Latest & greatest articles for anesthesia

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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. On the utility of diagnostic instruments for pediatric delirium in critical illness: an evaluation of the Pediatric Anesthesia Emergence Delirium Scale, the Delirium Rating Scale 88, and the Delirium Rating Scale-Revised R-98

On the utility of diagnostic instruments for pediatric delirium in critical illness: an evaluation of the Pediatric Anesthesia Emergence Delirium Scale, the Delirium Rating Scale 88, and the Delirium Rating Scale-Revised R-98 PEDSCCM.org Criteria abstracted from series in Review Posted: founded 1995 Questions or comments?

2013 PedsCCM Evidence-Based Journal Club

282. Administration of Anesthesia by Anesthesiologists Versus Non-Physicians for Patients Undergoing Cataract Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines

. For uncomplicated procedures, properly trained non-medical staff may administer subconjunctival or sub-Tenon’s blocks. An anesthesiologist should be available on site when local anesthetic blocks are being administered for more complex or longer cataract procedures. Administration of Anesthesiology by Anesthesiologists Versus Non-Physicians During Cataract Surgery 2 REFERENCES SUMMARIZED Health Technology Assessments No literature identified. Systematic Reviews and Meta-analyses No literature identified (...) . Randomized Controlled Trials No literature identified. Non-Randomized Studies 1. Bassett K, Smith SW, Cardiff K, Bergman K, Aghajanian J, Somogyi E. Nurse anaesthetic care during cataract surgery: a comparative quality assurance study. Can J Ophthalmol. 2007 Oct;42(5):689-94. PubMed: PM17891197 Economic Evaluations No literature identified. Guidelines and Recommendations 2. Local anaesthesia for ophthalmic surgery [Internet]. Joint Guidelines for the Royal College of Anaesthetists and the Royal College

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

283. Immediate Post-anaesthesia recovery

Recovery Room Book, 4 th edition. New York: Oxford University Press, 2009. 3. NCEPOD. Changing the Way we Operate. www.ncepod.org.uk/pdf/2001/01full.pdf (accessed 18/10/12). 4. Kluger MT, Bullock MFM. Recovery room incidents: a review of 419 reports from the Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia 2002; 57: 1060-66. 5. Healthcare Improvement Scotland. National Overview September 2005, Anaesthesia – Care Before, During and After Anaesthesia. http://www.healthcareimprovementscotland.org (...) requirements in the immediate postoperative period. 6.2 Can apply knowledge of effects of pharmacology of anaesthetic agents and of surgery upon the respiratory system. Understands the effects of anaesthesia and surgery on respiratory function. Describe the signs and symptoms of inadequate reversal of neuromuscular blockade and central respiratory depression. See competency 11. 6.3 Can assess respiration. Describes postoperative patterns of respiration. Describe the signs of obstructed breathing. Can

2013 Association of Anaesthetists of GB and Ireland

284. Locoregional anesthesia for endovascular aneurysm repair

Locoregional anesthesia for endovascular aneurysm repair Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2013 DARE.

285. Articane Provides Longer Lasting Anesthesia in Buccal Infiltration Compared to Lidocaine on Healthy Teeth

on healthy teeth than lidocaine 2% 1:100,000 epi with a 95% Cl. Evidence Search (("Carticaine"[Mesh]) AND "Lidocaine"[Mesh]) AND "Anesthesia"[Mesh] Comments on The Evidence Brandt and colleagues analyzed a set of randomized controlled trials and systematic reviews, with a total of 269 patients, comparing anesthetic length of both articaine 4% 1:100,000 epi and lidocaine 2% 1:100,000 epi. Lidocaine was used as the gold standard. Compilation of the article titles was done electronically, which resulted (...) Articane Provides Longer Lasting Anesthesia in Buccal Infiltration Compared to Lidocaine on Healthy Teeth UTCAT2437, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Articane Provides Longer Lasting Anesthesia in Buccal Infiltration Compared to Lidocaine on Healthy Teeth Clinical Question In a patient undergoing buccal infiltration is articaine longer lasting compared to lidocane on healthy teeth? Clinical Bottom Line

2013 UTHSCSA Dental School CAT Library

286. Children With Obstructive Sleep Apnea Receiving Dental Procedures Under General Anesthesia are at Increase Risk For Respiratory Complications During Recovery?

Children With Obstructive Sleep Apnea Receiving Dental Procedures Under General Anesthesia are at Increase Risk For Respiratory Complications During Recovery? UTCAT2348, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Children With Obstructive Sleep Apnea Receiving Dental Procedures Under General Anesthesia are at Increase Risk For Respiratory Complications During Recovery? Clinical Question For children with history (...) of obstructive sleep apnea undergoing dental rehabilitation under general anesthesia, as compared to the general population, would they have an increase risk of complications during recovery? Clinical Bottom Line Evidence shows that children with history of obstructive sleep apnea (1-3% of children) should be evaluated and followed up closely since they are at higher risk for respiratory complications after general anesthesia. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID

2013 UTHSCSA Dental School CAT Library

287. Anesthesia Among Patients Undergoing Knee Arthroplasty

, et al. Comparative perioperative outcomes associated with neuraxial versus general anesthesia for simultaneous bilateral total knee arthroplasty. Reg Anesth Pain Med. 2012 Nov;37(6):638-44. (11) Memtsoudis SG, Sun X, Chiu YL, Stundner O, Liu SS, Banerjee S, et al. Perioperative comparative effectiveness of anesthetic technique in orthopedic patients. Anesthesiology. 2013 May;118(5):1046-58. (12) Pugely AJ, Martin CT, Gao Y, Mendoza-Lattes S, Callaghan JJ. Differences in short-term complications (...) are general and regional. According to definitions from the Canadian Anesthesiologists’ Society, general anesthesia is a reversible state of complete unconsciousness with loss of memory, pain relief, and muscle relaxation induced by drugs typically administered intravenously or by inhaled induction. (1) Regional anesthesia is the injection of a local anesthetic to an area of the body close to a nerve or group of nerves that supply function or feeling to the area of body involved in an operation. (1) When

2013 Health Quality Ontario

288. Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice Background Paper

Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice Background Paper PS54 BP 2013 Page 1 PS54 BP 2013 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice Background Paper PURPOSE Anaesthetic machines are fundamental to anaesthesia. They have continued to evolve in sophistication and functionality, becoming increasingly (...) and consequently this was not incorporated. In addition it was considered that the recommended testing of the anaesthetic machine by the anaesthetist before use would be sufficient to ensure the safe functioning of the machine. At the close of the pilot phase, the title of the document was amended, consistent with the broader suite of ANZCA professional documents. SUMMARY Anaesthetic machines are fundamental to anaesthesia and have continued to evolve in sophistication and functionality, as well as diversity

2013 Australian and New Zealand College of Anaesthetists

289. Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice

by AS/NZS 3200.2.13:2005. 1 ANZCA’s monitoring recommendations are outlined in College professional document PS18 Recommendations on Monitoring During Anaesthesia. 1.5.4 Basic draw-over systems and draw-over capable field anaesthetic machines. 1.5.4.1 The use of field equipment for teaching or continuing professional development in anaesthetising locations in Australia and New Zealand is acceptable when directly supervised by anaesthetists experienced in the principles and use of such equipment and when (...) approved by the Page 2 PS54 2013 head of department or his or her equivalent. Monitoring must comply with College professional document PS18 Recommendations on Monitoring During Anaesthesia. 2. ANAESTHETIC MACHINE SAFETY ASSESSMENT 2.1 Anaesthetic machines must be assessed for safety, reliability and functionality at least once a year by a specialist anaesthetist, or other person, with the required skill and technical knowledge. 2.2 This assessment will result in a classification of each machine

2013 Australian and New Zealand College of Anaesthetists

290. Guidelines for Health Practitioners Administering Local Anaesthesia Background Paper

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 (...) document, therefore, is to support uniform standards for the administration of local anaesthesia for medical, dental and surgical procedures by all health practitioners in Australia and New Zealand. BACKGROUND This professional document is intended to apply to all local anaesthetic techniques, including topical anaesthesia, field infiltration and peripheral nerve block (such as digital nerve block). This document is not intended to apply to orbital blocks, major regional anaesthesia and analgesia

2013 Australian and New Zealand College of Anaesthetists

291. Guidelines for Health Practitioners Administering Local Anaesthesia

anaesthesia include those related to the local anaesthetic drugs (for example, local anesthetic toxicity, allergic reaction), co- Page 2 PS37 2013 administered vasoconstrictors (for example, tachycardia, tachyarrhythmia or hypertension due to systemic absorption) or administration technique (for example, pain on injection, damage to nerves and/or adjacent structures). 5. PATIENT PREPARATION 5.1 Prior to the procedure, the health practitioner performing the procedure should provide the patient (...) ). 3. DEFINITION Local anaesthesia is the reduction or elimination of pain perception by drugs, which act locally to interfere with nerve conduction. Local anaesthetic drugs may be administered topically and/or by injection, either as field infiltration or peripheral nerve block (such as digital nerve block). 4. AIMS AND RISKS OF LOCAL ANAESTHESIA 4.1 The aims of local anaesthesia are to facilitate completion of the planned procedure without compromising patient safety 4.2 Risks of local

2013 Australian and New Zealand College of Anaesthetists

292. Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice

by AS/NZS 3200.2.13:2005. 1 ANZCA’s monitoring recommendations are outlined in College professional document PS18 Recommendations on Monitoring During Anaesthesia. 1.5.4 Basic draw-over systems and draw-over capable field anaesthetic machines. 1.5.4.1 The use of field equipment for teaching or continuing professional development in anaesthetising locations in Australia and New Zealand is acceptable when directly supervised by anaesthetists experienced in the principles and use of such equipment and when (...) approved by the Page 2 PS54 2013 head of department or his or her equivalent. Monitoring must comply with College professional document PS18 Recommendations on Monitoring During Anaesthesia. 2. ANAESTHETIC MACHINE SAFETY ASSESSMENT 2.1 Anaesthetic machines must be assessed for safety, reliability and functionality at least once a year by a specialist anaesthetist, or other person, with the required skill and technical knowledge. 2.2 This assessment will result in a classification of each machine

2013 Australian and New Zealand College of Anaesthetists

293. Guidelines for Health Practitioners Administering Local Anaesthesia

anaesthesia include those related to the local anaesthetic drugs (for example, local anesthetic toxicity, allergic reaction), co- Page 2 PS37 2013 administered vasoconstrictors (for example, tachycardia, tachyarrhythmia or hypertension due to systemic absorption) or administration technique (for example, pain on injection, damage to nerves and/or adjacent structures). 5. PATIENT PREPARATION 5.1 Prior to the procedure, the health practitioner performing the procedure should provide the patient (...) ). 3. DEFINITION Local anaesthesia is the reduction or elimination of pain perception by drugs, which act locally to interfere with nerve conduction. Local anaesthetic drugs may be administered topically and/or by injection, either as field infiltration or peripheral nerve block (such as digital nerve block). 4. AIMS AND RISKS OF LOCAL ANAESTHESIA 4.1 The aims of local anaesthesia are to facilitate completion of the planned procedure without compromising patient safety 4.2 Risks of local

2013 Australian and New Zealand College of Anaesthetists

294. Recommendations on Monitoring During Anaesthesia

should be supplemented when necessary by appropriate devices to assist the practitioner responsible for the anaesthesia. 2.2 A medical practitioner whose sole responsibility is the provision of anaesthetic care for that patient must be constantly present from induction of anaesthesia until safe transfer to recovery room staff or intensive care unit has been accomplished (see PS02 Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia and the relevant ANZCA training (...) . In most cases, this refers to a monitor connected via a transducer to an intra-arterial line. 3.7 Carbon dioxide monitor A monitor of the carbon dioxide level in inhaled and exhaled gases must be in use for every patient undergoing general anaesthesia. 3.8 Volatile anaesthetic agent concentration monitor Equipment to monitor the concentration of inhalational anaesthetics must be in use for every patient undergoing general anaesthesia from an anaesthesia delivery system where volatile anaesthetic

2013 Australian and New Zealand College of Anaesthetists

295. Guidelines for Ambulatory Anesthesia and Surgery

hospitals, ambulatory surgical facilities and office-based settings, and to participate in facility accreditation as a means for standardization and improving the quality of patient care. These guidelines apply to all care involving anesthesiology personnel administering ambulatory anesthesia in all settings. These are minimal guidelines which may be exceeded at any time based on the judgment of the involved anesthesia personnel. These guidelines encourage high quality patient care, but observing them (...) Guidelines for Ambulatory Anesthesia and Surgery 1 Guidelines for Ambulatory Anesthesia and Surgery Committee of Origin: Ambulatory Surgical Care (Approved by the ASA House of Delegates on October 15, 2003, last amended on October 22, 2008, and reaffirmed on October 17, 2018) The American Society of Anesthesiologists (ASA) endorses and supports the concept of Ambulatory Anesthesia and Surgery. ASA encourages the anesthesiologist to play a leadership role as the perioperative physician in all

2013 American Society of Anesthesiologists

296. Guidelines for the Ethical Practice of Anesthesiology

confidential patients’ medical and personal information. 5. Anesthesiologists should provide preoperative evaluation and care and should facilitate the process of informed decision-making, especially regarding the choice of anesthetic technique. 6. If responsibility for a patient’s care is to be shared with other physicians or nonphysician anesthesia providers, this arrangement should be explained to the patient. When directing non-physician anesthesia providers, anesthesiologists should provide or ensure (...) the same level of preoperative evaluation, care and counseling as when personally providing these same aspects of anesthesia care. 3 7. When directing nonphysician anesthesia providers or physicians in training in the actual delivery of anesthetics, anesthesiologists should remain personally and continuously available for direction and supervision during the anesthetic; they should directly participate in the most demanding aspects of the anesthetic care. 8. Anesthesiologists should provide

2013 American Society of Anesthesiologists

297. Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review

Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review Anesthesia among patients undergoing knee arthroplasty: a rapid review Anesthesia among patients undergoing knee arthroplasty: a rapid review Brener S 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 Brener S. Anesthesia among patients undergoing knee arthroplasty (...) : a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2013 Authors' objectives The objective of this rapid review is to examine the safety and effectiveness of regional anesthesia versus general anesthesia among patients undergoing primary knee arthroplasty. Authors' conclusions From the examination of 1 systematic review of randomized controlled trials as part of the rapid review: Based on very low quality of evidence, there was no significant difference in mortality for patients who

2013 Health Technology Assessment (HTA) Database.

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

with subsequent impaired language development and cognitive function Article Text Harm Cohort study Single surgical procedure with general anaesthesia early in life is associated with subsequent impaired language development and cognitive function Andreas W Loepke Statistics from Altmetric.com Commentary on: Ing C , Dimaggio C , Whitehouse A , et al . Long-term differences in language and cognitive function after childhood exposure to anesthesia . Context Thus far, more than 250 studies in immature animals (...) 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

2013 Evidence-Based Medicine

299. 4% Articaine (1:100,000 epi) Is More Effective At Pulpal Anesthesia Than 2% Lidocaine (1:100,000 epi) In Local Infiltration Anesthesia

4% Articaine (1:100,000 epi) Is More Effective At Pulpal Anesthesia Than 2% Lidocaine (1:100,000 epi) In Local Infiltration Anesthesia UTCAT2416, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title 4% Articaine (1:100,000 epi) Is More Effective At Pulpal Anesthesia Than 2% Lidocaine (1:100,000 epi) In Local Infiltration Anesthesia Clinical Question For local infiltration anesthesia, would 4% articaine (1:100,000 epi (...) ) be more effective in pulpal anesthesia than 2% lidocaine (1:100,000 epi) in dental treatments? Clinical Bottom Line In the meta-analysis of 13 different studies, articaine was found to have more efficacy than lidocaine at pulpal anesthesia. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Brandt/2011 From the pulpal anesthesia comparison only, there were 466 experimental (lidocaine) and 467 control

2013 UTHSCSA Dental School CAT Library

300. Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia

Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia Movafegh A, Amini S, Sharifnia H, Torkamandi H, Hayatshahi A, Javadi 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. CRD summary The aim was to evaluate the cost and adverse events of two neuromuscular blockers, atracurium and cisatracurium, for patients having surgery under anaesthesia. The authors concluded that the two drugs appeared to have similar safety profiles, but atracurium was cheaper. The study

2013 NHS Economic Evaluation Database.