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

261. Guidance on the provision of anaesthesia services for post-operative care 2014

Guidance on the provision of anaesthesia services for post-operative care 2014 Document Store | The Royal College of Anaesthetists User menu Search Document Store This page displays listings of ALL publications added to the site. You can narrow down the list by entering keywords in the 'Search' field, and selecting 'Apply'. To filter the publications by section, tick the check-boxes of the desired sections, and select 'Apply'. You can set the ordering of the results by the publication title

2014 Royal College of Anaesthetists

262. Guidance on the provision of anaesthesia services for intra-operative care 2014

Guidance on the provision of anaesthesia services for intra-operative care 2014 Document Store | The Royal College of Anaesthetists User menu Search Document Store This page displays listings of ALL publications added to the site. You can narrow down the list by entering keywords in the 'Search' field, and selecting 'Apply'. To filter the publications by section, tick the check-boxes of the desired sections, and select 'Apply'. You can set the ordering of the results by the publication title

2014 Royal College of Anaesthetists

263. Guidance on the provision of anaesthesia services for emergency surgery 2014

Guidance on the provision of anaesthesia services for emergency surgery 2014 Document Store | The Royal College of Anaesthetists User menu Search Document Store This page displays listings of ALL publications added to the site. You can narrow down the list by entering keywords in the 'Search' field, and selecting 'Apply'. To filter the publications by section, tick the check-boxes of the desired sections, and select 'Apply'. You can set the ordering of the results by the publication title

2014 Royal College of Anaesthetists

264. Guidance on the provision of anaesthesia services for chronic pain management

Guidance on the provision of anaesthesia services for chronic pain management Document Store | The Royal College of Anaesthetists User menu Search Document Store This page displays listings of ALL publications added to the site. You can narrow down the list by entering keywords in the 'Search' field, and selecting 'Apply'. To filter the publications by section, tick the check-boxes of the desired sections, and select 'Apply'. You can set the ordering of the results by the publication title

2014 Royal College of Anaesthetists

265. Guidelines on Checking Anaesthesia Delivery Systems Background Paper

Guidelines on Checking Anaesthesia Delivery Systems Background Paper PS31 BP 2014 Page 1 PS31 BP 2014 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Checking Anaesthesia Delivery Systems Background Paper 1. PURPOSE OF REVIEW Anaesthesia delivery systems continue to advance as a result of technology accompanied by increasing complexity of systems and their componentry. Delivery systems were originally confined to the administration of gases and volatile anaesthetic (...) agents. Now, however systems are also available for the administration of intravenous anaesthetic and analgesic agents. The inherent risks of anaesthesia delivery systems demand that measures are implemented to detect and prevent faults prior to equipment use. The document seeks to assist all personnel, whose roles involve interaction with anaesthesia delivery systems, to achieve the highest standards of safety for these systems. 2. BACKGROUND This document is intended to apply to all anaesthesia

2014 Australian and New Zealand College of Anaesthetists

266. Guidelines on Checking Anaesthesia Delivery Systems

Guidelines on Checking Anaesthesia Delivery Systems PS31 2014 Page 1 PS31 2014 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Checking Anaesthesia Delivery Systems 1. INTRODUCTION An anaesthesia delivery system includes any equipment that can deliver gases, vapours, local anaesthetic or intravenous anaesthetic agents to induce and/or maintain anaesthesia. Failure of the anaesthesia delivery system can cause serious complications. This document is intended to assist (...) position. The label should list the date of the most recent service and the due date for the next service. Page 2 PS31 2014 2.3 Compliance with relevant College documents 2.3.1 System alarms should comply with PS54 Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice. 2.3.2 System monitoring should comply with PS18 Recommendations on Monitoring During Anaesthesia. 2.4 Confirmation that a secondary means of oxygenation and positive pressure

2014 Australian and New Zealand College of Anaesthetists

267. 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

2014 Australian and New Zealand College of Anaesthetists

268. Guidelines on Checking Anaesthesia Delivery Systems

Guidelines on Checking Anaesthesia Delivery Systems PS31 2014 Page 1 PS31 2014 Australian and New Zealand College of Anaesthetists (ANZCA) Guidelines on Checking Anaesthesia Delivery Systems 1. INTRODUCTION An anaesthesia delivery system includes any equipment that can deliver gases, vapours, local anaesthetic or intravenous anaesthetic agents to induce and/or maintain anaesthesia. Failure of the anaesthesia delivery system can cause serious complications. This document is intended to assist (...) position. The label should list the date of the most recent service and the due date for the next service. Page 2 PS31 2014 2.3 Compliance with relevant College documents 2.3.1 System alarms should comply with PS54 Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice. 2.3.2 System monitoring should comply with PS18 Recommendations on Monitoring During Anaesthesia. 2.4 Confirmation that a secondary means of oxygenation and positive pressure

2014 Australian and New Zealand College of Anaesthetists

269. Ultrasound imaging in the practice of anaesthesia

ultrasound. 3. Summary of consideration and rationale for MSAC’s advice MSAC noted that this application was for MBS listing of ultrasound imaging for the practice of anaesthesia for patients requiring a central line catheter for vascular access of percutaneous neural blockade. Vessel cannulation for venous access is required for anaesthesia and monitoring and regional nerve anaesthetic blockade is a very useful adjunct to or replacement for general anaesthetic/pain management. Both of these procedures (...) can be performed via anatomical landmarks with or without ultrasound guidance. 2 MSAC noted that prior to 1 November 2012, ultrasound imaging for anaesthesia practice had been claimed through MBS item 55054. Subsequent to this, access to MBS item 55054 was removed for anaesthetists, as the use of ultrasound in conjunction with an anaesthetic procedure has never been assessed for safety, effectiveness and cost-effectiveness. Currently, percutaneous nerve blocks placed for management of post

2014 Medical Services Advisory Committee

270. The safety of addition of nitrous oxide to general anaesthesia in at-risk patients having major non-cardiac surgery (ENIGMA-II): a randomised, single-blind trial. (Abstract)

The safety of addition of nitrous oxide to general anaesthesia in at-risk patients having major non-cardiac surgery (ENIGMA-II): a randomised, single-blind trial. Nitrous oxide is commonly used in general anaesthesia but concerns exist that it might increase perioperative cardiovascular risk. We aimed to gather evidence to establish whether nitrous oxide affects perioperative cardiovascular risk.We did an international, randomised, assessor-blinded trial in patients aged at least 45 years (...) with known or suspected coronary artery disease having major non-cardiac surgery. Patients were randomly assigned via automated telephone service, stratified by site, to receive a general anaesthetic with or without nitrous oxide. Attending anaesthetists were aware of patients' group assignments, but patients and assessors were not. The primary outcome measure was a composite of death and cardiovascular complications (non-fatal myocardial infarction, stroke, pulmonary embolism, or cardiac arrest) within

2014 Lancet Controlled trial quality: predicted high

271. Regional Anaesthesia and Patients with Abnormalities of Coagulation

/Committees of all three organisations. Accepted: 4 June 2013 ? What other statements are available on this topic? Guidance publications on regional anaesthesia in patients taking anti- coagulant or thromboprophylactic drugs are widely available, two well-known guidelines having been published by the American Society of Regional Anesthesia and Pain Medicine (ASRA) [1] or adopted by the European Society of Regional Anaesthesia and Pain Therapy (ESRA) [2]. ? Why was this guideline developed? The available (...) in the clinical setting. Anaesthetistsareoftenfacedwiththequestionofwhethertherisksofregio- nal anaesthetic techniques are increased when performed on patients with 2 © 2013 The Authors. Anaesthesia published by John Wiley & Sons Ltd on behalf of The Association of Anaesthetists of Great Britain and Ireland. Anaesthesia 2013 W. Harrop-Grif?ths et al. | Guidelines: patients with abnormalities of coagulationabnormalities of coagulation and, if so, whether they are so increased that the techniques should be modi

2014 Association of Anaesthetists of GB and Ireland

272. High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial. Full Text available with Trip Pro

High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial. The role of positive end-expiratory pressure in mechanical ventilation during general anaesthesia for surgery remains uncertain. Levels of pressure higher than 0 cm H2O might protect against postoperative pulmonary complications but could also cause intraoperative circulatory depression and lung injury from overdistension. We tested (...) the hypothesis that a high level of positive end-expiratory pressure with recruitment manoeuvres protects against postoperative pulmonary complications in patients at risk of complications who are receiving mechanical ventilation with low tidal volumes during general anaesthesia for open abdominal surgery.In this randomised controlled trial at 30 centres in Europe and North and South America, we recruited 900 patients at risk for postoperative pulmonary complications who were planned for open abdominal

2014 Lancet Controlled trial quality: predicted high

273. Anesthetic injections into the stellate ganglion for the treatment of hot flashes in women: a review of clinical and cost-effectiveness and guidelines

Anesthetic injections into the stellate ganglion for the treatment of hot flashes in women: a review of clinical and cost-effectiveness and guidelines Anesthetic injections into the stellate ganglion for the treatment of hot flashes in women: a review of clinical and cost-effectiveness and guidelines Anesthetic injections into the stellate ganglion for the treatment of hot flashes in women: a review of clinical and cost-effectiveness and guidelines CADTH 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 CADTH. Anesthetic injections into the stellate ganglion for the treatment of hot flashes in women: a review of clinical and cost-effectiveness and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions Limited evidence has shown that SGB may provide an effective

2014 Health Technology Assessment (HTA) Database.

274. Cataract surgery performed under local anaesthesia: guidelines

for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions Three evidence-based guidelines were identified regarding cataract surgery performed under local anaesthesia. Final publication URL PubMedID Indexing Status Subject indexing assigned by NLM MeSH Anesthesia, Local; Cataract Extraction; Cough /prevention & controls Language Published English Country of organisation Canada Province or state Ontario English summary An English language summary is available. Address (...) Cataract surgery performed under local anaesthesia: guidelines Cataract surgery performed under local anaesthesia: guidelines Cataract surgery performed under local anaesthesia: guidelines CADTH 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 CADTH. Cataract surgery performed under local anaesthesia: guidelines. Ottawa: Canadian Agency

2014 Health Technology Assessment (HTA) Database.

275. Substance use disorder among anesthesiology residents, 1975-2009. Full Text available with Trip Pro

Substance use disorder among anesthesiology residents, 1975-2009. Substance use disorder (SUD) among anesthesiologists and other physicians poses serious risks to both physicians and patients. Formulation of policy and individual treatment plans is hampered by lack of data regarding the epidemiology and outcomes of physician SUD.To describe the incidence and outcomes of SUD among anesthesiology residents.Retrospective cohort study of physicians who began training in United States anesthesiology (...) residency programs from July 1, 1975, to July 1, 2009, including 44,612 residents contributing 177,848 resident-years to analysis. Follow-up for incidence and relapse was to the end of training and December 31, 2010, respectively.Cases of SUD (including initial SUD episode and any relapse, vital status and cause of death, and professional consequences of SUD) ascertained through training records of the American Board of Anesthesiology, including information from the Disciplinary Action Notification

2013 JAMA

276. Blood transfusion in cardiac surgery--does the choice of anesthesia or type of surgery matter? (Abstract)

Blood transfusion in cardiac surgery--does the choice of anesthesia or type of surgery matter? In spite of the evidence suggesting a significant morbidity associated with blood transfusions, the use of blood and blood products remain high in cardiac surgery. To successfully minimize the need for blood transfusion, a systematic approach is needed. The aim of this study was to investigate the influence of different anesthetic techniques, general vs combine epidural and general anesthesia, as well (...) as different surgery strategies, on-pump vs off-pump, on postoperative bleeding complications and the need for blood transfusions during perioperative period.Eighty-two consecutive patients scheduled for coronary artery bypass surgery were randomized according to surgical and anesthetic techniques into 4 different groups: group 1 (patients operated on off-pump, under general anesthesia); group 2 (patients operated on off-pump, with combined general and high thoracic epidural anesthesia); group 3 (patients

2013 Vojnosanitetski pregled Controlled trial quality: uncertain

277. Effects of continuous epidural anesthesia and postoperative epidural analgesia on pain management and stress response in patients undergoing major spinal surgery (Abstract)

Effects of continuous epidural anesthesia and postoperative epidural analgesia on pain management and stress response in patients undergoing major spinal surgery A prospective, randomized study was used to compare 2 anesthesia/analgesia methods for reconstructive spine surgery.To assess the efficacy and influence of 2 anesthetic methods on clinical outcome and stress response during reconstructive spine surgery.Pain control is an important goal of the postoperative care after spinal surgery (...) . Some prior studies have suggested that epidural anesthesia with or without postoperative epidural analgesia may blunt the surgical stress response after major surgery. This treatment approach has not been fully investigated for patients undergoing major spinal surgery. We hypothesized that the stress response after major spine surgery would be attenuated by continuous epidural anesthesia/analgesia with ropivacaine, fentanyl, and epinephrine.Eighty-five patients were randomly allocated to 2 groups

2013 EvidenceUpdates Controlled trial quality: uncertain

278. Obstetric Anaesthetic Services

suite 24 hours a day. 2. There must be a nominated consultant in charge of obstetric anaesthesia with time allocated for this role. 3. There should be a clear line of communication from the duty anaesthetist to the supervising consultant at all times. 4. The workload of the obstetric anaesthetist continues to increase. As a basic minimum there must be 12 consultant sessions per week to cover emergency work on delivery suite. 5. Scheduled obstetric anaesthetic activities (e.g. elective caesarean (...) (increased maternal co-morbidities such as obesity, increased maternal age, increased assisted conception, increasing immigrant population) • Does not take account of the impact of the changes to training in anaesthesia (in particular the effect of the European Working Time Regulations on training, associated paperwork and reduced trainee numbers) • Does not reflect the increased demand for the delivery of additional anaesthetic services such as anaesthetic clinics, maternity high dependency units (HDUs

2013 Association of Anaesthetists of GB and Ireland

279. Local anaesthetics in intraosseous access

Local anaesthetics in intraosseous access BestBets: Local anaesthetics in intraosseous access Local anaesthetics in intraosseous access Report By: Michael Stewart - St5 Emergency Medicine Search checked by Shelley Regan - St5 Emergency Medicine Institution: Blackpool Victoria Hospital, Blackpool, UK Date Submitted: 24th July 2013 Last Modified: 24th July 2013 Status: Green (complete) Three Part Question In [conscious adults receiving drugs or fluids via the intraosseous route] is [an initial (...) flush with local anaesthetic or with saline] more effective at [reducing pain]? Clinical Scenario Having been unable to obtain intravenous access you have just placed an intraosseous needle in a 30-year-old intravenous drug user who has attended the emergency department with a Glasgow coma scale score of 6, pinpoint pupils and respiratory rate of 3 following an opiate overdose. You are about to inject lidocaine to reduce the pain of the infusion when a passing colleague suggests that it is a waste

2013 BestBETS

280. A comparative evaluation of local application of the combination of eutectic mixture of local anesthetics and capsaicin for attenuation of venipuncture pain (Abstract)

A comparative evaluation of local application of the combination of eutectic mixture of local anesthetics and capsaicin for attenuation of venipuncture pain Topical capsaicin and eutectic mixture of local anesthetics (EMLA) have been found to be equally effective in minimizing the pain of venipuncture. After the injection of capsaicin, both tertiary amine local anesthetics and their quaternary ammonium derivatives can elicit a prolonged and predominantly sensory/nociceptor selective block. We

2013 EvidenceUpdates Controlled trial quality: uncertain