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Latest & greatest articles for anesthesia
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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
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.
Secondary PDL and Intraosseous Injections Are Both Effective at Anesthetizing Difficult-to-Anesthetize Mandibular Molars UTCAT3020, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Secondary PDL and Intraosseous Injections Are Both Effective at Anesthetizing Difficult-to-Anesthetize Mandibular Molars Clinical Question In patients with a mandibular molar that has irreversible pulpitis and inadequate anesthesia following (...) an inferior alveolar injection, are secondary intraosseous injections more effective at achieving successful anesthesia and reducing side effects than periodontal ligament (PDL) injections? Clinical Bottom Line Both secondary intraosseous and PDL injections can provide anesthesia for mandibular molars that have irreversible pulpitis, but intraosseous injections have a slightly higher effectiveness rate. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year
, a 7 year-old female experienced facial swelling. IV antihistamine was given and the swelling subsided. True IgE-mediated Type I hypersensitivity to lidocaine HCL was confirmed by skin prick test (SPT). No patient risk factors were reported, and an alternative local anesthetic was not considered or tested. Evidence Search ("Anesthesia, Dental/adverse effects"[Mesh] AND "Hypersensitivity"[Mesh]) AND "Anesthetics, Local"[Mesh] OR ("Anesthetics, Local"[Mesh] AND "hypersensitivity, delayed"[Mesh (...) True Allergic Reaction to Amide Local Anesthetics Such as Lidocaine Is Confirmed by Immunologic Testing UTCAT3062, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title True Allergic Reaction to Amide Local Anesthetics Such as Lidocaine Is Confirmed by Immunologic Testing Clinical Question For patients receiving injection of an amide local anesthetic such as lidocaine, is there a risk of true allergic reaction versus
Leg Movements During General Anesthesia 28239614 2019 02 26 2330-1619 3 5 2016 Sep-Oct Movement disorders clinical practice Mov Disord Clin Pract Leg Movements During General Anesthesia. 510-512 10.1002/mdc3.12310 Vanegas Nora N Office of the Clinical Director, National Institute of Neurologic Disorders and Stroke, Bethesda, MD, USA; Human Motor Control Section, National Institute of Neurologic Disorders and Stroke, Bethesda, MD, USA. Zaghloul Kareem K Surgical Neurology Branch, National (...) Institute of Neurologic Disorders and Stroke, Bethesda, MD, USA. Hallett Mark M Human Motor Control Section, National Institute of Neurologic Disorders and Stroke, Bethesda, MD, USA. Lungu Codrin C Office of the Clinical Director, National Institute of Neurologic Disorders and Stroke, Bethesda, MD, USA. eng Z99 NS999999 NULL Intramural NIH HHS United States Case Reports 2016 03 24 United States Mov Disord Clin Pract 101630279 2330-1619 Leg Movements Parkinson Disease general anesthesia Conflict
) performed by an allergy specialist. Patients that continue to demonstrate true immunologic-like responses after negative challenge tests should be pre-medicated to reduce anxiety, and/or be treated with nitrous oxide, general anesthesia, or a local anesthetic without preservatives. Specialty/Discipline (Oral Medicine/Pathology/Radiology) (Endodontics) (General Dentistry) (Oral Surgery) (Periodontics) (Restorative Dentistry) Keywords Hypersensitivity, true allergy, local anesthetic, local anesthesia ID (...) True Allergic Responses to Local Anesthetics (LAs) Are Rare, and Safe Alternative Anesthetics Can Be Used for Common Dental Procedures UTCAT3010, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title True Allergic Responses to Local Anesthetics (LAs) Are Rare, and Safe Alternative Anesthetics Can Be Used for Common Dental Procedures Clinical Question In a patient who claims to have an allergy to local anesthetic, what
with red hair or African Americans, seem to be more sensitive to pain and to require higher doses to achieve similar anesthesia, with the concomitant increased risk of adverse effects. x 5 Liem, E.B., Joiner, T.V., Tsueda, K., and Sessler, D.I. Increased sensitivity to thermal pain and reduced subcutaneous lidocaine efficacy in redheads. Anesthesiology . 2005 ; 102 : 509–514 | | | , x 6 Liem, E.B., Lin, C.M., Suleman, M.I. et al. Anesthetic requirement is increased in redheads. Anesthesiology . 2004 (...) ., Sanders, R., Watts, D.A., and Stoker, M. Split skin grafting using topical local anaesthesia (EMLA): a comparison with infiltrated anaesthesia. Br J Plast Surg . 1988 ; 41 : 533–538 | | | , x 18 Russell, G.N., Desmond, M.J., and Fox, M.A. Local anesthesia for radial artery cannulation: a comparison of a lidocaine-prilocaine emulsion and lidocaine infiltration. J Cardiothorac Anesth . 1988 ; 2 : 309–312 | | | , x 19 Ferguson, C., Loryman, B., and Body, R. Best evidence topic report. Topical anaesthetic
, and technology: What we (physicians) can do versus what we should do for the patient. Anesthesiology. 2000;93(2):556-564. Jenkins K. Baker AB. Consent and anaesthetic risk. Anaesthesia. 2003;58(10):962- 984. Medical Council of New Zealand. Good medical practice. Wellington: Medical Council of New Zealand, 2013. From: https://www.mcnz.org.nz/assets/News-and- Publications/good-medical-practice.pdf Accessed 28 September 2015 National Health and Medical Research Council. General guidelines for medical (...) with adjustable gastric bands. 4. Reports of adverse patient events in association with administration of large volumes of local anaesthetic 4.1. Under Section 3 Scope of PS07, the following statement appears: “…these guidelines should be followed by any practitioner responsible for administering drugs that have the potential for alteration of a patient’s conscious Page 4 PS07 BP 2016 state, at all levels of sedation through to general anaesthesia, as well as techniques requiring the use of large volumes
for the patient. Anesthesiology. 2000;93(2):556-564. Jenkins K. Baker AB. Consent and anaesthetic risk. Anaesthesia. 2003;58(10):962-984. National Health and Medical Research Council. General guidelines for medical practitioners on providing information to patients. Canberra: National Health and Medical Research Council, 2004. From: https://www.nhmrc.gov.au/guidelines-publications/e57 Accessed 28 September 2015 Royal College of Nursing. Clinical Practice Guidelines: Perioperative fasting in Adults (...) of Major Regional Anaesthesia) or anaesthesia (as defined above). However, these guidelines should be followed by any practitioner responsible for administering drugs that have the potential for alteration of a patient’s conscious state, at all levels of sedation through to general anaesthesia, as well as techniques requiring the use of large volumes of local anaesthetic. (See PS02 Statement on Credentialing and Defining the Scope of Clinical Practice in Anaesthesia and PS09 Guidelines on Sedation
Guidelines on Quality Assurance and Quality Improvement 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 (...) responsibility for all 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
, 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
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
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
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
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
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
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.
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).
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
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