Latest & greatest articles for anesthesia

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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

1. AnaConDa-S for sedation with volatile anaesthetics in intensive care

innovative aspects are that it enables sedation to be done using inhaled anaesthetics with standard ventilators in intensive care settings, instead of needing intravenous (IV) anaesthesia. • The intended place in therapy place in therapy would be as an alternative to IV sedation of people who need invasive ventilation in an intensive care setting. • The main points from the evidence main points from the evidence summarised in this briefing are from 5 studies, including 1 meta-analysis, with a total (...) of the level of anaesthesia) or end-tidal concentration (Fet%). Side stream or mainstream gas monitors, which can measure concentrations of carbon dioxide and anaesthetic gases, must be used to continually monitor anaesthesia. AnaConDa-S can be used with almost any kind of ventilator, except high-frequency ventilators. It was launched in the UK in 2017 and is a newer version of the AnaConDa device (available in the UK since 2005), which is now only available on request in the UK. The AnaConDa-S has a lower

2020 National Institute for Health and Clinical Excellence - Advice

2. Anaesthesia for ECT during the COVID-19 pandemic

Anaesthesia for ECT during the COVID-19 pandemic 23 September 2020 icmanaesthesiacovid-19.org 1 Anaesthesia for ECT during the COVID-19 pandemic 23 September 2020 23 September 2020 The Royal College of Anaesthetists (RCoA) and the Association of Anaesthetists acknowledge that ECT The Royal College of Anaesthetists (RCoA) and the Association of Anaesthetists acknowledge that ECT is a is a NICE NICE-approved treatment that is an urgent and important element of the management of some -approved (...) treatment that is an urgent and important element of the management of some patients. These comments on the conduct of anaesthesia for ECT are made in the context of the patients. These comments on the conduct of anaesthesia for ECT are made in the context of the COVID-19 pandemic. COVID-19 pandemic. Anaesthesia for ECT involves the administration of a hypnotic and a neuromuscular blocking drug, and Anaesthesia for ECT involves the administration of a hypnotic and a neuromuscular blocking drug

2020 ICM Anaesthesia COVID-19

3. Clinical Effectiveness of Interlaminar Epidural Injections of Local Anesthetic with or without Steroids for Managing Chronic Neck Pain: A Systematic Review and Meta-Analysis

Clinical Effectiveness of Interlaminar Epidural Injections of Local Anesthetic with or without Steroids for Managing Chronic Neck Pain: A Systematic Review and Meta-Analysis Clinical Effectiveness of Interlaminar Epidural Injections of Local Anesthetic with or without Steroids for Managing Chronic Neck Pain: A Systematic Review and Meta-Analysis - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History (...) Physician Actions . 2020 Jul;23(4):335-348. Clinical Effectiveness of Interlaminar Epidural Injections of Local Anesthetic with or without Steroids for Managing Chronic Neck Pain: A Systematic Review and Meta-Analysis , , , , , , , Affiliations Expand Affiliations 1 Department of Orthopedics and Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA; Department of Orthopaedic Surgery, Menoufia University Faculty of Medicine, Shebin El-Kom, Menoufia, Egypt. 2

2020 EvidenceUpdates

4. Anaesthesia and critical care: guidance for Clinical Directors on preparations for a possible second surge in COVID-19

hospitals. Transfer of urgent planned surgical and other NHS care to independent hospitals. Rapid implementation of ICU surge capacity in areas with appropriate existing resources, often Rapid implementation of ICU surge capacity in areas with appropriate existing resources, often operating theatres and Post-Anaesthesia Care Units (PACUs, Recovery Rooms). operating theatres and Post-Anaesthesia Care Units (PACUs, Recovery Rooms). Reallocation of anaesthetic equipment to critical care areas, e.g (...) Anaesthesia and critical care: guidance for Clinical Directors on preparations for a possible second surge in COVID-19 21 September 2020 icmanaesthesiacovid-19.org 1 Anaesthesia and critical care: guidance for Clinical Directors on preparations for a possible second surge in COVID-19 21 September 2020 21 September 2020 Introduction At the time of publication of this document, SARS-CoV-2 infection rates have been increasing At the time of publication of this document, SARS-CoV-2 infection rates

2020 ICM Anaesthesia COVID-19

5. Impact of parallel processing of regional anesthesia with block rooms on resource utilization and clinical outcomes: a systematic review and meta-analysis

-726. doi: 10.1136/rapm-2020-101397. Epub 2020 Jul 22. Impact of parallel processing of regional anesthesia with block rooms on resource utilization and clinical outcomes: a systematic review and meta-analysis , , , Affiliations Expand Affiliations 1 Deparment of Anaesthesia and Perioperative Medicine, Guy's and Saint Thomas' NHS Foundation Trust, London, UK elboghdadly@gmail.com. 2 King's College London, London, UK. 3 Deparment of Anaesthesia and Perioperative Medicine, Guy's and Saint Thomas' NHS (...) Foundation Trust, London, UK. PMID: 32699101 DOI: Item in Clipboard Review Impact of parallel processing of regional anesthesia with block rooms on resource utilization and clinical outcomes: a systematic review and meta-analysis Kariem El-Boghdadly et al. Reg Anesth Pain Med . 2020 Sep . Show details Display options Display options Format Reg Anesth Pain Med Actions . 2020 Sep;45(9):720-726. doi: 10.1136/rapm-2020-101397. Epub 2020 Jul 22. Authors , , , Affiliations 1 Deparment of Anaesthesia

2020 EvidenceUpdates

6. Optimal local anesthetic regimen for saddle block in ambulatory anorectal surgery: an evidence-based systematic review

and the Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada. 3 Anesthesiology and Pain Medicine, Women's College Hospital, Toronto, Ontario, Canada richard.brull@wchospital.ca. PMID: 32699103 DOI: Item in Clipboard Full-text links Cite Display options Display options Format Abstract Background: Ambulatory anorectal surgery requires an anesthetic of short duration but profound depth. Saddle block anesthesia (SBA) can provide dense sacral anesthesia with minimal motor blockade (...) local anesthetic regimen for saddle block in ambulatory anorectal surgery: an evidence-based systematic review , , , , , Affiliations Expand Affiliations 1 Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada. 2 Anesthesiology and Pain Medicine and the Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ontario, Canada. 3 Anesthesiology and Pain Medicine, Women's College Hospital, Toronto, Ontario, Canada richard.brull@wchospital.ca. PMID: 32699103 DOI

2020 EvidenceUpdates

7. Long-Term Functional Patency and Cost-Effectiveness of Arteriovenous Fistula Creation under Regional Anesthesia: a Randomized Controlled Trial Full Text available with Trip Pro

.2019111209. Epub 2020 Jul 24. Long-Term Functional Patency and Cost-Effectiveness of Arteriovenous Fistula Creation under Regional Anesthesia: a Randomized Controlled Trial , , , , , , , Affiliations Expand Affiliations 1 Department of Renal Surgery, Queen Elizabeth University Hospital, Glasgow, United Kingdom emmaaitken@nhs.net. 2 Department of Anaesthesia, Critical Care and Pain Medicine, University of Glasgow, Glasgow, United Kingdom. 3 Scottish Health Technologies Group, Healthcare Improvement (...) Scotland, Edinburgh, United Kingdom. 4 Department of Renal Surgery, Queen Elizabeth University Hospital, Glasgow, United Kingdom. 5 Department of Anaesthesia, Golden Jubilee National Hospital, Clydebank, United Kingdom. PMID: 32709710 PMCID: PMC7460891 (available on 2021-08-01 ) DOI: Item in Clipboard Long-Term Functional Patency and Cost-Effectiveness of Arteriovenous Fistula Creation under Regional Anesthesia: a Randomized Controlled Trial Emma Aitken et al. J Am Soc Nephrol . 2020 Aug . Show details

2020 EvidenceUpdates

8. Anaesthesia and sedation in breastfeeding women

Anaesthesia and sedation in breastfeeding women Guidelines Anaesthesia and sedation in breastfeeding women 2020 June 2020Guidelines Guidelineonanaesthesiaandsedationinbreastfeeding women2020 GuidelinefromtheAssociationofAnaesthetists J.Mitchell, 1 W.Jones, 2 E.Winkley 3 andS.M.Kinsella 4 1Consultant,DepartmentofAnaesthesia,UniversityHospitalAyr,Ayr,UK 2SpecialistPharmacist,BreastfeedingandMedication,Portsmouth,UK 3Consultant,DepartmentofAnaesthesia,NorthumbriaNHSFoundationTrust,UK 4Consultant (...) ,DepartmentofAnaesthesia,StMichael’sHospital,Bristol,UK Summary Breastfeedinghasmanyhealthbene?tsforthemotherandinfant.Womenwhoarebreastfeedingmayrequire anaesthesia or sedation. Concerns regarding the passage of drugs into breast milk may lead to inconsistent advicefromprofessionals.Thiscansometimesresultintheinterruptionoffeedingfor24 hoursorlongerafter anaesthesia, or expressing and discarding (‘pumping and dumping’) breast milk; this may contribute to early cessationofbreastfeeding.However

2020 Association of Anaesthetists of GB and Ireland

9. Capnography for Moderate Sedation in Non-Anesthesia Settings

Capnography for Moderate Sedation in Non-Anesthesia Settings Management Briefs eBrief-no172 -- Capnography for Moderate Sedation in Non-Anesthesia Settings Talk to the Veterans Crisis Line now An official website of the United States government Here's how you know The .gov means it's official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site. The site is secure. The https:// ensures that you're connecting (...) to the official website and that any information you provide is encrypted and sent securely. Search Search the ORD website Button to search HSRD Contact us TTY: 711 × We're here anytime, day or night — 24/7 If you are a Veteran in crisis or concerned about one, connect with our caring, qualified responders for confidential help. Many of them are Veterans themselves. Get more resources at . » » » Management Briefs eBrief-no172 -- Capnography for Moderate Sedation in Non-Anesthesia Settings Health Services

2020 Veterans Affairs - R&D

10. Adjuncts to local anesthetic wound infiltration for postoperative analgesia: a systematic review

Copy Actions Cite Share Permalink Copy Page navigation Review Reg Anesth Pain Med Actions . 2020 Aug;45(8):645-655. doi: 10.1136/rapm-2020-101593. Epub 2020 May 30. Adjuncts to local anesthetic wound infiltration for postoperative analgesia: a systematic review # , # , , Affiliations Expand Affiliations 1 Department of Anesthesiology and Pain Management, Toronto Western Hospital, Toronto, Ontario, Canada jw.bai@mail.utoronto.ca. 2 Department of Anesthesiology and Pain Management, Toronto Western (...) Hospital, Toronto, Ontario, Canada. # Contributed equally. PMID: 32474417 DOI: Item in Clipboard Review Adjuncts to local anesthetic wound infiltration for postoperative analgesia: a systematic review Johnny Wei Bai et al. Reg Anesth Pain Med . 2020 Aug . Show details Reg Anesth Pain Med Actions . 2020 Aug;45(8):645-655. doi: 10.1136/rapm-2020-101593. Epub 2020 May 30. Authors # , # , , Affiliations 1 Department of Anesthesiology and Pain Management, Toronto Western Hospital, Toronto, Ontario, Canada

2020 EvidenceUpdates

11. Analgesic Effectiveness of Perioperative Ultrasound-Guided Serratus Anterior Plane Block Combined with General Anesthesia in Patients Undergoing Video-Assisted Thoracoscopic Surgery: A Systematic Review and Meta-analysis

of Anesthesiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China. PMID: 32488265 DOI: Item in Clipboard Analgesic Effectiveness of Perioperative Ultrasound-Guided Serratus Anterior Plane Block Combined with General Anesthesia in Patients Undergoing Video-Assisted Thoracoscopic Surgery: A Systematic Review and Meta-analysis Xiaofei Zhang et al. Pain Med . 2020 . Show details Pain Med Actions . 2020 Jun 3;pnaa125. doi: 10.1093/pm/pnaa125. Online ahead of print. Authors (...) Analgesic Effectiveness of Perioperative Ultrasound-Guided Serratus Anterior Plane Block Combined with General Anesthesia in Patients Undergoing Video-Assisted Thoracoscopic Surgery: A Systematic Review and Meta-analysis Analgesic Effectiveness of Perioperative Ultrasound-Guided Serratus Anterior Plane Block Combined with General Anesthesia in Patients Undergoing Video-Assisted Thoracoscopic Surgery: A Systematic Review and Meta-analysis - PubMed This site needs JavaScript to work properly

2020 EvidenceUpdates

12. Techniques for preventing hypotension during spinal anaesthesia for caesarean section. (Abstract)

Techniques for preventing hypotension during spinal anaesthesia for caesarean section. Maternal hypotension is the most frequent complication of spinal anaesthesia for caesarean section. It can be associated with nausea or vomiting and may pose serious risks to the mother (unconsciousness, pulmonary aspiration) and baby (hypoxia, acidosis, neurological injury).To assess the effects of prophylactic interventions for hypotension following spinal anaesthesia for caesarean section.We searched (...) Cochrane Pregnancy and Childbirth's Trials Register (9 August 2016) and reference lists of retrieved studies.Randomised controlled trials, including full texts and abstracts, comparing interventions to prevent hypotension with placebo or alternative treatment in women having spinal anaesthesia for caesarean section. We excluded studies if hypotension was not an outcome measure.Two review authors independently assessed study quality and extracted data from eligible studies. We report 'Summary

2020 Cochrane

13. Anaesthesia/analgesia for manual removal of retained placenta. (Abstract)

Anaesthesia/analgesia for manual removal of retained placenta. As a retained placenta is a potential life-threatening obstetrical complication, effective and timely management is important. The estimated mortality rates from a retained placenta in developing countries range from 3% to 9%. One possible factor contributing to the high mortality rates is a delay in initiating manual removal of the placenta. Effective anaesthesia or analgesia during this procedure will provide adequate uterine (...) relaxation and pain control, enabling it to be carried out effectively.To assess the effectiveness and safety of general, regional, and local anaesthesia or analgesia during manual removal of a retained placenta.We searched Cochrane Pregnancy and Childbirth's Trials Register, ClinicalTrials.gov and the World Health Organization's International Clinical Trials Registry Platform to 30 September 2019, and reference lists of retrieved studies.We sought randomised controlled trials (RCTs), quasi-randomised

2020 Cochrane

14. Kicking on while it’s still kicking off - getting surgery and anaesthesia restarted after COVID-19

Kicking on while it’s still kicking off - getting surgery and anaesthesia restarted after COVID-19 This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/anae.15128 This article is protected by copyright. All rights reserved Editorial Kicking on while it’s still (...) kicking off – getting surgery and anaesthesia restarted after COVID-19 T.M. Cook 1 and W. Harrop-Griffiths 2 1 Consultant, Department of Anaesthesia and Intensive Care Medicine, Royal United Hospitals Bath NHS Foundation Trust, Bath, and Honorary Professor of Anaesthesia, University of Bristol, Bristol. 2 Professor, Imperial College, London and Consultant, Department of Anaesthesia, Imperial College Healthcare NHS Trust, London Corresponding author: T Cook Email for correspondence: timcook007

2020 ICM Anaesthesia COVID-19

15. Evidence Brief: Capnography for Moderate Sedation in Non-Anesthesia Settings

/standards- and-guidelines/continuum-of-depth-of-sedation-definition-of-general-anesthesia-and- levels-of-sedationanalgesia. Published 2019. Accessed April 10 2020. 2. Patel S, Vargo JJ, Khandwala F, et al. Deep Sedation Occurs Frequently During Elective Endoscopy with Meperidine and Midazolam. American Journal of Gastroenterology. 2005;100(12):2689-2695. 3. Forster A, Gardaz JP, Suter PM, Gemperle M. Respiratory depression by midazolam and diazepam. Anesthesiology. 1980;53(6):494-497. 4. Koniaris LG (...) and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology. Anesthesiology. 2018;128(3):437-479. 7. Early DS, Lightdale JR, Vargo JJ, 2nd, et al. Guidelines for sedation and anesthesia in GI endoscopy. Gastrointest Endosc. 2018;87(2):327-337. 8. Qadeer MA, Lopez AR, Dumot JA, Vargo JJ. Hypoxemia during moderate sedation for gastrointestinal endoscopy: causes and associations. Digestion. 2011;84(1

2020 Veterans Affairs Evidence-based Synthesis Program Reports

16. Vital Signs in Anaesthesia A guide for anaesthetists seeking help and advice during the COVID crisis

A, Mouton R, et al. Stress, burnout, depression and work satisfaction among UK anaesthetic trainees: a qualitative analysis of in-depth participant interviews in the Satisfaction and Wellbeing in Anaesthetic Training study. Anaesthesia 2019; 74: 1240–51. 2. Looseley A, Wainwright E, Cook TM, et al. Stress, burnout, depression and work satisfaction among UK anaesthetic trainees; a quantitative analysis of the Satisfaction and Wellbeing in Anaesthetic Training study. Anaesthesia; 74: 1231–9. 3. McClelland (...) L, Holland J, Lomas J-P , Redfern N, Plunkett E. A national survey of the effects of fatigue on trainees in anaesthesia in the UK. Anaesthesia 2017; 72: 1069–77. 4. McClelland L, Plunkett E, McCrossan R, et al. A national survey of out-of-hours working and fatigue in consultants in anaesthesia and paediatric intensive care in the UK and Ireland. Anaesthesia 2019; 74: 1509–23. 5. Denisco RA, Drummond JN, Gravenstein JS. The effect of fatigue on the performance of a simulated anaesthetic

2020 Association of Anaesthetists of GB and Ireland

17. Local Anaesthesia Alone Versus Regional or General Anaesthesia in Excisional Haemorrhoidectomy: A Systematic Review and Meta-Analysis

Local Anaesthesia Alone Versus Regional or General Anaesthesia in Excisional Haemorrhoidectomy: A Systematic Review and Meta-Analysis Local Anaesthesia Alone Versus Regional or General Anaesthesia in Excisional Haemorrhoidectomy: A Systematic Review and Meta-Analysis - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National (...) RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Review World J Surg Actions . 2020 May 7. doi: 10.1007/s00268-020-05555-6. Online ahead of print. Local Anaesthesia Alone Versus Regional or General Anaesthesia in Excisional Haemorrhoidectomy: A Systematic Review and Meta-Analysis , , , , , , Affiliations Expand Affiliations 1 Department of Surgery, South Auckland Clinical Campus, Middlemore Hospital

2020 EvidenceUpdates

18. Advice for pregnant members of the anaesthesia and intensive care workforce during the COVID-19 pandemic

Advice for pregnant members of the anaesthesia and intensive care workforce during the COVID-19 pandemic 1 Occupational health advice for employers and pregnant women during the COVID-19 pandemic Version 3: Published Tuesday 21 April 2020 COVID-19 virus infection and pregnancy2 Updates Please note that version 1 of this occupational health guidance was published as a chapter in the RCOG’s general Coronavirus (COVID-19) Infection in Pregnancy guidance. The occupational health guidance will now

2020 ICM Anaesthesia COVID-19

19. Ultrasound-Assisted Versus Landmark-Guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy: A Randomized Controlled Trial

Share Permalink Copy Page navigation Randomized Controlled Trial Anesth Analg Actions . 2020 Mar;130(3):787-795. doi: 10.1213/ANE.0000000000004600. Ultrasound-Assisted Versus Landmark-Guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy: A Randomized Controlled Trial , , , , , , Affiliations Expand Affiliation 1 From the Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea. PMID (...) : 31880632 DOI: Item in Clipboard Randomized Controlled Trial Ultrasound-Assisted Versus Landmark-Guided Spinal Anesthesia in Patients With Abnormal Spinal Anatomy: A Randomized Controlled Trial Sun-Kyung Park et al. Anesth Analg . 2020 Mar . Show details Anesth Analg Actions . 2020 Mar;130(3):787-795. doi: 10.1213/ANE.0000000000004600. Authors , , , , , , Affiliation 1 From the Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College

2020 EvidenceUpdates

20. Perianal block with ropivacaine as a supplement to anaesthesia in proctological surgery: double-blind randomized placebo-controlled trial (PERCEPT) Full Text available with Trip Pro

. Anesthesiology 2013; 118: 934-944. Sammour T, Barazanchi AW, Hill AG; PROSPECT group (Collaborators). Evidence-based management of pain after excisional haemorrhoidectomy surgery: a PROSPECT review update. World J Surg 2017; 41: 603-614. Argov S, Levandovsky O. Radical, ambulatory hemorrhoidectomy under local anesthesia. Am J Surg 2001; 182: 69-72. Esser S, Khubchandani I, Rakhmanine M. Stapled hemorrhoidectomy with local anesthesia can be performed safely and cost-efficiently. Dis Colon Rectum 2004; 47 (...) Perianal block with ropivacaine as a supplement to anaesthesia in proctological surgery: double-blind randomized placebo-controlled trial (PERCEPT) Perianal Block With Ropivacaine as a Supplement to Anaesthesia in Proctological Surgery: Double-Blind Randomized Placebo-Controlled Trial (PERCEPT) - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily

2020 EvidenceUpdates