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

141. Guidelines for the management of children referred for dental extractions under general anaesthesia

Guidelines for the management of children referred for dental extractions under general anaesthesia Guidelines For The Management Of Children Referred For Dental Extractions Under General Anaesthesia August 2011 Review Date: 2016 The Association of Paediatric Anaesthetists of Great Britain & Ireland The Royal College of Anaesthetists 1 | Main Authors: Dr Lola Adewale, Dr Neil Morton, Dr Michael Blayney Date Published: August 2011 Review date 2016 These guidelines are published in good faith (...) comments to: Chair, Guideline Committee Association of Paediatric Anaesthetists of Great Britain and Ireland 21 Portland Place, London W1B 1PY apagbiadministration@aagbi.org 2 | Guidelines For The Management Of Children Referred For Dental Extractions Under General Anaesthesia 3 | TABLE OF CONTENTS Ex ecutive Summary 1. Introduction 5 2. Committee 6 3. Methodology And E vidence Grading 7 3.1 Levels of evidence (www.sign.ac.uk) 7 3.2 Grades of recommenda tions (www.sign.ac.uk) 8 4. Definition Of A Guid

2011 Royal College of Anaesthetists

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

Cost-effectiveness analysis of general anaesthesia versus local anaesthesia for carotid surgery (GALA Trial) Health outcomes and costs are both important when deciding whether general (GA) or local (LA) anaesthesia should be used during carotid endarterectomy. The aim of this study was to assess the cost-effectiveness of carotid endarterectomy under LA or GA in patients with symptomatic or asymptomatic carotid stenosis for whom surgery was advised.Using patient-level data from a large

2010 EvidenceUpdates

143. Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study. (PubMed)

Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study. 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.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 adverse events were

2010 Lancet

144. The Anaesthesia Team 3

The Anaesthesia Team 3 3 The Anaesthesia Team Published by The Association of Anaesthetists of Great Britain and Ireland 21 Portland Place, London, W1B 1PY Telephone 020 7631 1650 Fax 020 7631 4352 info@aagbi.org www.aagbi.org May 2010 1 Membership of the working party (details correct at the start of the working party process) Dr R J S Birks Chairman and AAGBI President Dr V R Alladi Council Member, AAGBI Ms J Angell PA(A) Representative, RCoA Dr R Broomhead GAT representative Prof W (...) . Introduction 4 3. Organisation and management 5 4. Pre-operative assessment 7 5. The operating department 8 6. Recovery post-anaesthetic care unit (PACU) 14 7. Postoperative pain management 16 References 18 To be reviewed by 2015. © Copyright of the Association of Great Britain & Ireland. No part of this book may be reproduced without the written permission of the AAGBI. 3 1. Recommendations Comprehensive peri-operative care can only be provided by an anaesthesia team led by consultant anaesthetists. All

2010 Association of Anaesthetists of GB and Ireland

145. Thyroid fine needle aspiration biopsy: is topical local anaesthesia beneficial? (PubMed)

Thyroid fine needle aspiration biopsy: is topical local anaesthesia beneficial? 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 (EMLA 5% cream) was applied to group 2 patients (25 females; mean age 50.89 +/- 12.01 years) approximately 1 h before TFNAB. All patients were asked to mark the pain they felt during the TFNAB on Visual Analogue Scale.The pain scores during TFNAB

2010 EvidenceUpdates

146. Randomized clinical trial of perianal surgery performed under spinal saddle block versus total intravenous anaesthesia (PubMed)

Randomized clinical trial of perianal surgery performed under spinal saddle block versus total intravenous anaesthesia 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 (...) in the SSB group were able to eat and drink more quickly, although times to mobilization and micturition were not significantly different. Patients having SSB were more likely to describe the anaesthesia as 'better than expected'.SSB is superior to TIVA in patients undergoing perianal surgery in terms of analgesic consumption within 24 h after surgery and aspects of postoperative recovery.ISRCTN41981381 (http://www.controlled-trials.com).Copyright 2009 British Journal of Surgery Society Ltd. Published

2010 EvidenceUpdates

147. 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

2010 Australian and New Zealand College of Anaesthetists

148. 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

2010 Australian and New Zealand College of Anaesthetists

149. Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis. (PubMed)

Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis. To compare the effects of different types of local anaesthetic for pain control during outpatient hysteroscopy.Systematic review and meta-analysis of randomised controlled trials.Outpatient hysteroscopy clinics.Women undergoing diagnostic or operative hysteroscopy as outpatients-that is, without general anaesthesia. Study selection criteria Medline, Embase, CINAHL, the Cochrane library

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2010 BMJ

150. 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

2010 DARE.

151. 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

2010 Health Technology Assessment (HTA) Database.

152. A comparison of regional and general anaesthesia for total replacement of the hip or knee: a meta-analysis (PubMed)

A comparison of regional and general anaesthesia for total replacement of the hip or knee: a meta-analysis We performed a meta-analysis to evaluate the relative efficacy of regional and general anaesthesia in patients undergoing total hip or knee replacement. A comprehensive search for relevant studies was performed in PubMed (1966 to April 2008), EMBASE (1969 to April 2008) and the Cochrane Library. Only randomised studies comparing regional and general anaesthesia for total hip or knee (...) replacement were included. We identified 21 independent, randomised clinical trials. A random-effects model was used to calculate all effect sizes. Pooled results from these trials showed that regional anaesthesia reduces the operating time (odds ratio (OR) -0.19; 95% confidence interval (CI) -0.33 to -0.05), the need for transfusion (OR 0.45; 95% CI 0.22 to 0.94) and the incidence of thromboembolic disease (deep-vein thrombosis OR 0.45, 95% CI 0.24 to 0.84; pulmonary embolism OR 0.46, 95% CI 0.29 to 0.80

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2009 EvidenceUpdates

153. Regional block versus general anaesthesia for caesarean section and neonatal outcomes: a population-based study (PubMed)

Regional block versus general anaesthesia for caesarean section and neonatal outcomes: a population-based study 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.The risk of adverse outcomes was increased for caesarean sections under general anaesthesia for all three indications and across all levels of hospital. The relative risks were largest for low-risk planned repeat caesarean

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2009 EvidenceUpdates

154. Music during caesarean section under regional anaesthesia for improving maternal and infant outcomes. (PubMed)

Music during caesarean section under regional anaesthesia for improving maternal and infant outcomes. 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.To evaluate the effectiveness of music during caesarean section under regional anaesthesia for improving clinical and psychological outcomes for mothers and infants.We searched the Cochrane Pregnancy and Childbirth (...) Group's Trials Register (30 September 2008).We included randomised controlled trials comparing music added to standard care during caesarean section under regional anaesthesia to standard care alone.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) with a 95% confidence interval (CI).One trial involving 76 women who planned to have their babies

2009 Cochrane

156. 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

2009 BestBETS

157. Paracervical local anaesthesia for cervical dilatation and uterine intervention. (PubMed)

Paracervical local anaesthesia for cervical dilatation and uterine intervention. 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.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).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.We included randomized or controlled clinical studies involving cervical dilatation and uterine intervention for obstetric and gynaecological conditions.Two authors independently evaluated studies, extracted

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2009 Cochrane

158. 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 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.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.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, 2008); System for information on Grey Literature

2009 Cochrane

159. The Provision of Oral Care under General Anaesthesia in Special Care Dentistry - A Professional Consensus Statement

The Provision of Oral Care under General Anaesthesia in Special Care Dentistry - A Professional Consensus Statement The Provision of Oral Health Care under General Anaesthesia in Special Care Dentistry A Professional Consensus Statement A document produced by the British Society for Disability and Oral Health March 2009 2 Membership of the Working Group Dr Ken Dalley, Senior Dental Surgeon, Hampshire PCT and Honorary Clinical Lecturer in Special Care Dentistry, Eastman Dental Institute (...) Specialist, Adult Special Care, University Dental Hospital Cardiff. 3 Anaesthetic Consultation Dr Mike Blayney, Royal College of Anaesthetists, London. Consultant Anaesthetist, Noble's Isle of Man Hospital, Douglas, Isle of Man. Dr Ellen O’Sullivan, Association of Anaesthetists of Great Britain and Ireland, London. Consultant Anaesthetist, St. James’s Hospital, Dublin. Dr George Hamlin, Association of Dental Anaesthetists, London. Consultant Anaesthetist, Deputy Director of Anaesthesia, Royal Blackburn

2009 British Society for Disability and Oral Health

160. Guidelines for the Safe Administration of Injectable Drugs in Anaesthesia

Guidelines for the Safe Administration of Injectable Drugs in Anaesthesia PS51 2018 Page 1 PS51 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines for the Safe Management and Use of Medications in Anaesthesia 1. INTRODUCTION The safe administration of drugs in anaesthesia encompasses the timely administration of medication to patients, the prevention of drug administration errors, and measures to reduce the opportunity to misdirect drugs. Estimates of the frequency (...) of 'medication errors' range from 1 in 20 administration events 1 , to 1 in 133 2 anaesthesia episodes. Many of these reported events were protocol or process errors (including mislabelling or omission of an appropriate drug), however a proportion of these errors will result in an adverse event for the patient. More than 3 million anaesthetics are administered in Australia and New Zealand annually suggesting a substantial contribution to iatrogenic adverse events. Anaesthetists must be aware

2009 Australian and New Zealand College of Anaesthetists