Latest & greatest articles for anaesthesia

The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on anaesthesia or other clinical topics then use Trip today.

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.

What is Trip?

Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.

As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.

For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com

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

121. Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study.

Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study. BACKGROUND: Perioperative respiratory adverse events in children are one of the major causes of morbidity and mortality during paediatric anaesthesia. We aimed to identify associations between family history, anaesthesia management, and occurrence of perioperative respiratory adverse events. METHODS: We prospectively included all children who had general anaesthesia for surgical or medical (...) interventions, elective or urgent procedures at Princess Margaret Hospital for Children, Perth, Australia, from Feb 1, 2007, to Jan 31, 2008. On the day of surgery, anaesthetists in charge of paediatric patients completed an adapted version of the International Study Group for Asthma and Allergies in Childhood questionnaire. We collected data on family medical history of asthma, atopy, allergy, upper respiratory tract infection, and passive smoking. Anaesthesia management and all perioperative respiratory

Lancet2010

122. Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment

Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from

NIHR HTA programme2010

125. Randomized clinical trial of perianal surgery performed under spinal saddle block versus total intravenous anaesthesia

Randomized clinical trial of perianal surgery performed under spinal saddle block versus total intravenous anaesthesia 19937984 2009 12 17 2009 12 31 2014 07 30 1365-2168 97 1 2010 Jan The British journal of surgery Br J Surg Randomized clinical trial of perianal surgery performed under spinal saddle block versus total intravenous anaesthesia. 12-20 10.1002/bjs.6792 The aim of this randomized clinical trial was to determine whether spinal saddle block (SSB) is superior to total intravenous (...) anaesthesia (TIVA) in perianal surgery. Suitable patients aged 18-75 years (American Society of Anesthesiologists grade I or II) scheduled to undergo perianal surgery were randomized to SSB (1.0 ml 0.5 per cent hyperbaric bupivacaine) or TIVA with propofol and fentanyl by means of a laryngeal mask. Cumulative consumption of analgesics within 24 h after surgery was recorded, and postoperative recovery and patient satisfaction were evaluated. A total of 201 patients were randomized. Supplemental analgesia

EvidenceUpdates2010

126. Thyroid fine needle aspiration biopsy: is topical local anaesthesia beneficial?

Thyroid fine needle aspiration biopsy: is topical local anaesthesia beneficial? 18803557 2010 01 21 2011 04 04 2013 11 21 1742-1241 64 1 2010 Jan International journal of clinical practice Int. J. Clin. Pract. Thyroid fine needle aspiration biopsy: is topical local anaesthesia beneficial? 25-8 10.1111/j.1742-1241.2008.01814.x Thyroid fine needle aspiration biopsy (TFNAB) is the gold standard in the differential diagnosis of the thyroid nodules. In general, no analgesia is needed before (...) this procedure. However, it is usually believed that the patients may be more comfortable if the procedure is performed under local anaesthetics. In this study, we examined the impact of the use of dermal anaesthetic on the patient's level of discomfort during palpation-guided TFNAB. Fifty female patients with nodular goitre were enrolled in this study. Patients were randomised into two groups: a placebo cream was applied to group 1 patients (25 females; mean age 47.45 +/- 11.61 years), and local anaesthesia

EvidenceUpdates2010

127. Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment

Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment Chambers D, Paulden M, Paton F, Heirs M, Duffy S, Craig D, Hunter J, Wilson J, Sculpher M, Woolacott N 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 Chambers D, Paulden M, Paton F, Heirs M, Duffy S, Craig D, Hunter J, Wilson J, Sculpher M, Woolacott N. Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment . Health Technology Assessment 2010; 14(39): 1-211 Authors' conclusions Study found that sugammadex may be a cost-effective option

Health Technology Assessment (HTA) Database.2010

128. Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis

Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis Cooper NA, Khan KS, Clark TJ CRD summary This review concluded that paracervical local anaesthetic injection was the best method of pain control for women who undergo hysteroscopy as out (...) -patients. The authors' conclusion reflected the evidence available. However, given the limitations of the review and available evidence, the conclusions appear overly strong in favour of the one method. Authors' objectives To compare the effects of different types of local anaesthesia for pain control during outpatient hysteroscopy. Searching MEDLINE, EMBASE, CINAHL and The Cochrane Library were searched without language restrictions from inception to September 2008; search terms were reported

DARE.2010

129. Cost-effectiveness analysis of general anaesthesia versus local anaesthesia for carotid surgery (GALA Trial)

Cost-effectiveness analysis of general anaesthesia versus local anaesthesia for carotid surgery (GALA Trial) Cost-effectiveness analysis of general anaesthesia versus local anaesthesia for carotid surgery (GALA Trial) Cost-effectiveness analysis of general anaesthesia versus local anaesthesia for carotid surgery (GALA Trial) Gomes M, Soares MO, Dumville JC, Lewis SC, Torgerson DJ, Bodenham AR, Gough MJ, Warlow CP, GALA Collaborative Group 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 This study examined the cost-effectiveness of general versus local anaesthesia for patients with symptomatic or asymptomatic carotid stenosis, who were undergoing carotid endarterectomy. The authors concluded that local anaesthesia was the best option

NHS Economic Evaluation Database.2010

133. Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia

Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia 1 AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 RECOMMENDATIONS ON ESSENTIAL TRAINING FOR RURAL GENERAL PRACTITIONERS IN AUSTRALIA PROPOSING TO ADMINISTER ANAESTHESIA 1. INTRODUCTION There are areas of Australia where geographical circumstances preclude referral of certain types of surgery, and where there are no specialist anaesthesia services (...) . Such areas require general practitioners (GPs) to be administering anaesthesia. Where possible, general practitioner anaesthetists (GPAs) should work in co-operation with resident and visiting specialist anaesthetists. The College acknowledges the role of rural GPs by its membership of the tripartite Joint Consultative Committee of Anaesthesia (JCCA), in partnership with the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM). The JCCA

Australian and New Zealand College of Anaesthetists2010

134. Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia

Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia 1 AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 RECOMMENDATIONS ON ESSENTIAL TRAINING FOR RURAL GENERAL PRACTITIONERS IN AUSTRALIA PROPOSING TO ADMINISTER ANAESTHESIA 1. INTRODUCTION There are areas of Australia where geographical circumstances preclude referral of certain types of surgery, and where there are no specialist anaesthesia services (...) . Such areas require general practitioners (GPs) to be administering anaesthesia. Where possible, general practitioner anaesthetists (GPAs) should work in co-operation with resident and visiting specialist anaesthetists. The College acknowledges the role of rural GPs by its membership of the tripartite Joint Consultative Committee of Anaesthesia (JCCA), in partnership with the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM). The JCCA

Australian and New Zealand College of Anaesthetists2010

135. Regional block versus general anaesthesia for caesarean section and neonatal outcomes: a population-based study

Regional block versus general anaesthesia for caesarean section and neonatal outcomes: a population-based study 19402884 2009 05 19 2009 06 15 2014 12 09 1741-7015 7 2009 Apr 29 BMC medicine BMC Med Regional block versus general anaesthesia for caesarean section and neonatal outcomes: a population-based study. 20 10.1186/1741-7015-7-20 Anaesthesia guidelines recommend regional anaesthesia for most caesarean sections due to the risk of failed intubation and aspiration with general anaesthesia (...) . However, general anaesthesia is considered to be safe for the foetus, based on limited evidence, and is still used for caesarean sections. Cohorts of caesarean sections by indication (that is, planned repeat caesarean section, failure to progress, foetal distress) were selected from the period 1998 to 2004 (N = 50,806). Deliveries performed under general anaesthesia were compared with those performed under spinal or epidural, for the outcomes of neonatal intubation and 5-minute Apgar (Apgar5) <7

EvidenceUpdates2009 Full Text: Link to full Text with Trip Pro

136. Music during caesarean section under regional anaesthesia for improving maternal and infant outcomes.

Music during caesarean section under regional anaesthesia for improving maternal and infant outcomes. BACKGROUND: Evidence on the benefits of music during caesarean section under regional anaesthesia to improve clinical and psychological outcomes for mothers and infants has not been established. OBJECTIVES: To evaluate the effectiveness of music during caesarean section under regional anaesthesia for improving clinical and psychological outcomes for mothers and infants. SEARCH STRATEGY: We (...) searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 September 2008). SELECTION CRITERIA: We included randomised controlled trials comparing music added to standard care during caesarean section under regional anaesthesia to standard care alone. DATA COLLECTION AND ANALYSIS: Two review authors, Malinee Laopaiboon and Ruth Martis, independently assessed eligibility, risk of bias in included trials and extracted data. We analysed continuous outcomes using a mean difference (MD

Cochrane2009

138. General anaesthesia or conscious sedation for reducing a dislocated hip prosthesis?

General anaesthesia or conscious sedation for reducing a dislocated hip prosthesis? BestBets: General anaesthesia or conscious sedation for reducing a dislocated hip prosthesis? General anaesthesia or conscious sedation for reducing a dislocated hip prosthesis? Report By: Nick Payne - Consultant in Emergency Medicine Search checked by Steve Jones - Consultant in Critical Care and Emergency Medicine Institution: Wythenshawe Hospital and Manchester Royal Infirmary Date Submitted: 1st March 2000 (...) Date Completed: 11th March 2009 Last Modified: 11th March 2009 Status: Green (complete) Three Part Question In [patients with dislocated hip prosthesis] does [general anaesthesia or conscious sedation] give a [better reduction rate]? Clinical Scenario An otherwise fit 71-year old lady presents to your department having slipped on the ballroom floor during a tea dance. She is unable to weight bear and has pain in her left hip. X-ray reveals a dislocation of her hip prosthesis, and she tells you

BestBETS2009

139. Sedation versus general anaesthesia for provision of dental treatment in under 18 year olds.

Sedation versus general anaesthesia for provision of dental treatment in under 18 year olds. BACKGROUND: A significant proportion of children have caries requiring restorations or extractions, and some of these children will not accept this treatment under local anaesthetic. Historically this has been managed in children by use of a general anaesthetic; however use of sedation may lead to reduced morbidity and cost. The aim of this review is to compare the efficiency of sedation versus general (...) anaesthesia for the provision of dental treatment for children and adolescents under 18 years. OBJECTIVES: We evaluated the intra- and post-operative morbidity, effectiveness and cost effectiveness of sedation versus general anaesthesia for the provision of dental treatment for under 18 year olds. SEARCH STRATEGY: We searched The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library; Issue 4, 2008); MEDLINE (OVID) (1950 to October Week 2, 2008); EMBASE (OVID) (1974 to Week 42

Cochrane2009

140. Paracervical local anaesthesia for cervical dilatation and uterine intervention.

Paracervical local anaesthesia for cervical dilatation and uterine intervention. BACKGROUND: Cervical dilatation and uterine intervention can be performed under sedation, local or general anaesthesia for obstetrics and gynaecological conditions. Many gynaecologists use paracervical local anaesthesia (PLA) but its effectiveness is unclear. OBJECTIVES: To determine the effectiveness and safety of paracervical anaesthesia for cervical dilatation and uterine intervention when compared (...) with no treatment, placebo, other methods of regional anaesthesia, systemic sedation and analgesia, or general anaesthesia (GA). SEARCH STRATEGY: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2006, Issue 1), MEDLINE (1966 to January 2006), EMBASE (1980 to January 2006) and reference lists of articles. SELECTION CRITERIA: We included randomized or controlled clinical studies involving cervical dilatation and uterine intervention for obstetric and gynaecological

Cochrane2009