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

141. Anesthesia technique, mortality, and length of stay after hip fracture surgery. (PubMed)

Anesthesia technique, mortality, and length of stay after hip fracture surgery. More than 300,000 hip fractures occur each year in the United States. Recent practice guidelines have advocated greater use of regional anesthesia for hip fracture surgery.To test the association of regional (ie, spinal or epidural) anesthesia vs general anesthesia with 30-day mortality and hospital length of stay after hip fracture.We conducted a matched retrospective cohort study involving patients 50 years (...) or older who were undergoing surgery for hip fracture at general acute care hospitals in New York State between July 1, 2004, and December 31, 2011. Our main analysis was a near-far instrumental variable match that paired patients who lived at different distances from hospitals that specialized in regional or general anesthesia. Supplementary analyses included a within-hospital match that paired patients within the same hospital and an across-hospital match that paired patients at different

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2014 JAMA

142. Effectiveness of an Audiovisual Video Eyeglass Distraction Technique on Pain Associated with Injection of Local Anesthesia for Children

Effectiveness of an Audiovisual Video Eyeglass Distraction Technique on Pain Associated with Injection of Local Anesthesia for Children UTCAT2724, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Effectiveness of an Audiovisual Video Eyeglass Distraction Technique on Pain Associated with Injection of Local Anesthesia for Children Clinical Question In dental restorative procedures on children ages 4 to 7, how effective

2014 UTHSCSA Dental School CAT Library

143. Epinephrine Use With Local Anesthesia in Post Myocardial Infarction Patients

Epinephrine Use With Local Anesthesia in Post Myocardial Infarction Patients UTCAT2664, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Epinephrine Use With Local Anesthesia in Post Myocardial Infarction Patients Clinical Question In a patient who has had a MI, how long after their cardiac event is it safe to use standard levels of epinephrine in local anesthesia? Clinical Bottom Line There is no clearly specific (...) period of time to wait after a patient has had an MI for it to be safe to use standard levels of epinephrine in local anesthesia, but these studies suggest that the amount of risk and the length of time needed to wait are not as great as previous thought. 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) Conrado/2007 Fifty-four patients with coronary artery disease (excluding patients with a MI within

2014 UTHSCSA Dental School CAT Library

144. Supplemental Intraosseous Anesthesia Improves the Success Rate of Inferior Alveolar Nerve Blocks in Molars with Irreversible Pulpitis.

Supplemental Intraosseous Anesthesia Improves the Success Rate of Inferior Alveolar Nerve Blocks in Molars with Irreversible Pulpitis. UTCAT2689, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Supplemental Intraosseous Anesthesia Improves the Success Rate of Inferior Alveolar Nerve Blocks in Molars with Irreversible Pulpitis. Clinical Question In patients receiving treatment for irreversible pulpitis of mandibular (...) molars, does the supplemental intraosseous anesthesia provide a superior clinical success rate compared to an inferior alveolar nerve block alone? Clinical Bottom Line In cases with patients being treated for irreversible pulpitis, a supplemental delivery of local anesthetic by means of intraosseous injection following an initial inferior alveolar nerve block aids in achieving successful pain free treatment. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author

2014 UTHSCSA Dental School CAT Library

145. Administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery: clinical effectiveness, cost-effectiveness, and guidelines

Administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery: clinical effectiveness, cost-effectiveness, and guidelines Administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery: clinical effectiveness, cost-effectiveness, and guidelines Administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery: clinical effectiveness, cost (...) -effectiveness, and 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. Administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery: clinical effectiveness, cost-effectiveness, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response

2014 Health Technology Assessment (HTA) Database.

146. Spinal anesthesia: should everyone receive a urinary catheter?: a randomized, prospective study of patients undergoing total hip arthroplasty (PubMed)

Spinal anesthesia: should everyone receive a urinary catheter?: a randomized, prospective study of patients undergoing total hip arthroplasty The objective of this randomized prospective study was to determine whether a urinary catheter is necessary for all patients undergoing total hip arthroplasty under spinal anesthesia.Consecutive patients undergoing total hip arthroplasty under spinal anesthesia were randomized to treatment with or without insertion of an indwelling urinary catheter. All (...) patients received spinal anesthesia with 15 to 30 mg of 0.5% bupivacaine. The catheter group was subjected to a standard postoperative protocol, with removal of the indwelling catheter within forty-eight hours postoperatively. The experimental group was monitored for urinary retention and, if necessary, had straight catheterization up to two times prior to the placement of an indwelling catheter.Two hundred patients were included in the study. There was no significant difference between the two groups

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2013 EvidenceUpdates Controlled trial quality: uncertain

147. Effects of continuous epidural anesthesia and postoperative epidural analgesia on pain management and stress response in patients undergoing major spinal surgery (PubMed)

Effects of continuous epidural anesthesia and postoperative epidural analgesia on pain management and stress response in patients undergoing major spinal surgery A prospective, randomized study was used to compare 2 anesthesia/analgesia methods for reconstructive spine surgery.To assess the efficacy and influence of 2 anesthetic methods on clinical outcome and stress response during reconstructive spine surgery.Pain control is an important goal of the postoperative care after spinal surgery (...) . Some prior studies have suggested that epidural anesthesia with or without postoperative epidural analgesia may blunt the surgical stress response after major surgery. This treatment approach has not been fully investigated for patients undergoing major spinal surgery. We hypothesized that the stress response after major spine surgery would be attenuated by continuous epidural anesthesia/analgesia with ropivacaine, fentanyl, and epinephrine.Eighty-five patients were randomly allocated to 2 groups

2013 EvidenceUpdates Controlled trial quality: uncertain

148. 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

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

Administration of Anesthesia by Anesthesiologists Versus Non-Physicians for Patients Undergoing Cataract Surgery: Clinical Effectiveness, Cost-Effectiveness, and Guidelines TITLE: Administration of Anesthesia by Anesthesiologists Versus Non-Physicians for Patients Undergoing Cataract Surgery: Clinical Effectiveness, Cost- Effectiveness, and Guidelines DATE: 22 April 2013 RESEARCH QUESTIONS 1. What is the clinical evidence regarding the administration of anesthesia by anesthesiologists versus (...) non-physicians for patients undergoing cataract surgery? 2. What is the cost-effectiveness regarding the administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery? 3. What are the evidence-based guidelines regarding the administration of anesthesia by anesthesiologists versus non-physicians for patients undergoing cataract surgery? KEY MESSAGE One non-randomized study and one evidence-based guideline were identified regarding

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

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

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 (...) 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

2013 UTHSCSA Dental School CAT Library

151. 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

152. 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.

153. Anesthesia Among Patients Undergoing Knee Arthroplasty

Anesthesia Among Patients Undergoing Knee Arthroplasty Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review. November 2013; pp. 1–22 Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review S Brener November 2013 Evidence Development and Standards Branch at Health Quality Ontario Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review. November 2013; pp. 1–22 2 Suggested Citation This report should be cited as follows: Brener S. Anesthesia among (...) are reported and the rapid review process is complete. If the systematic review has not evaluated the primary studies using GRADE, the primary studies in the systematic review are retrieved and the GRADE criteria are applied to a maximum of 2 outcomes. Because rapid reviews are completed in very short time frames, other publication types are not included. All rapid reviews are developed and finalized in consultation with experts. Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review

2013 Health Quality Ontario

154. Guidelines for Ambulatory Anesthesia and Surgery

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 (...) 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

2013 American Society of Anesthesiologists

155. Child life care for patients having general anesthesia

Child life care for patients having general anesthesia Child Life and Integrative Care/Undergoing General Anesthesia/Coping Strategies/BESt 175 Best Evidence Statement (BESt) Copyright © 2013 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 1 of 5 Date: August 13, 2013 Title: Providing Most Effective Child Life Care for Patients Having General Anesthesia Clinical Question: P (Population/Problem) Among children undergoing general anesthesia, I (Intervention) does (...) providing coping strategies* to patients C (Comparison) versus verbal preparation only O (Outcome) decrease maladaptive behavior* post-operatively as reported by parents? Definitions for terms marked with * may be found in the Supporting Information section. Target Population for the Recommendation: Children ages 2-12 years having general anesthesia within a medical facility. Recommendation: It is recommended that children receiving general anesthesia in a medical facility be provided with coping

2013 Cincinnati Children's Hospital Medical Center

156. 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.

157. 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 (...) , compared with cisatracurium. Funding Supported by a grant from Tehran University of Medical Sciences, Iran. Bibliographic details Movafegh A, Amini S, Sharifnia H, Torkamandi H, Hayatshahi A, Javadi M. Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia. European Review for Medical and Pharmacological Sciences 2013; 17(4): 447-450 PubMedID Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Adult; Anesthesia, General

2013 NHS Economic Evaluation Database.

158. 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

159. Ephedrine versus phenylephrine for the management of hypotension during spinal anesthesia for cesarean section: an updated meta-analysis

Ephedrine versus phenylephrine for the management of hypotension during spinal anesthesia for cesarean section: an updated meta-analysis 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.

160. Neuraxial anesthesia and bladder dysfunction in the perioperative period: a systematic review (PubMed)

Neuraxial anesthesia and bladder dysfunction in the perioperative period: a systematic review Urinary retention requiring catheterization carries the risk of infection. Neuraxial anesthesia causes transient impairment of bladder function ranging from delayed initiation of micturition to frank urinary retention. We undertook a review of the literature to determine the elements of neuraxial anesthesia and analgesia that prolong bladder dysfunction and increase the incidence of urinary (...) retention.We performed a systematic search of the PubMed, MEDLINE, and EMBASE databases (from January 1980 to January 2011) to identify studies where neuraxial anesthesia and/or analgesia were employed and at least one of the following outcomes was reported: urinary retention, time to micturition, or post void residual. We included randomized controlled trials and observational studies published in the English language and we excluded case reports. The randomized trials were graded according to the Jadad

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2012 EvidenceUpdates