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

121. Cataract surgery performed under local anaesthesia: guidelines

Cataract surgery performed under local anaesthesia: guidelines Cataract surgery performed under local anaesthesia: guidelines Cataract surgery performed under local anaesthesia: guidelines CADTH 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 CADTH. Cataract surgery performed under local anaesthesia: guidelines. Ottawa: Canadian Agency (...) for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions Three evidence-based guidelines were identified regarding cataract surgery performed under local anaesthesia. Final publication URL PubMedID Indexing Status Subject indexing assigned by NLM MeSH Anesthesia, Local; Cataract Extraction; Cough /prevention & controls Language Published English Country of organisation Canada Province or state Ontario English summary An English language summary is available. Address

2014 Health Technology Assessment (HTA) Database.

122. Ultrasound imaging in the practice of anaesthesia

Ultrasound imaging in the practice of anaesthesia 1 Public Summary Document Application 1183 – Ultrasound Imaging in the practice of anaesthesia Applicant: Australian Society of Anaesthetists Date of MSAC consideration: MSAC 62 nd Meeting, 26-28 November 2014 Context for decision: MSAC makes its advice in accordance with its Terms of Reference, see at www.msac.gov.au 1. Purpose of application and links to other applications An application requesting MBS listing of ultrasound imaging (...) for the practice of anaesthesia for patients requiring a central line catheter for vascular access or percutaneous neural blockade was received from Australian Society of Anaesthetists (ASA) by the Department of Health and Ageing in January 2012. The application was further updated in May 2012. 2. MSAC’s advice to the Minister After considering the available evidence in relation to safety, clinical effectiveness and cost- effectiveness, MSAC does not support public funding because of uncertain cost

2014 Medical Services Advisory Committee

123. Local versus general anaesthesia for carotid endarterectomy. (PubMed)

Local versus general anaesthesia for carotid endarterectomy. Carotid endarterectomy may significantly reduce the risk of stroke in people with recently symptomatic, severe carotid artery stenosis. However, there are significant perioperative risks that may be reduced by performing the operation under local rather than general anaesthetic. This is an update of a Cochrane Review first published in 1996, and previously updated in 2004 and 2008.To determine whether carotid endarterectomy under (...) the local anaesthesia group and the general anaesthesia group. The incidence of strokes in the local anaesthesia group was 3.2% compared to 3.5% in the general anaesthesia group (Peto OR 0.92, 95% CI 0.67 to 1.28). There was no statistically significant difference in the proportion of patients who had a stroke or died within 30 days of surgery. In the local anaesthesia group 3.6% of patients had a stroke or died compared to 4.2% of patients in the general anaesthesia group (Peto OR 0.85, 95% CI 0.63

Full Text available with Trip Pro

2013 Cochrane

124. Clinical effectiveness and cost-effectiveness of depth of anaesthesia monitoring (E-Entropy, Bispectral Index and Narcotrend): a systematic review and economic evaluation

Clinical effectiveness and cost-effectiveness of depth of anaesthesia monitoring (E-Entropy, Bispectral Index and Narcotrend): a systematic review and economic evaluation Clinical effectiveness and cost-effectiveness of depth of anaesthesia monitoring (E-Entropy, Bispectral Index and Narcotrend): a systematic review and economic evaluation Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page

2013 NIHR HTA programme

125. Infraclavicular brachial plexus block for regional anaesthesia of the lower arm. (PubMed)

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 was updated in 2013.The objective of this review was to evaluate the efficacy and safety of infraclavicular block (ICB) compared to other approaches to the brachial plexus in providing regional anaesthesia for surgery on the lower arm.We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library (2013, Issue 5); MEDLINE (1966 to June 2013) via OvidSP; and EMBASE (1980 to June 2013) via OvidSP. We also searched conference proceedings (from 2004 to 2012

Full Text available with Trip Pro

2013 Cochrane

126. Neuraxial anaesthesia for lower-limb revascularization. (PubMed)

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 (...) was originally published in 2010 and was first updated in 2011 and again in 2013.To determine the rates of death and major complications associated with spinal and epidural anaesthesia as compared with other types of anaesthesia for lower-limb revascularization in patients aged 18 years or older who are affected by obstruction of lower-limb vessels.The original review was published in 2010 and was based on a search until June 2008. In 2011 we reran the search until February 2011 and updated the review

2013 Cochrane

127. Intravenous versus inhalation anaesthesia for one-lung ventilation. (PubMed)

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

Full Text available with Trip Pro

2013 Cochrane

128. Supplemental oxygen for caesarean section during regional anaesthesia. (PubMed)

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

129. Immediate Post-anaesthesia recovery

Immediate Post-anaesthesia recovery UK National Core Competencies for Post-anaesthesia Care 2013 Immediate Post-anaesthesia Recovery 2013 supplement2 CONTENTS Glossary of terms 3 Introduction 5 Competency 1 Communication 7 Competency 2 Professional development 9 Competency 3 Clinical leadership 10 Competency 4 Clinical governance 11 Competency 5 Assessment and management of the airway 13 Competency 6 Assessment and management of breathing 16 Competency 7 Assessment and management (...) hyperpyrexia NCEPOD National Confidential Enquiry into Patient Outcome and Death NES NHS Education Scotland NIBP Non-invasive blood pressure NMC Nursing and Midwifery Council NPSA National Patient Safety Agency ODP Operating department practitioner PACU Post-anaesthesia care unit 4 PCA Patient controlled analgesia pCO2 Partial pressure of carbon dioxide PDP Personal development plan PONV Postoperative nausea and vomiting PPE Personal protective equipment QIS NHS Quality Improvement Scotland RAE Ring/Adair

2013 Association of Anaesthetists of GB and Ireland

130. Guidelines for Health Practitioners Administering Local Anaesthesia Background Paper

Guidelines for Health Practitioners Administering Local Anaesthesia Background Paper PS37 BP 2013 Page 1 PS37 BP 2013 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines for Health Practitioners Administering Local Anaesthesia Background Paper PURPOSE OF REVIEW Local anaesthesia, in the form of topical anaesthesia, field infiltration or peripheral nerve block (such as digital nerve block) is commonly employed for medical, dental and surgical procedures by a range of health (...) practitioners with diverse qualifications and training, including specialist anaesthetists and specialist pain medicine physicians, other medical practitioners, dentists, podiatrists and nurses. The 2004 version of PS37 Statement on Local Anaesthesia and Allied Health Professionals acknowledged the diverse range of health practitioners administering local anaesthesia, the training required, the need for consideration of alternative anaesthetic techniques and the need for continuing medical management where

2013 Australian and New Zealand College of Anaesthetists

131. Guidelines for Health Practitioners Administering Local Anaesthesia

Guidelines for Health Practitioners Administering Local Anaesthesia PS37 2013 Page 1 PS37 2013 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines for Health Practitioners Administering Local Anaesthesia 1. PURPOSE OF THESE GUIDELINES The Australian and New Zealand College of Anaesthetists (ANZCA) recognises that health practitioners with diverse qualifications and training are administering local anaesthesia for diagnostic and interventional medical, dental and surgical (...) procedures. ANZCA has provided these guidelines with the goal of supporting safe and high quality local anaesthesia by all health practitioners. 2. SCOPE OF THIS DOCUMENT 2.1 This document is intended to apply whenever local anaesthesia is administered. This document addresses pertinent issues for all health practitioners involved in such activities. 2.2 This document does not apply to situations in which local anaesthesia is co- administered with sedation and/or analgesia, major regional anaesthesia

2013 Australian and New Zealand College of Anaesthetists

132. Guidelines for Health Practitioners Administering Local Anaesthesia

Guidelines for Health Practitioners Administering Local Anaesthesia PS37 2013 Page 1 PS37 2013 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines for Health Practitioners Administering Local Anaesthesia 1. PURPOSE OF THESE GUIDELINES The Australian and New Zealand College of Anaesthetists (ANZCA) recognises that health practitioners with diverse qualifications and training are administering local anaesthesia for diagnostic and interventional medical, dental and surgical (...) procedures. ANZCA has provided these guidelines with the goal of supporting safe and high quality local anaesthesia by all health practitioners. 2. SCOPE OF THIS DOCUMENT 2.1 This document is intended to apply whenever local anaesthesia is administered. This document addresses pertinent issues for all health practitioners involved in such activities. 2.2 This document does not apply to situations in which local anaesthesia is co- administered with sedation and/or analgesia, major regional anaesthesia

2013 Australian and New Zealand College of Anaesthetists

133. Recommendations on Monitoring During Anaesthesia

Recommendations on Monitoring During Anaesthesia PS18 2013 Page 1 PS08 2013 Australian and New Zealand College of Anaesthetists (ANZCA) Recommendations on Monitoring During Anaesthesia The terms “anaesthetist”, “medical practitioner” and “practitioner” are used interchangeably in this document. Although this document is primarily aimed at anaesthetists, any practitioner responsible for patient monitoring during “anaesthesia” should follow these recommendations. The following recommendations (...) refer to patients undergoing general anaesthesia, major regional anaesthesia/analgesia or sedation (to be collectively described by the term “anaesthesia”) for diagnostic or therapeutic procedures and should be interpreted in conjunction with other professional documents published by the Australian and New Zealand College of Anaesthetists. 1. INTRODUCTION 1.1 Monitoring of fundamental physiological variables during anaesthesia is essential. Clinical judgment will determine how long this monitoring

2013 Australian and New Zealand College of Anaesthetists

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

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 (...) . To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Single surgical procedure with general anaesthesia early in life is associated

2013 Evidence-Based Medicine (Requires free registration)

135. Recommendations on monitoring during anaesthesia

Recommendations on monitoring during anaesthesia PS18 2013 Page 1 PS08 2013 Australian and New Zealand College of Anaesthetists (ANZCA) Recommendations on Monitoring During Anaesthesia The terms “anaesthetist”, “medical practitioner” and “practitioner” are used interchangeably in this document. Although this document is primarily aimed at anaesthetists, any practitioner responsible for patient monitoring during “anaesthesia” should follow these recommendations. The following recommendations (...) refer to patients undergoing general anaesthesia, major regional anaesthesia/analgesia or sedation (to be collectively described by the term “anaesthesia”) for diagnostic or therapeutic procedures and should be interpreted in conjunction with other professional documents published by the Australian and New Zealand College of Anaesthetists. 1. INTRODUCTION 1.1 Monitoring of fundamental physiological variables during anaesthesia is essential. Clinical judgment will determine how long this monitoring

2013 Clinical Practice Guidelines Portal

136. Sedation versus general anaesthesia for provision of dental treatment in under 18 year olds. (PubMed)

Sedation versus general anaesthesia for provision of dental treatment in under 18 year olds. 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 the 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 aged under 18 years.This review was originally published in 2009 and updated in 2012.We evaluated the intra- and postoperative morbidity, effectiveness and cost effectiveness of sedation versus general anaesthesia for the provision of dental treatment for under 18 year olds.In this updated review we searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 7); MEDLINE (Ovid) (1950

2012 Cochrane

137. The role of regional anaesthesia techniques in the management of acute pain

The role of regional anaesthesia techniques in the management of acute pain The role of regional anaesthesia techniques in the management of acute pain The role of regional anaesthesia techniques in the management of acute pain Cowlishaw PJ, Scott DM, Barrington MJ CRD summary The review concluded that regional anaesthesia/analgesia was superior to conventional therapy for management of postoperative pain following a range of surgical types. Variation in characteristics of the included studies (...) and potential for bias in the review process mean that the authors' conclusions should be considered tentative. Authors' objectives To assess the efficacy of regional anaesthesia and analgesia for the management of acute pain following surgery. Searching MEDLINE, EMBASE and Cochrane Central Register of Controlled Trials (CENTRAL) were searched for relevant studies published between March 2009 and March 2011. There were no language restrictions. Search terms were reported. Study selection Randomised

2012 DARE.

138. Local anaesthesia for ophthalmic surgery

Local anaesthesia for ophthalmic surgery Local anaesthesia for ophthalmic surgery February 2012 Joint guidelines from the Royal College of Anaesthetists and the Royal College of Ophthalmologists1 Royal College of Anaesthetists and Royal College of Ophthalmologists Summary There have been major advances in every aspect of the management of the ophthalmic surgical patient. These include the shift to day care, increased focus on the patient, and the involvement of the entire ophthalmic team in all (...) components of the process. A working party of the Royal College of Anaesthetists and the Royal College of Ophthalmologists was convened to update the 2001 ‘Guidelines on Local Anaesthesia for Intraocular Surgery’. The working party agreed unanimously to change this to ‘Guidelines on Local Anaesthesia for Ophthalmic Surgery’. These guidelines will now cover the management of patients undergoing most routine ophthalmic procedures and are not limited to intraocular surgery. The purpose of these guidelines

2012 Royal College of Anaesthetists

139. Anaesthesia for evacuation of incomplete miscarriage. (PubMed)

Anaesthesia for evacuation of incomplete miscarriage. An incomplete miscarriage occurs when all the products of conception are not expelled through the cervix. Curettage or vacuum aspiration have been used to remove retained tissues. The anaesthetic techniques used to facilitate this procedure have not been systematically evaluated in order to determine which provide better outcomes to the patients.To assess the effects of general anaesthesia, sedation or analgesia, regional or paracervical (...) -RCTs comparing the use of any anaesthetic technique (defined by authors as general anaesthesia, sedation/analgesia, regional or paracervical local block (PCB) procedures) to perform surgical evacuation of an incomplete miscarriage. We excluded quasi-randomised trials and studies that were only available as abstracts.Two review authors independently assessed studies for inclusion and assessed risk of bias. Data were independently extracted and checked for accuracy.We included seven trials involving

2012 Cochrane

140. Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations

Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations PS55 2012 Page 1 PS55 2012 Australian and New Zealand College of Anaesthetists (ANZCA) Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations 1. PRINCIPLES OF ANAESTHESIA CARE 1.1 The provision of safe anaesthesia in hospitals requires appropriate staff, facilities and equipment (...) . These are specified in this document. 1.2 Anaesthesia should be administered only by medical practitioners with appropriate training in anaesthesia or by trainees supervised according to College professional documents TE03 Policy on Supervision of Clinical Experience for Vocational Trainees in Anaesthesia, PS01 Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia and PS02 Statement on Credentialling and Defining the Scope of Clinical Practice

2012 Australian and New Zealand College of Anaesthetists