Latest & greatest articles for anesthesia

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This page lists the very latest high quality evidence on anesthesia 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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Anesthesia

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

  • Local and Regional
  • General
  • Sedation

Anesthesia 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 anesthesia has helped anesthesiologists in the progression of patient safety before and after surgery and medical procedures. The developments and research of anesthesia 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 anesthesia, it allows anesthesiologists to improve the delivery of patient safety while unconscious.

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

Top results for anesthesia

181. 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

182. 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

184. 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

185. 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

186. 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

187. 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

188. 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

189. 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

190. 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

191. [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

192. 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

193. Delirium and cognitive decline after surgery: a randomised controlled trial of anaesthetic management to improve postoperative mental health outcome. (Abstract)

Delirium and cognitive decline after surgery: a randomised controlled trial of anaesthetic management to improve postoperative mental health outcome. 25647822 2015 09 28 2016 10 20 1024-2708 20 Suppl 7 2014 Dec Hong Kong medical journal = Xianggang yi xue za zhi Hong Kong Med J Delirium and cognitive decline after surgery: a randomised controlled trial of anaesthetic management to improve postoperative mental health outcome. 28-9 Chan M T V MT Department of Anaesthesia and Intensive Care (...) , The Chinese University of Hong Kong. Gin T T Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong. eng Comparative Study Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't China Hong Kong Med J 9512509 1024-2708 0 Anesthetics IM Aged Anesthetics administration & dosage Cognition Disorders epidemiology etiology prevention & control Colon surgery Consciousness Monitors Delirium epidemiology etiology prevention & control Humans Postoperative

2015 Hong Kong medical journal = Xianggang yi xue za zhi Controlled trial quality: uncertain

194. Evaluation of the injection pain with the use of DentalVibe injection system during supraperiosteal anaesthesia in children: a randomised clinical trial. Full Text available with Trip Pro

Evaluation of the injection pain with the use of DentalVibe injection system during supraperiosteal anaesthesia in children: a randomised clinical trial. The purpose of this study was to compare the use of a traditional syringe (TS) and the DentalVibe (DV) Injection Comfort System on the pain of needle insertion and injection of supraperiosteal (SP) anaesthesia into the mandibles and maxillas of children aged 6-12 years.The study was a randomised, controlled, crossover clinical trial (...) , comprising 60 children requiring an operative procedure with SP anaesthesia on both their mandibular and maxillary molars, bilaterally. One of the molars was treated with a TS, and the contralateral tooth was treated with the DV for both arches. On each visit, subjective and objective pain was evaluated using the Wong-Baker FACES Pain Rating Scale and the Face, Leg, Activity, Cry, Consolability Scale. Patients were asked which technique they preferred. The data were analysed using Wilcoxon signed-rank

2015 International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children Controlled trial quality: uncertain

195. Multimodal Analgesia in Total Knee Arthroplasty: A Randomized, Double-Blind, Controlled Trial on Additional Efficacy of Periarticular Anesthesia (Abstract)

randomly assigned to study or control group; all subjects received the same analgesic protocol; before wound closure, the study group received also a periarticular anesthesia (ropivacaine 1% 20 mL). The results show no statistical differences in any of the variable evaluated. Our data suggest that additive periarticular anesthetic protocol with ropivacaine 1% 20 mL is not superior to oral and intravenous analgesia alone in patients undergoing TKA, regarding post-operative pain control, operated limb (...) Multimodal Analgesia in Total Knee Arthroplasty: A Randomized, Double-Blind, Controlled Trial on Additional Efficacy of Periarticular Anesthesia Pain management is a main determinant of functional recovery after total knee arthroplasty (TKA). We performed a randomized, controlled, double blind study to evaluate additive efficacy of periarticular anesthesia in patients undergoing TKA in reducing post-operative pain, operated limb edema and improving post-operative mobility. Patients were

2015 EvidenceUpdates Controlled trial quality: predicted high

196. Less Pain 1 Year After TEP Compared with Lichtenstein Using Local Anesthesia: Data from a Randomized Controlled Clinical Trial Full Text available with Trip Pro

Less Pain 1 Year After TEP Compared with Lichtenstein Using Local Anesthesia: Data from a Randomized Controlled Clinical Trial The aim was to compare long-term postoperative pain after inguinal hernia surgery using 2 techniques that have shown favorable long-term outcome in previous randomized studies: Lichtenstein using local anesthesia (LLA) and endoscopic total extra-peritoneal repair (TEP) under general anesthesia.Patients often experience pain after inguinal hernia surgery. These 2 methods (...) in their optimal state have not yet been sufficiently compared.A randomized controlled trial was conducted to detect any difference in long-term postoperative inguinal pain. Altogether 384 patients were randomized and operated using either TEP under general anesthesia (n = 193) or LLA (n = 191). One year postoperatively, patients were examined by an independent surgeon and requested to complete the Inguinal Pain Questionnaire (IPQ), a validated questionnaire for the assessment of postoperative inguinal

2015 EvidenceUpdates Controlled trial quality: uncertain

197. Comparison Between Ultrasonography-Guided Popliteal Sciatic Nerve Block and Spinal Anesthesia for Hallux Valgus Repair (Abstract)

study. Unilateral spinal block was performed on patients in the spinal anesthesia group. Popliteal block group patients received popliteal sciatic nerve block with guidance by both nerve stimulator and ultrasonography. Durations of anesthetic and operative interventions and time until the initiation of surgery were recorded for both groups. Pain magnitude of the patients at the 2nd, 4th, 6th, 12th, and 24th hours following anesthetic interventions were assessed with a visual analog scale (VAS (...) ). Adverse effects such as postoperative urinary retention and postdural puncture headache were recorded. Also, patient satisfaction was recorded. Patients were interviewed by phone for anesthetic and operative complications at 72 hours postoperatively.Spinal anesthesia group patients exhibited hypotension, bradycardia, postdural puncture headache, and urinary retention rates of 6.6%, 3.3%, 10%, and 3.3%, respectively. Popliteal block group patients showed none of these adverse effects. Moreover, VAS

2015 EvidenceUpdates Controlled trial quality: uncertain

198. Guidance on the provision of vascular anaesthesia services 2015

Guidance on the provision of vascular anaesthesia services 2015 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

2015 Royal College of Anaesthetists

199. Guidance on the provision of services for anaesthetic care in the non-theatre environment 2015

Guidance on the provision of services for anaesthetic care in the non-theatre environment 2015 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

2015 Royal College of Anaesthetists

200. Guidance on the provision of paediatric anaesthesia services 2015

Guidance on the provision of paediatric anaesthesia services 2015 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

2015 Royal College of Anaesthetists