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

281. Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice Background Paper

Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice Background Paper PS54 BP 2013 Page 1 PS54 BP 2013 Australian and New Zealand College of Anaesthetists (ANZCA) Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice Background Paper PURPOSE Anaesthetic machines are fundamental to anaesthesia. They have continued to evolve in sophistication and functionality, becoming increasingly (...) and consequently this was not incorporated. In addition it was considered that the recommended testing of the anaesthetic machine by the anaesthetist before use would be sufficient to ensure the safe functioning of the machine. At the close of the pilot phase, the title of the document was amended, consistent with the broader suite of ANZCA professional documents. SUMMARY Anaesthetic machines are fundamental to anaesthesia and have continued to evolve in sophistication and functionality, as well as diversity

2013 Australian and New Zealand College of Anaesthetists

282. Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice

by AS/NZS 3200.2.13:2005. 1 ANZCA’s monitoring recommendations are outlined in College professional document PS18 Recommendations on Monitoring During Anaesthesia. 1.5.4 Basic draw-over systems and draw-over capable field anaesthetic machines. 1.5.4.1 The use of field equipment for teaching or continuing professional development in anaesthetising locations in Australia and New Zealand is acceptable when directly supervised by anaesthetists experienced in the principles and use of such equipment and when (...) approved by the Page 2 PS54 2013 head of department or his or her equivalent. Monitoring must comply with College professional document PS18 Recommendations on Monitoring During Anaesthesia. 2. ANAESTHETIC MACHINE SAFETY ASSESSMENT 2.1 Anaesthetic machines must be assessed for safety, reliability and functionality at least once a year by a specialist anaesthetist, or other person, with the required skill and technical knowledge. 2.2 This assessment will result in a classification of each machine

2013 Australian and New Zealand College of Anaesthetists

283. Guidelines for Health Practitioners Administering Local Anaesthesia Background Paper

practitioners with diverse qualifications and training, including specialist anaesthetists and specialist pain medicine physicians, other medical practitioners, dentists, podiatrists and nurses. The 2004 version of PS37 Statement on Local Anaesthesia and Allied Health Professionals acknowledged the diverse range of health practitioners administering local anaesthesia, the training required, the need for consideration of alternative anaesthetic techniques and the need for continuing medical management where (...) document, therefore, is to support uniform standards for the administration of local anaesthesia for medical, dental and surgical procedures by all health practitioners in Australia and New Zealand. BACKGROUND This professional document is intended to apply to all local anaesthetic techniques, including topical anaesthesia, field infiltration and peripheral nerve block (such as digital nerve block). This document is not intended to apply to orbital blocks, major regional anaesthesia and analgesia

2013 Australian and New Zealand College of Anaesthetists

284. Guidelines for Health Practitioners Administering Local Anaesthesia

anaesthesia include those related to the local anaesthetic drugs (for example, local anesthetic toxicity, allergic reaction), co- Page 2 PS37 2013 administered vasoconstrictors (for example, tachycardia, tachyarrhythmia or hypertension due to systemic absorption) or administration technique (for example, pain on injection, damage to nerves and/or adjacent structures). 5. PATIENT PREPARATION 5.1 Prior to the procedure, the health practitioner performing the procedure should provide the patient (...) ). 3. DEFINITION Local anaesthesia is the reduction or elimination of pain perception by drugs, which act locally to interfere with nerve conduction. Local anaesthetic drugs may be administered topically and/or by injection, either as field infiltration or peripheral nerve block (such as digital nerve block). 4. AIMS AND RISKS OF LOCAL ANAESTHESIA 4.1 The aims of local anaesthesia are to facilitate completion of the planned procedure without compromising patient safety 4.2 Risks of local

2013 Australian and New Zealand College of Anaesthetists

285. Statement on the Minimum Safety Requirements for Anaesthetic Machines and Workstations for Clinical Practice

by AS/NZS 3200.2.13:2005. 1 ANZCA’s monitoring recommendations are outlined in College professional document PS18 Recommendations on Monitoring During Anaesthesia. 1.5.4 Basic draw-over systems and draw-over capable field anaesthetic machines. 1.5.4.1 The use of field equipment for teaching or continuing professional development in anaesthetising locations in Australia and New Zealand is acceptable when directly supervised by anaesthetists experienced in the principles and use of such equipment and when (...) approved by the Page 2 PS54 2013 head of department or his or her equivalent. Monitoring must comply with College professional document PS18 Recommendations on Monitoring During Anaesthesia. 2. ANAESTHETIC MACHINE SAFETY ASSESSMENT 2.1 Anaesthetic machines must be assessed for safety, reliability and functionality at least once a year by a specialist anaesthetist, or other person, with the required skill and technical knowledge. 2.2 This assessment will result in a classification of each machine

2013 Australian and New Zealand College of Anaesthetists

286. Guidelines for Health Practitioners Administering Local Anaesthesia

anaesthesia include those related to the local anaesthetic drugs (for example, local anesthetic toxicity, allergic reaction), co- Page 2 PS37 2013 administered vasoconstrictors (for example, tachycardia, tachyarrhythmia or hypertension due to systemic absorption) or administration technique (for example, pain on injection, damage to nerves and/or adjacent structures). 5. PATIENT PREPARATION 5.1 Prior to the procedure, the health practitioner performing the procedure should provide the patient (...) ). 3. DEFINITION Local anaesthesia is the reduction or elimination of pain perception by drugs, which act locally to interfere with nerve conduction. Local anaesthetic drugs may be administered topically and/or by injection, either as field infiltration or peripheral nerve block (such as digital nerve block). 4. AIMS AND RISKS OF LOCAL ANAESTHESIA 4.1 The aims of local anaesthesia are to facilitate completion of the planned procedure without compromising patient safety 4.2 Risks of local

2013 Australian and New Zealand College of Anaesthetists

287. Recommendations on Monitoring During Anaesthesia

should be supplemented when necessary by appropriate devices to assist the practitioner responsible for the anaesthesia. 2.2 A medical practitioner whose sole responsibility is the provision of anaesthetic care for that patient must be constantly present from induction of anaesthesia until safe transfer to recovery room staff or intensive care unit has been accomplished (see PS02 Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia and the relevant ANZCA training (...) . In most cases, this refers to a monitor connected via a transducer to an intra-arterial line. 3.7 Carbon dioxide monitor A monitor of the carbon dioxide level in inhaled and exhaled gases must be in use for every patient undergoing general anaesthesia. 3.8 Volatile anaesthetic agent concentration monitor Equipment to monitor the concentration of inhalational anaesthetics must be in use for every patient undergoing general anaesthesia from an anaesthesia delivery system where volatile anaesthetic

2013 Australian and New Zealand College of Anaesthetists

288. Guidelines for Ambulatory Anesthesia and Surgery

hospitals, ambulatory surgical facilities and office-based settings, and to participate in facility accreditation as a means for standardization and improving the quality of patient care. These guidelines apply to all care involving anesthesiology personnel administering ambulatory anesthesia in all settings. These are minimal guidelines which may be exceeded at any time based on the judgment of the involved anesthesia personnel. These guidelines encourage high quality patient care, but observing them (...) Guidelines for Ambulatory Anesthesia and Surgery 1 Guidelines for Ambulatory Anesthesia and Surgery Committee of Origin: Ambulatory Surgical Care (Approved by the ASA House of Delegates on October 15, 2003, last amended on October 22, 2008, and reaffirmed on October 17, 2018) The American Society of Anesthesiologists (ASA) endorses and supports the concept of Ambulatory Anesthesia and Surgery. ASA encourages the anesthesiologist to play a leadership role as the perioperative physician in all

2013 American Society of Anesthesiologists

289. Guidelines for the Ethical Practice of Anesthesiology

confidential patients’ medical and personal information. 5. Anesthesiologists should provide preoperative evaluation and care and should facilitate the process of informed decision-making, especially regarding the choice of anesthetic technique. 6. If responsibility for a patient’s care is to be shared with other physicians or nonphysician anesthesia providers, this arrangement should be explained to the patient. When directing non-physician anesthesia providers, anesthesiologists should provide or ensure (...) the same level of preoperative evaluation, care and counseling as when personally providing these same aspects of anesthesia care. 3 7. When directing nonphysician anesthesia providers or physicians in training in the actual delivery of anesthetics, anesthesiologists should remain personally and continuously available for direction and supervision during the anesthetic; they should directly participate in the most demanding aspects of the anesthetic care. 8. Anesthesiologists should provide

2013 American Society of Anesthesiologists

290. Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review

Anesthesia Among Patients Undergoing Knee Arthroplasty: A Rapid Review Anesthesia among patients undergoing knee arthroplasty: a rapid review Anesthesia among patients undergoing knee arthroplasty: a rapid review Brener S 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 Brener S. Anesthesia among patients undergoing knee arthroplasty (...) : a rapid review. Toronto: Health Quality Ontario (HQO). Rapid Review. 2013 Authors' objectives The objective of this rapid review is to examine the safety and effectiveness of regional anesthesia versus general anesthesia among patients undergoing primary knee arthroplasty. Authors' conclusions From the examination of 1 systematic review of randomized controlled trials as part of the rapid review: Based on very low quality of evidence, there was no significant difference in mortality for patients who

2013 Health Technology Assessment (HTA) Database.

291. Cohort study: Single surgical procedure with general anaesthesia early in life is associated with subsequent impaired language development and cognitive function

with subsequent impaired language development and cognitive function Article Text Harm Cohort study Single surgical procedure with general anaesthesia early in life is associated with subsequent impaired language development and cognitive function Andreas W Loepke Statistics from Altmetric.com Commentary on: Ing C , Dimaggio C , Whitehouse A , et al . Long-term differences in language and cognitive function after childhood exposure to anesthesia . Context Thus far, more than 250 studies in immature animals (...) Cohort study: Single surgical procedure with general anaesthesia early in life is associated with subsequent impaired language development and cognitive function Single surgical procedure with general anaesthesia early in life is associated with subsequent impaired language development and cognitive function | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time

2013 Evidence-Based Medicine

292. 4% Articaine (1:100,000 epi) Is More Effective At Pulpal Anesthesia Than 2% Lidocaine (1:100,000 epi) In Local Infiltration Anesthesia

4% Articaine (1:100,000 epi) Is More Effective At Pulpal Anesthesia Than 2% Lidocaine (1:100,000 epi) In Local Infiltration Anesthesia UTCAT2416, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title 4% Articaine (1:100,000 epi) Is More Effective At Pulpal Anesthesia Than 2% Lidocaine (1:100,000 epi) In Local Infiltration Anesthesia Clinical Question For local infiltration anesthesia, would 4% articaine (1:100,000 epi (...) ) be more effective in pulpal anesthesia than 2% lidocaine (1:100,000 epi) in dental treatments? Clinical Bottom Line In the meta-analysis of 13 different studies, articaine was found to have more efficacy than lidocaine at pulpal anesthesia. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Brandt/2011 From the pulpal anesthesia comparison only, there were 466 experimental (lidocaine) and 467 control

2013 UTHSCSA Dental School CAT Library

293. Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia

Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia Cost analysis and safety comparison of cisatracurium and atracurium in patients undergoing general anesthesia Movafegh A, Amini S, Sharifnia H, Torkamandi H, Hayatshahi A, Javadi M Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary The aim was to evaluate the cost and adverse events of two neuromuscular blockers, atracurium and cisatracurium, for patients having surgery under anaesthesia. The authors concluded that the two drugs appeared to have similar safety profiles, but atracurium was cheaper. The study

2013 NHS Economic Evaluation Database.

294. Ephedrine versus phenylephrine for the management of hypotension during spinal anesthesia for cesarean section: an updated meta-analysis

Ephedrine versus phenylephrine for the management of hypotension during spinal anesthesia for cesarean section: an updated 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.

2013 DARE.

295. Recommendations on monitoring during anaesthesia

should be supplemented when necessary by appropriate devices to assist the practitioner responsible for the anaesthesia. 2.2 A medical practitioner whose sole responsibility is the provision of anaesthetic care for that patient must be constantly present from induction of anaesthesia until safe transfer to recovery room staff or intensive care unit has been accomplished (see PS02 Statement on Credentialling and Defining the Scope of Clinical Practice in Anaesthesia and the relevant ANZCA training (...) . In most cases, this refers to a monitor connected via a transducer to an intra-arterial line. 3.7 Carbon dioxide monitor A monitor of the carbon dioxide level in inhaled and exhaled gases must be in use for every patient undergoing general anaesthesia. 3.8 Volatile anaesthetic agent concentration monitor Equipment to monitor the concentration of inhalational anaesthetics must be in use for every patient undergoing general anaesthesia from an anaesthesia delivery system where volatile anaesthetic

2013 Clinical Practice Guidelines Portal

296. Phenylephrine infusion versus bolus regimens during cesarean delivery under spinal anesthesia: a double-blind randomized clinical trial to assess hemodynamic changes (Abstract)

Phenylephrine infusion versus bolus regimens during cesarean delivery under spinal anesthesia: a double-blind randomized clinical trial to assess hemodynamic changes Phenylephrine is used to prevent and treat hypotension during spinal anesthesia for cesarean delivery. The optimal administration regimen is undetermined. We used a Non-invasive cardiac output monitor to test the hypothesis that a fixed-rate phenylephrine infusion regimen would cause a smaller reduction in maternal cardiac output (...) , and result in less maternal hypotension, as compared to a phenylephrine bolus regimen.This was a double-blind, randomized clinical trial of women undergoing elective cesarean delivery under spinal anesthesia. Patients were randomized to an intermittent bolus (120 μg) or a fixed-rate infusion (120 μg/min) regimen of phenylephrine. Any decrease in systolic blood pressure from baseline was treated. The primary outcome was the maximum change in cardiac output in the predelivery period, assessed using

2012 EvidenceUpdates Controlled trial quality: predicted high

297. Sedation versus general anaesthesia for provision of dental treatment in under 18 year olds. (Abstract)

Sedation versus general anaesthesia for provision of dental treatment in under 18 year olds. 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 in children by the use of a general anaesthetic, however use of sedation may lead to reduced morbidity and cost. The aim of this review is to compare the efficiency of sedation versus general (...) anaesthesia for the provision of dental treatment for children and adolescents aged under 18 years.This review was originally published in 2009 and updated in 2012.We evaluated the intra- and postoperative morbidity, effectiveness and cost effectiveness of sedation versus general anaesthesia for the provision of dental treatment for under 18 year olds.In this updated review we searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 7); MEDLINE (Ovid) (1950

2012 Cochrane

298. Streamed video clips to reduce anxiety in children during inhaled induction of anesthesia (Abstract)

Streamed video clips to reduce anxiety in children during inhaled induction of anesthesia Anesthesia induction in children is frequently achieved by inhalation of nitrous oxide and sevoflurane. Pediatric anesthesiologists commonly use distraction techniques such as humor or nonprocedural talk to reduce anxiety and facilitate a smooth transition at this critical phase. There is a large body of successful distraction research that explores the use of video and television distraction methods (...) from holding to induction than did children in the control group.Playing video clips during the inhaled induction of children undergoing ambulatory surgery is an effective method of reducing anxiety. Therefore, pediatric anesthesiologists may consider using video distraction as a useful, valid, alternative strategy for achieving a smooth transition to the anesthetized state.

2012 EvidenceUpdates Controlled trial quality: uncertain

299. Cartoon distraction alleviates anxiety in children during induction of anesthesia (Abstract)

Cartoon distraction alleviates anxiety in children during induction of anesthesia We performed this study to determine the beneficial effects of viewing an animated cartoon and playing with a favorite toy on preoperative anxiety in children aged 3 to 7 years in the operating room before anesthesia induction.One hundred thirty children aged 3 to 7 years with ASA physical status I or II were enrolled. Subjects were randomly assigned to 1 of 3 groups: group 1 (control), group 2 (toy), and group 3 (...) (animated cartoon). The children in group 2 were asked to bring their favorite toy and were allowed to play with it until anesthesia induction. The children in group 3 watched their selected animated cartoon until anesthesia induction. Children's preoperative anxiety was determined by the modified Yale Preoperative Anxiety Scale (mYPAS) and parent-recorded anxiety Visual Analog Scale (VAS) the night before surgery, in the preanesthetic holding room, and just before anesthesia induction.In

2012 EvidenceUpdates Controlled trial quality: uncertain

300. Combination of low-dose bupivacaine and opioids provides satisfactory analgesia with less intraoperative hypotension for spinal anesthesia in cesarean section

Combination of low-dose bupivacaine and opioids provides satisfactory analgesia with less intraoperative hypotension for spinal anesthesia in cesarean section 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.

2012 DARE.