for parental acupuncture (graded low), all other GRADE assessments of the primary outcomes of comparisons were very low, indicating a high degree of uncertainty about the overall findings. Parental presence: In five trials (557 children), parental presence at induction of anaesthesia did not reduce

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2015 Cochrane

82. Peribulbar versus retrobulbar anaesthesia for cataract surgery. (PubMed)

Peribulbar versus retrobulbar anaesthesia for cataract surgery. Cataract is a major cause of blindness worldwide. Unless medically contraindicated, cataract surgery is usually performed under local (regional) anaesthesia. Local anaesthesia involves the blockage of a nerve subserving a given part of the body. It involves infiltration of the area around the nerve with local anaesthetic. The two main approaches in the eye are retrobulbar and peribulbar. There is debate over whether the peribulbar (...) approach provides more effective, safer anaesthesia for cataract surgery than retrobulbar block.The objective of this review was to assess the effects of peribulbar anaesthesia (PB) compared to retrobulbar anaesthesia (RB) on pain scores, ocular akinesia, patient acceptability and ocular and systemic complications.In the previous version of our review, we searched the databases until December 2007. In this updated version, we searched the Cochrane Central Register of Controlled Trials (CENTRAL) (March

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2015 Cochrane

83. Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. (PubMed)

Regional (spinal, epidural, caudal) versus general anaesthesia in preterm infants undergoing inguinal herniorrhaphy in early infancy. With improvements in neonatal intensive care, more preterm infants are surviving the neonatal period and presenting for surgery in early infancy. Inguinal hernia is the most common condition requiring early surgery, appearing in 38% of infants whose birth weight is between 751 grams and 1000 grams. Approximately 20% to 30% of otherwise healthy preterm infants (...) having general anaesthesia for inguinal hernia surgery at a postmature age have at least one apnoeic episode within the postoperative period. Research studies have failed to adequately distinguish the effects of apnoeic episodes from other complications of extreme preterm gestation on the risk of brain injury, or to investigate the potential impact of postoperative apnoea upon longer term neurodevelopment. In addition to episodes of apnoea, there are concerns that anaesthetic and sedative agents may

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2015 Cochrane

84. Deep Sedation and General Anaesthesia in Young Children

Deep Sedation and General Anaesthesia in Young Children Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along (...) . It may not be copied, posted on a web site, redistributed by email or stored on an electronic system without the prior written permission of CADTH or applicable copyright owner. Links: This report may contain links to other information available on the websites of third parties on the Internet. CADTH does not have control over the content of such sites. Use of third party sites is governed by the owners’ own terms and conditions. TITLE: Deep Sedation and General Anaesthesia in Young Children: Safety

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

85. Guidelines on Infection Control in Anaesthesia Background Paper

Guidelines on Infection Control in Anaesthesia Background Paper PS28 BP 2015 Page 1 PS28 BP 2015 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Infection Control in Anaesthesia Background Paper 1. PURPOSE OF REVIEW This document was last reviewed in 2005 and the current review is part of the standard review cycle, which is designed to ensure that the guidelines keep pace with current knowledge. 2. BACKGROUND Minimisation of risks of infection plays a critical role (...) in outcomes. Consequently, infection control aimed at minimising risks of infection related to anaesthesia practice is a significant contributory factor to patient safety. The principles contained within these guidelines are intended to apply in all areas where anaesthesia, regional analgesia and sedation are administered including operating theatre suites, endoscopy units, radiology suites, intensive care units and labour ward suites. During the evolution of infection control procedures recommendations

2015 Australian and New Zealand College of Anaesthetists

86. Statement on Roles in Anaesthesia and Perioperative Care Background Paper

Statement on Roles in Anaesthesia and Perioperative Care Background Paper PS59 BP 2015 Page 1 PS59 BP 2015 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on Roles in Anaesthesia and Perioperative Care Background Paper 1. PURPOSE Governments, health workforce planning agencies and other key stakeholders in Australia and New Zealand have been considering the establishment of new roles in healthcare for some time. ANZCA recognises the need to meet the demands of an aging (...) and increasingly complex patient population, financial constraints and tightening health budgets, and workforce composition and distribution issues. New models of care, new roles, and extended scopes and complexity of practice have the potential to influence the composition and operation of anaesthesia and perioperative care teams. ANZCA acknowledges its responsibility to contribute to discussions that involve the composition of and roles within the anaesthesia and perioperative care team, and to publicly

2015 Australian and New Zealand College of Anaesthetists

87. Guidelines on Infection Control in Anaesthesia

Guidelines on Infection Control in Anaesthesia PS28 2015 Page 1 PS28 2015 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Infection Control in Anaesthesia 1. PURPOSE The Australian and New Zealand College of Anaesthetists (ANZCA) aims to ensure that the practice of anaesthesia is as safe as possible for patients, anaesthetists and other healthcare workers. Infection control aimed at minimising risks of infection is central to this aim. The goal of these guidelines (...) is to assist practitioners and facilities to implement strategies that will reduce risks of transmission of infection, based on current evidence. In certain clinical situations there may be a need to adopt more stringent practices. These guidelines should be considered with documents on this subject issued by other authorities, and in particular local infection control policies. 2. SCOPE OF THIS DOCUMENT This document is intended to apply in all areas where anaesthesia, including regional analgesia

2015 Australian and New Zealand College of Anaesthetists

88. Statement on Roles in Anaesthesia and Perioperative Care

Statement on Roles in Anaesthesia and Perioperative Care PS59 2015 Page 1 PS59 2015 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on Roles in Anaesthesia and Perioperative Care 1. PURPOSE This statement provides a framework for discussions on the roles and responsibilities of health professionals in the anaesthesia and perioperative * care teams. The following five principles underpin this position statement: 1.1. The structure of anaesthesia and perioperative care must (...) support safe, high quality care. 1.2. The provision of anaesthesia is a medical role. 1.3. Innovation should be based on delegation, not substitution, of roles. 1.4. Anaesthesia and perioperative care require a team of highly skilled health professionals. 1.5. New or extended roles within the anaesthesia and perioperative care team should be developed, implemented and evaluated in a systematic and consistent way. 2. BACKGROUND The healthcare system faces significant challenges, including older, sicker

2015 Australian and New Zealand College of Anaesthetists

89. Statement on Roles in Anaesthesia and Perioperative Care

Statement on Roles in Anaesthesia and Perioperative Care PS59 2015 Page 1 PS59 2015 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on Roles in Anaesthesia and Perioperative Care 1. PURPOSE This statement provides a framework for discussions on the roles and responsibilities of health professionals in the anaesthesia and perioperative * care teams. The following five principles underpin this position statement: 1.1. The structure of anaesthesia and perioperative care must (...) support safe, high quality care. 1.2. The provision of anaesthesia is a medical role. 1.3. Innovation should be based on delegation, not substitution, of roles. 1.4. Anaesthesia and perioperative care require a team of highly skilled health professionals. 1.5. New or extended roles within the anaesthesia and perioperative care team should be developed, implemented and evaluated in a systematic and consistent way. 2. BACKGROUND The healthcare system faces significant challenges, including older, sicker

2015 Australian and New Zealand College of Anaesthetists

90. Guidelines on Infection Control in Anaesthesia

Guidelines on Infection Control in Anaesthesia PS28 2015 Page 1 PS28 2015 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Infection Control in Anaesthesia 1. PURPOSE The Australian and New Zealand College of Anaesthetists (ANZCA) aims to ensure that the practice of anaesthesia is as safe as possible for patients, anaesthetists and other healthcare workers. Infection control aimed at minimising risks of infection is central to this aim. The goal of these guidelines (...) is to assist practitioners and facilities to implement strategies that will reduce risks of transmission of infection, based on current evidence. In certain clinical situations there may be a need to adopt more stringent practices. These guidelines should be considered with documents on this subject issued by other authorities, and in particular local infection control policies. 2. SCOPE OF THIS DOCUMENT This document is intended to apply in all areas where anaesthesia, including regional analgesia

2015 Australian and New Zealand College of Anaesthetists

91. The European Society of Regional Anaesthesia and Pain Therapy and the American Society of Regional Anesthesia and Pain Medicine Joint Committee Practice Advisory on Controversial Topics in Pediatric Regional Anesthesia

The European Society of Regional Anaesthesia and Pain Therapy and the American Society of Regional Anesthesia and Pain Medicine Joint Committee Practice Advisory on Controversial Topics in Pediatric Regional Anesthesia The European Society of Regional Anaesthesia and Pain Therap... : Regional Anesthesia and Pain Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers (...) your personal information without your express consent. For more information, please refer to our Privacy Policy. Toggle navigation Articles & Issues Collections For Authors Journal Info > > The European Society of Regional Anaesthesia and Pain Therap... Email to a Colleague Colleague's E-mail is Invalid Your Name: (optional) Your Email: Colleague's Email: Separate multiple e-mails with a (;). Message: Thought you might appreciate this item(s) I saw at Regional Anesthesia and Pain Medicine. Send

2015 American Society of Regional Anesthesia and Pain Medicine

92. Intraoperative local anaesthesia for reduction of postoperative pain following general anaesthesia for dental treatment in children and adolescents. (PubMed)

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 (...) contradictory results.To assess the effects of intraoperative local anaesthesia for reducing postoperative pain following general anaesthesia for dental treatment in children and young people aged 17 years or younger.We searched the following electronic databases: the Cochrane Oral Health Group Trials Register; the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, 2013, Issue 12), MEDLINE via OVID (1946 to 02 January 2014), EMBASE via OVID (1980 to 02 January 2014) and Web

2014 Cochrane

93. Out of Hours Activity (Anaesthesia)

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 (...) to be in-hospital providing resident shifts during part of the OOH period. The AAGBI and RCOA support measures to improve patient safety and quality of care but note that this will have a significant impact on Anaesthesia workforce. It has been suggested that with increased support services, it would be safe to perform elective operating lists at the weekend, and the principle of elective work OOH in the form of ‘Waiting List Initiatives’ is well established. Standards and operating procedures developed to make

2014 Association of Anaesthetists of GB and Ireland

94. 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

95. Physician anaesthetists versus non-physician providers of anaesthesia for surgical patients. (PubMed)

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

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2014 Cochrane

96. Positive end-expiratory pressure (PEEP) during anaesthesia for prevention of mortality and postoperative pulmonary complications. (PubMed)

Positive end-expiratory pressure (PEEP) during anaesthesia for prevention of mortality and postoperative pulmonary complications. General anaesthesia causes atelectasis, which can lead to impaired respiratory function. Positive end-expiratory pressure (PEEP) is a mechanical manoeuvre that increases functional residual capacity (FRC) and prevents collapse of the airways, thereby reducing atelectasis. It is not known whether intraoperative PEEP alters the risks of postoperative mortality (...) Web of Science (1945 to October 2013) and LILACS (via BIREME interface) (1982 to October 2010). The original search was performed in January 2010.We included randomized clinical trials assessing the effects of PEEP versus no PEEP during general anaesthesia on postoperative mortality and postoperative respiratory complications in adults, 16 years of age and older.Two review authors independently selected papers, assessed trial quality and extracted data. We contacted study authors to ask

2014 Cochrane

97. 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.

98. Intravenous versus inhalational anaesthesia for paediatric outpatient surgery. (PubMed)

Intravenous versus inhalational anaesthesia for paediatric outpatient surgery. Ambulatory or outpatient anaesthesia is performed in patients who are discharged on the same day as their surgery. Perioperative complications such as postoperative nausea and vomiting (PONV), postoperative behavioural disturbances and cardiorespiratory complications should be minimized in ambulatory anaesthesia. The choice of anaesthetic agents and techniques can influence the occurrence of these complications (...) and thus delay in discharge.The objective of this review was to evaluate the risk of complications (the risk of postoperative nausea and vomiting (PONV), admission or readmission to hospital, postoperative behavioural disturbances and perioperative respiratory and cardiovascular complications) and recovery times (time to discharge from recovery ward and time to discharge from hospital) comparing the use of intravenous to inhalational anaesthesia for paediatric outpatient surgery.We searched

2014 Cochrane

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

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

100. Guidelines on Checking Anaesthesia Delivery Systems Background Paper

Guidelines on Checking Anaesthesia Delivery Systems Background Paper PS31 BP 2014 Page 1 PS31 BP 2014 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Checking Anaesthesia Delivery Systems Background Paper 1. PURPOSE OF REVIEW Anaesthesia delivery systems continue to advance as a result of technology accompanied by increasing complexity of systems and their componentry. Delivery systems were originally confined to the administration of gases and volatile anaesthetic (...) agents. Now, however systems are also available for the administration of intravenous anaesthetic and analgesic agents. The inherent risks of anaesthesia delivery systems demand that measures are implemented to detect and prevent faults prior to equipment use. The document seeks to assist all personnel, whose roles involve interaction with anaesthesia delivery systems, to achieve the highest standards of safety for these systems. 2. BACKGROUND This document is intended to apply to all anaesthesia

2014 Australian and New Zealand College of Anaesthetists