Latest & greatest articles for anaesthesia

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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

181. Lidocaine 70mg/tetracaine 70mg (Rapydan 70mg/70mg medicated plaster) - for surface anaesthesia of the skin in connection with needle puncture and in cases of superficial surgical procedures

Lidocaine 70mg/tetracaine 70mg (Rapydan 70mg/70mg medicated plaster) - for surface anaesthesia of the skin in connection with needle puncture and in cases of superficial surgical procedures Secretariat - Delta House 50 West Nile Street Glasgow G1 2NP Telephone 0141 225 6997 Fax 0141 248 3778 E-mail rosie.murray@nhs.net Chairman Dr Kenneth R Paterson Published 09 June 2008 Scottish Medicines Consortium lidocaine 70mg / tetracaine 70mg (Rapydan 70 mg / 70 mg medicated plaster) (No. 483/08) EUSA (...) Pharma (Europe) Limited Statement of Advice 09 May 2008 ADVICE: in the absence of a submission from the holder of the marketing authorisation. lidocaine 70mg / tetracaine 70mg (Rapydan 70mg / 70mg medicated plaster) is not recommended for use within NHSScotland for surface anaesthesia of the skin in connection with needle puncture and in cases of superficial surgical procedures (such as excision of various skin lesions and punch biopsies) on normal skin in adults; or for surface anaesthesia

2008 Scottish Medicines Consortium

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

Intravenous versus inhalation anaesthesia for one-lung ventilation. The technique called one-lung ventilation can confine bleeding or infection to one lung, prevent rupture of a lung cyst or, more commonly, facilitate surgical exposure of the unventilated lung. During one-lung ventilation, anaesthesia is maintained either by delivering a volatile anaesthetic to the ventilated lung or by infusing an intravenous anaesthetic. It is possible that the method chosen to maintain anaesthesia may affect (...) patient outcomes.The objective of this review was to evaluate the effectiveness and safety of intravenous versus inhalation anaesthesia for one-lung ventilation.We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2006, Issue 3), MEDLINE, LILACS, EMBASE (from inception to June 2006), ISI web of Science (1945 to June 2006), reference lists of identified trials, and bibliographies of published reviews. We also contacted researchers in the field. There were

2008 Cochrane

183. Statement on Anaesthesia Care of Children in Healthcare Facilities Without Dedicated Paediatric Facilities

Statement on Anaesthesia Care of Children in Healthcare Facilities Without Dedicated Paediatric Facilities Review PS29 (2008) AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ACN 055 042 852 STATEMENT ON ANAESTHESIA CARE OF CHILDREN IN HEALTHCARE FACILITIES WITHOUT DEDICATED PAEDIATRIC FACILITIES 1. INTRODUCTION Anaesthesia for children is an area of practice in which the College strongly recommends specific training and experience. The College therefore recommends that a healthcare facility (...) which is not dedicated to paediatric care but which proposes to manage children for anaesthesia and surgery should develop a policy which details criteria for management of anaesthesia, surgery and nursing care. This policy should be developed and documented jointly by representatives of the anaesthesia, surgical and nursing staffs and should be reviewed at intervals of not more than five years. It must always be recognised that the initial treatment of paediatric emergencies may be necessary

2008 Australian and New Zealand College of Anaesthetists

184. Statement on Anaesthesia Care of Children in Healthcare Facilities Without Dedicated Paediatric Facilities

Statement on Anaesthesia Care of Children in Healthcare Facilities Without Dedicated Paediatric Facilities Review PS29 (2008) AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ACN 055 042 852 STATEMENT ON ANAESTHESIA CARE OF CHILDREN IN HEALTHCARE FACILITIES WITHOUT DEDICATED PAEDIATRIC FACILITIES 1. INTRODUCTION Anaesthesia for children is an area of practice in which the College strongly recommends specific training and experience. The College therefore recommends that a healthcare facility (...) which is not dedicated to paediatric care but which proposes to manage children for anaesthesia and surgery should develop a policy which details criteria for management of anaesthesia, surgery and nursing care. This policy should be developed and documented jointly by representatives of the anaesthesia, surgical and nursing staffs and should be reviewed at intervals of not more than five years. It must always be recognised that the initial treatment of paediatric emergencies may be necessary

2008 Australian and New Zealand College of Anaesthetists

185. Recommendations for the Pre-Anaesthesia Consultation

Recommendations for the Pre-Anaesthesia Consultation PS07 2017 Page 1 PS07 2017 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Pre-Anaesthesia Consultation and Patient Preparation 1. INTRODUCTION Adequate pre-anaesthesia consultation has been identified as an important factor in patient safety. The terms “pre-anaesthesia consultation” and “anaesthesia” in this document refer not only to situations pertinent to the administration of general anaesthesia but also (...) includes those related to regional anaesthesia/analgesia and sedation. Consultation with a patient prior to anaesthesia by an anaesthetist or a medical practitioner whose scope of practice includes anaesthesia is essential (see PS57 Statement on the Duties of an Anaesthetist, PS59 Statement on Roles in Anaesthesia and Perioperative Care, and Good Medical Practice: A Code of Conduct for Doctors in Australia 1 ). “Consultation” differs from “assessment” in that an assessment (medical or nursing

2008 Australian and New Zealand College of Anaesthetists

186. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial. (Full text)

General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial. The effect of carotid endarterectomy in lowering the risk of stroke ipsilateral to severe atherosclerotic carotid-artery stenosis is offset by complications during or soon after surgery. We compared surgery under general anaesthesia with that under local anaesthesia because prediction and avoidance of perioperative strokes might be easier under local anaesthesia than under (...) general anaesthesia.We undertook a parallel group, multicentre, randomised controlled trial of 3526 patients with symptomatic or asymptomatic carotid stenosis from 95 centres in 24 countries. Participants were randomly assigned to surgery under general (n=1753) or local (n=1773) anaesthesia between June, 1999 and October, 2007. The primary outcome was the proportion of patients with stroke (including retinal infarction), myocardial infarction, or death between randomisation and 30 days after surgery

2008 Lancet PubMed

187. Randomized clinical trial comparing day-care open haemorrhoidectomy under local versus general anaesthesia

Randomized clinical trial comparing day-care open haemorrhoidectomy under local versus general anaesthesia Randomized clinical trial comparing day-care open haemorrhoidectomy under local versus general anaesthesia Randomized clinical trial comparing day-care open haemorrhoidectomy under local versus general anaesthesia Kushwaha R, Hutchings W, Davies C, Rao N G 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 study compared the costs and effects of two options for open haemorrhoidectomy, the use of either local or general anaesthesia, in patients with third-degree haemorrhoids. The authors concluded that both anaesthetic approaches had similar clinical outcomes in terms of pain and patient expectations, but that local

2008 NHS Economic Evaluation Database.

188. Randomized clinical trial comparing day-care open haemorrhoidectomy under local versus general anaesthesia (Full text)

Randomized clinical trial comparing day-care open haemorrhoidectomy under local versus general anaesthesia Day-care open haemorrhoidectomy under local anaesthesia (LH) may be the most cost-effective approach to haemorrhoidectomy. This prospective randomized trial compared outcome after LH from patients' and clinical perspectives with that after day-care open haemorrhoidectomy under general anaesthesia (GH).Forty-one patients with third-degree haemorrhoids were randomized to LH (19) or GH (22

2008 EvidenceUpdates PubMed

189. Guideline for the Use of General Anaesthesia (GA) in Paediatric Dentistry

Guideline for the Use of General Anaesthesia (GA) in Paediatric Dentistry May 2008 final 1 UK National Clinical Guidelines in Paediatric Dentistry Guideline for the Use of General Anaesthesia (GA) in Paediatric Dentistry Contents: 1. Introduction 2. Indications for the use of GA in children 3. Circumstances and conditions suitable for GA 4. Circumstances and conditions which do NOT justify GA 5. Children with medical problems 6. Explanation of risk 7. Treatment planning 7.1 Radiographs 7.2 (...) that children and adolescents receive safe and effective pain control. A range of techniques are available, comprising four overlapping categories: behavioural techniques, local anaesthesia (LA), conscious sedation, and general anaesthesia (GA) (Figure 1). Particular emphasis is placed on the importance of comprehensive treatment planning to ensure a satisfactory standard of oral health after a dental GA. 2. Indications for the use of GA in children. There are essentially only two indications for GA

2008 Royal College of Surgeons of England

190. Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma.

Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma. BestBets: Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma. Epidural analgesia/anaesthesia versus systemic intravenous opioid analgesia in the management of blunt thoracic trauma. Report By: Dr Richard Parris - Consultant in Emergency Medicine Search checked by Barbara Scobie - ST3 in Emergency Medicine (...) anaesthesia OR thorax epidural] COCHRANE: Thoracic trauma [exp. thoracic injuries] AND [exp. analgesia-epidural OR anaesthesia-epidural OR injection-epidural OR analgesia-patient controlled OR analgesics-opioid] Search Outcome Medline produced 56 papers, EMBASE 103, of which four were relevant and of sufficient quality. Relevant Paper(s) Author, date and country Patient group Study type (level of evidence) Outcomes Key results Study Weaknesses Mackersie et al 1991 USA 32 patients recruited with: - 3

2007 BestBETS

191. Sub-Tenon's anaesthesia versus topical anaesthesia for cataract surgery. (Full text)

Sub-Tenon's anaesthesia versus topical anaesthesia for cataract surgery. Local anaesthesia for cataract surgery can be provided by either sub-Tenon or topical anaesthesia. Although there is some work suggesting advantages to both techniques, there has been no recent systematic attempt to compare both techniques for all relevant outcomes.To compare the effectiveness of topical anaesthesia (with or without the addition of intracameral local anaesthetic) and sub-Tenon's anaesthesia in providing (...) pain relief during cataract surgery.We searched the Cochrane Central Register of Controlled Trials (The Cochrane Library, 2006, Issue 2); MEDLINE (1990 to July 2006); EMBASE (1990 to July 2006) and reference lists of articles. There were no constraints based on language or publication status.We included all randomized or quasi-randomized studies comparing sub-Tenon anaesthesia with topical anaesthesia for cataract surgery.Two authors independently assessed trial quality and extracted data. We

2007 Cochrane PubMed

192. Topical anaesthesia alone versus topical anaesthesia with intracameral lidocaine for phacoemulsification. (PubMed)

Topical anaesthesia alone versus topical anaesthesia with intracameral lidocaine for phacoemulsification. Cataract is defined as loss of transparency of the natural lens and is usually an age-related phenomenon. The only recognized treatment available for cataract involves surgery. An ideal anaesthetic should allow for pain-free surgery with no systemic or local complications. It should be cost effective and should facilitate a stress-free procedure for surgeon and patient alike. Topical (...) anaesthesia involves applying anaesthetic eye drops to the surface of the eye prior to and during surgery. This has found large acceptance especially in the USA where it is used by 61% of cataract surgeons. Many surgeons who perform cataract surgery under topical anaesthesia also use intraoperative supplementary intracameral lidocaine (injected directly into the anterior chamber of the eye). The benefits and possible risks of intracameral lidocaine have been assessed by a number of randomized controlled

2007 Cochrane

193. Remifentanil for general anaesthesia: a systematic review (Full text)

Remifentanil for general anaesthesia: a systematic review Remifentanil for general anaesthesia: a systematic review Remifentanil for general anaesthesia: a systematic review Komatsu R, Turan A M, Orhan-Sungur M, McGuire J, Radke O C, Apfel C C CRD summary This generally well-conducted review compared remifentanil with fentanyl, alfentanil or sufentanil for analgesia during general anaesthesia. The authors concluded that remifentanil induced deeper analgesia and anaesthesia. Patients given (...) remifentanil showed faster recovery times but needed post-operative analgesia more frequently. The review included a large number of patients and, despite some concerns about the synthesis, the authors' conclusions are likely to be reliable. Authors' objectives To evaluate the intra-operative and post-operative efficacy and safety of remifentanil as an analgesic supplement during general anaesthesia compared with other currently used opioids. Searching MEDLINE, an ISI index and the Cochrane Library were

2007 DARE. PubMed

194. Recommendations for standards of monitoring during anaesthesia and recovery : fourth edition

Recommendations for standards of monitoring during anaesthesia and recovery : fourth edition Published by The Association of Anaesthetists of Great Britain and Ireland, 21 Portland Place, London W1B 1PY Telephone 020 76311650 Fax 020 7631 4352 www.aagbi.org March 2007 RECOMMENDATIONS FOR STANDARDS OF MONITORING DURING ANAESTHESIA AND RECOVERY 4th EditionMEMbERSHIp OF THE wORkING pARTY Dr R J S Birks Chairman/Vice President Dr L W Gemmell Council Member Dr E P O’Sullivan Council Member Prof D J (...) Rowbotham Council Member Prof J R Sneyd Council Member Ex-Officio Dr D K Whitaker President Prof M Harmer Immediate Past President Dr I H Wilson Honorary Treasurer Dr A W Harrop-Griffiths Honorary Secretary Prof W A Chambers Immediate Past Honorary Secretary Dr I G Johnston Honorary Membership Secretary Dr D G Bogod Editor-in-Chief, Anaesthesia This document will be reviewed regularly and may be revised or updated before the formal publication of a new edition. For the latest version, please refer

2007 Association of Anaesthetists of GB and Ireland

195. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. (PubMed)

Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Maternal hypotension, the most frequent complication of spinal anaesthesia for caesarean section, can be associated with severe nausea or vomiting which can pose serious risks to the mother (unconsciousness, pulmonary aspiration) and baby (hypoxia, acidosis and neurological injury).To assess the effects of prophylactic interventions for hypotension following spinal anaesthesia for caesarean section.We (...) searched the Cochrane Pregnancy and Childbirth Group's Trials Register (November 2005).Randomised controlled trials comparing interventions to prevent hypotension with placebo or alternative treatment in women having spinal anaesthesia for caesarean section.Three review authors independently assessed eligibility and methodological quality of studies, and extracted data.We included 75 trials (a total of 4624 women). Crystalloids were more effective than no fluids (relative risk (RR) 0.78, 95% confidence

2006 Cochrane

196. Regional versus general anaesthesia for caesarean section. (Full text)

Regional versus general anaesthesia for caesarean section. Regional and general anaesthesia (GA) are commonly used for caesarean section (CS) and both have advantages and disadvantages. It is important to clarify what type of anaesthesia is more efficacious.To compare the effects of regional anaesthesia (RA) with those of GA on the outcomes of CS.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 December 2005), the Cochrane Central Register of Controlled Trials (...) (The Cochrane Library 2005, Issue 1), MEDLINE (1966 to December 2005), and EMBASE (1980 to December 2005).Randomised and quasi-randomised controlled trials evaluating the use of RA and GA in women who had CS for any indication.Two authors independently assessed trials for inclusion, data extraction and trial quality.Sixteen studies (1586 women) were included in this review. Women who had either epidural anaesthesia or spinal anaesthesia were found to have a significantly lower difference between pre

2006 Cochrane PubMed

197. Opioid antagonists under heavy sedation or anaesthesia for opioid withdrawal. (Full text)

Opioid antagonists under heavy sedation or anaesthesia for opioid withdrawal. Withdrawal (detoxification) is necessary prior to drug-free treatment. It may also represent the end point of long-term opioid replacement treatment such as methadone maintenance. The availability of managed withdrawal is essential to an effective treatment system.To assess the effectiveness of interventions involving the administration of opioid antagonists to induce opioid withdrawal with concomitant heavy sedation (...) or anaesthesia, in terms of withdrawal signs and symptoms, completion of treatment and adverse effects.We searched the Drugs and Alcohol Group register (October 2003), Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 4, 2004), Medline (January 1966 to January 2005), Embase (January 1985 to January 2005), PsycINFO (1967 to January 2005), and Cinahl (1982 to December 2004) and reference lists of studies.Controlled trials comparing antagonist-induced withdrawal under heavy sedation

2006 Cochrane PubMed

198. Consent for anaesthesia 2 revised edition 2006

Consent for anaesthesia 2 revised edition 2006 2 Published by The Association of Anaesthetists of Great Britain and Ireland, 21 Portland Place, London W1B 1PY Telephone: 020 7631 8801/8804 E-mail: info@aagbi.org Website: www.aagbi.org January 2006 Consent for Anaesthesia Revised Edition 2006 Consent A5 10/1/06 15:49 Page 1MEMBERSHIP OF THE WORKING PARTY Dr D G Bogod Chairman; Editor-in-Chief, Anaesthesia. Professor W A Chambers Honorary Secretary, AAGBI; Scottish Representative Dr Les Gemill (...) and training 27 Section 11 References 30 1 Consent A5 10/1/06 15:49 Page 1Section 1 Recommendations • Information about anaesthesia, preferably in the form of a patient- friendly leaflet, should be provided to patients undergoing elective surgery before they meet their anaesthetist. • The anaesthetic room immediately before induction is not an acceptable place or time to provide elective patients with new information other than in exceptional circumstances. • The amount and the nature of information

2006 Association of Anaesthetists of GB and Ireland

199. Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia

Guidelines to Fellows Acting on Appointments Committees for Senior Staff in Anaesthesia Review PS44(2006) AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 GUIDELINES TO FELLOWS ACTING ON APPOINTMENTS COMMITTEES FOR SENIOR STAFF IN ANAESTHESIA The College considers that it should provide advice to Appointments Committees in Australia or New Zealand when appointments in anaesthesia are being considered. This is best carried out by designating a specific Fellow to work (...) the Fellowship of this College or will hold that Fellowship by the date on which –he/she takes up appointment. 1.2 Hold another specialist qualification in anaesthesia. In this situation, the implications in respect of Overseas Trained Specialist Assessment by the College and registration as a specialist in Australia or New Zealand must be considered. 1.3 Have appropriate experience for the position under consideration. 1.4 Are participating in continuing medical education and quality assurance activities

2006 Australian and New Zealand College of Anaesthetists

200. The Anaesthesia Record. Recommendations on the Recording of an Episode of Anaesthesia Care

The Anaesthesia Record. Recommendations on the Recording of an Episode of Anaesthesia Care AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 THE ANAESTHESIA RECORD RECOMMENDATIONS ON THE RECORDING OF AN EPISODE OF ANAESTHESIA CARE INTRODUCTION The anaesthesia record is an essential part of the patient's medical record. The record should allow the anaesthetist to document all aspects of the anaesthesia management, including the pre and post-operative management (...) , that are of relevance to the anaesthesia. The anaesthesia record provides information that may assist other staff involved in the care of the patient and to any subsequent anaesthetists. It may also be of medico-legal importance and can be used for quality assurance and research purposes. The record must be signed by the anaesthetist/s. The information may be on a single record or may be covered by separate records for the pre-anaesthesia, anaesthesia and post- anaesthesia phases of the patient’s care. All

2006 Australian and New Zealand College of Anaesthetists