Latest & greatest articles for anaesthesia

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This page lists the very latest high quality evidence on anaesthesia and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

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Anaesthesia

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

  • Local and Regional
  • General
  • Sedation

Anaesthesia is primarily used during surgical procedures to block pain. While unconscious, blood flow and heart rate is monitored.

Research and development in the use of Anaesthesia has helped anesthesiologists in the progression of patient safety before and after surgery and medical procedures. The developments and research of Anaesthesia through the years has massively influences medicine and surgery today.

Case studies and clinical trials help aid researchers in the development of aftercare during postoperative recovery. Research is a vital part in the field of Anaesthesia, it allows anesthesiologists to improve the delivery of patient safety while unconscious.

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

Top results for anaesthesia

261. 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

262. Remifentanil for general anaesthesia: a systematic review Full Text available with Trip Pro

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.

263. 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

264. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. (Abstract)

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

265. 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

266. 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

267. Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia

Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia PS02 2018 Page 1 PS02 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia 1. INTRODUCTION Credentialling in anaesthesia allows registered medical practitioners to provide clinical services at healthcare institutions. Credentialling is an integral part of the process of verification of professional standing (...) and quality assurance, sets the standard required for Continuing Professional Development (CPD) and offers its CPD program to all medical practitioners in Australia and New Zealand who provide anaesthesia services. New Fellows of the College are trained in broad areas of anaesthesia and capable of providing services in health care facilities with appropriate support. Some specific areas of complex anaesthesia practice may benefit from further training and relevant CPD subsequent to obtaining Fellowship

2006 Australian and New Zealand College of Anaesthetists

268. Recommendations for the Post-Anaesthesia Recovery Room

Recommendations for the Post-Anaesthesia Recovery Room PS04 2018 Page 1 PS04 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Post-Anaesthesia Care Unit 1. INTRODUCTION An appropriately planned, equipped, staffed and managed post-anaesthesia care unit (PACU) is essential for the safe management of patients who have recently undergone surgery or other procedures, irrespective of the type of anaesthesia or sedation used. The spectrum of healthcare facilities (...) . Facility design and resources, including staff and equipment, should align with the procedure, proposed anaesthesia or sedation and patient complexity (including age and co-morbidities) as well as the post procedure destination of the patient. 2. PURPOSE The purpose of this document is: 2.1 To assist healthcare facilities to provide PACUs that are designed, equipped, and staffed to deliver safe patient care. 2.2 To inform clinicians of ANZCA’s expectations for PACUs. 3. SCOPE This document is intended

2006 Australian and New Zealand College of Anaesthetists

269. 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

270. 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

271. 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

272. Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia

Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia PS02 2018 Page 1 PS02 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia 1. INTRODUCTION Credentialling in anaesthesia allows registered medical practitioners to provide clinical services at healthcare institutions. Credentialling is an integral part of the process of verification of professional standing (...) and quality assurance, sets the standard required for Continuing Professional Development (CPD) and offers its CPD program to all medical practitioners in Australia and New Zealand who provide anaesthesia services. New Fellows of the College are trained in broad areas of anaesthesia and capable of providing services in health care facilities with appropriate support. Some specific areas of complex anaesthesia practice may benefit from further training and relevant CPD subsequent to obtaining Fellowship

2006 Australian and New Zealand College of Anaesthetists

273. Recommendations for the Post-Anaesthesia Recovery Room

Recommendations for the Post-Anaesthesia Recovery Room PS04 2018 Page 1 PS04 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Post-Anaesthesia Care Unit 1. INTRODUCTION An appropriately planned, equipped, staffed and managed post-anaesthesia care unit (PACU) is essential for the safe management of patients who have recently undergone surgery or other procedures, irrespective of the type of anaesthesia or sedation used. The spectrum of healthcare facilities (...) . Facility design and resources, including staff and equipment, should align with the procedure, proposed anaesthesia or sedation and patient complexity (including age and co-morbidities) as well as the post procedure destination of the patient. 2. PURPOSE The purpose of this document is: 2.1 To assist healthcare facilities to provide PACUs that are designed, equipped, and staffed to deliver safe patient care. 2.2 To inform clinicians of ANZCA’s expectations for PACUs. 3. SCOPE This document is intended

2006 Australian and New Zealand College of Anaesthetists

274. Oral oxycodone hydrochloride versus epidural anaesthesia for pain control after radical retropubic prostatectomy

Oral oxycodone hydrochloride versus epidural anaesthesia for pain control after radical retropubic prostatectomy 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.

2006 NHS Economic Evaluation Database.

275. Early recovery, cognitive function and costs of a desflurane inhalational versus a total intravenous anaesthesia regimen in long-term surgery

Early recovery, cognitive function and costs of a desflurane inhalational versus a total intravenous anaesthesia regimen in long-term surgery 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.

2006 NHS Economic Evaluation Database.

276. Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis

Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis Incidence of epidural haematoma and neurological injury in cardiovascular patients with epidural analgesia/anaesthesia: systematic review and meta-analysis Ruppen W, Derry S, McQuay H J (...) , Moore R A CRD summary This review reported no cases of epidural haematomas or persistent neurological injury, and few transient neurological injuries following epidural analgesia or anaesthesia. The authors estimated that the maximum risks for epidural haematoma were 1 in 1,700, 1 in 1,400 and 1 in 1,700 for epidural anaesthesia in cardiac, thoracic and vascular surgery, respectively. The review had some methodological weaknesses, but the authors’ conclusions appear appropriate and are likely

2006 DARE.

277. Paravertebral blocks for anaesthesia and analgesia: a systematic review

Paravertebral blocks for anaesthesia and analgesia: a systematic review Paravertebral blocks for anaesthesia and analgesia: a systematic review Paravertebral blocks for anaesthesia and analgesia: a systematic review Thavaneswaran P, Maddern G, Cooter R, Moyes D, Rudkin G 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 Thavaneswaran P (...) , Maddern G, Cooter R, Moyes D, Rudkin G. Paravertebral blocks for anaesthesia and analgesia: a systematic review. Stepney: Australian Safety and Efficacy Register of New Interventional Procedures -Surgical (ASERNIP-S). ASERNIP-S Report No. 47. 2006 Authors' objectives The objective of this review was to make recommendations on the safety and efficacy of thoracic and lumbar paravertebral blocks (PVB) on the basis of a systematic assessment of the peer-reviewed literature. Paravertebral blocks

2006 Health Technology Assessment (HTA) Database.

278. Paravertebral blocks for anaesthesia and analgesia: a systematic review

Paravertebral blocks for anaesthesia and analgesia: a systematic review Paravertebral blocks for anaesthesia and analgesia: a systematic review Paravertebral blocks for anaesthesia and analgesia: a systematic review Thavaneswaran P, Maddern G, Cooter R, Moyes D, Rudkin G CRD summary This review assessed the efficacy and safety of thoracic and lumbar paraveterbral blocks (PVB) for anaesthesia and analgesia. The authors concluded that paraveterbral block was at least as safe and effective (...) as general anaesthesia and alternative analgesia techniques. This was a generally well-conducted review of heterogeneous studies. The conclusions are likely to be reliable. Authors' objectives To assess the efficacy and safety of thoracic and lumbar paravertebral blocks (PVB) for surgical anaesthesia compared to: general anaesthesia or other regional anaesthetic techniques; and regional blocks or analgesic drugs for postoperative analgesia. Searching MEDLINE, EMBASE, The Cochrane Library, Science

2006 DARE.

279. Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing

Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing NHSC 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 NHSC. Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia: horizon scanning technology briefing. Birmingham: National Horizon Scanning Centre (NHSC). 2006 Authors' objectives This study examines the use of Sugammadex (Org 25969) for reversal of muscle relaxation in general anaesthesia. Timeliness warning Available on request from NHSC. Final publication URL Indexing Status Subject indexing assigned

2006 Health Technology Assessment (HTA) Database.

280. Cost minimisation and cost effectiveness in anaesthesia for total hip replacement surgery, in Belgium: a study comparing three general anaesthesia techniques

Cost minimisation and cost effectiveness in anaesthesia for total hip replacement surgery, in Belgium: a study comparing three general anaesthesia techniques Cost minimisation and cost effectiveness in anaesthesia for total hip replacement surgery, in Belgium: a study comparing three general anaesthesia techniques Cost minimisation and cost effectiveness in anaesthesia for total hip replacement surgery, in Belgium: a study comparing three general anaesthesia techniques Demeere J L, Merckx C (...) , Demeere N 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 The use of general anaesthesia in total hip replacement surgery was studied. Three techniques (propofol, desflurane and sevoflurane) were compared. Type of intervention

2006 NHS Economic Evaluation Database.