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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.
Storage of Drugs in Anaesthetic Rooms - Guidance on best practice from the RCoA and AAGBI Storage of Drugs in Anaesthetic Rooms Guidance on best practice from the RCoA and AAGBI1 Storage of Drugs in Anaesthetic Rooms Guidance on best practice from the RCoA and AAGBI The Royal College of Anaesthetists (RCoA) and Association of Anaesthetists of Great Britain and Ireland (AAGBI) recognise that secure drug storage makes an important contribution to patient safety, and the safety of the public (...) of Standard Operating Procedures (SOPs) covering each of the activities concerned with medicines use to ensure the safety and security of medicines stored and used in operating departments. 1 A particular situation not mentioned in the RPS document is that anaesthetic rooms, which function as a form of ‘annexe’ to the main operating theatre, are usually a place in which drugs and fluids are stored. During the conduct of an anaesthetic and surgery the anaesthetic room may temporarily and intermittently
The effect of music on the level of cortisol, blood glucose and physiological variables in patients undergoing spinal anesthesia. Surgical procedures performed using spinal anesthetic techniques present a special challenge to anesthesiologists, because patients are awake and are exposed to multiple anxiety provoking visual and auditory stimuli. Therefore, this study was carried out to define the effect of music on the level of cortisol, blood glucose and physiological variables in patients (...) under spinal anesthesia. In this semi-experimental research, 90 men aging from 18-48 years with ASA (acetylsalicylic acid) class I, who underwent urological and abdominal surgery, were investigated. Patients were divided randomly into three groups of thirty subjects. Music group (headphone with music), Silence group (headphone without music) and the control group (without interference). The level of cortisol and blood sugar was measured half an hour before and after the operation. Moreover
Association Between a Single General Anesthesia Exposure Before Age 36 Months and Neurocognitive Outcomes in Later Childhood. Exposure of young animals to commonly used anesthetics causes neurotoxicity including impaired neurocognitive function and abnormal behavior. The potential neurocognitive and behavioral effects of anesthesia exposure in young children are thus important to understand.To examine if a single anesthesia exposure in otherwise healthy young children was associated (...) , 17.3 months at surgery/anesthesia; 9.5% female) and the unexposed siblings (44% female) had IQ testing at mean ages of 10.6 and 10.9 years, respectively. All exposed children received inhaled anesthetic agents, and anesthesia duration ranged from 20 to 240 minutes, with a median duration of 80 minutes. Mean IQ scores between exposed siblings (scores: full scale = 111; performance = 108; verbal = 111) and unexposed siblings (scores: full scale = 111; performance = 107; verbal = 111) were
Unilateral paravertebral block compared with subarachnoid anesthesia for the management of postoperative pain syndrome after inguinal herniorrhaphy: a randomized controlled clinical trial Inguinal herniorrhaphy is a common surgical procedure. The aim of this investigation was to determine whether unilateral paravertebral block could provide better control of postoperative pain syndrome compared with unilateral subarachnoid block (SAB). A randomized controlled study was conducted using 50 (...) patients with unilateral inguinal hernias. The patients were randomized to receive either paravertebral block (S group) or SAB (C group). Paravertebral block was performed by injecting a total of 20 mL of 0.5% levobupivacaine from T9 to T12 under ultrasound guidance, whereas SAB was performed by injecting 13 mg of 0.5% levobupivacaine at the L3 to L4 level. Data regarding anesthesia, hemodynamic changes, side effects, time spent in the postanesthesia care unit, the Karnofsky Performance Status, acute
Use of platelet transfusions prior to lumbar punctures or epidural anaesthesia for the prevention of complications in people with thrombocytopenia. People with a low platelet count (thrombocytopenia) often require lumbar punctures or an epidural anaesthetic. Lumbar punctures can be diagnostic (haematological malignancies, epidural haematoma, meningitis) or therapeutic (spinal anaesthetic, administration of chemotherapy). Epidural catheters are placed for administration of epidural anaesthetic (...) . Current practice in many countries is to correct thrombocytopenia with platelet transfusions prior to lumbar punctures and epidural anaesthesia, in order to mitigate the risk of serious procedure-related bleeding. However, the platelet count threshold recommended prior to these procedures varies significantly from country to country. This indicates significant uncertainty among clinicians of the correct management of these patients. The risk of bleeding appears to be low but if bleeding occurs it can
Risks Associated With Anesthesia Services During Colonoscopy We aimed to quantify the difference in complications from colonoscopy with vs without anesthesia services.We conducted a prospective cohort study and analyzed administrative claims data from Truven Health Analytics MarketScan Research Databases from 2008 through 2011. We identified 3,168,228 colonoscopy procedures in men and women, aged 40-64 years old. Colonoscopy complications were measured within 30 days, including colonic (ie (...) , perforation, hemorrhage, abdominal pain), anesthesia-associated (ie, pneumonia, infection, complications secondary to anesthesia), and cardiopulmonary outcomes (ie, hypotension, myocardial infarction, stroke), adjusted for age, sex, polypectomy status, Charlson comorbidity score, region, and calendar year.Nationwide, 34.4% of colonoscopies were conducted with anesthesia services. Rates of use varied significantly by region (53% in the Northeast vs 8% in the West; P < .0001). Use of anesthesia service
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