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

141. Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia

Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia PS56 2012 Page 1 PS56 2012 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia 1. PURPOSE AND SCOPE Airway complications are a leading cause of morbidity and mortality in anaesthesia. Effective management of a difficult airway is a core skill for anaesthetists, and depends on the timely availability of suitable airway equipment. This document (...) provides recommendations for the equipment needed to manage a difficult airway, the location in which it should be kept, and the quality assurance measures required to ensure that it is always available and in good working order 2. BASIC REQUIREMENTS FOR MANAGING THE AIRWAY WHEN PROVIDING ANAESTHESIA 2.1 Anaesthesia should be administered only by medical practitioners with appropriate training in anaesthesia, or by supervised trainees, in accordance with the College professional documents listed

2012 Australian and New Zealand College of Anaesthetists

142. Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia Background Paper

Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia Background Paper PS56 BP 2012 Page 1 PS56 BP 2012 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia Background Paper INTRODUCTION Airway complications are a leading cause of morbidity and mortality in anaesthesia. 1 Effective management of a difficult airway is a core skill for anaesthetists, and depends on the timely availability of suitable (...) with the emergency”. 2 In the Australian Incident Monitoring Study (AIMS), equipment deficiencies, which were mainly due to “failure to check”, contributed to five of the 14 factors that were identified in the 85 difficult intubation reports. 4 The 1000 anaesthesia incidents reported to this study from 2002-2006 showed an appreciable increase in difficult and failed intubations compared with the first 2000 reports. 5 A review from the American Society of Anesthesiologists (ASA) closed claims database comparing

2012 Australian and New Zealand College of Anaesthetists

143. Guidelines on Quality Assurance in Anaesthesia

Guidelines on Quality Assurance in Anaesthesia PS58 2018 Page 1 PS58 2018 Guidelines on Quality Assurance and Quality Improvement in Anaesthesia 1. PURPOSE The aim of these guidelines is to assist practitioners in achieving the highest quality of care for their patients through an understanding of Quality Assurance (QA) and Quality Improvement (QI). 2. INTRODUCTION 2.1. It is incumbent upon Fellows at an individual, departmental and institutional level to contribute to the collective assurance (...) clinicians. Compliance with the College’s CPD standard is mandated by the Medical Board of Australia for all registered specialist anaesthetists and specialist pain medicine physicians practising in Australia, and participation in the program is mandated by the Medical Council of New Zealand for vocationally registered anaesthetists and pain medicine physicians practising in New Zealand. 2.7. Research underpins the scientific advances that progress anaesthesia, pain management and the perioperative care

2012 Australian and New Zealand College of Anaesthetists

144. Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations

Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations PS55 2012 Page 1 PS55 2012 Australian and New Zealand College of Anaesthetists (ANZCA) Recommendations on Minimum Facilities for Safe Administration of Anaesthesia in Operating Suites and Other Anaesthetising Locations 1. PRINCIPLES OF ANAESTHESIA CARE 1.1 The provision of safe anaesthesia in hospitals requires appropriate staff, facilities and equipment (...) . These are specified in this document. 1.2 Anaesthesia should be administered only by medical practitioners with appropriate training in anaesthesia or by trainees supervised according to College professional documents TE03 Policy on Supervision of Clinical Experience for Vocational Trainees in Anaesthesia, PS01 Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia and PS02 Statement on Credentialling and Defining the Scope of Clinical Practice

2012 Australian and New Zealand College of Anaesthetists

145. Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia

Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia PS56 2012 Page 1 PS56 2012 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Equipment to Manage a Difficult Airway During Anaesthesia 1. PURPOSE AND SCOPE Airway complications are a leading cause of morbidity and mortality in anaesthesia. Effective management of a difficult airway is a core skill for anaesthetists, and depends on the timely availability of suitable airway equipment. This document (...) provides recommendations for the equipment needed to manage a difficult airway, the location in which it should be kept, and the quality assurance measures required to ensure that it is always available and in good working order 2. BASIC REQUIREMENTS FOR MANAGING THE AIRWAY WHEN PROVIDING ANAESTHESIA 2.1 Anaesthesia should be administered only by medical practitioners with appropriate training in anaesthesia, or by supervised trainees, in accordance with the College professional documents listed

2012 Australian and New Zealand College of Anaesthetists

146. Local Anaesthesia in Ophthalmic Surgery

Local Anaesthesia in Ophthalmic Surgery Local anaesthesia for ophthalmic surgery February 2012 Joint guidelines from the Royal College of Anaesthetists and the Royal College of Ophthalmologists1 Royal College of Anaesthetists and Royal College of Ophthalmologists Summary There have been major advances in every aspect of the management of the ophthalmic surgical patient. These include the shift to day care, increased focus on the patient, and the involvement of the entire ophthalmic team in all (...) components of the process. A working party of the Royal College of Anaesthetists and the Royal College of Ophthalmologists was convened to update the 2001 ‘Guidelines on Local Anaesthesia for Intraocular Surgery’. The working party agreed unanimously to change this to ‘Guidelines on Local Anaesthesia for Ophthalmic Surgery’. These guidelines will now cover the management of patients undergoing most routine ophthalmic procedures and are not limited to intraocular surgery. The purpose of these guidelines

2012 Royal College of Ophthalmologists

147. Ultrasound in Anaesthesia and Intensive Care - A Guide to Training

Ultrasound in Anaesthesia and Intensive Care - A Guide to Training Ultrasound in Anaesthesia and Intensive Care: A Guide to Training Published by The Association of Anaesthetists of Great Britain & Ireland The Royal College of Anaesthetists The Intensive Care Society July 2011 care when it matters intensive care society ultrasound cover CMYK.indd 3 13/07/2011 08:591 Membership of the working party (Details correct at the start of the working party process) Dr N M Denny AAGBI (Chair) Dr K Fox (...) British Society of Echocardiography Dr C Gillbe AAGBI Dr A W Harrop-Griffiths AAGBI Dr M Jones Society for Acute Medicine Dr N Love Group of Anaesthetists in Training Dr P MacNaughton Intensive Care Society Dr R McWilliams Royal College of Radiologists Dr B Nicholls Regional Anaesthesia (UK) Dr P Nightingale Royal College of Anaesthetists Dr J Pilcher British Medical Ultrasound Society Dr S Price Intensive Care Society and British Society of Echocardiography Mr J Sloan College of Emergency Medicine Dr

2012 Association of Anaesthetists of GB and Ireland

148. Propofol for procedural sedation/anaesthesia in neonates. (PubMed)

Propofol for procedural sedation/anaesthesia in neonates. Elective medical or surgical procedures are commonplace for neonates admitted to NICU. Agents such as opioids are commonly used for achieving sedation/analgesia/anaesthesia for such procedures; however, these agents are associated with adverse effects. Propofol is used widely in paediatric and adult populations for this purpose. The efficacy and safety of the use of propofol in neonates has not been defined.To determine the efficacy (...) and safety of propofol treatment compared to placebo or no treatment or alternate active agents in neonates undergoing sedation or anaesthesia for procedures. To conduct subgroup analyses according to method of propofol administration (bolus or continuous infusion), type of active control agent (neuromuscular blocking agents with or without the use of sedative, analgesics or anxiolytics), type of procedure (endotracheal intubation, eye examination, other procedure), and gestational age (preterm and term

2011 Cochrane

149. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. (Full text)

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. To clinically evaluate a new patented multimodal system (SAFERSleep) designed to reduce errors in the recording and administration of drugs in anaesthesia.Prospective randomised open label clinical trial.Five designated operating theatres in a major tertiary referral hospital.Eighty nine consenting anaesthetists managing 1075 cases in which there were (...) of an anaesthetic record; an on-screen and audible warning if an antibiotic has not been administered within 15 minutes of the start of anaesthesia; and certain procedural rules-notably, scanning the label before each drug administration) versus conventional practice in drug administration with a manually compiled anaesthetic record.Primary: composite of errors in the recording and administration of intravenous drugs detected by direct observation and by detailed reconciliation of the contents of used drug

2011 BMJ PubMed

150. Guidelines for the management of children referred for dental extractions under general anaesthesia

Guidelines for the management of children referred for dental extractions under general anaesthesia Guidelines For The Management Of Children Referred For Dental Extractions Under General Anaesthesia August 2011 Review Date: 2016 The Association of Paediatric Anaesthetists of Great Britain & Ireland The Royal College of Anaesthetists 1 | Main Authors: Dr Lola Adewale, Dr Neil Morton, Dr Michael Blayney Date Published: August 2011 Review date 2016 These guidelines are published in good faith (...) comments to: Chair, Guideline Committee Association of Paediatric Anaesthetists of Great Britain and Ireland 21 Portland Place, London W1B 1PY apagbiadministration@aagbi.org 2 | Guidelines For The Management Of Children Referred For Dental Extractions Under General Anaesthesia 3 | TABLE OF CONTENTS Ex ecutive Summary 1. Introduction 5 2. Committee 6 3. Methodology And E vidence Grading 7 3.1 Levels of evidence (www.sign.ac.uk) 7 3.2 Grades of recommenda tions (www.sign.ac.uk) 8 4. Definition Of A Guid

2011 Royal College of Anaesthetists

151. Efficacy of low-dose bupivacaine in spinal anaesthesia for caesarean delivery: systematic review and meta-analysis

Efficacy of low-dose bupivacaine in spinal anaesthesia for caesarean delivery: systematic review and 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.

2011 DARE.

152. Cost-effectiveness analysis of general anaesthesia versus local anaesthesia for carotid surgery (GALA Trial) (PubMed)

Cost-effectiveness analysis of general anaesthesia versus local anaesthesia for carotid surgery (GALA Trial) Health outcomes and costs are both important when deciding whether general (GA) or local (LA) anaesthesia should be used during carotid endarterectomy. The aim of this study was to assess the cost-effectiveness of carotid endarterectomy under LA or GA in patients with symptomatic or asymptomatic carotid stenosis for whom surgery was advised.Using patient-level data from a large

2010 EvidenceUpdates

153. Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study. (PubMed)

Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study. Perioperative respiratory adverse events in children are one of the major causes of morbidity and mortality during paediatric anaesthesia. We aimed to identify associations between family history, anaesthesia management, and occurrence of perioperative respiratory adverse events.We prospectively included all children who had general anaesthesia for surgical or medical interventions, elective (...) or urgent procedures at Princess Margaret Hospital for Children, Perth, Australia, from Feb 1, 2007, to Jan 31, 2008. On the day of surgery, anaesthetists in charge of paediatric patients completed an adapted version of the International Study Group for Asthma and Allergies in Childhood questionnaire. We collected data on family medical history of asthma, atopy, allergy, upper respiratory tract infection, and passive smoking. Anaesthesia management and all perioperative respiratory adverse events were

2010 Lancet

154. The Anaesthesia Team 3

The Anaesthesia Team 3 3 The Anaesthesia Team Published by The Association of Anaesthetists of Great Britain and Ireland 21 Portland Place, London, W1B 1PY Telephone 020 7631 1650 Fax 020 7631 4352 info@aagbi.org www.aagbi.org May 2010 1 Membership of the working party (details correct at the start of the working party process) Dr R J S Birks Chairman and AAGBI President Dr V R Alladi Council Member, AAGBI Ms J Angell PA(A) Representative, RCoA Dr R Broomhead GAT representative Prof W (...) . Introduction 4 3. Organisation and management 5 4. Pre-operative assessment 7 5. The operating department 8 6. Recovery post-anaesthetic care unit (PACU) 14 7. Postoperative pain management 16 References 18 To be reviewed by 2015. © Copyright of the Association of Great Britain & Ireland. No part of this book may be reproduced without the written permission of the AAGBI. 3 1. Recommendations Comprehensive peri-operative care can only be provided by an anaesthesia team led by consultant anaesthetists. All

2010 Association of Anaesthetists of GB and Ireland

155. Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment

Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment Sugammadex for the reversal of muscle relaxation in general anaesthesia: a systematic review and economic assessment Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from

2010 NIHR HTA programme

156. Thyroid fine needle aspiration biopsy: is topical local anaesthesia beneficial? (PubMed)

Thyroid fine needle aspiration biopsy: is topical local anaesthesia beneficial? Thyroid fine needle aspiration biopsy (TFNAB) is the gold standard in the differential diagnosis of the thyroid nodules. In general, no analgesia is needed before this procedure. However, it is usually believed that the patients may be more comfortable if the procedure is performed under local anaesthetics. In this study, we examined the impact of the use of dermal anaesthetic on the patient's level of discomfort (...) during palpation-guided TFNAB.Fifty female patients with nodular goitre were enrolled in this study. Patients were randomised into two groups: a placebo cream was applied to group 1 patients (25 females; mean age 47.45 +/- 11.61 years), and local anaesthesia (EMLA 5% cream) was applied to group 2 patients (25 females; mean age 50.89 +/- 12.01 years) approximately 1 h before TFNAB. All patients were asked to mark the pain they felt during the TFNAB on Visual Analogue Scale.The pain scores during TFNAB

2010 EvidenceUpdates

157. Randomized clinical trial of perianal surgery performed under spinal saddle block versus total intravenous anaesthesia (PubMed)

Randomized clinical trial of perianal surgery performed under spinal saddle block versus total intravenous anaesthesia The aim of this randomized clinical trial was to determine whether spinal saddle block (SSB) is superior to total intravenous anaesthesia (TIVA) in perianal surgery.Suitable patients aged 18-75 years (American Society of Anesthesiologists grade I or II) scheduled to undergo perianal surgery were randomized to SSB (1.0 ml 0.5 per cent hyperbaric bupivacaine) or TIVA (...) in the SSB group were able to eat and drink more quickly, although times to mobilization and micturition were not significantly different. Patients having SSB were more likely to describe the anaesthesia as 'better than expected'.SSB is superior to TIVA in patients undergoing perianal surgery in terms of analgesic consumption within 24 h after surgery and aspects of postoperative recovery.ISRCTN41981381 (http://www.controlled-trials.com).Copyright 2009 British Journal of Surgery Society Ltd. Published

2010 EvidenceUpdates

158. Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia

Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia 1 AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 RECOMMENDATIONS ON ESSENTIAL TRAINING FOR RURAL GENERAL PRACTITIONERS IN AUSTRALIA PROPOSING TO ADMINISTER ANAESTHESIA 1. INTRODUCTION There are areas of Australia where geographical circumstances preclude referral of certain types of surgery, and where there are no specialist anaesthesia services (...) . Such areas require general practitioners (GPs) to be administering anaesthesia. Where possible, general practitioner anaesthetists (GPAs) should work in co-operation with resident and visiting specialist anaesthetists. The College acknowledges the role of rural GPs by its membership of the tripartite Joint Consultative Committee of Anaesthesia (JCCA), in partnership with the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM). The JCCA

2010 Australian and New Zealand College of Anaesthetists

159. Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia

Recommendations on Essential Training for Rural General Practitioners in Australia Proposing to Administer Anaesthesia 1 AUSTRALIAN AND NEW ZEALAND COLLEGE OF ANAESTHETISTS ABN 82 055 042 852 RECOMMENDATIONS ON ESSENTIAL TRAINING FOR RURAL GENERAL PRACTITIONERS IN AUSTRALIA PROPOSING TO ADMINISTER ANAESTHESIA 1. INTRODUCTION There are areas of Australia where geographical circumstances preclude referral of certain types of surgery, and where there are no specialist anaesthesia services (...) . Such areas require general practitioners (GPs) to be administering anaesthesia. Where possible, general practitioner anaesthetists (GPAs) should work in co-operation with resident and visiting specialist anaesthetists. The College acknowledges the role of rural GPs by its membership of the tripartite Joint Consultative Committee of Anaesthesia (JCCA), in partnership with the Royal Australian College of General Practitioners (RACGP) and the Australian College of Rural and Remote Medicine (ACRRM). The JCCA

2010 Australian and New Zealand College of Anaesthetists

160. Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis. (Full text)

Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis. To compare the effects of different types of local anaesthetic for pain control during outpatient hysteroscopy.Systematic review and meta-analysis of randomised controlled trials.Outpatient hysteroscopy clinics.Women undergoing diagnostic or operative hysteroscopy as outpatients-that is, without general anaesthesia. Study selection criteria Medline, Embase, CINAHL, the Cochrane library

2010 BMJ PubMed