Latest & greatest articles for anaesthesia

The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on anaesthesia or other clinical topics then use Trip today.

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

61. Propofol vs volatile anaesthesia and the effect on cancer recurrence and survival: a meta-analysis

Propofol vs volatile anaesthesia and the effect on cancer recurrence and survival: a meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web

2018 PROSPERO

62. Crystalloid versus colloid fluids or crystalloid/colloid mixtures given as pre- or co-load for the prevention or treatment of hypotension after spinal anaesthesia in pregnant women undergoing Caesarean section

Crystalloid versus colloid fluids or crystalloid/colloid mixtures given as pre- or co-load for the prevention or treatment of hypotension after spinal anaesthesia in pregnant women undergoing Caesarean section Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files

2018 PROSPERO

63. A systematic review of psychological outcomes in paediatric patients after general anaesthesia

A systematic review of psychological outcomes in paediatric patients after general anaesthesia Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address

2018 PROSPERO

64. Anaesthesia management for awake craniotomy: protocol for the update of a systematic review and meta-analysis

Anaesthesia management for awake craniotomy: protocol for the update of a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation

2018 PROSPERO

65. The impact of regional anaesthesia block rooms: a systematic review

The impact of regional anaesthesia block rooms: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing and effect measures

2018 PROSPERO

66. Safety and effectiveness of intravenous dexmedetomidine during general anaesthesia for caesarean section: a meta-analysis of randomized trials

Safety and effectiveness of intravenous dexmedetomidine during general anaesthesia for caesarean section: a meta-analysis of randomized trials Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne

2018 PROSPERO

67. Impact of general anaesthesia in overall and disease-free survival compared to other types of anaesthesia in patients undergoing surgery for cutaneous melanoma

Impact of general anaesthesia in overall and disease-free survival compared to other types of anaesthesia in patients undergoing surgery for cutaneous melanoma Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr

2018 PROSPERO

68. How safe is anaesthesia delivered to rural and remote Australians by GP Anaesthetists? How can we make it safer?

How safe is anaesthesia delivered to rural and remote Australians by GP Anaesthetists? How can we make it safer? Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence

2018 PROSPERO

69. Effects of intravenous dexamethasone on pain after single-shot spinal anaesthesia

Effects of intravenous dexamethasone on pain after single-shot spinal anaesthesia Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne") for correspondence: Organisation web address: Timing

2018 PROSPERO

70. Remifentanil- versus dexmedetomidine-based anaesthesia: a systematic review and meta-analysis, with trial sequential analysis

Remifentanil- versus dexmedetomidine-based anaesthesia: a systematic review and meta-analysis, with trial sequential analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email salutation (e.g. "Dr Smith" or "Joanne

2018 PROSPERO

71. Randomized clinical trial of immersive virtual reality tour of the operating theatre in children before anaesthesia (Abstract)

Randomized clinical trial of immersive virtual reality tour of the operating theatre in children before anaesthesia A virtual reality (VR) tour of the operating theatre before anaesthesia could provide a realistic experience for children. This study was designed to determine whether a preoperative VR tour could reduce preoperative anxiety in children.Children scheduled for elective surgery under general anaesthesia were randomized into a control or VR group. The control group received (...) conventional information regarding anaesthesia and surgery. The VR group watched a 4-min video showing Pororo, the famous little penguin, visiting the operating theatre and explaining what is in it. The main outcome was preoperative anxiety, assessed using the modified Yale Preoperative Anxiety Scale (m-YPAS) before entering the operating theatre. Secondary outcomes included induction compliance checklist (ICC) and procedural behaviour rating scale (PBRS) scores during anaesthesia.A total of 69 children

2017 EvidenceUpdates

72. Cuffed versus uncuffed endotracheal tubes for general anaesthesia in children aged eight years and under. Full Text available with Trip Pro

Cuffed versus uncuffed endotracheal tubes for general anaesthesia in children aged eight years and under. Since the introduction of endotracheal intubation in paediatrics, uncuffed endotracheal tubes (ETTs) have been the standard of care for children under eight years old, based on the presumption that complications, particularly postoperative stridor, are higher with cuffed ETTs. The major disadvantages of uncuffed ETTs cited for this shift in procedure include the difficulty in achieving (...) on the use of cuffed versus uncuffed endotracheal tubes in children of eight years old or less.To assess the risks and benefits of cuffed versus uncuffed endotracheal tubes during general anaesthesia in children up to eight years old.We searched CENTRAL, MEDLINE, Embase, CINAHL, LILACS and Google Scholar databases from their inception until March 2017. We also searched databases of ongoing trials, and checked references and citations. We imposed no restriction by language.We included randomized and quasi

2017 Cochrane

73. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Full Text available with Trip Pro

Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Maternal hypotension is the most frequent complication of spinal anaesthesia for caesarean section. It can be associated with nausea or vomiting and may pose serious risks to the mother (unconsciousness, pulmonary aspiration) and baby (hypoxia, acidosis, neurological injury).To assess the effects of prophylactic interventions for hypotension following spinal anaesthesia for caesarean section.We searched (...) Cochrane Pregnancy and Childbirth's Trials Register (9 August 2016) and reference lists of retrieved studies.Randomised controlled trials, including full texts and abstracts, comparing interventions to prevent hypotension with placebo or alternative treatment in women having spinal anaesthesia for caesarean section. We excluded studies if hypotension was not an outcome measure.Two review authors independently assessed study quality and extracted data from eligible studies. We report 'Summary

2017 Cochrane

74. Guidelines for the Safe Management and Use of Medications in Anaesthesia Background Paper

Guidelines for the Safe Management and Use of Medications in Anaesthesia Background Paper PS51 BP 2018 Page 1 PS51 BP 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines for the Safe Management and Use of Medications in Anaesthesia Background Paper 1. PURPOSE OF REVIEW PS51, previously titled Guidelines for the Safe Administration of Injectable Drugs in Anaesthesia, was promulgated in 2009. PS51 is referenced and referred to by healthcare facility administration, fellows (...) to propofol. As propofol is a drug used for the induction and maintenance of anaesthesia it must be immediately available and thus restricting access has the potential to impact on the safe conduct of anaesthesia. However, propofol should be securely stored at all times when not immediately required, for example overnight and between operating sessions. The accompanying professional document provides guidance to the profession and hospitals to avoid the implementation of a multitude of solutions across

2017 Australian and New Zealand College of Anaesthetists

75. Guidelines for the Safe Management and Use of Medications in Anaesthesia

Guidelines for the Safe Management and Use of Medications in Anaesthesia PS51 2018 Page 1 PS51 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines for the Safe Management and Use of Medications in Anaesthesia 1. INTRODUCTION The safe administration of drugs in anaesthesia encompasses the timely administration of medication to patients, the prevention of drug administration errors, and measures to reduce the opportunity to misdirect drugs. Estimates of the frequency (...) of 'medication errors' range from 1 in 20 administration events 1 , to 1 in 133 2 anaesthesia episodes. Many of these reported events were protocol or process errors (including mislabelling or omission of an appropriate drug), however a proportion of these errors will result in an adverse event for the patient. More than 3 million anaesthetics are administered in Australia and New Zealand annually suggesting a substantial contribution to iatrogenic adverse events. Anaesthetists must be aware

2017 Australian and New Zealand College of Anaesthetists

76. Guidelines on Return to Anaesthesia Practice for Anaesthetists  Background Paper

Guidelines on Return to Anaesthesia Practice for Anaesthetists  Background Paper PS50 BP 2017 Page 1 PS50 BP Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Return to Anaesthesia Practice for Anaesthetists Background Paper 1. PURPOSE OF REVIEW PS50 was originally promulgated in 2004 and re-published without revision in 2013. The current review has been undertaken to fulfill the following: 1.1 Meet ANZCA’s mission “to serve the community by fostering safe and high (...) quality patient care in anaesthesia, perioperative medicine and pain medicine; 1.2 Provide support to anaesthetists who are returning to anaesthesia practice after absence for any reason; 1.3 Assist regulatory authorities and other bodies who have mandated return to practice programs for anaesthetists. The title of the document has been changed from PS50 Recommendations on Practice Re-entry for a Specialist Anaesthetist to PS50 Guidelines on Return to Anaesthesia Practice for an Anaesthetist

2017 Australian and New Zealand College of Anaesthetists

77. Guidelines on Return to Anaesthesia Practice for Anaesthetists

Guidelines on Return to Anaesthesia Practice for Anaesthetists PS50 2017 Page 1 PS50 2017 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Return to Anaesthesia Practice for Anaesthetists 1. INTRODUCTION Anaesthesia is a high acuity specialty that requires the ability to make rapid and accurate clinical assessments, often concurrently with time-critical management decisions as well as undertake a range of technical skills. Performance of tasks at optimal levels depends (...) anaesthetists whose absence from clinical anaesthesia practice has been sufficient to warrant a formal return to practice program. Its purpose is to guide anaesthetists and those assisting them in developing, monitoring and successfully completing a return to practice program. The overall aim is to ensure that the returning anaesthetist provides safe and up-to-date care. Each individual anaesthetist has a responsibility to ensure that this is the case. 3. SCOPE This document applies to all anaesthetists

2017 Australian and New Zealand College of Anaesthetists

78. Statement on Staffing of Accredited Departments of Anaesthesia Background Paper

Statement on Staffing of Accredited Departments of Anaesthesia Background Paper PS42 BP 2016 Page 1 PS42 BP 2016 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on Staffing of Accredited Departments of Anaesthesia Background Paper 1. PURPOSE OF REVIEW This professional document was reviewed in 2013 as part of the usual five year review cycle. There had been changes in terminology and the employment environment and, as a consequence, the document required updating to meet (...) contemporary expectations. 2. BACKGROUND This document applies to accredited departments of anaesthesia. These departments provide the majority of training within the ANZCA training program. They should be adequately staffed to provide this training, particularly in regard to providing adequate supervision of trainees. The department must provide a safe high quality clinical service and be able to effectively manage the service. Consequently, though the document primarily addresses anaesthesia staff

2017 Australian and New Zealand College of Anaesthetists

79. Statement on Staffing of Accredited Departments of Anaesthesia

Statement on Staffing of Accredited Departments of Anaesthesia PS42 2017 Page 1 PS42 2017 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on Staffing of Accredited Departments of Anaesthesia 1. INTRODUCTION 1.1 Purpose and scope The Australian and New Zealand College of Anaesthetists (ANZCA) recognises the important role of anaesthesia departments providing training within the ANZCA training program. This document is intended to apply to anaesthesia departments accredited (...) staff have adequate allocated time for professional development. Anaesthetists who contribute more heavily to teaching, training, research and administration will require more sessions for clinical support activities. 2.1.1 Director of anaesthesia The director has a primary managerial responsibility to ensure that the department functions safely and efficiently. The director of anaesthesia must be a registered medical practitioner who holds the fellowship of ANZCA, or suitable anaesthesia

2017 Australian and New Zealand College of Anaesthetists

80. Guidelines on Monitoring During Anaesthesia Background Paper

Guidelines on Monitoring During Anaesthesia Background Paper PS18 BP 2017 Page 1 PS18 BP 2017 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Monitoring During Anaesthesia Background Paper PURPOSE Monitoring is an integral part of observation and recording contributing to the management of anaesthesia and outcomes. In the perioperative period clinical changes can occur rapidly and at times unexpectedly, and consequently it is fundamental that such changes are detected (...) from “Recommendations” to “Guidelines”. “Guidelines” offer advice on clinical and non- clinical aspects of the practice of anaesthesia and perioperative medicine, reflecting expert consensus and supported by other evidence when available. SCOPE PS18 is intended to apply wherever anaesthesia is administered and includes general anaesthesia, sedation, and major regional analgesia. While general anaesthesia and major regional analgesia is performed by anaesthetists, conscious sedation is administered

2017 Australian and New Zealand College of Anaesthetists