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

201. Guidelines on Quality Assurance and Quality Improvement in Anaesthesia Background Paper

, Fitzgerald JE, Wilson IH. Improving anesthesia safety in low- income regions of the world. Curr Anesthesiol Rep. 2014; 4(2):90-99. Professional documents of the Australian and New Zealand College of Anaesthetists (ANZCA) are intended to apply wherever anaesthesia is administered and perioperative medicine practised within Australia and New Zealand. It is the responsibility of each practitioner to have express regard to the particular circumstances of each case, and the application of these ANZCA (...) Guidelines on Quality Assurance and Quality Improvement in Anaesthesia Background Paper PS58 BP 2018 Page 1 PS58 BP 2018 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Quality Assurance and Quality Improvement in Anaesthesia Background Paper 1. INTRODUCTION This document, previously TE09, was reprinted in 2012 as PS58; however, it was not reviewed at that time. With rising community expectations as well as the emphasis of continuing professional development (CPD

2016 Australian and New Zealand College of Anaesthetists

202. PENTHROX, methoxyflurane, anaesthetic for emergency analgesia

PENTHROX, methoxyflurane, anaesthetic for emergency analgesia Haute Autorité de Santé - PENTHROX, méthoxyflurane, anesthésique pour antalgie d’urgence Développer la qualité dans le champ sanitaire, social et médico-social Recherche Évaluation & Recommandation La HAS Accréditation & Certification Outils, Guides & Méthodes Agenda Avis sur les Médicaments PENTHROX, méthoxyflurane, anesthésique pour antalgie d’urgence Substance active (DCI) méthoxyflurane DOULEUR - Nouveau médicament Nature de la

2016 Haute Autorite de sante

203. The Second American Society of Regional Anesthesia and Pain Medicine Evidence-Based Medicine Assessment of Ultrasound-Guided Regional Anesthesia

reduces the risk of local anesthetic systemic toxicity as well as the incidence and intensity of hemidiaphragmatic paresis, but has no significant effect on the incidence of postoperative neurologic symptoms. What's New in This Update? This evidence-based assessment of ultrasound-guided regional anesthesia reviews findings from our 2010 publication and focuses on new meta-analyses, randomized controlled trials, and large case series published since 2009. New to this exercise is an in-depth analysis (...) 98101 (e-mail: ). The American Society of Regional Anesthesia and Pain Medicine provided standard travel reimbursement for members of the panel who presented this work in open forum as part of the Society's 38th Annual Regional Anesthesiology and Acute Pain Medicine meeting in Boston, MA, May 3, 2013. No panelist was paid for participation on the panel. The authors of this article disclose that over the past 5 years they have had the following relationships with companies, some of which make

2016 American Society of Regional Anesthesia and Pain Medicine

204. SCAI/CCAS/SPA Expert Consensus Statement for Anesthesia and Sedation Practice: Recommendations for Patients Undergoing Diagnostic and Therapeutic Procedures in the Pediatric and Congenital Cardiac Catheterization Laboratory

methodology to ad- dress the magnitude of incremental risk conferred by the degree and severity and compensation of the heart disease. Identification of high-risk patient types pre- senting for cardiac catheterization must be extrapolated from retrospective studies across multiple disciplines, including cardiology, cardiac anesthesiology, pediatric anesthesiology and cardiac surgery. ANESTHESIA There is no specific anesthetic method that is appro- priate for all patients with CHD in the PCCCL as long (...) , Houston, TX 4 Vanderbilt University Medical Center, Nashville, TN 5 University of Utah, Salt Lake City, UT 6 University of Illinois and Advocate Children’s Hospital, Chicago, IL 7 Mount Sinai Medical Center, New York, NY 8 University of California, San Francisco, CA 9 Arnold Palmer Hospital for Children, Orlando, FL 10 University of Michigan, Department of Anesthesiology, Ann Arbor, MI 11 Riley Hospital for Children, Indianapolis, IN This article is copublished in Anesthesia & Analgesia

2016 Society for Cardiovascular Angiography and Interventions

205. Practice Guidelines for Obstetric Anesthesia Full Text available with Trip Pro

aspects of cesarean anesthesia ( e.g. , when an anesthesiology consult is appropriate) and of labor analgesia ( e.g. , parenteral opioids) that an obstetrician would use to counsel their patients. These guidelines also include perianesthetic management of other obstetric procedures and emergencies. Methodology Definition of Perioperative Obstetric Anesthesia For the purposes of these updated guidelines, obstetric anesthesia refers to peripartum anesthetic and analgesic activities performed during (...) Practice Guidelines for Obstetric Anesthesia Practice Guidelines for Obstetric Anesthesia:An Updated Report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia and the Society for Obstetric Anesthesia and Perinatology* | Anesthesiology | ASA Publications 468217175 ASA Publications Log in to access full content You must be logged in to access this feature. ASA members enjoy complimentary access to ASA publications, as well as a variety of educational resources. Non

2016 American Society of Anesthesiologists

206. Practice Advisory: FDA Warnings Regarding Use of General Anesthetics and Sedation Drugs in Young Children and Pregnant Women

in neuronal cell loss. In the "clinical studies" section of this summary, there are no data regarding pregnant women; there is only data on young children who were exposed to anesthetic agents. ACOG is unaware of data on pregnant women that support the FDA’s claims. Therefore, there are significant data limitations related to this warning. Clinical Application: Limitations and Concerns The broader clinical significance of these findings is not known. Pregnant women may undergo general anesthesia (...) for a nonobstetric surgical procedure or, in some instances, for delivery. When a nonobstetric surgery is performed during pregnancy, it is because it is medically indicated. When analgesia is needed for delivery (included cesarean delivery), it is usually regional analgesia that is used and not general anesthesia. In both circumstances, the likelihood that a pregnant woman, and thus an exposed fetus, would be vulnerable to a general anesthetic or sedative agent for an extended period would be extremely low

2016 American College of Obstetricians and Gynecologists

208. Regional versus general anaesthesia for improved cognitive function after procedures other than cardiac surgery or neurosurgery in adult and paediatric patients. Full Text available with Trip Pro

Regional versus general anaesthesia for improved cognitive function after procedures other than cardiac surgery or neurosurgery in adult and paediatric patients. This is the protocol for a review and there is no abstract. The objectives are as follows: The objective of this review is to compare the effects of regional versus general anaesthesia on cognitive function after procedures other than cardiac surgery or neurosurgery in adult and in paediatric patients.

2016 Cochrane

209. Use of platelet transfusions prior to lumbar punctures or epidural anaesthesia for the prevention of complications in people with thrombocytopenia. Full Text available with Trip Pro

Use of platelet transfusions prior to lumbar punctures or epidural anaesthesia for the prevention of complications in people with thrombocytopenia. This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effects of different platelet transfusion thresholds prior to the insertion of a lumbar puncture or epidural anaesthesia in people with thrombocytopenia (low platelet count).

2015 Cochrane

210. Evaluation of Efficacy of Bone Scan With SPECT/CT in the Management of Low Back Pain: A Study Supported by Differential Diagnostic Local Anesthetic Blocks (Abstract)

Evaluation of Efficacy of Bone Scan With SPECT/CT in the Management of Low Back Pain: A Study Supported by Differential Diagnostic Local Anesthetic Blocks Conventional radiologic modalities provide details only about the anatomic aspect of the various structures of the spine. Frequently the structures that show abnormal morphology may not be the cause of low back pain (LBP). Functional imaging in the form of bone scan along with single photon emission computerized tomography (SPECT/CT) may (...) diagnosis was made. After making a clinical diagnosis, the patients in bone scan group were subjected to bone scan with SPECT/CT. On the basis of the finding of the bone scan and SPECT/CT, a new working diagnosis was made and intervention was performed according to the new working diagnosis. Diagnostic blocks in the control group were given based on clinical diagnosis. Controlled comparative diagnostic blocks were performed with local anesthetic. The pain score just after the diagnostic block

2015 EvidenceUpdates Controlled trial quality: uncertain

211. Randomized clinical trial of perioperative nerve block and continuous local anaesthetic infiltration via wound catheter versus epidural analgesia in open liver resection (LIVER 2 trial) (Abstract)

Randomized clinical trial of perioperative nerve block and continuous local anaesthetic infiltration via wound catheter versus epidural analgesia in open liver resection (LIVER 2 trial) Analgesia after liver surgery remains controversial. A previous randomized trial of continuous wound infiltration (CWI) versus thoracic epidural analgesia (TEA) after liver surgery (LIVER trial) showed a faster recovery time in the wound infiltration group but better early postoperative pain scores in the TEA

2015 EvidenceUpdates Controlled trial quality: predicted high

212. No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients

No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice (...) specialties and certifying boards Evidence Education * Associated Topics No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients Julie M. Coe, DDS, MS, MBA . Overview Systematic Review Conclusion The available evidence is not conclusive in determining whether preoperative analgesics are beneficial to pediatric patients having dental procedures with local anesthetic. Critical Summary Assessment This and of limited

2015 ADA Center for Evidence-Based Dentistry

213. No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients

No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice (...) specialties and certifying boards Evidence Education * Associated Topics No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients Julie M. Coe, DDS, MS, MBA . Overview Systematic Review Conclusion The available evidence is not conclusive in determining whether preoperative analgesics are beneficial to pediatric patients having dental procedures with local anesthetic. Critical Summary Assessment This and of limited

2015 ADA Center for Evidence-Based Dentistry

214. No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients

No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only practice (...) specialties and certifying boards Evidence Education * Associated Topics No sufficient evidence for or against providing preoperative analgesics for some dental procedures with local anesthetic in pediatric patients Julie M. Coe, DDS, MS, MBA . Overview Systematic Review Conclusion The available evidence is not conclusive in determining whether preoperative analgesics are beneficial to pediatric patients having dental procedures with local anesthetic. Critical Summary Assessment This and of limited

2015 ADA Center for Evidence-Based Dentistry

215. [Neuromuscular monitoring during anesthesia.]. (Abstract)

[Neuromuscular monitoring during anesthesia.]. Muscle relaxants are very important in anesthetic practice but must be used with great care. Studies have shown that 17-40% of patients in postanesthesia care units (PACU) have residual muscle weakness. The purpose of this study was to evaluate whether the use of neuromuscular monitors during anesthesia could reduce the incidence of muscle weakness in the postoperative period.Eighty patients operated for laparoscopic cholecystectomy or lumbal disc (...) prolapse given muscle relaxants during anesthesia were studied, randomly allocated to four groups. Fourty of these patients were monitored with neuromuscular monitor (TOF-guard") during anesthesia and the set point was a TOF-ratio of at least 70% before extubating the patients. Fourty patients were monitored by usual clinical signs (spontaneus breathing, cough and muscle movement). Twenty patients in each group were given vecuronium as muscle relaxant and 20 patients recieved pancuronium, again

2015 Laeknabladid Controlled trial quality: uncertain

216. Prophylactic ondansetron for prevention of maternal hypotension following spinal anesthesia in women undergoing cesarean section: a systematic review protocol. (Abstract)

Prophylactic ondansetron for prevention of maternal hypotension following spinal anesthesia in women undergoing cesarean section: a systematic review protocol. 26470663 2018 06 25 2202-4433 13 9 2015 Sep JBI database of systematic reviews and implementation reports JBI Database System Rev Implement Rep Prophylactic ondansetron for prevention of maternal hypotension following spinal anesthesia in women undergoing cesarean section: a systematic review protocol. 84-94 10.11124/jbisrir-2015-2373

2015 JBI database of systematic reviews and implementation reports

217. Effectiveness of positive end-expiratory pressure, decreased fraction of inspired oxygen and vital capacity recruitment maneuver in the prevention of pulmonary atelectasis in patients undergoing general anesthesia: a systematic review. (Abstract)

Effectiveness of positive end-expiratory pressure, decreased fraction of inspired oxygen and vital capacity recruitment maneuver in the prevention of pulmonary atelectasis in patients undergoing general anesthesia: a systematic review. General anesthesia causes impairment of gas exchange in the lungs that results in decreased oxygenation of the blood; atelectasis is the principle cause of this impaired gas exchange. Anesthesia delivery varies between providers and there is no standard practice (...) to decrease the incidence of postoperative atelectasis.To assess the effectiveness of three identified interventions, either individually or combined, in the development of postoperative pulmonary atelectasis in patients undergoing general anesthesia.The review considered participants over 18 years for inclusion. The American Society of Anesthesiologists classification of subjects was I, II or III. Participants underwent a variety of surgical procedures during which general anesthesia was administered

2015 JBI database of systematic reviews and implementation reports

218. Effectiveness of dexmedetomidine use in general anesthesia to prevent postoperative shivering: a systematic review protocol. (Abstract)

Dexmedetomidine IM Adrenergic alpha-2 Receptor Agonists therapeutic use Anesthesia, General Dexmedetomidine therapeutic use Humans Postoperative Period Shivering drug effects Systematic Reviews as Topic Dexmedetomidine anaesthesia anesthesia postanesthetic postoperative shivering 2014 08 24 2014 12 19 2014 11 07 2015 10 9 6 0 2015 10 9 6 0 2016 4 15 6 0 epublish 26447032 10.11124/jbisrir-2015-1902 (...) Effectiveness of dexmedetomidine use in general anesthesia to prevent postoperative shivering: a systematic review protocol. 26447032 2016 04 14 2018 12 02 2202-4433 13 2 2015 Mar 12 JBI database of systematic reviews and implementation reports JBI Database System Rev Implement Rep Effectiveness of dexmedetomidine use in general anesthesia to prevent postoperative shivering: a systematic review protocol. 37-48 10.11124/jbisrir-2015-1902 Hoffman Jeffrey J Texas Christian University, Fort Worth

2015 JBI database of systematic reviews and implementation reports

219. Effectiveness of ondansetron as an adjunct to lidocaine intravenous regional anesthesia on tourniquet pain and postoperative pain in patients undergoing elective hand surgery: a systematic review protocol. (Abstract)

to the extent of injury or deformity, a general anesthetic, regional anesthetic, monitored anesthetic care (MAC) or local anesthetic may be used for these hand surgeries. Depending on the injury or deformity, local anesthesia may not provide sufficient anesthesia, but a general anesthesia may not be completely warranted either. Typical elective hand surgeries performed under regional anesthesia and MAC may be the ideal anesthetic plan that balances adequate sedation and analgesia. Intravenous regional (...) anesthesia (IVRA), commonly known as a bier block, is a safe and effective anesthetic and is typically utilized in uncomplicated hand or forearm surgeries lasting less than an hour. Intravenous regional anesthesia was first developed by August Bier in 1908 for anesthesia of the hand and forearm. It is a regional anesthetic technique that is easy to perform, with success rates up to 98%. Intravenous regional anesthesia is a simple, reliable and cost-effective anesthesia technique for short ambulatory hand

2015 JBI database of systematic reviews and implementation reports

220. Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years. Full Text available with Trip Pro

Sedation versus general anaesthesia for provision of dental treatment to patients younger than 18 years. A significant proportion of children have caries requiring restorations or extractions, and some of these children will not accept this treatment under local anaesthetic. Historically this has been managed by the use of a general anaesthetic in children; however, use of sedation may lead to reduced morbidity and cost. The aim of this review was to compare the efficiency of sedation versus (...) general anaesthesia (GA) for provision of dental treatment to children and adolescents younger than 18 years. This review was originally published in 2009 and was updated in 2012 and again in 2015.We will evaluate morbidity and effectiveness of sedation versus GA for provision of dental treatment to patients younger than 18 years. If data become available, we will analyse the cost-effectiveness of different interventions. If data are not available, we will obtain crude estimates of cost.Morbidity can

2015 Cochrane