Latest & greatest articles for anesthesia

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 anesthesia or other clinical topics then use Trip today.

This page lists the very latest high quality evidence on anesthesia 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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Anesthesia

Clinical anesthesia is used to induce a temporary medical state of controlled unconsciousness, inducing a loss of sensation or awareness. There are three main types of anesthesia:

  • Local and Regional
  • General
  • Sedation

Anesthesia 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 anesthesia has helped anesthesiologists in the progression of patient safety before and after surgery and medical procedures. The developments and research of anesthesia 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 anesthesia, it allows anesthesiologists to improve the delivery of patient safety while unconscious.

Learn more on the emerging technology in anesthesia and the advancements in anesthesia practise by searching Trip.

Top results for anesthesia

281. Laparoscopic gastrostomy and jejunostomy: safety and cost with local vs general anesthesia

Laparoscopic gastrostomy and jejunostomy: safety and cost with local vs general anesthesia Laparoscopic gastrostomy and jejunostomy: safety and cost with local vs general anesthesia Laparoscopic gastrostomy and jejunostomy: safety and cost with local vs general anesthesia Duh Q Y, Senokozlieff-Englehart A L, Choe Y S, Siperstein A E, Rowland K, Way L W Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains (...) an anaesthetist could provide further savings. However, this study was not designed to test this hypothesis. Source of funding Supported in part by the Medical Research Service of the Veterans Affairs Medical Center, San Francisco (CA), and the Ross Product Division of Abbott Laboratories, Columbus (OH), USA. Bibliographic details Duh Q Y, Senokozlieff-Englehart A L, Choe Y S, Siperstein A E, Rowland K, Way L W. Laparoscopic gastrostomy and jejunostomy: safety and cost with local vs general anesthesia

1999 NHS Economic Evaluation Database.

282. Onset time, recovery duration, and drug cost with four different methods of inducing general anesthesia

Onset time, recovery duration, and drug cost with four different methods of inducing general anesthesia Onset time, recovery duration, and drug cost with four different methods of inducing general anesthesia Onset time, recovery duration, and drug cost with four different methods of inducing general anesthesia Fleischmann E, Akca O, Wallner T, Arkilic C F, Kurz A, Hickle R S, Zimpfer M, Sessler D I Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) of intervention Treatment (anesthesia). Economic study type Cost-effectiveness analysis. Study population Women patients undergoing short gynaecological procedures with an anticipated duration of 10-20 minutes. Setting Hospital. The economic study was carried out in Vienna, Austria. Dates to which data relate The dates of the effectiveness and resource use data were not specified. The price year was 1998. Source of effectiveness data Effectiveness data were derived from a single study. Link between

1999 NHS Economic Evaluation Database.

283. Comparison of ring block, dorsal penile nerve block, and topical anesthesia for neonatal circumcision: a randomized controlled trial. (PubMed)

Comparison of ring block, dorsal penile nerve block, and topical anesthesia for neonatal circumcision: a randomized controlled trial. Beliefs about the safety and effectiveness of current anesthetics have resulted in many newborns being circumcised without the benefit of anesthesia.To compare ring block, dorsal penile nerve block, a topical eutectic mixture of local anesthetics (EMLA), and topical placebo when used for neonatal circumcision. The placebo represented current practice

1998 JAMA Controlled trial quality: uncertain

284. Regional anesthesia does not significantly change surgical time versus general anesthesia: a meta-analysis of randomized studies

Regional anesthesia does not significantly change surgical time versus general anesthesia: a meta-analysis of randomized studies Regional anesthesia does not significantly change surgical time versus general anesthesia: a meta-analysis of randomized studies Regional anesthesia does not significantly change surgical time versus general anesthesia: a meta-analysis of randomized studies Dexter F Authors' objectives To determine whether the use of regional anaesthesia affects surgical time when (...) be considered supported by the evidence presented. Implications of the review for practice and research Practice: The author considers that the use of regional anaesthesia in unlikely to affect labour costs in operating rooms. Research: The author does not mention any research implications of the review. Bibliographic details Dexter F. Regional anesthesia does not significantly change surgical time versus general anesthesia: a meta-analysis of randomized studies. Regional Anesthesia and Pain Medicine 1998

1998 DARE.

285. The effects of preanesthetic oral clonidine on total requirement of propofol for general anesthesia

The effects of preanesthetic oral clonidine on total requirement of propofol for general anesthesia The effects of preanesthetic oral clonidine on total requirement of propofol for general anesthesia The effects of preanesthetic oral clonidine on total requirement of propofol for general anesthesia Imai Y, Mammoto T, Murakami K, Kita T, Sakai T, Kagawa K, Kirita T, Sugimura M, Kishi Y Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion (...) , Mammoto T, Murakami K, Kita T, Sakai T, Kagawa K, Kirita T, Sugimura M, Kishi Y. The effects of preanesthetic oral clonidine on total requirement of propofol for general anesthesia. Journal of Clinical Anesthesia 1998; 10(8): 660-665 PubMedID Other publications of related interest Rosenberg MK, Bridge P, Brown M. Cost comparison: a desflurane versus a propofol-based general anaesthetic technique. Anesthesia and Analgesia 1994;79:852-5. Indexing Status Subject indexing assigned by NLM MeSH

1998 NHS Economic Evaluation Database.

286. Study of direct variable anesthesia costs in the dilatation and curettage patient

Study of direct variable anesthesia costs in the dilatation and curettage patient Study of direct variable anesthesia costs in the dilatation and curettage patient Study of direct variable anesthesia costs in the dilatation and curettage patient Meyer-McCright A, Hofer R E, Tarhan S 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. Health technology Use of three different anaesthetic strategies for patients receiving general anaesthesia for diagnostic dilatation and curettage (D&C). The three groups of anaesthetic drugs considered were: (1) thiopental and isoflurane, (2) propofol and isoflurane, and (3) propofol and desflurane. Type of intervention Anesthesia; diagnosis. Economic study type Cost-effectiveness analysis. Study population

1998 NHS Economic Evaluation Database.

287. Office microlaparoscopy under local anesthesia for chronic pelvic pain

Office microlaparoscopy under local anesthesia for chronic pelvic pain Office microlaparoscopy under local anesthesia for chronic pelvic pain Office microlaparoscopy under local anesthesia for chronic pelvic pain Palter S F, Olive D L 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. Health technology Office microlaparoscopy under local anesthesia (OLULA) for the evaluation of chronic pelvic pain (CPP) or infertility. Type of intervention Diagnosis. Economic study type Cost-effectiveness analysis. Study population Patients with CPP or infertility requiring diagnostic laparoscopy. Setting Office-based free-standing faculty practice at a tertiary care referral centre and hospital. The economic study was carried out in New Haven, Connecticut, USA

1997 NHS Economic Evaluation Database.

288. Local anesthesia versus general anesthesia for cardioverter/defibrillator implantation

Local anesthesia versus general anesthesia for cardioverter/defibrillator implantation Local anesthesia versus general anesthesia for cardioverter/defibrillator implantation Local anesthesia versus general anesthesia for cardioverter/defibrillator implantation Stix G, Anvari A, Pernerstorfer T, Grimm M, Turel Z, Mayer C, Laufer G, Schmidinger H 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 (...) the two groups. Implications of the study The authors claimed that ICD implantation may routinely be performed under LA with a reduced number of staff, thus providing further reduction in overall costs. However, the small sample size and the lack of detail on the costing procedure restrict the validity and generalisability of these conclusions. Source of funding None stated. Bibliographic details Stix G, Anvari A, Pernerstorfer T, Grimm M, Turel Z, Mayer C, Laufer G, Schmidinger H. Local anesthesia

1997 NHS Economic Evaluation Database.

289. Pharmacoeconomic analysis of sevoflurane versus isoflurane anesthesia in elective ambulatory surgery

Pharmacoeconomic analysis of sevoflurane versus isoflurane anesthesia in elective ambulatory surgery Pharmacoeconomic analysis of sevoflurane versus isoflurane anesthesia in elective ambulatory surgery Pharmacoeconomic analysis of sevoflurane versus isoflurane anesthesia in elective ambulatory surgery Wagner B K J, O'Hara D A 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 (...) performed prospectively. Study sample Power calculations were used to determine the sample size. Post hoc analysis revealed that approximately 100 patients/group would be required to show statistical significance with 80% power for all recovery durations. The 47 study patients were randomised to receive either sevoflurane (n=25, mean (SD) age 35.4 (1.3) years) or isoflurane (n=22, mean (SD) age 34.3 (1.2) years) with 60% nitrous oxide general anesthesia. Study design The study was a randomised, open

1997 NHS Economic Evaluation Database.

290. Xenon and future anesthesia

Xenon and future anesthesia Xenon and future anesthesia Xenon and future anesthesia Nakata Y, Goto T, Morita S 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. Health technology Xenon, and nitrous oxide (sevoflurane and isoflurane) anesthesia (...) Costs and benefits were not combined. Xenon was shown to be a more effective anaesthetic than nitrous oxide with faster inhalation induction and emergence from anesthesia and less effects in extension of vecuronium-induced neuromuscular blockage. Environmentally, nitrous oxide is said to be related to the destruction of the ozone layer and also leads to greenhouse effectswhile xenon is not associated with either. However the costs of xenon are much higher than those of nitrous oxide. The higher

1997 NHS Economic Evaluation Database.

291. The efficacy of regional anesthesia for outpatient anterior cruciate ligament reconstruction

The efficacy of regional anesthesia for outpatient anterior cruciate ligament reconstruction The efficacy of regional anesthesia for outpatient anterior cruciate ligament reconstruction The efficacy of regional anesthesia for outpatient anterior cruciate ligament reconstruction Nakamura S J, Conte-Hernandez A, Galloway M T 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 sample size. The regional anaesthesia group consisted of 36 patients with an average (SD) age of 28 (9) years versus 31 patients in the control group (general anesthesia) with an average age of 27 (7) years. Study design This was a retrospective cohort study, carried out in a single centre. The duration of follow-up was until discharge. No loss to follow up was reported. Analysis of effectiveness The analysis of effectiveness was based on intention to treat. The health outcome measures were

1997 NHS Economic Evaluation Database.

292. Omission of nitrous oxide during anesthesia reduces the incidence of postoperative nausea and vomiting: a meta-analysis

Omission of nitrous oxide during anesthesia reduces the incidence of postoperative nausea and vomiting: a meta-analysis Omission of nitrous oxide during anesthesia reduces the incidence of postoperative nausea and vomiting: a meta-analysis Omission of nitrous oxide during anesthesia reduces the incidence of postoperative nausea and vomiting: a meta-analysis Divatia J V, Vaidya J S, Badwe R A, Hawaldar R W Authors' objectives To perform a meta-analysis in order to determine the impact of nitrous (...) were applied were given. Likewise, no information on the validity of the primary studies was presented. The authors provide a useful discussion on this and other reviews of nitrous oxide and PONV. Bibliographic details Divatia J V, Vaidya J S, Badwe R A, Hawaldar R W. Omission of nitrous oxide during anesthesia reduces the incidence of postoperative nausea and vomiting: a meta-analysis. Anesthesiology 1996; 85(5): 1055-1062 PubMedID Original Paper URL Other publications of related interest 1. Yusuf

1996 DARE.

293. Local anesthesia in outpatient knee arthroscopy: a comparison of efficacy and cost

Local anesthesia in outpatient knee arthroscopy: a comparison of efficacy and cost Local anesthesia in outpatient knee arthroscopy: a comparison of efficacy and cost Local anesthesia in outpatient knee arthroscopy: a comparison of efficacy and cost Lintner S, Shawen S, Lohnes J, Levy A, Garrett W 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. Health technology General, regional and local anesthesia in outpatient knee arthroscopy. Type of intervention Diagnosis and treatment. Economic study type Cost-effectiveness analysis. Study population All patients who underwent arthroscopy within a 12 month period at Duke University Medical Centre (age range 10-77 years, males and females) except those who underwent a planned concomitant open procedure

1996 NHS Economic Evaluation Database.

294. Cost-effective anesthesia: desflurane versus propofol in outpatient surgery

Cost-effective anesthesia: desflurane versus propofol in outpatient surgery Cost-effective anesthesia: desflurane versus propofol in outpatient surgery Cost-effective anesthesia: desflurane versus propofol in outpatient surgery Kurpiers E M, Scharine J, Lovell S L 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 (...) as the maintenance anaesthetic. The price of administering an antiemetic would be offset by the savings from using desflurane. Source of funding None stated. Bibliographic details Kurpiers E M, Scharine J, Lovell S L. Cost-effective anesthesia: desflurane versus propofol in outpatient surgery. AANA Journal 1996; 64(1): 69-75 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Adult; Ambulatory Surgical Procedures /economics; Anesthetics, Inhalation /economics; Anesthetics, Intravenous /economics; Cost

1996 NHS Economic Evaluation Database.

295. Ambulatory care pharmacoeconomic evaluation of anesthesia in ambulatory surgery: comparison of desflurane to isoflurane and propofol

Ambulatory care pharmacoeconomic evaluation of anesthesia in ambulatory surgery: comparison of desflurane to isoflurane and propofol Ambulatory care pharmacoeconomic evaluation of anesthesia in ambulatory surgery: comparison of desflurane to isoflurane and propofol Ambulatory care pharmacoeconomic evaluation of anesthesia in ambulatory surgery: comparison of desflurane to isoflurane and propofol Halberg D L, Russell W, Hatton R C, Segal R, Guyton T S, Paulu D A 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. Health technology Desflurane, isoflurane and propofol for induction and maintenance of general anaesthesia in adults. Type of intervention Treatment and anesthesia. Economic study type Cost-effectiveness analysis. Study population

1996 NHS Economic Evaluation Database.

296. Spinal versus epidural anesthesia for cesarean section: a comparison of time efficiency, costs, charges, and complications

Spinal versus epidural anesthesia for cesarean section: a comparison of time efficiency, costs, charges, and complications Spinal versus epidural anesthesia for cesarean section: a comparison of time efficiency, costs, charges, and complications Spinal versus epidural anesthesia for cesarean section: a comparison of time efficiency, costs, charges, and complications Riley E T, Cohen S E, Macario A, Desai J B, Ratner E F Record Status This is a critical abstract of an economic evaluation (...) biased the results. No attempt was made to cost complications. Details of statistical analysis of costs would have been useful. An important absence in the paper is the lack of a sensitivity analysis. Bibliographic details Riley E T, Cohen S E, Macario A, Desai J B, Ratner E F. Spinal versus epidural anesthesia for cesarean section: a comparison of time efficiency, costs, charges, and complications. Anesthesia and Analgesia 1995; 80(4): 709-712 PubMedID Indexing Status Subject indexing assigned

1995 NHS Economic Evaluation Database.

297. Local anesthesia for knee arthroscopy: efficacy and cost benefits

Local anesthesia for knee arthroscopy: efficacy and cost benefits Local anesthesia for knee arthroscopy: efficacy and cost benefits Local anesthesia for knee arthroscopy: efficacy and cost benefits Shapiro M S, Safran M R, Crockett H, Finerman G A 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 (...) significant. No data were provided on the way costs were derived. These results may not be generalisable to different patients, settings or countries. Source of funding None stated. Bibliographic details Shapiro M S, Safran M R, Crockett H, Finerman G A. Local anesthesia for knee arthroscopy: efficacy and cost benefits. American Journal of Sports Medicine 1995; 23(1): 50-53 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Adolescent; Adult; Aged; Anesthesia /adverse effects /economics

1995 NHS Economic Evaluation Database.

298. Use of anesthesia selection in controlling surgery costs in an HMO Hospital

Use of anesthesia selection in controlling surgery costs in an HMO Hospital Use of anesthesia selection in controlling surgery costs in an HMO Hospital Use of anesthesia selection in controlling surgery costs in an HMO Hospital Suver J, Arikian S R, Doyle J J, Sweeney S W, Hagan 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. Health technology Two regimens used in intra-abdominal surgery for the induction and maintenance of anesthesia. The first regimen involved the use of propofol for induction and maintenance, while the second employed thiopental for induction and isoflurane for maintenance. Type of intervention Anaesthetic Economic study type Cost-effectiveness analysis. Study population The study population was patients undergoing

1995 NHS Economic Evaluation Database.

299. Labor epidural catheter reactivation or spinal anesthesia for delayed postpartum tubal ligation: a cost comparison

Labor epidural catheter reactivation or spinal anesthesia for delayed postpartum tubal ligation: a cost comparison Labor epidural catheter reactivation or spinal anesthesia for delayed postpartum tubal ligation: a cost comparison Labor epidural catheter reactivation or spinal anesthesia for delayed postpartum tubal ligation: a cost comparison Viscomi C M, Rathmell J P Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each (...) headaches. Direct costs Quantities and costs were analysed separately. The quantities measured were operating room (OR) and anesthesia times. The costs described were hospital charges and the cost boundary was therefore the purchaser. The estimation of costs was based on given institution-specific prices (single observations). The costs considered were those of OR occupancy and anesthesia professional charges. The sources of quantity data were the institution's own records. The quantities were measured

1995 NHS Economic Evaluation Database.

300. Efficacy, safety, and cost of intravenous sedation versus general anesthesia in children undergoing endoscopic procedures

Efficacy, safety, and cost of intravenous sedation versus general anesthesia in children undergoing endoscopic procedures Efficacy, safety, and cost of intravenous sedation versus general anesthesia in children undergoing endoscopic procedures Efficacy, safety, and cost of intravenous sedation versus general anesthesia in children undergoing endoscopic procedures Squires R H, Morriss F, Schluterman S, Drews B, Galyen L, Brown K O Record Status This is a critical abstract of an economic (...) such claims. Source of funding None stated Bibliographic details Squires R H, Morriss F, Schluterman S, Drews B, Galyen L, Brown K O. Efficacy, safety, and cost of intravenous sedation versus general anesthesia in children undergoing endoscopic procedures. Gastrointestinal Endoscopy 1995; 41(2): 99-104 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Adolescent; Anesthesia, General /adverse effects /economics; Arousal; Child; Child, Preschool; Conscious Sedation /adverse effects /economics

1995 NHS Economic Evaluation Database.